DOCSLIB.ORG

Urology Services Information Guide

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Urology Services Information Guide UROLOGY SERVICES INFORMATION GUIDE Urology encompasses the diagnosis and treatment of urinary tract diseases in men and women and genital tract diseases in men. Te mission of Orlando Health Physicians Urology Group is to reduce your pain and discomfort, ease any anxiety and treat your medical condition as quickly and efectively as possible. Our physicians and staf work together to provide the most comprehensive care and treatment for each patient. Services include: • Robotic Surgery • Pelvic Floor/Incontinence • Cryotherapy • Prosthetic Urology • Endourology • General Urology Robotic Surgery Our physicians use the da Vinci Surgical System® to perform complex, minimally invasive surgical procedures. Tis sophisticated system provides our specially-trained surgeons a greater range of motion and improved precision in the small, delicate spaces within the body. Some of the leading edge procedures we ofer using the da Vinci system and the conditions they beneft include: • Partial nephrectomy for the removal of tumors in the kidney. • Simple nephrectomy for the removal of the kidney. • Radical nephrectomy for the removal of the kidney and other surrounding tissue. • Cystectomy for removal of the bladder to treat patients with cancer. • Radical prostatectomy for the removal of the prostate and surrounding lymph nodes. • Pyeloplasty to improve impaired kidney fow. • Sacrocolpopexy benefts female patients sufering from vaginal or uterine prolapse. • Ureteral implant repairs the tubes connecting the bladder to the kidneys and prevents urine from backing up into the kidneys. • Nephroureterectomy is a complex procedure to treat patients with urothelial cancer of the kidneys or ureter. 2932-127252 BGD 9129 11/17 ©2017 Orlando Health, Inc. 1 UROLOGY SERVICES INFORMATION GUIDE Pelvic Floor/Incontinence Our team treats patients who are experiencing incontinence and/or conditions impacting the pelvic foor, the muscles that attach the abdomen to the pelvis and provide control over bladder and bowel function. Many treatments are minimally invasive. Procedures include: • Anterior coloporrhaphy restores the bladder to its normal position. • Posterior coloporrhaphy tightens the back wall of the vagina and pushes the rectum back into to its normal position. • Suburetheral sling ofers relief from incontinence. Te “sling” is positioned to support the mid-urethra. • Bulking agents injected around the urethra help decrease urinary incontinence. • Sacral nerve stimulation is a treatment option for bladder and bowel control. • Intravesical botox injections are used to treat incontinence or lessen urinary urgency. Cryotherapy Our team is knowledgeable and specially trained to use innovative, leading edge treatments such as cryotherapy to treat urological conditions. Cryotherapy is a minimally invasive procedure that uses extremely cold temperatures to destroy malignant and benign tumors. Prosthetic Urology For incontinence, an artifcial genito-urinary sphincter made of silicone may be implanted. Te device has an infatable cuf that fts around the urethra near the point where it joins the bladder. Te cuf is infated to keep urine from leaking. When urination is desired, the cuf is defated, allowing urine to drain out. For erectile dysfunction, an infatable penile prosthesis may be inserted. Tis saline-flled device expands and contracts without losing elasticity. Endourology Our team of specialists uses minimally invasive techniques to treat kidney stones. In addition to removing these painful stones from the kidney, ureter and bladder, our dedicated team determines the cause of kidney stone development and works with the patient to prevent further episodes. Procedures performed include: • Extracorporeal shock wave lithotripsy (ESWL) uses shock waves to break kidney stones into small pieces that can more easily travel through the urinary tract. • Laser lithotripsy uses a small telescope and laser to break the kidney stone into tiny fragments, which are then removed by “basket” extraction. • Percutaneous nephrolithotomy is the surgical removal of stones through a hollow tube placed into the kidney. 