1,181 results match your criteria: "Simple Prostatectomy"

Background: Small prostates (volume <30 ml) induce bladder outlet obstruction with pathophysiological changes distinct from those associated with large prostates. Treatment options often include transurethral incision of the prostate (TUIP) or transurethral resection of the prostate (TURP). Existing treatments have issues with high recurrence and complication rates.

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Prostatic adenocarcinomas with large cribriform glands/intraductal carcinoma (LC/IDC), or the recently proposed unfavorable histology, are associated with adverse outcomes after radical prostatectomy. However, Gleason pattern 4 carcinomas without LC/IDC (or unfavorable histology) have minimal risk for aggressive clinical behavior after prostatectomy. As proof-of-principle study, we collected a cohort of 485 radical prostatectomy specimens to assess correlations between different subtypes of Gleason pattern 4 disease and the presence of adjacent high-risk prostatic adenocarcinoma, defined as LC/IDC or unfavorable histology.

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Introduction: Minimally invasive simple prostatectomy (MISP) and endoscopic enucleation of the prostate (EEP) are appropriate candidates for the large prostate. However, their comparative effectiveness and safety remain unclear. This study aims to conduct a comprehensive analysis comparing the efficacy and safety of MISP and EEP.

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Holmium laser enucleation of the prostate (HoLEP) and robot-assisted simple prostatectomy (RASP) have emerged as the two surgical treatments of medication-refractory benign prostatic hyperplasia (BPH). The comparative outcomes of en-bloc HoLEP with early apical release and RASP with modified Freyer's technique remain unexplored. Between 2018 and 2022, patients with medication-refractory BPH and prostate volume ≥80 g underwent HoLEP or RASP depending on clinical characteristics, patient choice, and surgeon preference.

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BPH is a common urological pathology that affects 2480 per 100,000 men worldwide. With a rising population and increased age expectancy, the prevalence of benign prostatic hyperplasia (BPH) is increasing (Awedew et al. in Lancet Healthy Longev 3(11), 2022).

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Article Synopsis
  • * A total of 89 patients were analyzed, with significant improvements in urinary symptoms and quality of life observed post-surgery, as shown by decreases in International Prostate Symptoms Score (IPSS) and post-voiding residual volume.
  • * Only 4.5% of patients experienced urinary incontinence after the procedure, and all regained continence within 3 months, indicating that SP-RASP is a safe and effective option for this condition.
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Objective: Minimally invasive treatments for benign prostatic hyperplasia (BPH) have seen an increase in usage in recent years. We aimed to determine what types of events may influence patient search habits related to surgical BPH treatments.

Methods: Google Trends was used to determine the frequency of searches for different minimally invasive and prostatic ablative treatments for BPH in the United States.

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Open simple prostatectomy in the last three decades: results of a meta-analysis.

World J Urol

November 2024

Desai Sethi Urology Institute, Miller School of Medicine, University of Miami, 1120 NW 14th St #2107, 15th Floor, Miami, FL, 33136, USA.

Article Synopsis
  • Open simple prostatectomy (OSP) is still an important treatment for benign prostatic hyperplasia (BPH) in patients with large prostate volumes (>80 ml), especially when compared to newer methods like minimally invasive simple prostatectomy (MISP) and laser enucleation.
  • A meta-analysis of 10 randomized controlled trials showed that while OSP significantly improves voiding symptoms, it has a higher risk of postoperative complications such as bleeding and transfusions.
  • Although OSP remains a viable treatment option, its higher morbidity rates necessitate careful patient selection and ongoing research to enhance surgical techniques and overall outcomes.
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Background: Compared with open radical prostatectomy (RP), laparoscopic or robot-assisted RP have shown a notable decrease in the incidence of organ dysfunction or potentially life-threating complications after surgery. However, despite advances, the postoperative length of hospital stay (LOS) remains longer than desired in many cases. The Postoperative Morbidity Survey (POMS) is a simple approach to detect complications capable of prolonging LOS.

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The Hem-o-lok Weck clip is part of a polymer locking ligation system often employed for hemostasis in surgical practices. Its use is routine in a wide array of surgical subspecialties. Surgeons have limited options in removing these clips when they are aberrantly positioned.

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Purpose: As the prevalence of benign prostatic hyperplasia (BPH) increases, the demand for surgical interventions that optimize patient outcomes while minimizing complications grows. This systematic review compares the efficacy, efficiency, and safety of holmium laser enucleation of the prostate (HoLEP) with robotic-assisted simple prostatectomy (RASP), providing insights for evidence-based surgical decision-making in BPH treatment.

Materials And Methods: Adhering to PRISMA guidelines, the study protocol was registered with Prospero [CRD42024509627].

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Benign prostatic hyperplasia (BPH) affects up to 80% of men by age 80, with large-gland BPH often treated by simple prostatectomy (SP). This technique significantly improves symptoms but is associated with high rates of complications such as transfusions and infections. Minimally invasive techniques, including robotic-assisted laparoscopic simple suprapubic prostatectomy (RALSP), have emerged as alternatives.

