European Urology - Radical Cystectomy and Orthotopic Bladder Replacement in Females
Tuesday, 01 August 2006
Volume 50, Issue 2, Pages 249-257 (August 2006) Abstract -Introduction: More than 15 years ago, several centers started to offer urethra-sparing cystectomy and orthotopic urinary diversion for female patients with bladder malignancies.
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European Urology - Magnetic Resonance Urethrography in Comparison to Retrograde Urethrography in Diagnosis of Male Urethral Strictures: Is It Clinically Relevant?
Wednesday, 06 September 2006
Volume 50, Issue 3, Pages 587-594 (September 2006) 1. Introduction: The male urethra is a tubular structure approximately 18–20cm long and runs from the bladder to the external urethral meatus.
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Varicocelectomy, Evidence-Based Medicine and Fallibility
Wednesday, 08 February 2006
1. Introduction
In this issue of European Urology Ficarra and colleagues present a view of the management of varicoceles in subfertile men [1]. It is clear from their report that there is only a small amount of high quality data available regarding the subject so definitive conclusions will be difficult to reach. However, this panel, representing the Italian Society of Andrology, reached conclusions quite different from the latest Cochrane review on the same subject [2]. This Cochrane review was apparently an influential consideration for the European Association of Urology (EAU) Working Group on Male Infertility [3] but the Joint Committee of the American Urological Association (AUA) and the American Society for Reproductive Medicine (ASRM) came to an opinion closer to the Ficarra opinion [4]. An exploration of this divergence of opinion reveals some important messages about the potential influence of reviews and their fallibility.
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Treatment of Varicocele in Subfertile Men: The Cochrane Review – A Contrary Opinion
Wednesday, 08 February 2006
Objective: A recent Cochrane meta-analysis of randomised clinical trials (RCTs) concluded that surgical or radiological treatment of varicocele in men from couples with otherwise unexplained subfertility cannot be recommended. The aim of the present study is to address criticisms of this review carrying out a critical analysis of all available RCTs.
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Open Retropubic Nerve-Sparing Radical Prostatectomy
Monday, 02 January 2006
Abstract
Retropubic radical prostatectomy is the most commonly used therapeutic option for the treatment of clinically localized prostate cancer. An ongoing stage migration toward organ-confined cancers allows performance of a nerve-sparing procedure in a growing number of patients. Key elements for achieving convincing functional results are a sphincter-preserving ligation of the distal part of the Santorini plexus and the subtle preparation of the neurovascular bundle. This article gives a detailed description of the operative technique, which is demonstrated in the attached DVD. Furthermore, indication, oncologic outcome, and functional results addressing postoperative urinary continence and potency are discussed.
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European Urology - Open vs. Laparoscopic Radical Prostatectomy… and Laparoscopy is Better! Open vs. Laparoscopic Radical Prostatectomy… and Laparoscopy is Better!
Wednesday, 28 June 2006
Volume 50, Issue 1, Pages 26-28 (July 2006) The article of Guazzoni et al. [1] focusses on an important question raised mainly by the advocates of open retropubic radical prostatectomy (RRP).
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Stents for Prostatic Diseases: Any Progress after 25 Years?
Wednesday, 08 February 2006
The use of an endoprosthesis to maintain luminal patency is a well-established concept in a variety of surgical settings, including cardiovascular and gastrointestinal pathologies. First reports on the use of prostatic stents were published in the 1980s for benign prostatic obstruction (BPO). In this issue of European Urology van Dijk and associates from Amsterdam report on the use of a bell-shaped Nitinol prostatic stent in 108 elderly men with lower urinary tract symptoms (LUTSs) due to BPO in an elective setting [1]. The authors concluded that ‘‘Because of the limited durability, however, the bell-shaped prostatic stent is not suitable for clinical practice’’ [1]. Based on this most recent, large-scale study, one is attempted to close this editorial with the definite conclusion that no relevant progress has been made over the past 25 yr and that prostatic stents—at least in their current form—are clinically not useful. However, the diversity of stent designs and indications justifies a more differentiated view. In general, prostatic stents are divided into permanent and temporary devices [2].
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Peri-Operative Complications and Pain After the Suburethral Sling Procedure for Urinary Stress Incontinence: A French Prospective Randomised Multicentre Study Comparing the Retropubic and Transobturator Routes
Monday, 02 January 2006
Objective: To compare peri-operative complications, pain, and the immediate functional results of the sub-urethral sling procedure for urinary stress incontinence by the retropublic and transobturator routes, using a non-elastic polypropylene sub-urethral sling.
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European Urology - High Surgical Volume, High Quality, and Low Costs: A Perfect Combination: Is it Always Possible in Patients who need Radical Prostatectomy?
