Tag: dvP

  • UroToday – Nephroureteral Stent on Suction for Urethrovesical Anastomotic Leak After Robot-Assisted Laparoscopic Radical Prostatectomy

    Source Urotoday.com I found an abstract about a way to manage urinary ascites that can rarely happen after dvP. Conventional measures, including catheter traction, passive drainage, and needle vented Foley catheter suction, failed. On postoperative day 6 a unilateral nephroureteral stent was placed on intermittent suction. Placement of one nephroureteral stent on suction device immediately…

  • Median Lobe in Robot-Assisted Radical Prostatectomy: Evaluation and Management

    UroToday – The surgical margins were similar between the two groups. No significant difference was found in the postoperative urinary bother score or the interval to social or perfect continence between the two groups. The results of this study have shown that the presence of a median lobe does not alter the outcomes in patients…

  • Effect on prostate size on prostatectomy recovery

    clipped from www.medwire-news.md “Prostate size has no effect on continence or biochemical recurrence at 1 year after laparoscopic radical prostatectomy, but affects intra-operative blood loss, potency and surgical margins,” Aron et al write in the BJU International. The study points out what most people are concluding in regards to positive margins. Smaller prostate tend to…

  • Catheter withdrawal and suturing times of connection during robotic prostatectomy

    UroToday – WCE 2007 – Single Knot Anastomosis (SKA) For Laparoscopic Radical Prostatectomy: An International Multicenter Outcome Survey of 5235 Cases They have shown that the time to complete the anastomosis for the expert, second generation, and trainee surgeons were 16, 23, and 30 minutes respectively. Additional stitches were necessary only in 1.1%. The anastomosis…

  • Sex After Robotic Prostatectomy: Penile Rehabilitation

    I have previously written about sexual function and how it changes after prostate cancer surgery. As men are being diagnosed with prostate cancer at a younger age and at an earlier stage, the preservation of erectile function and the ability to maintain satisfactory erections has become more important. My partners and I offer a variety…

  • Robotic surgery summary- September 2007

    In September I performed 19 operations including 13 dvPs. One simple prostatectomy was combined with a left inguinal hernia repair. This was the first time I had performed this combination, although I have performed close to 50 hernia repairs at the time of dvP. The new thing to report is an improvement in continence that…

  • 3 experts discuss their experience with robotic surgery

    Symposium: Robotic surgery in urology: Hype, hope, and reality – Modern Medicine Community urologists who want to learn this must have an adequate volume of cases, at least 20 prostatectomies a year, and it probably will take 20 or 30 procedures before they are comfortable. For someone doing less than 20 cases a year, it…

  • Veil of Aphrodite at the time of robotic prostatectomy

    UroToday – AUA 2007 ABST[550] Curtain Dissection of the Lateral Prostatic Fascia and Potency Following Laparoscopic Radical Prostatectomy – A Veil of Mystery Conclusions: CD produced a significantly higher potency rate at 1 month following LRP but similar rates thereafter, which are in step with previously reported values (Rozet, 2004). Notably, CD failed to reproduce…

  • Surgical volume related to cancer cure rates after prostate cancer surgery

    UroToday – AUA 2007 – The Effect of Surgical Volume on the Rate of Seconday Treatment After Radical Prostatectomy They conclude that surgical volume is a determinant of treatment-failure when evidenced by the use of secondary therapies. Surgeons performing 24 RPs per year had the lowest rate of secondary treatment use.