-
The Canadian Journal of Urology Dec 2018
Topics: France; History, 20th Century; History, 21st Century; Urethral Stricture; Urology
PubMed: 30553280
DOI: No ID Found -
The Canadian Journal of Urology Jun 2018
Topics: Famous Persons; History, 20th Century; History, 21st Century; Humans; United States; Urology
PubMed: 29900814
DOI: No ID Found -
Pediatric Radiology Feb 2018To promote the standardization of nephro-uroradiological terms used in children, the European Society of Paediatric Radiology uroradiology taskforce wrote a detailed... (Review)
Review
To promote the standardization of nephro-uroradiological terms used in children, the European Society of Paediatric Radiology uroradiology taskforce wrote a detailed glossary. This work has been subsequently submitted to European experts in pediatric urology and nephrology for discussion and acceptance to improve the quality of radiological reports and communication between different clinicians involved in pediatric urology and nephrology.
Topics: Child; Europe; Humans; Pediatrics; Radiology; Terminology as Topic; Urologic Diseases; Urology
PubMed: 29138893
DOI: 10.1007/s00247-017-4006-7 -
World Journal of Urology Jul 2020With non-technical skills (NTS) deficits being recognised as a major cause for error in surgery, there is an increasing interest in their training and evaluation. A... (Review)
Review
PURPOSE
With non-technical skills (NTS) deficits being recognised as a major cause for error in surgery, there is an increasing interest in their training and evaluation. A growing number of training courses are emerging and some NTS curricula have also been created. Many different training methods are described in the literature but there is still uncertainty with regards to their optimum combination within a curriculum.
METHODS
A literature review of the electronic database Medline was performed. All articles published before December 2018 were screened by abstract and included if deemed relevant by the author. The included articles' reference lists were also screened for further relevant studies.
RESULTS
Simulation training is accepted as the most effective way to train NTS. Within simulation training, it is shown that the 'igloo' full immersion/distributed simulation environment is appropriate for teaching NTS in urological scenarios where a designated operating room or space is not available. The use of multiple settings, for example wards and clinics as well as the operating room, is advantageous, as is training in an interprofessional team. Classroom teaching also plays a role in NTS training as an adjunct to simulation, with evidence that it improves some parameters of NTS. All levels, including qualified surgeons, benefit from NTS training; however, adaptation to both trainee level and specialty is important. Although less time consuming, training juniors and seniors together mainly benefits juniors, and training NTS at the same time as technical skills detracts from the quality of teaching. Debriefing is an important part of training and should be well structured; there are many debriefing models in existence, allowing for choice of method based on examiner preference and participant demographic. Furthermore, examiners should be well briefed in their task and trained in NTS assessment.
CONCLUSION
To move forward, studies should combine tried and tested learning techniques into a curriculum covering all training levels, which should then be validated and followed up long term to ensure a positive impact on patient safety.
Topics: Curriculum; Educational Measurement; Humans; Simulation Training; Urology
PubMed: 31529246
DOI: 10.1007/s00345-019-02920-6 -
The Canadian Journal of Urology Feb 2014
Topics: History, 20th Century; History, 21st Century; Peru; Urology
PubMed: 24529007
DOI: No ID Found -
Journal of B.U.ON. : Official Journal... 2021Indocyanine green (ICG) is being used more and more in Urology along with advances in minimal invasive surgery, guiding excision and reconstruction, highlighting...
PURPOSE
Indocyanine green (ICG) is being used more and more in Urology along with advances in minimal invasive surgery, guiding excision and reconstruction, highlighting anatomic structures and functional features with oncologic guidance still being debatable. The purpose of this paper was to explore ICG use in urologic procedures.
METHODS
We present our experience (37 cases) of using ICG fluorescence guidance in urologic operations performed using 3D laparoscopy and FireFly® fluorescence imaging mode of Da Vinci X robot. The operations were the following: pelvic lymphadenectomy in radical prostatectomy, totally intracorporeal orthotopic ileal neobladder reconstruction, vesicovaginal fistula repair, partial nephrectomy and pyeloplasty. Barnard's test was used to compare postoperative complications (digestive fistula, ureteral stricture) for totally intracorporeal ileal neobladders performed with (group e, 27 cases) vs. without (group 2, 28 cases) ICG guidance.
