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Management of Transanal Recto-Anal Foreign Body in a School-Aged Child: A Report of a Rare Case.
Cureus
November 2024
Gastroenterological Surgery, Nippon Medical School, Tokyo, JPN.
Transrectal recto-anal foreign bodies are occasionally encountered in routine practice, with sexual experimentation as the most common motivation for insertion. Although most patients with recto-anal foreign bodies are middle-aged, reports in younger patients are rare. In the present study, we encountered a case of recto-anal foreign body in a school-aged child.
View Article and Find Full Text PDF[Risk Factors for Positive Resection Margins in Robot-Assisted Laparoscopic Radical Prostatectomy after Systematic and MRI-Ultrasound Fusion Guided Prostate Biopsy].
Hinyokika Kiyo
August 2024
The Department of Urology, Japanese Red Cross Wakayama Medical Center.
Article Synopsis
- There was an increased risk of positive resection margins (RMs) in patients who underwent robotic-assisted laparoscopic radical prostatectomy (RARP) after having systematic prostate biopsies.
- The study evaluated 61 patients who had MRI-ultrasonography fusion and systematic biopsies, and found that the RM-positive group generally had a higher clinical stage and a greater proportion of positive biopsy results.
- Logistic regression indicated that the positivity rate of systematic biopsies was a significant risk factor for RM positivity, suggesting that these biopsies might be important for assessing the feasibility of preserving the neurovascular bundles during surgery.
Introduction: Needle-track seeding of prostate cancer into the rectal wall following transrectal prostate biopsy is exceedingly rare. We report a case of mucinous prostate cancer recurrence in the rectal wall due to biopsy needle seeding, discovered after robot-assisted radical prostatectomy.
Case Presentation: A 67-year-old man underwent robot-assisted radical prostatectomy for mucinous prostate cancer (clinical stage T2cN0M0, Gleason score of 4 + 4, and initial prostate-specific antigen level of 8.
Implementing Change Through an Outpatient Antibiotic Stewardship Program.
Urol Pract
January 2025
Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Introduction: We sought to implement a multipronged behavioral intervention to reduce and tailor antibiotic use for 2 common urologic outpatient procedures.
Methods: This study was a nonblinded intervention study that consisted of a preintervention phase (November 2018-January 2019), an intervention phase (January 2020-December 2020) in which a multipronged behavioral intervention was implemented, and a postintervention phase (January 2021-March 2021). We examined antibiotic use for cystoscopy and transrectal prostate biopsy at 3 separate urologic outpatient clinics.
Short-term outcomes of Transrectal Natural Orifice Specimen extraction compared with conventional minimally invasive surgery for selected patients with colorectal cancer: a propensity score matching analysis and literature review.
World J Surg Oncol
September 2024
Division of Colon and Rectal Surgery, College of Medicine, Chang Gung Memorial Hospital at Linkou, Chang Gung University, Taoyuan, Taiwan.
Purpose: Conventional minimally invasive surgery requires mini-laparotomy to extract the pathological specimen. However, by using a natural orifice as the delivery route, natural orifice specimen extraction (NOSE) surgery avoids the need for a large incision. This study analyzed the short-term outcome of NOSE compared with conventional mini-laparotomy (CL) for colorectal cancer surgery.
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