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Urological Surgery
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Your search returned 34 results
from the time period: last 30 days.
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European urology
Renal Transplantation After Treatment for a Urological Cancer: Who and When? Does Evidence Help for a Challenge?.
Oncology (2)
Urologic Neoplasms (2), more mentions
The Journal of urology
INTRODUCTION: We investigated the prevalence, variables associated with parastomal hernia (PSH), and its outcomes of after robot-assisted radical cystectomy (RARC) and ileal conduit (IC) for bladder cancer. METHODS: Retrospective review of RARC at our institution was conducted. PSH was defined as protrusion of abdominal contents through the stoma defect in the abdominal wall on cross sectional imaging. PSH was further described in terms of patient and hernia characteristics, symptoms, management and outcomes. Kaplan Meier method was used to depict time to PSH and time to surgery. Multivariate stepwise logistic regression was used to evaluate variables associated with PSH. RESULTS: 383 patients underwent RARC and IC. 75 patients (20%) had PSH, of whom 23 (31%) were symptomatic and 11 (15 %) underwent treatment. Median time to PSH was 13 months (IQR 9-22). PSH occurred at a rate of 9%, 23% and 32% at 1, 2 and 3 years respectively. Patients with PSH had significantly higher BMI (30 vs 28, p=0.02), longer overall operative time (357 vs 340 min, p=0.01), and higher blood loss (325 vs 250, p=0.04). On Multivariate analysis, operative time (OR 1.25, 95% CI 1.21-3.90, p<0.001), fascial defect ≥30mm (OR 5.23, 95% CI 2.32-11.8, p<0.001) and lower postoperative eGFR (OR 2.17, 95%CI 1.21-3.90, p=0.01) were significantly associated with PSH. CONCLUSION: Approximately one-third of PSH patients will develop symptoms and 15% will require surgery. Risk for developing PSH plateaued after the 3rd postoperative year. Longer operative time, larger fascial defect and lower postoperative kidney functions were associated with PSH.
Oncology (1)
Hernia (4), Urinary Bladder Neoplasms (1), more mentions
European urology
Risk of Bleeding Versus Venous Thromboembolism in Urological Surgery-Finding the Right Balance Is Not Always Easy!.
Cardiovascular Diseases (2)
Venous Thromboembolism (2), more mentions
The Journal of urology
AbstractText: Fistula formation is a rare and poorly described complication following radical cystectomy with urinary diversion... type of fistulous complication and analyze the risk factors for formation as well as management outcomes AbstractText: We performed a retrospective review of patients who underwent radical cystectomy for bladder cancer at our institution.
Oncology (3)
Fistula (8), Urinary Bladder Neoplasms (3), more mentions
British journal of clinical pharmacology 
... and immunosuppressive drug exposure with AR and graft function in kidney transplant recipients AbstractText: Eighty de novo kidney transplant recipients were recruited from four European centres ... after recovery of graft function AbstractText: The regular early post-transplantation monitoring of urinary miR-155-5p and CXCL10 can help in the prognosis ...
European urology focus 
The quantity of the preserved parenchyma after partial nephrectomy is the result of interplay among various factors: the unmodifiable preoperative quality of the renal parenchyma and some technical modifiable aspects. Among the modifiable factors able to influence the quantity, the suture technique has gained paramount importance. Indeed, nowadays there is a consensus suggesting that one of the main predictors of the ultimate renal function is the minimal parenchymal volume loss: this is the sum of the healthy parenchyma excised with the tumour and the portion of the parenchyma devascularised by the renorrhaphy. The historical aim of a good suture was to avoid bleeding and urine leakage. A modern suture after partial nephrectomy should minimise the ischaemic effect on the renal parenchyma whenever possible. This has to be carried out with precision and based on the vascular anatomy of the kidney. PATIENT SUMMARY: In this report, we tried to describe the best practice for the suturing of renal parenchyma after conservative surgical treatment for small renal tumours. Indeed, the suture after the resection of a renal mass should minimise the ischaemic effect on the renal tissue whenever possible, maximising the functional outcomes.
Acute Kidney Injury (1), Kidney Neoplasms (1), more mentions
The Journal of urology
AbstractText: Renal cancer surgery (RCS) can adversely impact long-term function and survival... Keyword: renal cancer surgery.
Oncology (5), Kidney Disease (2), Cardiovascular Diseases (1)
Kidney Neoplasms (5), Chronic Kidney Diseases (2), Heart Diseases (1), more mentions
Transplantation
Sequential and urgent coronary artery bypass surgery followed by kidney transplantation in a highly sensitized patient with unstable angina..
Unstable Angina (2), more mentions
AJR. American journal of roentgenology
AbstractText: The objective of our study was to evaluate which spectral Doppler ultrasound parameters are useful in patients with clinical concern for transplant renal artery stenosis (TRAS) and create mathematically derived prediction models that are based on these parameters AbstractText: The study subjects included 120 patients with clinical signs of ...
Pathologic Constriction (8), more mentions
The Journal of urology
The Ongoing Challenge of Urinary Incontinence after Radical Prostatectomy..
Urology (2)
Urinary Incontinence (2), more mentions
Annals of surgery 
... of fluid status, maintenance of perfusion pressure, discontinuation of nephrotoxic agents) was compared to standard intensive care unit (ICU) care in 121 patients with an increased AKI risk after major abdominal surgery that was determined by urinary biomarker (inhibitor of metalloproteinase-2 × insulin-like growth factor-binding protein 7) >0.3.