2932-127252 BGD 9129 11/17 ©2017 Orlando Health, Inc. 2 UROLOGY SERVICES INFORMATION GUIDE General Urology Our physicians and staf provide compassionate care to patients with a number of conditions and provide many treatments and procedures, which include: • Bladder obstruction treatment • Open simple prostatectomy • Bladder tumors • Scrotal surgery • Circumcision • Transrectal ultrasound and prostate surgery • Cystolitholapaxy • Ureteral dilation • Cystolithotomy • Ureteral stent placement • Cystoscopy • Urethral stricture disease • Injection of peyronies plaques • Vasectomy • Meatotomy Our Locations Clermont Orlando Orlando Health 865 Oakley Seaver Dr. 32 W. Gore St., Medical Pavilion – Clermont, FL 34711 Suite 204 Spring Lake Orlando, FL 32806 7243 Della Dr., Dr. Phillips Suite J 7301 Stonerock Cr., Ocoee Orlando, FL 32819 Suite A 10000 W. Colonial Dr., Orlando, FL 32819 Suite 285 Orlando Health Lake Mary Ocoee, FL 34761 Medical Pavilion – 725 Rodel Cove, Summerport Suite 201 Oviedo 5151 Winter Garden Vineland Rd., Lake Mary, FL 32746 1410 W. Broadway St., Suite 205 Suite 105 Windermere, FL 34786 Oviedo, FL 32765 To make an appointment with an Orlando Health urologist at any of our locations, call 321.841.9360. 2932-127252 BGD 9129 11/17 ©2017 Orlando Health, Inc. 3.
Load more

Recommended publications
  • Surgical Treatment of Urinary Incontinence in Men
    Committee 13 Surgical Treatment of Urinary Incontinence in Men Chairman S. HERSCHORN (Canada) Members H. BRUSCHINI (Brazil), C.COMITER (USA), P.G RISE (France), T. HANUS (Czech Republic), R. KIRSCHNER-HERMANNS (Germany) 1121 CONTENTS I. INTRODUCTION VIII. TRAUMATIC INJURIES OF THE URETHRA AND PELVIC FLOOR II. EVALUATION PRIOR TO SURGICAL THERAPY IX. CONTINUING PEDIATRIC III. INCONTINENCE AFTER RADICAL PROBLEMS INTO ADULTHOOD: THE PROSTATECTOMY FOR PROSTATE EXSTROPHY-EPISPADIAS COMPLEX CANCER X. DETRUSOR OVERACTIVITY AND IV. INCONTINENCE AFTER REDUCED BLADDER CAPACITY PROSTATECTOMY FOR BENIGN DISEASE XI. URETHROCUTANEOUS AND V. SURGERY FOR INCONTINENCE IN RECTOURETHRAL FISTULAE ELDERLY MEN VI. INCONTINENCE AFTER XII. THE ARTIFICIAL URINARY EXTERNAL BEAM RADIOTHERAPY SPHINCTER (AUS) ALONE AND IN COMBINATION WITH SURGERY FOR PROSTATE CANCER XIII. SUMMARY AND RECOMMENDATIONS VII. INCONTINENCE AFTER OTHER TREATMENT FOR PROSTATE CANCER REFERENCES 1122 Surgical Treatment of Urinary Incontinence in Men S. HERSCHORN, H. BRUSCHINI, C. COMITER, P. GRISE, T. HANUS, R. KIRSCHNER-HERMANNS high-intensity focused ultrasound, other pelvic I. INTRODUCTION operations and trauma is a particularly challenging problem because of tissue damage outside the lower Surgery for male incontinence is an important aspect urinary tract. The artificial sphincter implant is the of treatment with the changing demographics of society most widely used surgical procedure but complications and the continuing large numbers of men undergoing may be more likely than in other areas and other surgery and other treatments for prostate cancer. surgical approaches may be necessary. Unresolved problems from pediatric age and patients with Basic evaluation of the patient is similar to other areas refractory incontinence from overactive bladders may of incontinence and includes primarily a clinical demand a variety of complex reconstructive surgical approach with history, frequency-volume chart or procedures.
