Article
Oncology
August Sigle, Cordula A. Jilg, Moritz Weishaar, Boris Schlenker, Christian Stief, Christian Gratzke, Markus Grabbert
Summary: Robot-assisted radical prostatectomy (RARP) is a surgical treatment option for prostate cancer, and its quality depends on the surgeon's operative volume and expertise. This study found that the quality of RARP is transferable when a surgeon with extensive specialist training and expertise is hired.
Article
Urology & Nephrology
Keith J. Kowalczyk, Rabii H. Madi, Christopher G. Eden, Prasanna Sooriakumaran, Karen Fransis, Yannic Raskin, Steven Joniau, Scott Johnson, Kenneth Jacobsohn, Antonio Galfano, Aldo M. Bocciardi, Jonathan Hwang, Isaac Y. Kim, Jim C. Hu
Summary: Salvage Retzius-sparing robotic assisted radical prostatectomy (SRS-RARP) showed improved urinary function outcomes compared to salvage standard robotic assisted radical prostatectomy (SS-RARP), with better continence rates, lower pads per day, and earlier return to continence. There were no significant differences in complication rates or oncologic outcomes between the two procedures. Increased utilization of SRS-RARP may be warranted for managing men who fail nonsurgical primary treatment for prostate cancer.
JOURNAL OF UROLOGY
(2021)
Article
Urology & Nephrology
Davy Benarroche, Alessio Paladini, Elisabeth Grobet-Jeandin, Christophe Vaessen, Jerome Parra, Thomas Seisen, Ugo Pinar, Morgan Roupret
Summary: This study compared the perioperative outcomes of open simple prostatectomy (OSP) and robot-assisted simple prostatectomy (RASP). The results showed that RASP was associated with reduced blood loss, shorter hospital stay and catheterisation time, lower complication rate, and less need for transfusions compared to OSP. Preoperative prostate volume was a risk factor for complications, while robot-assisted surgery was a protective factor. Functional outcomes were similar between the two groups at 12 months follow up.
WORLD JOURNAL OF UROLOGY
(2022)
Article
Urology & Nephrology
Shubo Fan, Zhongyuan Zhang, Jie Wang, Shengwei Xiong, Xiaofei Dai, Xu Chen, Zhihua Li, Guanpeng Han, Jun Zhu, Han Hao, Wei Yu, Liang Cui, Cheng Shen, Xuesong Li, Liqun Zhou
Summary: This study evaluated the feasibility, safety, and effectiveness of the KD-SR-01 system for robot-assisted radical prostatectomy. The results showed that the system was successfully used in all cases without complications. The surgical outcomes were satisfactory, with low blood loss and good postoperative recovery.
JOURNAL OF UROLOGY
(2022)
Article
Medicine, General & Internal
Enrico Checcucci, Pietro Piazzolla, Giorgia Marullo, Chiara Innocente, Federico Salerno, Luca Ulrich, Sandro Moos, Alberto Quara, Gabriele Volpi, Daniele Amparore, Federico Piramide, Alexandru Turcan, Valentina Garzena, Davide Garino, Sabrina De Cillis, Michele Sica, Paolo Verri, Alberto Piana, Lorenzo Castellino, Stefano Alba, Michele Di Dio, Cristian Fiori, Eugenio Alladio, Enrico Vezzetti, Francesco Porpiglia
Summary: This research presents a groundbreaking solution utilizing convolutional neural networks (CNNs) to forecast instances of intraoperative bleeding during robot-assisted radical prostatectomy (RARP) and promptly notify the surgeon. The software, called BLAIR, achieved over 90% accuracy in predicting bleeding events, demonstrating the potential of AI in assisting surgeons during interventions. This study exemplifies the positive impact AI applications can have on surgical procedures.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Urology & Nephrology
Sami-Ramzi Leyh-Bannurah, Christian Wagner, Andreas Schuette, Mustapha Addali, Nikolaos Liakos, Katarina Urbanova, Mikolaj Mendrek, Matthias Oelke, Jorn H. Witt
Summary: The study found limited accuracy of different AS sets for stricter iPCa definitions, which declined with advanced age. More stringent AS sets resulted in more AS ineligible patients, despite having iPCa.
