scholarly journals Concurrent upper and lower urinary tract robotic surgery: A case series

2014 ◽  
Vol 8 (11-12) ◽  
pp. 853 ◽  
Author(s):  
Sailaja Pisipati ◽  
Christian Bach ◽  
Datesh Daneshwar ◽  
Edward W Rowe ◽  
Anthony J Koupparis
Keyword(s):  
Urinary Tract ◽  
Robotic Surgery ◽  
Lower Urinary Tract ◽  
Case Series ◽  
Da Vinci Surgical System ◽  
Robotic Assisted ◽  
Entire Cohort ◽  
First Case ◽  
Grade 3 ◽  
Lower Urinary

The da Vinci Surgical System (Intuitive Surgical Inc.) continues to develop as a platform in urological surgery. Synchronous upper and lower urinary tract tumours requiring extirpative surgery are not uncommon. We report the first case robotic series of combined complex upper and lower urinary tract surgery. Six high-risk anaesthetic patients with a median age of 71 years and apparent synchronous upper and lower urinary tract pathologies underwent concurrent robotic surgery. Five underwent robotic nephroureterectomyand robotic-assisted radical cystectomy (RARC); 1 had combined robotic nephroureterectomy and robotic-assisted radical prostatectomy (RALP). The mean length of stay was 10 days, with an average blood loss of 416.7 mL. The median console time for nephroureterectomy, RALP and RARC was 90, 90 and 210 minutes, respectively. Four patients had intra-corporeal ileal conduit urinary diversion. There were no Clavien grade 3, 4, or 5 complications. In all patients, 30- and 90-day mortality was nil. Margins were clear in the entire cohort. We concluded that combined upper and lower urinary tract robotic surgery is safe and technically feasible with acceptable complications and oncological outcomes.

scholarly journals Adult Bilateral Ureteroceles Presenting with Lower Urinary Tract Symptoms and Acute Urinary Retention

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Alexis Rompré-Brodeur ◽  
Sero Andonian
Keyword(s):  
Urinary Tract ◽  
Urinary Retention ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Acute Urinary Retention ◽  
Adult Population ◽  
Case Series ◽  
Invasive Approach ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

Ureterocele is a well-known pathologic entity in the pediatric urology population but remains a diagnostic and treatment challenge in the adult population. Adult ureteroceles remain a diagnostic challenge for the adult urologist. Its prevalence is estimated between 1/500 and 1/4000 patients with a wide variety of clinical presentations. We present the case of a 30-year-old female patient who presented with severe lower urinary tract symptoms (LUTS) and acute urinary retention secondary to prolapsing bilateral single-system orthotopic ureteroceles. She was successfully treated with transurethral unroofing of her bilateral ureteroceles and she is currently asymptomatic. This case represents the first reported case of bilateral ureteroceles presenting with severe LUTS and subsequent urinary retention from the prolapse of one of the ureteroceles. We provide a review of the most recent case series of adult ureteroceles and their outcomes. Transurethral unroofing of the ureterocele is a safe and minimally invasive approach for this disease.

Concurrent upper and lower urinary tract robotic surgery: strategies for success

2007 ◽  
Vol 0 (0) ◽  
pp. 070907021207003-??? ◽  
Author(s):  
Daniel Eun ◽  
Akshay Bhandari ◽  
Ronald Boris ◽  
Craig Rogers ◽  
Mahendra Bhandari ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Robotic Surgery ◽  
Lower Urinary Tract ◽  
Strategies For Success ◽  
Lower Urinary

scholarly journals A case series of a novel phenomenon of “whiplash bladder”

2019 ◽  
Vol 5 (2) ◽  
pp. 20
Author(s):  
Francis Chinegwundoh ◽  
Esther Oluseyi Bamigboye
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract Symptoms ◽  
Pelvic Fracture ◽  
Lower Urinary Tract ◽  
Case Series ◽  
Legal Literature ◽  
Bladder Trauma ◽  
Urinary Tract Symptoms ◽  
Bladder Symptoms ◽  
Lower Urinary

We describe the phenomenon of the development of lower urinary tract symptoms (storage) following accidents in which there is no direct bladder trauma or pelvic fracture and propose the term “Whiplash bladder”. That bladder symptoms may develop in such circumstances is under appreciated in the urological and medical legal literature.

Use of Morgan Repertory in UTI: A Case Series

2019 ◽  
Vol 32 (04) ◽  
pp. 235-250
Author(s):  
Ruchira Sharma ◽  
Abhishek Kumar Sharma ◽  
Shishir Mathur
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Lower Urinary Tract ◽  
Prostate Gland ◽  
Case Series ◽  
Bladder Capacity ◽  
Clinical Problem ◽  
Lower Urinary Tract Infection ◽  
Lower Urinary

Abstract Background Patients with lower urinary tract infection report with unknown aetiology as a frequently encountered clinical problem. Aims To treat the patients suffering from acute symptoms of lower urinary tract infection as an add-on to standard urological care. Materials and Methods After exclusion of morphologic abnormalities, all patients with acute lower urinary tract infection who filled urinary tract infection questionnaire were offered additional homoeopathic care as an add-on to standard urological care. Standard urological care included in this study were to have adequate fluid intake to ensure the passage of 1.5 to 2 L of urine per day and maintain hygiene, especially in case of women. Symptoms were fever, incontinence, increased spasticity, decreased bladder capacity or pain, or decreased general health combined with significant bacteriuria. Seven patients were enrolled who fulfilled all the above inclusion criteria. The potencies were used according to disease grading and patient susceptibility. Descriptive statistics was used for analysis and repertory of the urinary organs and prostate gland including condylomata compiled by A.R. Morgan used for homoeopathic medicine selection. Result Seven patients were followed up for a period of 2 years. Six patients were free of urinary tract infection (UTI), whereas UTI symptoms were reduced in one patient. Conclusion Our initial experience with curing of UTI with homoeopathy according to repertory of the urinary organs and prostate gland including condylomata compiled by A.R. Morgan as add on to standard urologic care was encouraging. For an evidence-based evaluation of this concept, prospective studies are required.

Robotic-Assisted Laparoscopic Reconstructive Surgery in the Lower Urinary Tract

2013 ◽  
Vol 14 (4) ◽  
pp. 333-341 ◽  
Author(s):  
Mohan S. Gundeti ◽  
Yoshiyuki Kojima ◽  
Nobuhiro Haga ◽  
Kyle Kiriluk
Keyword(s):  
Urinary Tract ◽  
Reconstructive Surgery ◽  
Lower Urinary Tract ◽  
Robotic Assisted ◽  
Lower Urinary
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