    [Show full text]
  • Thromboprophylaxis in Urological Surgery
    EAU Guidelines on Thromboprophylaxis in Urological Surgery K.A.O. Tikkinen (Chair), R. Cartwright, M.K. Gould, R. Naspro, G. Novara, P.M. Sandset, P. D . Violette, G.H. Guyatt © European Association of Urology 2018 TABLE OF CONTENTS PAGE 1. INTRODUCTION 3 1.1 Aims and objectives 3 1.2 Panel composition 3 1.3 Available publications 3 1.4 Publication history 3 2. METHODS 3 2.1 Guideline methodology 3 3. GUIDELINE 4 3.1 Thromboprophylaxis post-surgery 4 3.1.1 Introduction 4 3.1.2 Outcomes and definitions 4 3.1.3 Timing and duration of thromboprophylaxis 4 3.1.4 Basic principles for recommending (or not recommending) post-surgery thromboprophylaxis 5 3.1.4.1 Effect of prophylaxis on key outcomes 5 3.1.4.2 Baseline risk of key outcomes 5 3.1.4.3 Patient-related risk (and protective) factors 5 3.1.4.4 From evidence to recommendations 6 3.1.5 General statements for all procedure-specific recommendations 7 3.1.6 Recommendations 7 3.2 Peri-operative management of antithrombotic agents in urology 14 3.2.1 Introduction 14 3.2.2 Evidence summary 14 3.2.3 Recommendations 14 4. RESEARCH RECOMMENDATIONS 16 5. REFERENCES 16 6. CONFLICT OF INTEREST 18 7. ACKNOWLEDGEMENTS 18 8. CITATION INFORMATION 18 2 THROMBOPROPHYLAXIS - MARCH 2017 1. INTRODUCTION 1.1 Aims and objectives Due to the hypercoagulable state induced by surgery, serious complications of urological surgery include deep vein thrombosis (DVT) and pulmonary embolism (PE) - together referred to as venous thromboembolism (VTE) - and major bleeding [1-4].
    [Show full text]
  • Effective Endoscopic Holmium Laser Lithotripsy in the Treatment of a Large
    Cases and Techniques Library (CTL) E485 The patient was discharged after 15 days with complete resolution of the occlusive Effective endoscopic holmium laser lithotripsy symptoms, and her scheduled chole- in the treatment of a large impacted gallstone cystectomy was canceled. in the duodenum Endoscopy_UCTN_Code_CCL_1AZ_2AD Competing interests: None Fig. 1 Computed tomographic scan shows a large calcified Vincenzo Mirante, Helga Bertani, ring (stone) in the Giuseppe Grande, Mauro Manno, duodenum of an Angelo Caruso, Santi Mangiafico, 87-year-old woman Rita Conigliaro presenting with ab- U.O.C. Gastroenterology and Digestive dominal pain and vomiting of 3 days’ Endoscopy Unit, Nuovo Ospedale Civile duration. Sant'Agostino Estense, Modena, Italy References 1 Reisner RM, Cohen JR. Gallstone ileus: a re- view of 1001 reported cases. Am Surg 1994; 60: 441–446 2 Rodriguez H, Codina C, Girones V et al. Gall- stone ileus: results of analysis of a series of Gallstone ileus is caused by the passage To fragment the stone, we performed an- 40 patients. Gastroenterol Hepatol 2001; – of one or more large gallstones (at least other endoscopic procedure. A holmium 24: 489 494 3 Rigler LG, Borman CN, Noble JF. Gallstone ob- 2.5 cm in size) in the gastrointestinal tract laser (HLS30W Holmium:YAG 30W Laser; struction: pathogenesis and roentgen mani- through a bilioenteric fistula. It accounts Olympus America, Center Valley, Penn- festations. JAMA 1941; 117: 1753 –1759 for 1 % to 4% of all cases of mechanical sylvania, USA) was applied for a total of 4 Goldstein EB, Savel RH, Pachter HL et al. Suc- small-bowel obstruction [1,2].
