Urology
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To compare the morbidity and functional results after laparoscopic radical prostatectomy with and without previous transurethral resection of the prostate (TURP). ⋯ Laparoscopic radical prostatectomy can be performed after TURP without compromising the oncologic results. However, patients should be informed that the procedure is associated with worse intraoperative and postoperative outcomes. Although the urinary continence rate was not hampered by previous TURP, neurovascular bundle preservation is technically more difficult and compromises postoperative erectile function.
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Meta Analysis Comparative Study
Outcomes of retropubic, laparoscopic, and robotic-assisted prostatectomy.
To compare outcomes of radical retropubic, laparoscopic, and robotic-assisted prostatectomy using evidence-based analysis. ⋯ Our results suggest that, compared with retropubic prostatectomy, laparoscopic and robotic-assisted prostatectomy are associated with decreased operative blood loss, decreased risk of transfusion, and similar risk of positive surgical margin. Further comparative studies-using consistent, validated outcomes measures-are needed to further assess postoperative urinary continence and potency.
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Randomized Controlled Trial
The analgesic effect of 8 and 16 mg lornoxicam administered before shock wave lithotripsy: a randomized, double-blind, controlled study.
To evaluate the efficacy of 2 different doses of intravenous lornoxicam for pain relief during shock wave lithotripsy (SWL). ⋯ Eight milligrams of intravenously administered lornoxicam 15 minutes before SWL provides pain relief and patient satisfaction during the procedure, reducing opioid requirements as well as decreasing the incidence of side effects.
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Case Reports
Rare case of renal cell carcinoma with double inferior vena cava with venous thrombosis.
Double inferior vena cava is a rare congenital anomaly. Recognition of such venous anomalies is important in the evaluation and surgical treatment of retroperitoneal disease. Newer radiological modalities such as three-dimensional reconstruction of spiral computed tomography help to define such anomalies and avoid significant morbidity during surgical exploration. We present a case of renal cell carcinoma involving left kidney with tumor thrombus extending into both venae cavae, treated by left radical nephrectomy with vena caval thrombectomy.
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Incisional surgical site infections are common bacterial infections in kidney transplantation. The purpose of this study was to determine the incidence, timing, etiology, and risk factors for incisional surgical site infections. ⋯ Diabetic patients, and those who received sirolimus-based immunosuppressive regimens, showed an increased risk of developing incisional surgical site infections after kidney transplantation.