Extraperitoneal Approach Induces Postoperative Inguinal Hernia Compared with Transperitoneal Approach after Laparoscopic Radical Prostatectomy
|
|
- Abraham Fox
- 5 years ago
- Views:
Transcription
1 Original Article Japanese Journal of Clinical Oncology Advance Access published December 22, 2009 Jpn J Clin Oncol 2009 doi: /jjco/hyp172 Extraperitoneal Approach Induces Postoperative Inguinal Hernia Compared with Transperitoneal Approach after Laparoscopic Radical Prostatectomy Shunsuke Yoshimine, Akira Miyajima *, Ken Nakagawa, Hiroki Ide, Eiji Kikuchi and Mototsugu Oya Department of Urology, Keio University School of Medicine, Shinjuku, Tokyo, Japan *For reprints and all correspondence: Akira Miyajima, Department of Urology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo , Japan. akiram@sc.itc.keio.ac.jp Received September 29, 2009; accepted November 16, 2009 Objective: The aim of this study was to determine the incidence and risk factors of postoperative inguinal hernia and to investigate whether the difference of approach could induce postoperative inguinal hernia after laparoscopic radical prostatectomy. Methods: We reviewed 493 consecutive patients who underwent laparoscopic radical prostatectomy from November 2000 to November 2007, and evaluated various preoperative parameters, specifically age, prostate-specific antigen (ng/ml), body mass index (kg/m 2 ), prostate volume (ml), previous major abdominal surgery, previous appendectomy, previous inguinal hernia repair and laparoscopic approach as risk factors for postoperative inguinal hernia. Results: Inguinal hernia occurred in 4 (4.9%) of the 81 patients in the transperitoneal approach group, and in 37 (9.0%) of the 412 patients in the extraperitoneal approach group. The overall incidence of inguinal hernia was 8.3% (41 of 493 patients). The median inguinal hernia-free survival time was 35 months and 6 months in the transperitoneal approach and extraperitoneal approach groups, respectively. Inguinal hernia developed within 2 years after surgery in 2 (50%) of 4 patients in the transperitoneal approach group, in 34 (91.9%) of 37 patients in the extraperitoneal approach group, for a total of 36 (87.8%) of 41 patients overall. Multivariate analysis showed that the extraperitoneal approach was a significant risk factor (P ¼ 0.043) for inguinal hernia. Conclusions: Inguinal hernia is a frequent complication after laparoscopic radical prostatectomy, and the incidence of inguinal hernia is greater with the extraperitoneal approach than with the transperitoneal approach. Key words: inguinal hernia radical prostatectomy laparoscopy extraperitoneal approach INTRODUCTION An inguinal hernia (IH) that develops after open radical retropubic prostatectomy (RRP) is a frequent complication with an incidence of more than 10% [range 12 19% (1,2)]. The first report of an IH after RRP was described by Regan et al. in 1996 (2). Since then, several other reports have been published. Regan et al. (2) also reported that prolonged stretching of the rectus and lower abdominal musculature and fascia following the use of self-retractors weakens the shutter valve mechanism of the internal hernia ring. Abe et al. (3) reported that previous abdominal surgery did not contribute to the development of an IH after RRP and concluded that undergoing the operation itself for prostate cancer was a risk factor compared with radiation therapy. Another report showed that a previous IH, wound-related problems, postoperative anastomosis stricture and low body mass index (BMI) were risk factors for a postoperative IH (4,5). At present, some risk factors are candidates for the # The Author (2009). Published by Oxford University Press. All rights reserved.