    [Show full text]
  • Cystectomy and Neo Bladder Surgery
    Form: D-5379 Cystectomy and Neo Bladder Surgery A guide for patients and families Reading this booklet can help you prepare for your surgery, hospital stay and recovery after surgery. We encourage you to take an active role in your care. If you have any questions, please ask a member of your health care team. Inside this booklet page Learning about your surgery ...................................................3 Preparing for surgery ...............................................................5 Your hospital stay ......................................................................9 Getting ready to leave the hospital .........................................17 Your recovery after surgery .....................................................19 Who to call if you have questions ............................................29 When to get medical help ........................................................30 2 Learning about your surgery What is a Cystectomy? Cystectomy is surgery to remove your bladder. This is usually done to control bladder cancer. Depending on the extent of the cancer, the bladder and some surrounding organs may need to be removed. • The prostate gland, seminal vesicles and nerve bundles may also be removed. • The ovaries, fallopian tubes, uterus, cervix and part of the vagina may also be removed. What is a Neo Bladder? Words to know A neo bladder is a pouch made from a Neo means new. piece of your bowel that is placed where A neo bladder is a new bladder. your bladder was removed. A neo bladder is commonly called a pouch, because a piece The pouch acts like a bladder, collecting of your bowel is made into a urine that comes down the ureters from pouch that can store urine. the kidneys. When you pass urine, it The medical name for this is a leaves the pouch through your urethra.
    [Show full text]
  • Comparison of Postoperative Renal Function Between Non-Steroidal
    Journal of Clinical Medicine Article Comparison of Postoperative Renal Function between Non-Steroidal Anti-Inflammatory Drug and Opioids for Patient-Controlled Analgesia after Laparoscopic Nephrectomy: A Retrospective Cohort Study Jiwon Han 1 , Young-Tae Jeon 1,2, Ah-Young Oh 1,2 , Chang-Hoon Koo 1, Yu Kyung Bae 1 and Jung-Hee Ryu 1,2,* 1 Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, 82, Gumi-ro, Bundang-gu, Seongnam-si, Gyeonggi-do 13620, Korea; [email protected] (J.H.); [email protected] (Y.-T.J.); [email protected] (A.-Y.O.); [email protected] (C.-H.K.); [email protected] (Y.K.B.) 2 Department of Anesthesiology and Pain Medicine, Seoul National University College of Medicine, 103, Daehak-ro, Jongno-gu, Seoul 03080, Korea * Correspondence: [email protected]; Tel.: +82-31-787-7497 Received: 7 August 2020; Accepted: 9 September 2020; Published: 13 September 2020 Abstract: Non-steroidal anti-inflammatory drugs (NSAIDs) can be used as opioid alternatives for patient-controlled analgesia (PCA). However, their use after nephrectomy has raised concerns regarding possible nephrotoxicity. This study compared postoperative renal function and postoperative outcomes between patients using NSAID and patients using opioids for PCA in nephrectomy. In this retrospective observational study, records were reviewed for 913 patients who underwent laparoscopic or robot-assisted laparoscopic nephrectomy from 2015 to 2017. After propensity score matching, 247 patients per group were analyzed. Glomerular filtration rate (GFR) percentages (postoperative value divided by preoperative value), blood urea nitrogen (BUN)/creatinine ratios, and serum creatinine percentages were compared at 2 weeks, 6 months, and 1 year after surgery between users of NSAID and users of opioids for PCA.