Kidney Disease (1)
Acute Kidney Injury (2), Kidney Diseases (1), more mentions
Transplantation
AbstractText: Outcomes following kidney transplantation for patients with amyloidosis-associated end-stage renal disease (ESRD) have not been well characterized AbstractText: We ... patients with amyloidosis-associated ESRD deemed suitable for transplantation, patient and graft survival are diminished compared to kidney transplant recipients overall, but are comparable to other high-risk subgroups.
Kidney Disease (2), Endocrine Disorders (1)
Amyloidosis (5), Chronic Kidney Failure (4), Diabetes Mellitus (1), more mentions
European urology
Re: Cytoreductive Nephrectomy for Renal Cell Carcinoma with Venous Tumor Thrombus..
Thrombus (2), Neoplasms (2), Renal Cell Carcinoma (2), more mentions
Transplantation
... an orphan disease with a high rate of recurrence after kidney transplantation... delineate its optimal use, we describe the largest series of kidney transplant recipients treated with prophylactic eculizumab AbstractText: Twelve renal transplant recipients with aHUS-related end stage renal disease received eculizumab ... months AbstractText: 5 patients had failed at least 1 previous renal transplant from aHUS.
Kidney Disease (1), Orphan Diseases (1)
Glomerulonephritis (1), Thrombotic Microangiopathies (1), more mentions
European urology
Robot-assisted kidney transplantation (RAKT) has recently been introduced to reduce the morbidity of open kidney transplantation (KT).To evaluate perioperative and early postoperative RAKT outcomes.This was a multicenter prospective observational study ... selected cases and yields excellent graft function.We present the largest reported series on robot-assisted kidney transplantation.
Deep Vein Thrombosis (1), Hematoma (1), Wound Infections (1), more mentions
The Journal of urology
With the development of three-dimensional (3-D) reconstructive technique, 3-D urethral image can provide more accurate and useful information to allow the surgeon make the best surgical decision... The 3-D urethral models were reconstructed based on the sonourethrogram. The length and location of strictures in the RUG or sonourethrogram-based images were compared with those found during ...
Urethral Stricture (5), Pathologic Constriction (2), Urethral Diseases (1), more mentions
Transplantation
Current data regarding the outcome of kidney transplantation in patients with familial Mediterranean fever (FMF) who reach end-stage renal disease (ESRD) due to reactive amyloidosis A (AA ... was diagnosed in 2 patients during the first year after transplantation.FMF is associated with increased risk of mortality after kidney transplantation.
Kidney Disease (2), Cardiovascular Diseases (1), Endocrine Disorders (1)
Amyloidosis (3), Chronic Kidney Failure (2), Familial Mediterranean Fever (2), more mentions
Spine
... rate of revision surgery and 1-year mortality AbstractText: There were 961 patients in the transplant cohort and 258,342 in the non-SOT cohort. Seventy-seven percent of the SOT patients had prior renal transplant. SOT patients had a longer length of stay (p < 0.001), and a higher 30-day readmission rate compared to non-SOT patients (p = < 0.001.
Infections (1), more mentions
Anesthesia and analgesia
BACKGROUND: Acute kidney injury (AKI) is a common and serious complication of orthotopic liver transplantation (OLT). Transfusion of older red blood cells (RBCs) has been implicated in poor outcomes in trauma, cardiac surgery, and critically ill patients. However, whether transfusion of older RBCs plays any role in post-OLT AKI remained unknown. The aim of this study was to investigate the effect of the age of transfused RBCs on post-OLT AKI. METHODS: The clinical data of consecutive adult patients who received donation after cardiac death and underwent OLT from December 2011 to December 2015 were analyzed. These patients were divided into 2 groups: the newer blood group, who received exclusively RBCs that had been stored for <14 days; and the older blood group, who received RBCs that had been stored for 14 days or more. The incidence of post-OLT AKI, severe AKI, lengths of intensive care unit and hospital stay, and in-hospital mortality after OLT were analyzed. RESULTS: Postoperative AKI occurred in 65.1% of patients in the older blood group and 40.5% of patients in the newer blood group (P < .01). The incidence of severe AKI after OLT was significantly higher, and the duration of intensive care unit stay was significantly longer, in the older blood group. After adjustment by the multivariable regression logistic analysis, transfusion of older blood was independently associated with post-OLT AKI (odds ratio [OR] = 2.47 [95% confidence interval {CI}, 1.13-5.41]; P = .024) and severe AKI (OR = 5.88 [95% CI, 2.06-16.80]; P = .001). After adjustment by the inverse probability of treatment weighting analysis, patients in the older blood group still had significantly higher incidences of postoperative AKI (OR = 2.13 [95% CI, 1.07-4.22]; P = .030) and severe AKI (OR = 3.34 [95% CI, 1.47-7.60]; P = .003) than those in the newer blood group. CONCLUSIONS: Transfusion of older RBCs significantly increased the risk of postoperative AKI in liver transplant recipients.
Acute Kidney Injury (2), more mentions
Journal of the American Society of Nephrology : JASN
Transplantation of Kidneys from HCV-Positive Donors: How to Best Use a Scarce Resource..
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