2 Page 2 of 5 Lap-prostatectomy and inguinal hernia development of an IH. IHs occur at a certain frequency even with laparoscopic radical prostatectomy (LRP). According to the literature, about 14% of patients who undergo LRP develop a postoperative IH (3). With the spread of the screening by prostate-specific antigen (PSA), the number of patients diagnosed with organconfined prostate cancer and who subsequently undergo radical prostatectomy has increased drastically (6,7). In proportion to the cases of operation, the importance of the postoperative complications have been focused recently. Urinary incontinence and erectile dysfunction are major complications in both conventional RRP and LRP; however, IH has not been focused as a complication because there seemed not to be a definite relationship between the operative procedure and postoperative IH. Patients who develop IH certainly suffer from its complications, and often undergo a repair procedure. IH degrades the quality of life of the patient after the surgery. This study was undertaken to determine the relationship between LRP and postoperative IH and to investigate the risk factors of IH after LRP. PATIENTS AND METHODS We retrospectively reviewed a total of 514 patients with prostate cancer who underwent LRP at our institution from November 2000 to November A total of 9 patients were excluded from analysis due to a follow-up shorter than 3 months, and 10 patients who had preexisting IH before LRP without IH repair were also excluded from current study. The patients were questioned about past medical history, including undergoing operations. The patients were followed-up every 3 months after the operation, and were examined to confirm whether an IH had subsequently occurred. IH was defined as symptomatic inguinal bulging with or without discomfort of groin. Patient records were also reviewed according to preoperative parameters, including age, BMI, preoperative PSA level, prostate volume and preoperative risk factors, including a history of previous major abdominal surgery, previous appendectomy and previous IH repair. Postoperative urethral stricture was eliminated from analysis because only two patients were observed during follow-up period. Perioperative risk factors, including operating time and surgical procedure, were also reviewed. Transperitoneal approach (TPA) was performed from November 2000 to December 2002 according to the Montsouris technique (8) in 81 of the 493 patients, while the extraperitoneal approach (EPA) based on the reports of Bollens et al. (9) and Stolzenburg et al. (10) was performed from January 2003 to November 2007 in 412 patients. At our institution, LRP was performed by three operators who underwent the operation with same procedures and same follow-up protocols. There were no significant differences in preopetative risk factors and perioperative risk factors between those different operators (data was not shown). Table 1. Patient characteristics Characteristic TPA (n ¼ 81) EPA (n ¼ 412) Median follow-up time (months) * Age PSA (ng/ml) * BMI (kg/m 2 ) Prostate volume (ml) Previous major abdominal surgery 4 24 Previous appendectomy 7 56 Previous inguinal hernia repair 1 16 Operative time (min) * Postoperative inguinal hernia No. 4 (4.9%) 37 (9.0%) TPA, transperitoneal approach; EPA, extraperitoneal approach; PSA, prostate-specific antigen; BMI, body mass index. *P, The IH-free rate was estimated using Kaplan Meier analysis, and the differences among groups were tested using the log-rank test. Cox proportional hazard analysis was used to determine the predictors of IH. RESULTS A total of 493 patients were followed by median 29.0 months after the operation. Using the Kaplan Meier method, 1-year and 2-year IH-free rates were calculated 94.0 and 92.0%, respectively. The patient characteristics which were divided in two groups according to operative procedure are listed on Table 1. There were significant differences in the preoperative PSA level, follow-up time and operative time between the TPA and EPA groups. The follow-up time was longer in the TPA group than in the EPA group. During follow-up, IH occurred in 4 (4.9%) of 81 patients in the TPA group, and in 37 (9.0%) of 412 patients in the EPA group. The total incidence of IH was 8.3% (41 of 493 patients). The median interval of IH-free survival was 35 months and 6 months in the TPA and EPA groups, respectively. The characteristics in patients in whom an IH developed are listed on Table 2. The incidence of IH within 2 years of the operation was 50% (2 of 4 patients) in the TPA group, 91.9% (34 of 37 patients) in the EPA group, and 87.8% (36 of 41 patients) overall. In the EPA group, IH had developed in 22 (59.5%) of 37 patients within 6 months, and in 27 (73.0%) of 37 patients within 12 months of the surgery. IH developed postoperatively in only two patients who had a history of IH repair. Table 2 shows that there was a significant difference in median interval of IH-free survival between the TPA and EPA groups. IH occurred significantly earlier in the EPA group than in the TPA group, and the laterality was rightside dominant in both groups; 65.8% were right side, 24.4%