    [Show full text]
  • (Part 1): Management of Male Urethral Stricture Disease
    EURURO-9412; No. of Pages 11 E U R O P E A N U R O L O G Y X X X ( 2 0 2 1 ) X X X – X X X ava ilable at www.sciencedirect.com journa l homepage: www.europeanurology.com Review – Reconstructive Urology European Association of Urology Guidelines on Urethral Stricture Disease (Part 1): Management of Male Urethral Stricture Disease a, b c d Nicolaas Lumen *, Felix Campos-Juanatey , Tamsin Greenwell , Francisco E. Martins , e f a c g Nadir I. Osman , Silke Riechardt , Marjan Waterloos , Rachel Barratt , Garson Chan , h i a j Francesco Esperto , Achilles Ploumidis , Wesley Verla , Konstantinos Dimitropoulos a b Division of Urology, Gent University Hospital, Gent, Belgium; Urology Department, Marques de Valdecilla University Hospital, Santander, Spain; c d Department of Urology, University College London Hospital, London, UK; Department of Urology, Santa Maria University Hospital, University of Lisbon, e f Lisbon, Portugal; Department of Urology, Sheffield Teaching Hospitals, Sheffield, UK; Department of Urology, University Medical Center Hamburg- g h Eppendorf, Hamburg, Germany; Division of Urology, University of Saskatchewan, Saskatoon, Canada; Department of Urology, Campus Biomedico i j University of Rome, Rome, Italy; Department of Urology, Athens Medical Centre, Athens, Greece; Aberdeen Royal Infirmary, Aberdeen, UK Article info Abstract Article history: Objective: To present a summary of the 2021 version of the European Association of Urology (EAU) guidelines on management of male urethral stricture disease. Accepted May 15, 2021 Evidence acquisition: The panel performed a literature review on these topics covering a time frame between 2008 and 2018, and used predefined inclusion and exclusion criteria Associate Editor: for the literature to be selected.
    [Show full text]
  • UIJ Urotoday International Journal® the Short-Term Outcome of Urethral Stricture Disease Management in HIV and Non-HIV Infected Patients: a Comparative Study
    UIJ UroToday International Journal® The Short-Term Outcome of Urethral Stricture Disease Management in HIV and Non-HIV Infected Patients: A Comparative Study Mohamed Awny Labib, Michael Silumbe, Kasonde Bowa Submitted April 30, 2012 - Accepted for Publication December 27, 2012 ABSTRACT Purpose: This study intends to compare short-term outcomes of treatment of urethral stricture disease between human immunodeficiency virus (HIV) seropositive and HIV seronegative patients at the University Teaching Hospital (UTH) in Lusaka. Methods: This was a prospective cohort study conducted on patients presenting with urethral stricture disease at the UTH, Lusaka, Zambia, between October 2009 and December 2010. One arm included HIV seropositive patients and the other arm had HIV seronegative patients. The recruited patients underwent urethral dilatation, anastomotic urethroplasty, and staged urethroplasty. They were followed-up postoperatively for 6 months, and recurrence and complication rates were compared between the 2 groups. Other parameters studied included patient demographics, cluster of differentiation (CD4) cell counts in positive patients, HIV World Health Organization (WHO) stages, stricture etiology, stricture sites, and stricture lengths. The collected data was analyzed using SPSS 16. Results: A total of 71 patients with a mean age of 38.04 years who had urethral stricture disease were recruited for this study. Of the patients, 37% (26) were HIV seropositive while 63% (45) were seronegative, and 53.8% (14) of the seropositive patients were on highly active antiretroviral therapy (HAART). Of the urethral strictures, 45% (32) resulted from urethritis, and the prevalence of HIV in patients presenting with post-urethritis stricture disease was 50% (16/32). Of the strictures, 73.2% (N = 52) were located in the bulbar urethra, 19.7% (N = 14) were in the penile urethra, and 5.6% (N = 4) were located in the membranous urethra.
    [Show full text]
  • Infectious and Inflammatory Complications (IIC) in Patients
    e3640 European Urology Supplements 18 (12), (2019), e3621–e3646 pediatric patients; moreover, we did not find literature with the results GUA-46 Choice of the method of draining the urinary tract of extracorporeal shock wave lithotripsy (ESWL) use. in residual stones after percutaneous Materials and methods: From January 2015 to November 2018 ESWL nephrolithomy in children was performed on an emergency basis to 124 children with renal colic which could not be treated with non-steroidal anti-inflammatory Y. S. Nadjimitdinov, Sh. T. Mukhtarov, Sh. Abbosov drugs or recurred repeatedly during 24 hours. Mean age was 9.5 ± 1.6, – Tashkent Medical Academy, Department of Urology, Tashkent, 83 were boys and 41 girls. Intravenous urography was done only in Uzbekistan the cases when there were doubts in stone size and level of its situation according to the plain urography. Before ESWL children’s parents were informed about the method and its complications and possible Background: To date, percutaneous nephrolithotomy (PCNLT) is the manipulations in the urinary tract if necessary (ureteral stenting, method of choice in patients with urolithiasis. This method has proven endoscopic removal of stone fragments) or repeated lithotripsy. to be completely safe and effective in treating children with Results: Ambulant help was rendered to 21 patients; 103 patients nephrolithiasis. However, in some cases, for various reasons, it is not were hospitalized for 1 day. Stone size more than 10 mm (mean size possible using the endoscopic method to completely rid the patient of 14.2 ± 0.8 mm) was revealed in 48 patients. In 76 cases maximum calculi located in the kidney cavities.