MINERVA UROLOGY AND NEPHROLOGY
(2022)
Article
Urology & Nephrology
Antonio Galfano, Stefano Tappero, Christopher Eden, Paolo Dell'oglio, Karen Fransis, Hongqian Guo, Keith Kowalczyk, Mattia Longoni, Rabii Madi, Koon H. Rha, Silvia Secco, Xuefeng Qiu, Rashid Sayyid, Aldo M. Bocciardi
Summary: This study retrospectively evaluated the results of Retzius-Sparing robot-assisted radical Prostatectomy (RSP) in high-risk prostate cancer (HR-PCa) patients, performed by expert surgeons in a multicentric setting. The study found that RSP achieved good urinary continence recovery and could predict the occurrence of positive surgical margins (PSMs) to some extent.
MINERVA UROLOGY AND NEPHROLOGY
(2022)
Article
Oncology
Muhieddine Labban, Nicola Frego, Zhiyu Jason Qian, Mara Koelker, Stephen Reese, Agim Aliaj, Alexander P. Cole, Steven L. Chang, Mark A. Preston, Adam S. Kibel, Quoc-Dien Trinh
Summary: This study reports on the trends, predictors, and patient outcomes of same-day discharge (SDD) versus non-SDD for robot-assisted laparoscopic radical prostatectomy (RALP). The results show that in our health system, the use of SDD is safe and currently comprises half of our RALP volume.
UROLOGIC ONCOLOGY-SEMINARS AND ORIGINAL INVESTIGATIONS
(2023)
Article
Urology & Nephrology
Shubo Fan, Han Hao, Silu Chen, Jie Wang, Xiaofei Dai, Meng Zhang, Xu Chen, Zhihua Li, Shengwei Xiong, Guanpeng Han, Jun Zhu, Zhongyuan Zhang, Wei Yu, Liang Cui, Cheng Shen, Liqun Zhou, Xuesong Li
Summary: This study compared the efficacy and safety of robot-assisted laparoscopic radical prostatectomy (RARP) performed using the KangDuo surgical robot system to the da Vinci Si robotic system in clinically localized prostate cancer (KD-RARP vs DV-RARP). The results showed that there were no significant differences between the two groups in basic clinical characteristics, but KD-RARP had a significantly longer operation time. There were also no significant differences between the two groups in terms of postoperative outcomes. Overall, the KangDuo surgical robot system achieved similar short-term oncological and functional outcomes compared to the da Vinci Si robotic system, but with a disadvantage in operation time.
JOURNAL OF ENDOUROLOGY
(2023)
Article
Urology & Nephrology
Francesco Porpiglia, Enrico Checcucci, Daniele Amparore, Gabriel Niculescu, Gabriele Volpi, Federico Piramide, Sabrina De Cillis, Matteo Manfredi, Riccardo Autorino, Cristian Fiori
Summary: In patients with large BPH, our technique of urethral-sparing robotic-assisted simple prostatectomy (usRASP) has been shown to be a safe and effective procedure, allowing resolution of lower urinary tract symptoms and maintenance of ejaculatory function in a high percentage of patients.
Article
Oncology
Mahmoud Abou Zeinab, Aaron Kaviani, Ethan Ferguson, Alp T. Beksac, Zeyad Schwen, Bradley Gill, Petar Bajic, James Ulchaker, Mohamed Eltemamy, Jihad Kaouk
Summary: This study compared the initial perioperative outcomes of single-port transvesical simple prostatectomy (SP RASP) patients to those of open simple prostatectomy (OSP). The results showed that the SP RASP group had better outcomes in terms of intraoperative blood loss, bladder irrigation requirement, in-hospital opioid use, postoperative hospital stay, and duration of Foley catheterization compared to the OSP group. Although the SP RASP group had fewer postoperative complications, the difference was not statistically significant.
PROSTATE CANCER AND PROSTATIC DISEASES
(2023)
Article
Andrology
Alessandro Sciarra, Martina Maggi, Arianna Del Proposto, Fabio Massimo Magliocca, Antonio Ciardi, Valeria Panebianco, Ettore De Berardinis, Stefano Salciccia, Giovanni Battista Di Pierro, Alessandro Gentilucci, Alex M. Kasman, Benjamin Chung, Matteo Ferro, Ottavio de Cobelli, Francesco Del Giudice, Gian Maria Busetto, Michele Gallucci, Marco Frisenda
Summary: The study found that perineural invasion in prostate cancer patients is closely correlated with unfavorable pathological parameters and may help stratify intermediate risk cases for the risk of biochemical progression.
