896 research outputs found
Editorial Comment on: Induction and maintenance adjuvant mitomycin C topical therapy for upper tract urothelial carcinoma: tolerability and intermediate term outcomes by metcalfe et al
No full textBladder utility symptom scale: a new patient reported outcome measure for health-related quality of life in bladder cancer
No full textFlexible ureteroscopy and lasertripsy (FURSL) for paediatric renal calculi: results from a systematic review
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Advances in lasers for the treatment of stones: a systematic review
No full textPURPOSE OF REVIEW: Laser lithotripsy is increasingly used worldwide and is a continuously evolving field with new and extensive research being published every year.RECENT FINDINGS: Variable pulse length Ho:YAG lithotripters allow new lithotripsy parameters to be manipulated, and there is an effort to integrate new technologies into lithotripters. Pulsed thulium lasers seem to be a viable alternative to holmium lasers. The performance of similar laser fibers varies from manufacturer to manufacturer. Special laser fibers and "cleaving only" fiber tip preparation can be beneficial for the lithotripsy procedure. Different laser settings and the surgical technique employed can have significant impact on the success of laser lithotripsy. When safely done, complications of laser lithotripsy are rare and concern the endoscopic nature of procedure, not the technology itself, making laser lithotripsy one of the safest tools in urology. SUMMARY. Laser lithotripsy has had several new developments and more insight has been gained in recent years with many more advances expected in the future.</p
A Complete World Literature Review of Quality of Life (QOL) in Patients with Kidney Stone Disease (KSD)
Full text linkPURPOSE OF REVIEW: The purpose of this study was to review the current evidence for quality of life (QOL) in patients with kidney stone disease (KSD).RECENT FINDINGS: A review of literature from inception to May 2016 for all prospective English language articles on QOL in patients with KSD was done. QOL studies post urological procedures or ureteric stents were excluded. Nine studies (1570 patients) were included of which most (n = 6) used the SF-36 QOL tool. Overall, seven of the nine studies demonstrated a lower QOL in patients with KSD. Bodily pain and general health were significantly lower in patients with KSD compared to their control groups. Patients with KSD have an overall lower QOL with most impact on bodily pain and general health domains. Compared to the scale of patients suffering from KSD, more work needs to be done in measuring QOL both in terms of 'Stone specific' QOL measuring tools and the quality/number of studies in this field.</p
Flexible ureterorenoscopy: Tips and tricks
No full textWith advancement in technology, improvement in endoscope and ancillary equipment, more complex procedures can be performed using flexible ureterorenoscopy. In this review article we provide a summary of flexible ureterorenoscopic procedures with "tips and tricks′′ for success for each type of procedure. It looks at the disposables used with flexible ureterorenoscopic procedures, set up and patient positioning for gaining access, insertion and handling of scope and the use of urethral access sheath. We also provide techniques for various flexible ureterorenoscopic procedures including management of renal stones, calyceal diverticula and upper tract urothelial tumours
Ureteroscopy for paediatric calculi: the twin-surgeon model
No full textWe describe our ‘Tips and tricks’ of ureteroscopy and lasertripsy (URSL) for paediatric ureteric calculi. All regional referrals directed to the paediatric urologist are discussed in a formal stone multidisciplinary team (MDT) meeting with urologists, radiologists, and biochemical pathologist. A paediatric urologist (SG) and an experienced adult endourologist (BS) do these stone procedures jointly as a twin-surgeon team approach for each patient.</p
Recent trends in postcystectomy health-related Quality of Life (QoL) favors neobladder diversion: Systematic Review of the Literature
No full textThe study aims to review the current evidence for quality of life posturinary diversion surgery comparing neobladder to other types of diversion. A review of literature from inception to July 2015 for all English-language articles was done. Based on our inclusion criteria, 22 studies (2450 patients) were included. Whereas none of the prospective studies showed any quality of life (QoL) advantage with ileal conduit diversion, 3 of the 5 prospective studies and 4 of the 6 studies published after 2011 show better QoL outcomes with neobladder than other urinary diversion types. All prospective studies published after 2011 have shown neobladder to have superior QoL outcomes than its comparators. Recent trends indicate that orthotopic neobladder postcystectomy is associated with better QoL outcomes compared to other urinary diversion types.</p
Minimally invasive surgical (MIS) techniques in the management of benign and malignant kidney conditions
No full textMy thesis underlines the role and current evidence of minimally invasive surgical (MIS) technique for benign and malignant renal conditions.Evidence is presented for the use of laparoscopic and robotic partial nephrectomy along with expanding indications for ureteroscopy. Systematic reviews of ureteroscopy for large stones, obese patients, patients with bleeding diathesis and children is presented. Use of ureteroscopy for endoscopic diagnosis and management of upper urinary tract tumours is also presented.The work is comprised of 12 peer-reviewed published papers including 8 systematic reviews and 4 original research papers using retrospective or prospective case series on the subject.Based on the evidence, new insight into MIS for renal conditions will help clinicians and patients in informed decision-making. Minimally invasive surgery is a step in the right direction for management of various benign and malignant renal conditions. My work demonstrates evidence-based outcomes, which will ensure widespread adoption of these techniques in future
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