Endourology Sound Bites #5: Avoiding Complications During Robot-Assisted Radical Prostatectomy

Dr. Matlaga December 2018
Endourology Sound Bites Podcast Series, Episode 5 - featuring Jihad Kaouk, MD FACS, Director, Center for Robotic and Image Guided Surgery, Glickman Urological and Kidney Institute, Cleveland Clinic. Podcast Summary: Prostate surgery is both an oncological and a reconstructive procedure, impacting patients’ functional outcomes and quality of life. Every step of the surgery has to be considered as propaedeutic to the next. Attention to details is the key to a successful surgery, starting with ports placement and docking, through the conclusion of the procedure. Patients’ factors and disease characteristics have to be carefully considered and the surgery tailored case-by-case in order to maximize the functional outcomes in addition to the oncological effectiveness.

Endourology Sound Bites #4: Prof. Dr. Andreas Gross: How are our surgical options for BPH evolving?

Dr. Matlaga December 2018
Endourology SoundBites Podcast Series, Episode 4. Before a patient undergoes any intervention to treat their BPH-related problems, an attempt with non-interventional treatment should be done, such α-blockers and/or 5-α reductase inhibitors. On the other hand, there are five reasons why a patient needs surgical treatment without delay: 1. repeated urinary retention; 2. chronic urinary infection based on BPH; 3. bladder stones; 4. bleeding from the prostate; or 5. renal involvement. TUR-P is considered to be the standard surgical procedure for patients with BPH. Lasers have also been used for the past 25 years, and they have changed the surgical approach even for the standard procedures. Besides that, manifold “alternative” options are available.

Endourology Sound Bites #3: Guido Giusti, MD: Supine PCNL - Why I Like It and How I Do It

Endourological Society December 2018
Episode 3 of Endourology SoundBites Podcast Series features a lecture from Guido Giusti, MD titled Supine PCNL - why I Like It and How I Do It. Traditionally, PCNL has been carried out in prone position. After its introduction in 1987 by Dr. Valdivia in Spain, supine position gained popularity in Latin Europe due to the significant advantages related to it. Both positioning of the patient and anesthesiology management is facilitated. Most importantly, combination with simultaneous retrograde URS is eased so that most of the calices can be usually reached through a single access. Of note, stone free and complications rates are similar with both position. So free your mind and embrace this easier way to perform PCNL.

Endourology Sound Bites #2: Biopsy and the "small renal mass": Not a dilemma but rather a debacle

Dr. Matlaga December 2018
Endourology Sound Bites Podcast Series - Episode 2: Biopsy and the "small renal mass": Not a dilemma but rather a debacle. In this podcast Jaime Landman - Professor of Urology and Radiology & Chairman of the Department of Urology at University of California, Irvine reviews contemporary small renal mass biopsy. A historical perspective on the problem will help to highlight how our current standard of care has taken us far from the realities of contemporary oncologic treatment as manifested by all other surgical disciplines. Renal cortical neoplasm biopsy data will be provided and framed in the perspective of biopsies in other surgical disciplines and in other organ systems to demonstrate how the urological perspective differs from the standard in other fields without a biological rationale. Additionally, novel in office ultrasound guided biopsy technique and results will be reviewed.