TRANSLATIONAL ANDROLOGY AND UROLOGY
(2021)
Article
Urology & Nephrology
Luis Ribeiro, Thomas Stonier, Luke Stroman, Rafael Tourinho-Barbosa, Omar Alghazo, Mathias Winkler, Prokar Dasgupta, Rick Popert, Xavier Cathelineau, Rafael Sanchez-Salas, Declan G. Murphy, Mark Emberton, Paul Cathcart
Summary: This study compared salvage radical prostatectomy after focal therapy with salvage radical prostatectomy after radiation therapy, finding that patients undergoing radiation therapy had higher complication rates, lower continence rates, and higher positive margin rates.
JOURNAL OF UROLOGY
(2021)
Article
Urology & Nephrology
Xiaochuan Wang, Yu Zhang, Fengbo Zhang, Zhengguo Ji, Peiqian Yang, Ye Tian
Summary: The study found that the rate of Gleason sum upgrading in prostate cancer patients was 41.4%, while the Gleason sum concordance rate was 44.4%. Independent predictors included PSA, greatest percentage of cancer, clinical T-stage, and PI-RADS score, with the model showing good discrimination with an AUC of 0.735. The nomogram developed in the study could help assess the true risk and make optimal treatment decisions for prostate cancer patients.
Article
Urology & Nephrology
Marlon Perera, Antoni Vilaseca, Amy L. Tin, Daniel P. Nguyen, Renato B. Corradi, Adam S. Touijer, Alexandre Godefroy Martin-Malburet, Ricardo Alvim, Nicole Benfante, Daniel D. Sjoberg, Vincent Laudone, Peter T. Scardino, James A. Eastham, Karim A. Touijer
Summary: This study aimed to report the morbidity profile of salvage radical prostatectomy (SRP) after radiotherapy failure and assess the impact of minimally invasive surgery (MIS) on postoperative complications and functional outcomes. The results showed poor functional recovery after SRP, regardless of the operative approach. There is currently no evidence favoring the use of open or MIS approach. Further studies are needed to ensure comparable outcomes between these approaches.
WORLD JOURNAL OF UROLOGY
(2022)
Article
Urology & Nephrology
Salvatore Micali, Maria Chiara Sighinolfi, Andrea Iseppi, Elena Morini, Tommaso Calcagnile, Mattia Benedetti, Marco Ticonosco, Shaniko Kaleci, Luigi Bevilacqua, Stefano Puliatti, Cosimo De Nunzio, Raphael Arada, Francesco Chiancone, Davide Campobasso, Ahmed Eissa, Giulia Bonfante, Elisa Simonetti, Michele Cotugno, Riccardo Galli, Pierpaolo Curti, Luigi Schips, Pasquale Ditonno, Luca Villa, Stefania Ferretti, Franco Bergamaschi, Giorgio Bozzini, Ahmed Zoeir, Ahmed El Sherbiny, Antonio Frattini, Paolo Fedelini, Zhamshid Okhunov, Andrea Tubaro, Jaime Landman, Giampaolo Bianchi, Bernardo Rocco
Summary: A nomogram predicting treatment failure for medium-sized kidney stones was developed, providing guidance for urologists in counseling patients regarding stone management modality.
EUROPEAN UROLOGY FOCUS
(2022)
Letter
Urology & Nephrology
Bernardo Rocco, Maria Chiara Sighinolfi
Article
Urology & Nephrology
Hannah Moreland, Loren Smith, Victoria Stowasser, Ahmed Ghazi, Maria Sighinolfi, Matthew Bultitude, Amy E. Krambeck, Bernardo Rocco, Justin B. Ziemba, Timothy D. Averch
Summary: This article presents the inaugural census report of the Endourological Society, which surveyed the practices, opinions, and educational preferences of its members. The survey provided insights into the characteristics, practice skills, and participation in educational activities of the society's members. Continuous census efforts will help the society understand changes in member needs and make improvements to enhance urologic care.
