Laparoscopic approaches to the retropubic space: three alternatives with anatomical considerations

Author(s):  
Michael Anapolski ◽  
Ibrahim Alkatout ◽  
Thilo Wedel ◽  
Dimitrios Panayotopoulos ◽  
Stefan Soltesz ◽  
...  
Keyword(s):  
2009 ◽  
Vol 201 (5) ◽  
pp. 524.e1-524.e5 ◽  
Author(s):  
Sujatha D. Pathi ◽  
Mario E. Castellanos ◽  
Marlene M. Corton
Keyword(s):  

2019 ◽  
Vol 12 ◽  
pp. 117954761984383
Author(s):  
Siu W Lam ◽  
Philip VM Linsen ◽  
Otto E Elgersma

The urachus is a vestigial structure of the allantois and cloaca. It involutes as fetal development progresses to become a fibrous cord, which courses between the umbilicus and bladder dome within the retropubic space. Infection occasionally occurs in patients with congenital patent urachus. Here, we report a patient with infection of a previously closed urachal tract presenting as an abdominal mass. This has rarely been described in the literature. Current knowledge on imaging findings to the diagnosis is discussed.


2004 ◽  
Vol 103 (5, Part 1) ◽  
pp. 997
Author(s):  
Matthew Aungst ◽  
Michael Wagner
Keyword(s):  

2015 ◽  
Vol 2015 ◽  
pp. 1-8
Author(s):  
Ziting Wang ◽  
Anantharaman Vathsala ◽  
Ho Yee Tiong

Haematuria has a prevalence of 12% in the postrenal transplant patient population. It heralds potentially dangerous causes which could threaten graft loss. It is important to consider causes in light of the unique, urological, and immunological standpoints of these patients. We review the literature on common causes of haematuria in postrenal transplant patients and suggest the salient approach to the evaluation of this condition. A major cause of haematuria is urinary tract infections. There should be a higher index of suspicion for mycobacterial, fungal, and viral infection in this group of immunosuppressed patients. Measures recommended in the prevention of urinary tract infections include early removal of foreign bodies as well as prophylactic antibiotics during the early transplant phase. Another common cause of haematuria is that of malignancies, in particular, renal cell carcinomas. When surgically managing cancer in the setting of a renal transplant, one has to be mindful of the limited retropubic space and the need to protect the anastomoses. Other causes include graft rejections, recurrences of primary disease, and calculus formation. It is important to perform a comprehensive evaluation with the aid of an experienced multidisciplinary transplant team.


2014 ◽  
Author(s):  
Melbourne Masters ◽  
Ayush Goel
Keyword(s):  

2020 ◽  
pp. 039156032096787
Author(s):  
Alessandro Natali ◽  
Simone Grisanti Caroassai ◽  
Giovanni Tasso ◽  
Gianmartin Cito ◽  
Luca Gemma ◽  
...  

Introduction: The role of reservoir position was investigated in this series of patients treated with three-pieces penile prosthesis implantation (PPI). The outcomes and the patients’ reported quality of life after insertion of the balloon in the retropubic space, or the Retzius’s space (SOR), were compared with the outcomes of patients who received an intraperitoneal implantation (IP). The study aimed to analyze how the anatomy of the SOR influenced the long-term results of PPI, especially in patients who have been previously exposed to pelvic surgery or radiotherapy. The SOR has usually been identified as ideal for concealing and protecting the reservoir; nevertheless, an increasing rate of patients that ask for a PPI do not conserve the typical favorable characteristic of the SOR. In these cases, the tissue alteration can cause a higher rate of undesired events and can impair the satisfaction from device use. In the recent literature, few articles focus on the topic of reservoir position and very poor information is available about the results of the IP insertion. Materials: Our cohort of patients was retrospectively inspected; the two different subgroups, according to the reservoir position (SOR or IP) were evaluated considering the pre-operative condition, the post-operative complication, the development of undesired events or uncomfortable sensations during the follow-up. The quality of life after PPI was observed as well, with a questionnaire specifically developed for patients treated with PPI. The surgical technique adopted for the intraperitoneal implantation was described. Results: The results of penile prosthesis functionality and patients’ and partners’ reported quality of life (QoL) showed similar results between the two groups but greater satisfaction in the relational domain of the questionnaires adopted was described in the IP subgroup. Conclusion: According to our observations, the IP reservoir insertion guarantees good functionality and lower rates of undesired events after PPI.


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