RESULTS
ICG under near-infrared fluorescence offered a precise identification of ischemic structures- vaginal wall, distal ureteral end, ileal loop, along with vascularized tissues allowing an optimal pyeloplasty and nephron sparing surgery with partial unclamping. It also allowed the identification of a lymph node during radical prostatectomy that otherwise would not have been excised during the routinely performed pelvic lymphadenectomy. There were no complications of ICG usage and the complication rate (digestive fistula, ureteral strictures) was significantly lower (p=0.002716) for group 1 compared with group 2.
CONCLUSIONS
ICG facilitates the identification of key elements (anatomy and pathological structures) in the laparoscopic and robotic treatment of both malignant and benign urologic diseases, with possible impact on perioperative complications, along with oncologic and functional postoperative outcomes.
Topics: Aged; Female; Humans; Indocyanine Green; Male; Middle Aged; Urology
PubMed: 33721461
DOI: No ID Found -
The Canadian Journal of Urology Dec 2019
Topics: Humans; Specialization; Specialties, Surgical; Urologic Diseases; Urology
PubMed: 31860415
DOI: No ID Found -
The Canadian Journal of Urology Apr 2016Renal trauma occurs in approximately 1%-5% of all trauma cases. Improvements in imaging and management over the last two decades have caused a shift in the treatment of... (Review)
Review
INTRODUCTION
Renal trauma occurs in approximately 1%-5% of all trauma cases. Improvements in imaging and management over the last two decades have caused a shift in the treatment of this clinical condition.
MATERIALS AND METHODS
A systematic search of PubMed was performed to identify relevant and contemporary articles that referred to the management and evaluation of renal trauma.
RESULTS
Computed tomography remains a mainstay of radiological evaluation in hemodynamically stable patients. There is a growing body of literature showing that conservative, non-operative management of renal trauma is safe, even for Grade IV-V renal injuries. If surgical exploration is planned due to other injuries, a conservative approach to the kidney can often be utilized. Follow up imaging may be warranted in certain circumstances. Urinoma, delayed bleeding, and hypertension are complications that require follow up.
CONCLUSION
Appropriate imaging and conservative approaches are a mainstay of current renal trauma management.
Topics: Diagnostic Imaging; Disease Management; Humans; Kidney; Urology; Wounds and Injuries
PubMed: 27085822
DOI: No ID Found -
Sheng Wu Yi Xue Gong Cheng Xue Za Zhi =... Apr 2020Tissue engineering technology and stem cell research based on tissue engineering have made great progresses in overcoming the problems of tissue and organ damage,... (Review)
Review
Tissue engineering technology and stem cell research based on tissue engineering have made great progresses in overcoming the problems of tissue and organ damage, functional loss and surgical complications. Traditional method is to use biological substitute materials to repair tissues, while tissue engineering technology focuses on combining seed cells with biological materials to form biological tissues with the same structure and function as its own to repair tissue defects. The advantage is that such tissue engineering organs and tissues can solve the problem that the donor material is limited, and effectively reduce complications. The purpose of tissue engineering is to find suitable seed cells and biomaterials which can replace the biological function of original tissue and build suitable microenvironment . This paper mainly describes current technologies of tissue engineering in various fields of urology, and discusses the future trend of tissue engineering technology in the treatment of complex urinary diseases. The results of this study show that although there are relatively few clinical trials, the good results of the existing studies on animal models reveal a bright future of tissue engineering technology for the treatment of various urinary diseases.
Topics: Animals; Biocompatible Materials; Humans; Tissue Engineering; Tissue Scaffolds; Urology
PubMed: 32329268
DOI: 10.7507/1001-5515.201910058 -
The Canadian Journal of Urology Oct 2020
Topics: Nobel Prize; Urology
PubMed: 33049185
DOI: No ID Found