Publications by authors named "Spencer S Liem"

Article Synopsis
  • Prostate cancer is a common disease, and outpatient robotic-assisted laparoscopic radical prostatectomy (RALP) is becoming popular due to lower costs and fewer complications, but few studies have focused on patients undergoing pelvic lymph node dissections (PLND) during outpatient procedures.
  • A total of 58,527 RALP surgeries were analyzed from 2016 to 2021, revealing only 3.7% were done outpatient; those without PLND had a higher prevalence of hypertension and postoperative infections compared to those with PLND, but overall complications and readmission rates were similar.
  • The study concluded that while outpatient RALP patients without PLND had more baseline health issues and infections, there were no significant differences in post-surgery
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Purpose: Pain management is central in the treatment of urolithiasis. We aimed to estimate the impact of the 2017 Department of Health and Human Services declaration of an opioid crisis on prescribing patterns of opioids and NSAIDs in emergency department visits for urolithiasis.

Methods: The National Health Ambulatory Medical Care Survey (NHAMCS) was queried for emergency department visits of adults with a diagnosis of urolithiasis.

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Background: Sacral neuromodulation (SNM) is an advanced therapy that stimulates sacral spinal nerves to modulate bladder or bowel dysfunction and is approved for the treatment of overactive bladder, fecal incontinence, and non-obstructive urinary retention. Prior to implantation, a successful trial period must be performed via percutaneous nerve evaluation (PNE) or a staged trial to assess treatment efficacy. Ideal lead placement in the S3 foramen is imperative to produce an adequate response and successful outcome.

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Background: Retained ureteral stents can result in significant morbidity and can be surgically challenging to urologists. A multimodal approach is often necessary for removal, potentially including retrograde and antegrade procedures performed over multiple anesthetic sessions. We describe the novel "Tri-Glide" technique for treating retained stents, particularly those with stent shaft encrustation prohibiting safe removal.

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