Urology
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Randomized Controlled Trial Comparative Study
Periprostatic local anesthesia with pudendal block for transperineal ultrasound-guided prostate biopsy: a randomized trial.
To investigate the effectiveness of adding pudendal block to periprostatic anesthesia for transperineal ultrasound-guided needle prostate biopsy. ⋯ A combination of pudendal and periprostatic nerve block is a safe, effective, and useful technique that is well tolerated by the patients and improves pain reduction during transperineal prostate biopsy compared with the periprostatic anesthesia only, with no alteration in the severe complication rates.
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To analyze and classified our single-institution experience with the perioperative complications associated with robot-assisted laparoscopic radical prostatectomy (RALRP). ⋯ RALRP is associated with major and minor complication rates of 5.0% and 14.6%, respectively. Prospective and blinded data on complications associated with RALRP are lacking in the published data. Our prospective, unbiased data provide an important tool to help counsel patients on complications associated with robot-assisted laparoscopic radical prostatectomy.
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To define and discuss the characteristics of all-terrain vehicle (ATV)-related pediatric (<16 years) genitourinary (GU) trauma. ATV collisions represent a significant and growing portion of trauma cases in rural America. ATV-related renal injuries have been reported in adults but a comprehensive review of ATV-related pediatric GU trauma cases is needed. ⋯ GU trauma in ATV-injured youth is uncommon but when it occurs, renal injuries predominate. Most present with hematuria. Prevalence of renal trauma among GU injuries in children suggests a unique injury mechanism (crush during ATV roll or strike of the handlebars) and more study of injury mechanics is warranted. A high index of suspicion is warranted in evaluating these children.