    [Show full text]
  • Lesions of the Female Urethra: a Review
    Please do not remove this page Lesions of the Female Urethra: a Review Heller, Debra https://scholarship.libraries.rutgers.edu/discovery/delivery/01RUT_INST:ResearchRepository/12643401980004646?l#13643527750004646 Heller, D. (2015). Lesions of the Female Urethra: a Review. In Journal of Gynecologic Surgery (Vol. 31, Issue 4, pp. 189–197). Rutgers University. https://doi.org/10.7282/T3DB8439 This work is protected by copyright. You are free to use this resource, with proper attribution, for research and educational purposes. Other uses, such as reproduction or publication, may require the permission of the copyright holder. Downloaded On 2021/09/29 23:15:18 -0400 Heller DS Lesions of the Female Urethra: a Review Debra S. Heller, MD From the Department of Pathology & Laboratory Medicine, Rutgers-New Jersey Medical School, Newark, NJ Address Correspondence to: Debra S. Heller, MD Dept of Pathology-UH/E158 Rutgers-New Jersey Medical School 185 South Orange Ave Newark, NJ, 07103 Tel 973-972-0751 Fax 973-972-5724 [email protected] There are no conflicts of interest. The entire manuscript was conceived of and written by the author. Word count 3754 1 Heller DS Precis: Lesions of the female urethra are reviewed. Key words: Female, urethral neoplasms, urethral lesions 2 Heller DS Abstract: Objectives: The female urethra may become involved by a variety of conditions, which may be challenging to providers who treat women. Mass-like urethral lesions need to be distinguished from other lesions arising from the anterior(ventral) vagina. Methods: A literature review was conducted. A Medline search was used, using the terms urethral neoplasms, urethral diseases, and female.
    [Show full text]
  • Continent Urinary Reservoirs and Bladder Substitutes.Pdf
    ������������������ ��������������� ������������������� �������������������� ���������������� ��������������������� Continent Cutaneous Urinary Reservoirs and Bladder Substitutes Anatomy The bladder is an organ in the pelvis that collects, stores and expels urine. Urine is produced by the kidneys and travels down two tube-like structures called the ureters. The ureters connect the kidneys to the bladder. Urine leaves the bladder through another tube-like structure called the urethra. (Figure 1) Removal of the bladder (cystectomy) may be necessary in some people with bladder cancer, congenital disor- ders of the urinary tract, and in some people who have suffered surgical, traumatic or neurologic damage to the bladder. In these situations, another method of col- lecting and excreting urine must be found. The most common and easiest method for urinary diversion is to use a short piece of intestine as the connection between the ureters and the outside of the body (ileal or colon conduit). This type of diversion is easy for the patient to manage and has a low rate of complication. However, an ostomy bag must be worn at all times to collect urine. Newer surgical techniques are available which do not require the patient to wear an ostomy bag. These newer proce- dures involve creation of a continent urinary reser- voir that collects and stores urine. What is a Continent Urinary Reservoir and How is it Made? A continent urinary reser- voir is an internal “pouch” made from segments of the intestine. Urinary reservoirs can be made from small intestine alone, large intestine alone or from a combination of the above. (Figure 2) The bowel segments selected for use are disconnected from the remainder of the intestinal tract to avoid mixing the gastrointestinal contents (feces) with urine.
