A surgical technique is described for the treatment of genuine urinary exercise incontinence (U.E.I.) in the female, consisting in the performance of simplified retropubic colpouretrocerico- pexia which allows to obtain a 89.2% urinary incontinence recovery rate and 97% cystocele reduction (n=40 cases).
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Arab J Urol
November 2020
Department of Urology, Luzerner Kantonsspital, Lucerne, Switzerland.
: To assess the prevalence of frailty, a status of vulnerability to stressors leading to adverse health events, in bladder cancer patients undergoing radical cystectomy (RC), and test the impact of frailty measurements on postoperative adverse outcomes. : A systematic review of English-language articles published up to April 2020 was performed. Electronic databases were searched to quantify the frailty prevalence in RC patients and assess the predictive ability of frailty indexes on RC-related outcomes as postoperative complications, early mortality, hospitalization length (LOS), costs, discharge dispositions, readmission rate.
View Article and Find Full Text PDFJ Minim Invasive Gynecol
May 2021
Gynecology and Obstetrics 1, Department of Surgical Sciences, City of Health and Science, University of Turin, Turin (Drs. Cosma, Carosso, and Benedetto).
Study Objective: The classical surgical anatomy of the female pelvis was born with radical hysterectomy [1] and focused on the pivotal role of the lateral parametrium, a conceptually complex structure, an artifact of surgical anatomy [2] without which the whole classical model would collapse. Here, using natural planes, we tried to simplify the puzzle of the virtual spaces surrounding this structure [3,4]. With the aim of better conceptualizing the classical model of the female pelvic surgical anatomy, we broadened its perspective, which had been narrowly focused on the historic gynecologic setting, by developing a comprehensive model of pelvic retroperitoneal compartmentalization.
View Article and Find Full Text PDFVideourology (New Rochelle)
April 2019
Department of Urology, University of Rochester Medical Center (URMC), Rochester, New York.
Robot-assisted simple prostatectomy (RASP) performed with the extraperitoneal (EP) technique (RASP-EP) minimizes the risk of bowel injury, particularly when bowel adhesions may be expected to be prominent, by negating the need to be in the transperitoneal space. However, there is a perception of its technical difficulty owing to the limited space that can be expanded within the space of Retzius. We aimed to describe, in the accompanying video, the step-by-step approach for a technically proficient procedure.
View Article and Find Full Text PDFEur Urol
January 2015
Department of Urology, University of Bern, Bern, Switzerland.
Background: High-risk prostate cancer (PCa) is an extremely heterogeneous disease. A clear definition of prognostic subgroups is mandatory.
Objective: To develop a pretreatment prognostic model for PCa-specific survival (PCSS) in high-risk PCa based on combinations of unfavorable risk factors.
Sex Med Rev
January 2014
Department of Urology, School of Medicine, Tulane University, New Orleans, LA, USA; Department of Urology, Bagcilar Training and Research Hospital, Istanbul, Turkey. Electronic address:
Introduction: Erectile dysfunction (ED) is one of the most commonly affected domains of health-related quality of life after prostate cancer therapy. Functional outcomes after radical prostatectomy (RP) have continued to improve through refinement of surgical techniques and development of several procedural modifications. In this context, it has been hypothesized that robotic technologies should simplify the preservation of the neurovascular bundle, thus possibly providing improved functional outcomes.
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