Wednesday, 28 June 2006
Volume 50, Issue 1, Pages 17-19 (July 2006) Prostate cancer is becoming the most common malignancy in men and radical prostatectomy (RP) represents the most common form of treatment for early-stage disease [1].
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Failed Hypospadias Repair Presenting in Adults
Saturday, 06 May 2006
It is almost impossible to write a satisfactory journal article on failed hypospadias repair even from a centre like this that specialises in treating such patients. Even with enough patients to produce a good cohort study otherwise, hypospadias encompasses such a wide range of abnormalities at first presentation that it is difficult to review treatment at that stage let alone taking account of the problems of repeated surgery
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Hypospadias Repair Failures: Lessons Learned
Saturday, 06 May 2006
Reoperative urethroplasty after hypospadias repair failures represents one of the most challenging and difficult tasks for the reconstructive urologist. In this issue of the journal, Barbagli et al. [1] report their extensive experience with this problem in an adult population at a single center.
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Impact of a Multidisciplinary Continuous Quality Improvement Program on the Positive Surgical Margin Rate after Laparoscopic Radical Prostatectomy
Saturday, 06 May 2006
Objective: Outcome after radical prostatectomy is highly sensitive to fine nuances in the surgical techniques. We sought to determine the impact of a process of continuous control and monitoring on the positive surgical margin rate in a contemporary series of laparoscopic radical prostatectomy.
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Antegrade versus Retrograde Endopyelotomy for Pelvi-Ureteric Junction (PUJ) Obstruction
Wednesday, 08 March 2006
Objectives: To compare complication and success rates of antegrade and retrograde endopyelotomy performed over 10 years and to define possible risk factors associated with treatment failure.
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Retroperitoneoscopic Pyeloplasty for Ureteropelvic Junction Obstruction (UPJO): Solving the Technical Difficulties
Wednesday, 01 February 2006
Objectives To evaluate our current practice in retroperitoneoscopic pyeloplasty in patients with ureteropelvic junction obstruction (UPJO). Special interest was paid to technical difficulties associated with the retroperitoneoscopic approach.
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Transperitoneal Laparoscopic Adrenalectomy: Outline of the Preoperative Management, Surgical Approach, and Outcome
Wednesday, 01 March 2006
The laparoscopic approach to the adrenal gland has evolved to be the gold standard for most cases of adrenal conditions requiring surgical treatment. There is general consent about the safety, efficacy, and reproducibility of laparoscopic adrenal surgery. Compared to the open surgery, significant advantages with regard to shorter hospitalization time, decreased postoperative morbidity, improved cosmetics, and quicker convalescence are evident. The anatomic location of the adrenal gland led to the development of various approaches, including lateral transperitoneal, anterior transperitoneal, lateral retroperitoneal, posterior retroperitoneal, and even transthoracic approaches. The lateral transperitoneal approach is the technique most frequently used for laparoscopic adrenalectomy. A large operative field provides good orientation and visualization of familiar landmarks known from open surgery. In particular in the early learning curve this represents an advantage of the transperitoneal laparoscopic approach. This article describes in detail the indications, contraindications, preoperative evaluation, surgical technique, management of intraoperative complications, and outcome after lateral transperitoneal adrenalectomy.
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European Urology - Longitudinal Dorsal Dartos Flap for Prevention of Fistula after a Snodgrass Hypospadias Procedure
Wednesday, 28 June 2006
Volume 50, Issue 1, Pages 53-57 (July 2006) Abstract - Objective: The Snodgrass technique presents the procedure of choice for distal hypospadias.
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Laparoscopic Partial Nephrectomy: Contemporary Technique and Outcomes
Monday, 03 April 2006
Objectives: Laparoscopic partial nephrectomy has emerged as a viable alternative to open partial nephrectomy while minimizing patient morbidity. In this article and accompanying video we describe our current technique of LPN and review our outcomes in specific patient sub-sets.
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European Urology - Management of Urethrovaginal Fistulas
Wednesday, 25 October 2006
Volume 50, Issue 5, Pages 1000-1005 (November 2006) Abstract - Objectives: Despite the apparent similarity, urethrovaginal fistulas (UVFs) are not identical to vesicovaginal defects. Obstetric trauma and vaginal surgery are the causes of a majority of urethrovaginal fistulas.
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European Urology - Organ-Preserving Endoscopic Kidney Cancer Resection
Thursday, 21 September 2006
Volume 50, Issue 4, Pages 732-737 (October 2006) Abstract - Objective: Recently, minimally invasive therapies for renal cell carcinoma have been devised to minimise operative morbidity yet achieve comparable oncologic and functional outcomes.
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