    [Show full text]
  • Surgical Treatment of Urinary Incontinence in Men
    CHAPTER 19 Committee 15 Surgical Treatment of Urinary Incontinence in Men Chairman S. HERSCHORN (CANADA) Co-Chair J. THUROFF (GERMANY) Members H. BRUSCHINI (BRAZIL), P. G RISE (FRANCE), T. HANUS (CZECH REPUBLIC), H. KAKIZAKI (JAPAN), R. KIRSCHNER-HERMANNS (GERMANY), V. N ITTI (USA), E. SCHICK (CANADA) 1241 CONTENTS IX. CONTINUING PEDIATRIC I. INTRODUCTION AND SUMMARY PROBLEMS INTO ADULTHOOD: THE EXSTROPHY-EPISPADIAS COMPLEX II. EVALUATION PRIOR TO SURGICAL THERAPY X. DETRUSOR OVERACTIVITY AND REDUCED BLADDER CAPACITY III. INCONTINENCE AFTER RADICAL PROSTATECTOMY FOR PROSTATE CANCER XI. URETHROCUTANEOUS AND RECTOURETHRAL FISTULAE IV. INCONTINENCE AFTER XII. THE ARTIFICIAL URINARY PROSTATECTOMY FOR BENIGN SPHINCTER (AUS) DISEASE V. SURGERY FOR INCONTINENCE XIII. NEW TECHNOLOGY IN ELDERLY MEN XIV. SUMMARY AND VI. INCONTINENCE AFTER RECOMMENDATIONS EXTERNAL BEAM RADIOTHERAPY ALONE AND IN COMBINATION WITH SURGERY FOR PROSTATE REFERENCES CANCER VIII. TRAUMATIC INJURIES OF THE URETHRA AND PELVIC FLOOR 1242 Surgical Treatment of Urinary Incontinence in Men S. HERSCHORN, J. THUROFF H. BRUSCHINI, P. GRISE, T. HANUS, H. KAKIZAKI, R. KIRSCHNER-HERMANNS, V. N ITTI, E. SCHICK ry, other pelvic operations and trauma is a particular- I. INTRODUCTION AND SUMMARY ly challenging problem because of tissue damage outside the lower urinary tract. The artificial sphinc- ter implant is the most widely used surgical procedu- Surgery for male incontinence is an important aspect re but complications may be more likely than in of treatment with the changing demographics of other areas and other surgical approaches may be society and the continuing large numbers of men necessary. Unresolved problems from the pediatric undergoing surgery for prostate cancer. age group and patients with refractory incontinence Basic evaluation of the patient is similar to other from overactive bladders may demand a variety of areas of incontinence and includes primarily a clini- complex reconstructive surgical procedures.
    [Show full text]
  • Dr. Alexander Kutikov: Yeah
    Question and Answer Stephanie Chisolm: I deeply thank you so much. Dr. Kutikov, that was phenomenal and I think you really did such a great job of explaining all of those complications and everything else. I think the underlying message that I heard, and I hope that the participants here is kind of you wouldn't take your Jaguar to the mechanic on the corner. You go to somebody that does this on a regular basis. You really want to go to somebody who has that experience if you're going to have the surgery, because it is complicated. You don't want them to say, "I read about that in a journal once." Then, "Sure, I can do that. I'm a doctor." You want to go with somebody who has an awareness of what the problems are so you can circumvent them certainly. I think that that came through very closely and very clearly. Let's get to some of the questions. We have a kind of a unique question. There's a participant with only one kidney and their GFR is holding at 27. I guess they're indicating that they're going to have a cystectomy. If they choose to have the stoma and need dialysis, I think this is a good recommendation in terms of getting in the team approach. Because dialysis can be run by the nephrologist, correct? Is it possible to do dialysis when you only have a stoma? Dr. Alexander Kutikov: Yeah. Hemodialysis, the stoma won't affect your hemodialysis. I think the question is asking whether they can do peritoneal dialysis, which is basically putting dialysis fluid in the belly and having an exchange and do what a kidney does, but filter the toxins through the peritoneum.
    [Show full text]