2,329 research outputs found
Transperitoneal single-port robotic Firefly-guided bladder diverticulectomy and simple prostatectomy
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Naxwaha Sifayneed ee Afsoomaaliga: mugga kowaad (mi): Ereyeynta
No full textQoraagu wuxuu buuggan ku lafagurayaa qaybaha hadalka ee Af-soomaaliga, gaar ahaan xagga sarfaha ereyga.In questo testo, l'autore presenta un'analisi relativa alle parti del discorso della lingua somala, con un particolare focus sulla morfologia.In this text, the author presents an analysis of the parts of speech of the Somali language, with a particular focus on morphology
Fundamental view of the outcomes of entrepreneurship education
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The research
paper presents a holistic framework of the outcomes of entrepreneurship
education (EE) at educational and socio-economic levels. Employing the general
scientific research methods, monograph and logical construction, the author investigates
the fundamental origins of the European Competence Framework for
entrepreneurial learning and identifies a scientific justification for its
implementation. This work is also the first to exploit an integral view of
entrepreneurship as a combination of employability, intrapreneurship and
venture creation – for measuring the impact of entrepreneurship education, and
to set linkages between learning outcomes in real life and educational settings.
The target audiences for this paper include entrepreneurship educators,
researchers and EE decision-makers. </p
Single-port robot-assisted partial nephrectomy via the lower anterior approach: a video analysis of initial clinical experience
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Incidence and management of radiation cystitis after pelvic radiotherapy for prostate cancer: Analysis from a national database
No full textSingle port robot-assisted pyeloplasty: An early comparative outcomes analysis
No full textBackground: The treatment paradigm for ureteropelvic junction obstruction (UPJO) has shifted towards minimally invasive pyeloplasty. A comparison Single Port (SP) and Multi Port (MP) robot-assisted pyeloplasty (RAP) was performed.
Methods: Data from consecutive patients undergoing SP RAP or MP RAP between January 2021 and September 2023 were collected and analysed. Co-primary outcomes were length of stay (LOS), Defense and Veterans Pain Rating Scale (DVPRS), and narcotic dose. The choice of the robotic system depended on the surgeon's preference and availability of a specific robotic platform.
Results: A total of 10 SP RAPs and 12 MP RAPs were identified. SP RAP patients were significantly younger [23 years (20-34)] than MP RAP [42 years (35.5-47.5), p < 0.01]. No difference in terms of OT (p = 0.6), LOS (p = 0.1), DVPRS (p = 0.2) and narcotic dose (p = 0.1) between the two groups was observed.
Conclusions: SP RAP can be implemented without compromising surgical outcomes and potentially offering some clinical advantages
Contemporary management of ischemic priapism: A 12-year population-based analysis from a large US database
No full textBackground: Priapism is a urological condition characterized by a persistent erection. The management varies based on its subclassifications. Despite established clinical guidelines for ischemic priapism, there is a lack of large-scale research focused on patient characteristics and management strategies.
Objectives: To analyze the contemporary management of ischemic priapism in the US, exploring patient demographics and clinical characteristics, as well as predictors of erectile dysfunction (ED) and penile prosthesis implantation (PPI).
Materials and methods: We performed a retrospective analysis of the PearlDiver Mariner database, reviewing records from 2010-2021. Adult males diagnosed with ischemic priapism were included. Data analysis covered demographic, clinical variables, and management strategies. Predictors of de novo ED and PPI were evaluated using multivariable logistic regression analysis.
Results: Of 36,120 patients, most (93%) received only medical management, and a minority underwent surgical interventions (penile shunt surgery [PSS], PPI or both). Medical management was typically effective, as 67.08% of the patients in this group experienced only one episode of priapism. However, de novo ED occurred in 16.57% of these patients. The majority of patients undergoing PPI had an inflatable prosthesis (81%). Older age (odds ratio, OR 1.02), the presence of metabolic diseases (OR 1.39), neurogenic disorders (OR 1.72), solid pelvic malignancies (OR 1.09), and multiple episodes of priapism were identified as significant predictors of de novo ED (all p < 0.05). Similarly, age (OR 1.03), the presence of metabolic diseases (OR 1.23), solid pelvic malignancies (OR 1.99), and multiple episodes of priapism were associated with higher likelihood of PPI (all p < 0.05).
Conclusion: Most cases of ischemic priapism are managed with the medical therapy. Less than 3% of patients with ischemic priapism receive PPI, and when this occurs an inflatable prosthesis is favored. Age, specific comorbidities, and multiple episodes of priapism appear to be significant predictors of ED and PPI
Implementation of single-port robotic urologic surgery: experience at a large academic center
No full textThe Single-Port (SP) robotic system is increasingly being implemented in the United States, allowing for several minimally invasive urologic procedures to be performed. The present study aims to describe our single-center experience since the adoption of the SP platform. We retrospectively collected and analyzed consecutive SP cases performed at a major teaching hospital in the Midwest (Rush University Medical Center) from December 2020 to December 2023. Demographic variables were collected. Surgical and pathological outcomes were analyzed in the overall cohort and for each type of procedure. The study timeframe was divided into two periods to assess the evolution of SP technical features over time. In total, 160 procedures were performed, with robot-assisted radical prostatectomy (RARP) being the most common (49.4%). Overall, 54.4% of the procedures were extraperitoneal, with a significantly higher adoption of this approach in the second half of the study period (30% vs 74.3%, p < 0.001). A "plus one" assistant port was adopted in 38.1% of cases, with a shift towards a "pure" single-port surgery in the most recent procedures (21.1% vs 76.7%, p < 0.001). The median LOS was 33.5 h (30-48), with a rate of any grade and CD ≥ 3 postoperative complications of 9.4% and 2.5%, respectively, and a 30-day readmission rate of 1.9%. SP robotic surgery can be safely and effectively implemented for various urologic procedures. With increasing experience, the SP platform allows shifting away from transperitoneal procedures, potentially minimizing postoperative pain, and shortening hospital stay and postoperative recovery
Living Donor Nephrectomy: Analysis of Trends and Outcomes From a Contemporary National Dataset
No full textObjective: To analyze the temporal trends and perioperative and long-term outcomes of living donor kidney nephrectomy in the United States.
Methods: The PearlDiverTM Mariner database (Pearl-Diver Technologies, Colorado Springs, CO, USA) was used for our retrospective analysis. The data were identified using ICD-9/10 codes, as well as CPT codes. Continuous and categorical variables were compared using 2-sided tests. Multivariate logistic regression analysis was conducted to identify predictors of 5-year ESRD.
Results: A total of 6333 patients were identified (median age 54, IQR 46-62 years) from 2010 to April 2022. A greater percentage of living donor nephrectomies were performed by general surgeons (56.1%), followed by transplant surgeons (16.5%) and urologists (14.7%). Unfortunately, physician specialty was not reported for the remaining patients. The MIS exceeded open surgery in each specialty group and inpatient setting. The significant predictors of ESRD were male, preoperative DM and hypertension, tobacco smoking, perioperative AKI and younger age at the time of kidney donation.
Conclusion: MIS represents the main surgical approach for organ procurement. A meticulous selection process for donors and subsequent close monitoring are necessary to minimize the putative consequences of donor nephrectomy
Postoperative urinary incontinence following BPH surgery: Insights from a comprehensive US database analysis
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