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Article Synopsis
  • The study compares outcomes of robotic assisted simple prostatectomy (RASP) and open simple prostatectomy (OSP) for men with enlarged prostates and severe urinary symptoms, following European urology guidelines.
  • Among 27 OSP patients and 26 RASP patients, it was found that OSP had longer operative times, higher blood loss, and longer hospital stays compared to RASP.
  • The results indicate that RASP significantly reduced complications and overall morbidity, suggesting it is a preferable choice for this surgical procedure.
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Background: The aim of this study was to describe the technique and initial outcomes of robot-assisted T-plasty for recalcitrant bladder neck stenosis.

Methods: Patients who underwent robot-assisted T-plasty for recalcitrant bladder neck stenosis in a single center were included. Presence of bladder neck stenosis was preoperatively confirmed by the combination of retrograde urethrography with voiding cysto-urethrography and flexible urethroscopy.

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Article Synopsis
  • The study looks at how the size of the prostate affects patients’ recovery and symptoms after a surgery called RASP, which helps treat an enlarged prostate (BPH).
  • They reviewed 25 articles and found that patients with smaller prostates had worse symptoms before surgery but improved more after, while those with larger prostates still had some moderate symptoms.
  • The researchers concluded that RASP is a safe and effective surgery for treating BPH, but more studies are needed to understand how prostate size influences the results.
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We sought to examine whether scheduled intravenous (IV) ketorolac decreased post-operative narcotic utilization and changed peri-operative outcomes (including complications) in patients undergoing robotic-assisted simple prostatectomy (RASP). An IRB-approved, retrospective chart review was performed of all patients undergoing RASP at a single institution from November 2017 to July 2019. Patient demographic, peri-operative, and post-operative data, including morphine equivalent use (MEU), were collected.

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Introduction: Laparoscopic adenomectomy for prostates larger than 80 mL is still a topic of debate. The purpose of this study is to evaluate the perioperative outcomes and complications between open Millin (OM) and laparoscopic Millin (LM) adenomectomy.

Material And Methods: Perioperative data and complications were retrospectively collected from patients submitted to Millin procedure from August 2019 to August 2022 in a tertiary centre, and OM and LM were compared.

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Article Synopsis
  • This study looked at urinary incontinence (UI) in patients who had surgery for a prostate condition called BPH.
  • Out of over 274,000 patients treated, about 11,000 had ongoing UI a year after their surgery.
  • Some types of surgeries had higher chances of causing UI, like HoLEP and PVP, while others like Prostatic Artery Embolization had much lower rates of this problem.
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Background: Single-port robot-assisted simple prostatectomy is a minimally invasive alternative for patients with large benign prostatic hyperplasia with severe symptoms and/or failure of medical treatment. In recent literature, the rate of incidental prostate cancer after simple prostatectomy ranges from 1.8% to 13.

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Background And Objective: Understanding the learning curve for the da Vinci single-port (SP) surgical robot is crucial for adoption, training, and enhancement of surgical safety and efficiency. Our aim was to assess the impact of both overall experience (O-EXP) and procedure-specific experience (PS-EXP) on perioperative outcomes across various SP surgeries.

Methods: We analyzed data for 387 consecutive SP surgeries conducted by a high-volume surgeon from December 2018 to July 2023.

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Artificial urinary sphincter and stricture disease: surgical principles in management.

Transl Androl Urol

August 2024

Department of Urology, Section of Reconstructive Urology and Neurourology, Oslo University Hospital, Oslo, Norway.

Article Synopsis
  • * While AUS generally has low complication rates, issues like mechanical failures or infections can necessitate device revision or removal, especially in patients with compromised urethras due to factors like previous surgeries or radiation.
  • * This review explores how prior urethral conditions, such as strictures, impact AUS outcomes and examines how AUS placement may influence future urethral stricture surgeries, particularly after cuff erosion.
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Patients with bladder outlet obstruction (BOO) due to massive prostate enlargement have several surgical treatment options, such as robot-assisted simple prostatectomy (RASP) and holmium laser enucleation of the prostate (HoLEP). Postoperative outcomes may differ between those undergoing RASP and HoLEP. RASP has been associated with a lower incidence of transient stress urinary incontinence (SUI), while HoLEP allows for shorter catheterization times.

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Article Synopsis
  • Robotic-assisted laparoscopic prostatectomy (RALP) is a common procedure for localized prostate cancer but can lead to complications, including injury to nearby structures like the ureter.
  • A unique case is presented where a 57-year-old man experienced an iatrogenic ureteral injury during RALP, which led to elevated creatinine levels and severe flank pain.
  • The patient ultimately required robotic-assisted laparoscopic ureteral reimplantation seven weeks post-surgery to resolve the obstruction and restore kidney function.
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Introduction: The urinary bladder undergoes morphological and functional changes in patients with symptomatic benign prostatic enlargement (BPE). These detrusor changes reflect chronically increased intravesical pressure as a result of outlet obstruction. This study aims to determine the relationship between the Pre- and Post-op detrusor wall thickness (DWT), international prostate symptom score (IPSS), and duration of lower urinary tract symptoms (LUTS) in patients who had open simple prostatectomy (OSP).

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Objective: To detail a novel technique of robotic-assisted simple prostatectomy that makes handling the gland protruding into the bladder neck easier and can preserve the urethra and retain ejaculation function as much as possible.

Patients And Methods: This is a prospective case series. Clinical data of 17 male patients who had large volume (>80 mL) benign prostatic hyperplasia (BPH) were enrolled to undergo trans-rectovesical pouch urethral-sparing robotic-assisted simple prostatectomy (usRASP).

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