JOURNAL OF ENDOUROLOGY
(2023)
Review
Urology & Nephrology
Stefano Terzoni, Paolo Ferrara, Mauro Parozzi, Federica Colombani, Cristina Mora, Silvia Cilluffo, Verkerk Geelhoed Jeannette, Anne Destrebecq, Barbara Pinna, Maura Lusignani, Sighinolfi Chiara, Gaia Giorgia, Bernardo Rocco
Summary: This paper provides an overview of the role of rehabilitation nurses in dealing with patients suffering from chronic urogenital pelvic pain or urogenital painful syndromes inside a multidisciplinary team. The study highlights the importance of nurses in collecting basic information, referring patients to appropriate services, implementing evidence-based nursing interventions, and maintaining proper documentation.
NEUROUROLOGY AND URODYNAMICS
(2023)
Article
Urology & Nephrology
Maria Chiara Sighinolfi, Alessia Cimadamore, Alessandra Cassani, Simone Assumma, Luca Sarchi, Beatrice Filippi, Filippo Turri, Luca Reggiani Bonetti, Antonino Maiorana, Ahmed Eissa, Salvatore Micali, Rodolfo Montironi, Bernardo Rocco
Summary: Ex vivo FCM is a novel digital optical technique that provides real-time images of fresh tissues with magnification to subcellular details. The consistency between FCM findings and final histopathology confirms its accuracy in different surgical procedures.
Review
Urology & Nephrology
Stefano Terzoni, Cristina Mora, Constantina Cloconi, Giorgia Gaia, Maria C. C. Sighinolfi, Serena Maruccia, Bernardo Rocco, Barbara Pinna, Paolo Ferrara, Mauro Parozzi, Anne Destrebecq
Summary: Neuromodulation therapy, specifically Transcutaneous Electrical Nerve Stimulation (TENS), is effective for treating pelvic pain. This comprehensive review summarizes the various factors that influence the effectiveness of TENS, including electrode placement, waveform, pulse duration, pulse frequency, amplitude, session duration, and frequency of sessions. The paper also discusses the biochemical and neuro urological mechanisms of TENS.
NEUROUROLOGY AND URODYNAMICS
(2023)
Article
Urology & Nephrology
Bernardo Rocco, Simone Assumma, Tommaso Calcagnile, Mattia Sangalli, Filippo Turri, Salvatore Micali, Giorgia Gaia, Giorgio Bozzini, Maria Chiara Sighinolfi
Summary: This study evaluates the reproducibility of a modified posterior reconstruction technique for robotic intracorporeal neobladder reconstruction. The technique improves the connection between the neobladder and urethral stump, reducing tension. The surgical outcomes were satisfactory, with patients achieving normal voiding.
INTERNATIONAL BRAZ J UROL
(2023)
Article
Nursing
Stefano Terzoni, Cristina Mora, Maria Chiara Sighinolfi, Giorgia Gaia, Barbara Pinna, Bernardo Rocco, Anne Destrebecq
Summary: The effectiveness and acceptability of transcutaneous sacral roots neuromodulation (TSRN) using surface electrodes for pelvic pain and muscle stiffness were evaluated. TSRN proved successful in treating other pelvic disorders, and this pilot study showed promising results in reducing pain and muscle stiffness in patients. Further studies are needed to confirm these findings.
INTERNATIONAL JOURNAL OF UROLOGICAL NURSING
(2023)
Article
Surgery
Paolo Pietro Bianchi, Adelona Salaj, Bernardo Rocco, Giampaolo Formisano
Summary: The diffusion of robotic surgery is increasing in various surgical specialties, and new robotic platforms are entering the market. This study presents the first three robotic-assisted colectomies performed with the Hugo RAS system. The surgical team had previous robotic experience and completed simulation training and cadaver laboratory sessions. The procedures were completed successfully without complications or conversions to open surgery.
