Endourology Sound Bites #7: How to Minimize Bleeding Complications During Partial Nephrectom

Dr. Matlaga December 2018
In 2017 AUA guidelines for localized renal cancer were updated which allow an expanded role for partial nephrectomy. Robotic-assisted laparoscopic partial nephrectomy (RALPN) has emerged as a standard technique which offers minimally invasive advantages to the patient and technical advantages to the surgeon with improved visualization and dexterity during precise excision of the tumor and renorrhaphy. It also allows using intraoperative ultrasound and imaging with ICG. However, RALPN is a technically challenging surgical procedure. Understanding risk and knowing principles to minimize complications help in mitigating its occurrence. In this podcast Ashok K. Hemal will navigate through these challenges.

Endourology Sound Bites #6: Any Role for Medical Expulsive Therapy in Treating Ureteral Stones?

Dr. Matlaga December 2018
In episode 6 of the Endourology Sound Bites Podcast Series Matthew Bultitude will summarize and critique the evidence for medical expulsive therapy for promoting spontaneous stone passage for ureteral stones. This has been a contentious area in recent years and he will give a summary of the evidence to date and his opinions on the role of medical expulsive therapy in 2018 and his recommendations he gives to patients to promote stone passage.

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.