1,721,734 research outputs found
Athermal bladder neck dissection during robot-assisted radical prostatectomy
Full text linkINTRODUCTION:
With improved understanding of the precise anatomy, surgical techniques during robot-assisted radical prostatectomy (RARP) have been refined, with the aim of improving functional outcomes without compromising oncological adequacy and results. Nevertheless, postoperative urinary incontinence remains a frustrating side-effect. Anatomically, bladder neck (BN) serves as an internal sphincter. The longitudinal fibres of BN may be identified and isolated with a meticulous dissection at the prostato-vesical junction, contributing to earlier return of urinary continence. The purpose of this video is to show an anatomical athermal dissection of BN during RARP.
MATERIALS AND METHODS:
After incision of endopelvic fascia and anterior defatting, the morphology of prostate not only laterally, but also at the level of bladder-prostatic junction is well visualized. With an athermal dissection of the plane between prostate and bladder we can minimize the traumatic effects on the longitudinal fibres of BN. A cold section of the preserved BN permits the complete preservation of integrity of this sphincteric structure.
RESULTS:
With this technique we preserve the longitudinal fibres of BN, allowing the sparing of the sphincteric mechanism of BN. The finding of a difficult athermal dissection of these plans may make you suspect the presence of an infiltration, suggesting to sacrifice BN in order to avoid a positive surgical margin. In our series no increase of PSM has been recorded using this technique.
CONCLUSIONS:
This surgical technique preserving the natural BN mechanism appears to improve urinary continence, allowing at the same time an easy identification of a neoplastic infiltration
DRAW: The value of anatomical drawing in the 21st century
No full textNovel surgical tools demand revision of our anatomical knowledge. Anatomical drawings are extraordinarily useful to describe organs and highlight surgical details, representing an exceptional method of teaching and learning. DRAW is a new non-profit website with the aim of increasing knowledge of urological surgical anatomy through submissions from urologists
«b-MAP»: A new diagram for reporting data on various areas of an endoscopically evaluated bladder
No full text«b-MAP»: un nuevo diagrama para comunicar datos en varias áreas de una vejiga evaluada endoscópicamente«b-MAP»: A new diagram for reporting data on various areas of an endoscopically evaluated bladde
"Vesica Patavina" (lat.)
No full textAfter the initial simulation, we started performing Ves.Pa. on human patients. We can confirm that the technique is more rapid than others, and easy to perform with a totally intracorporeal robotic approach
How robotic surgery is changing our understanding of anatomy
Full text linkThe most recent revolution in our understanding and knowledge of the human body is the introduction of new technologies allowing direct magnified vision of internal organs, as in laparoscopy and robotics. The possibility of viewing an anatomical detail, until now not directly visible during open surgical operations and only partially during dissections of cadavers, has created a 'new surgical anatomy'. Consequent refinements of operative techniques, combined with better views of the surgical field, have given rise to continual and significant decreases in complication rates and improved functional and oncological outcomes. The possibility of exploring new ways of approaching organs to be treated now allows us to reinforce our anatomical knowledge and plan novel surgical approaches. The present review aims to clarify some of these issues. © 2017 Arab Association of Urology
Re: Vladimir Student Jr., Ales Vidlar, Michal Grepl, Igor Hartmann, Eva Buresova, Vladimir Student. Advanced Reconstruction of Vesicourethral Support (ARVUS) during Robot-assisted Radical Prostatectomy: One-year Functional Outcomes in a Two-group Randomised Controlled Trial. Eur Urol 2017;71:822-30: CoRPUS and ARVUS
No full textRe: Drossaerts J, Vrijens D, Leue C, Schilders I, Van Kerrebroeck P, Van Koeveringe G. Screening for depression and anxiety in patients with storage or voiding dysfunction: A retrospective cohort study predicting outcome of sacral neuromodulation treatment. Neurourol Urodyn. 2015
Full text linkEditorial Comment to Transsphincteric repair of rectourethral fistulas: 15 years of experience with the York Mason approach
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