UPDATES IN SURGERY
(2023)
Article
Urology & Nephrology
Davide Perri, Lorenzo Berti, Andrea Pacchetti, Elena Morini, Umberto Besana, Paolo Marcangeli, Matteo Maltagliati, Maria Chiara Sighinoli, Javier Romero-Otero, Antonio L. Pastore, Ali S. Goezen, Paolo Broggini, Bernardo Rocco, Federica Mazzoleni, Giorgio Bozzini
Summary: The Vapor Tunnel (VT) technology reduces stone retropulsion during holmium laser lithotripsy for ureteral stones. A study compared 210 patients treated with or without VT technology and found that VT technology significantly reduced operative and dusting time, avoided stone push-up and ureteral lesions, and reduced postoperative complications and ureteral strictures. This technology improves the efficiency and safety of ureteral stone treatment.
MINERVA UROLOGY AND NEPHROLOGY
(2023)
Correction
Urology & Nephrology
Bernardo Rocco, Giorgia Gaia, Simone Assumma, Tommaso Calcagnile, Mattia Sangalli, Stefano Terzoni, Ahmed Eissa, Giorgio Bozzini, Bernardino De Concilio, Antonio Celia, Salvatore Micali, Maria Chiara Sighinolfi
EUROPEAN UROLOGY OPEN SCIENCE
(2023)
Article
Surgery
Maria Chiara Sighinolfi, Stefano Terzoni, Elena Scanferla, Pietro Paolo Bianchi, Giampaolo Formisano, Giorgia Gaia, Anna Maria Marconi, Davide Chiumello, Vipul Patel, Marcio Covas Moschovas, Filippo Turri, Paolo Dell'Orto, Serena Maruccia, Angelica Grasso, Mattia Sangalli, Stefano Centanni, Matteo Stocco, Simone Assumma, Luca Sarchi, Tommaso Calcagnile, Enrico Panio, Giorgio Bozzini, Bernardo Rocco
Summary: The field of robotic surgery is advancing rapidly with the introduction of new robotic systems. However, there is a lack of structured learning programs in robotic surgery for undergraduate students, leading to a lack of awareness about indications for robotic surgery and technological advancements. This study aimed to assess the knowledge and interest of medical and nurse students in robotic surgery and analyze how their interest may change after a hands-on training course with new simulators. The results showed a significant increase in interest among all students after the simulation, highlighting the importance of hands-on training in improving education in robotic surgery.
JOURNAL OF ROBOTIC SURGERY
(2023)
Article
Urology & Nephrology
Giorgio Bozzini, Lorenzo Berti, Matteo Maltagliati, Umberto Besana, Salvatore Micali, Jean Baptiste Roche, Javier Romero-Otero, Andrea Pacchetti, Davide Perri, Elena Morini, Giovanni Saredi, Federica Mazzoleni, Maria Chiara Sighinolfi, Carlo Buizza, Bernardo Rocco
Summary: This study compared the effects of two different laser therapies for endoscopic enucleation of the prostate and found no significant differences in operative time, clinical outcomes, and complications.
WORLD JOURNAL OF UROLOGY
(2023)
Article
Urology & Nephrology
Maria Chiara Sighinolfi, Simone Assumma, Alessandra Cassani, Luca Sarchi, Tommaso Calcagnile, Stefano Terzoni, Marco Sandri, Salvatore Micali, Jonathan Noel, M. Covas Moschovas, Bhat Seetharam, Giorgio Bozzini, Vipul Patel, Bernardo Rocco
Summary: The PRECE model predicts the risk of extracapsular extension (ECE) of prostate cancer and has been validated on an Italian cohort, demonstrating good predictive performance.
INTERNATIONAL UROLOGY AND NEPHROLOGY
(2023)
Article
Urology & Nephrology
Davide Perri, Lorenzo Berti, Andrea Pacchetti, Elena Morini, Matteo Maltagliati, Umberto Besana, Antonio Luigi Pastore, Javier Romero-Otero, Giovanni Saredi, Danilo Centrella, Maria Chiara Sighinolfi, Bernardo Rocco, Salvatore Micali, Paolo Broggini, Marco Boldini, Federica Mazzoleni, Giorgio Bozzini
Summary: This study compared the outcomes of Retrograde IntraRenal Surgery (RIRS) and MiniPerc (MP) for stones between 10 and 20 mm using the same laser device. The results showed that both methods were effective in achieving a stone-free status after surgery with Fiber Dust. However, the choice of treatment may depend on the position of the stone.
WORLD JOURNAL OF UROLOGY
(2022)