Publications by authors named "Thomas M Shelton"
Introduction: Tissue morcellation has become increasingly efficient, yet remains a rate limiting step in holmium enucleation of the prostate (HoLEP). Limited data exists on how the rate of oscillation by the morcellator blades affects morcellation efficiency (ME).
Methods: We undertook a retrospective review of HoLEP procedures performed by two surgeons from July 1, 2019 to August 25, 2022.
Article Synopsis
- Partial penectomy (PP) is often preferred over total penectomy (TP) for treating penile cancer because it helps preserve urinary function, but direct comparisons of results between the two procedures were previously lacking.
- A study analyzed data from 260 penile cancer patients (67 TP and 193 PP) to evaluate differences in pre-operative risk factors and outcomes, finding that PP patients generally had fewer health issues and better recovery metrics than TP patients.
- Key findings indicated that PP patients experienced shorter hospital stays, fewer complications, less need for additional surgeries, and fewer comorbid conditions; however, information on postoperative sexual function post-treatment is still limited.
Holmium laser enucleation of the prostate (HoLEP) has become a new surgical gold standard treatment for benign prostatic hyperplasia (BPH). It is known that untreated BPH can lead to bladder outlet obstruction (BOO). A positive correlation exists between BOO and chronic kidney disease (CKD), but stability or recovery of renal function after HoLEP remains unknown.
View Article and Find Full Text PDFAfrican American (AA) men have increased risk of prostate cancer diagnosis and mortality, but the cause remains unknown. MRI fusion improves diagnosis of localized prostate cancer, particularly in anterior lesions; however, cost and access are limited in a community practice setting. By utilizing a diverse cohort of veterans with equal access to care in a single payer system, we describe prostate cancer detection.
View Article and Find Full Text PDFObjective: To characterize the safety and practice patterns of artificial urinary sphincter (AUS) placement on a population level. Increasingly AUS implantation has shifted to be an outpatient surgery; however, there is a lack of large-scale research evaluating factors associated with early (≤ 24 hours) versus late (>24 hours) discharges and complications in men following AUS placement. We utilized the National Surgical Quality Improvement Program (NSQIP) database to identify and compare factors and outcomes associated with each approach.
View Article and Find Full Text PDFIntroduction: Treatments for male stress urinary incontinence (SUI) include behavioral modifications, pelvic floor strengthening exercises, bulking agents, and surgical management. The most common surgical therapies for male stress incontinence include male slings and artificial urinary sphincters. Complications of these treatments are discussed in this review.
View Article and Find Full Text PDFIntroduction: We aim to present a modified technique and outcomes of a novel method allowing for direct visualization of the reservoir placement during a penoscrotal inflatable penile prosthesis (IPP).
Methods: Out of165 patients who underwent IPP placement from August 2012 to March 2015, 157 underwent a modified technique and comprised the cohort of this study. A Deaver's retractor was placed lateral to the penis and over the pubic bone to allow for direct visualization of the tissues overlying the lower abdomen.