Urology
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To present the results and complications of a collective circumcision application performed using a thermocautery device with the patient under local anesthesia in Sudan. ⋯ Although we are not in favor of collective circumcisions, our results have demonstrated that this type of circumcision can be performed safely with appropriate equipment and personnel in those regions in which circumcisions cannot be performed in a hospital setting for socioeconomic reasons.
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To evaluate long-term follow-up of a phase II trial of chemohormonal therapy in 62 men with prostate cancer biochemical relapse (BR). ⋯ Chemotherapy plus ADT for BR resulted in durable (>5 years) complete responses (<0.1 ng/mL) in 7 men (11%). Twenty-four percent of men have not re-initiated ADT 5 years from completion of protocol therapy.
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To test our hypothesis that surgeon-placed paravertebral block (PVB) placement during open renal surgery is effective, feasible, and safe. Neuraxial analgesia represents the current standard of care for perioperative anesthesia for open renal surgery. However, potential catastrophic complications such as neuraxial bleeding and infection may occur. An alternative to neuraxial analgesia widely used in thoracic surgery is the surgeon-placed PVB. ⋯ PVB represents a safe and effective surgeon-placed alternative to neuraxial analgesia for open renal operative procedures.
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Comparative Study
Endoscopic-guided versus fluoroscopic-guided renal access for percutaneous nephrolithotomy: a comparative analysis.
To evaluate the intraoperative outcomes of percutaneous renal access using fluoroscopic-guided access (FGA) vs endoscopic-guided access (EGA). ⋯ EGA is safe and effective and leads to decreased fluoroscopy time, decreased need for multiple accesses, and decreased risk of early termination of the procedure or need for secondary procedures.
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Randomized Controlled Trial
Fenoldopam and renal function after partial nephrectomy in a solitary kidney: a randomized, blinded trial.
To test the hypothesis that fenoldopam administration ameliorates ischemic injury, preserving the glomerular filtration rate and serum creatinine postoperatively after partial nephrectomy in patients with a solitary kidney. ⋯ Fenoldopam administration did not preserve renal function in the clinical setting of renal ischemia during solitary partial nephrectomy, as evidenced by changes in the glomerular filtration rate or serum creatinine.