3 Jpn J Clin Oncol 2009 Page 3 of 5 Table 2. Characteristics of patients in whom inguinal hernia developed Table 3. Univariate and multivariate analysis of inguinal hernia Characteristic TPA (n ¼ 4) EPA (n ¼ 37) Age PSA (ng/ml) * BMI (kg/m 2 ) Operative time (min) * Median interval of inguinal hernia free survival (months) * Hernia side Right 3 24 Left 1 9 Bilateral 0 4 *P, Figure 1. Kaplan Meier analysis comparing hernia-free rate in transperitoneal approach group and in extraperitoneal approach group. were left side, and 9.8% were bilateral. Figure 1 shows the IH-free survival rate for the TPA and EPA groups. The incidence of IH was significantly higher in the EPA group compared with the TPA group. Univariate and multivariate analysis revealed that EPA was a significant risk factor for IH (P ¼ 0.043), while the other factors were not significant (Table 3). DISCUSSION Since Guillonneau and Vallancien (8) first described their technique for LRP, the number of patients treated laparoscopically has been steadily increasing as a minimally invasive surgery for localized prostate cancer, because of the lower estimated blood loss, decreased surgical pain and shorter duration of catheterization. Bollens et al. (9) subsequently reported a pure EPA for prostate cancer, which is more comparable to the open technique and avoids the potential risk of Patients (n) Univariate Multivariate P-value Hazard ratio (95% CI) P-value Age , 225 PSA (ng/ml) , 315 BMI (kg/m 2 ) , 241 Prostate volume (ml) , 264 Previous major abdominal surgery Yes No 462 Previous appendectomy Yes No 427 Previous inguinal hernia repair Yes No 476 Operative time (min) , 324 Operation EPA ( ) TPA 81 CI, confidence interval. specific complications encountered with the TPA. Bollens et al. (9) also reported that the oncologic outcome, potency and continence appeared to be equivalent to open RRP or transperitoneal LRP. The technique for LRP has been continuously refined, and the number of patients who undergo LRP for organ-confined prostate cancer seems to have been increasing. To the best of our knowledge, there is only one published report that compared the incidence and risk factors of post-lrp IH (3); however, the influence of the operative procedure had not been fully discussed. We then sought to determine the incidence and risk factors according to the surgical approach. In the present study, we compared several parameters that were considered to affect IHs. Multivariate analysis showed that only EPA was a significant risk factor for IH, whereas
4 Page 4 of 5 Lap-prostatectomy and inguinal hernia age, PSA, BMI, prostate volume, previous abdominal surgery, previous appendectomy, previous IH repair and operative time were not significant risk factors for postoperative IH. The results of these studies suggest that EPA causes post-lrp IH more often than TPA. Differences in the operative procedure may predict the reason for the post operative IH. We believe that the critical difference between TPA and EPA is the dilation of extraperitoneal space using a balloon dissector which placed just below the umbilicus. In the case of TPA, the insufflation of carbon dioxide gas produces sufficient abdominal space to insert the manipulating ports and perform the prostatectomy, since TPA can create a wider space than EPA. However, EPA needs a space in the Retzius cavity. In this procedure, the back wall of the internal inguinal ring may be weakened and the fragility of the internal inguinal ring may cause a successive IH later on. An IH was noticed significantly earlier in the EPA group than in the TPA group. This may suggest that the influence of surgical manipulation has relevance to EPA group with respect to the development of an IH than in TPA. Another interesting observation was the difference in the laterality of the IH that occurred. We determined the laterality of the IHs that developed. A right-side IH was detected significantly more often than a left side hernia. Abe et al. (3) reported the right-side dominance of post operative IH in a RRP group. They explained this by suggesting that a surgeon who stands on the left side of the patient may perform excessive dissection in the right groin area. On the other hand, Sekita et al. (11) reported that subclinical IH was found in 25% of RRP cases and the existence of subclinical IH was mainly right-sided (75%). This could reflect the right-side dominance of postoperative IH. However, there is no clear and definitive reason for explaining the right-side IH dominance. Further clinical investigations were needed to determine why the IH developed it in right side more often than left side. We demonstrated that extraperitoneal LRP caused a higher incidence of postoperative IH. However, our study may have some limitations. The operating time was different between the TPA and EPA groups, which may promote fragility of the inguinal canal induced by the high pressure of the carbon dioxide gas. Since any surgical technique has its own learning curve, EPA, which was started after TPA, should have some advantages with respect to TPA, resulting in a shorter operating time for EPA compared with TPA. In other words, even though the EPA technique was performed by an experienced operator and with a shorter operative time, it nonetheless still resulted in a greater incidence of IH than TPA. This result suggests that EPA definitely has an effect on the development of an IH compared with TPA. There was the disparity in the number of cases between TPA and EPA groups; however, EPA has potential advantage in the procedure compared with TPA concerning about the complications; no contact with bowel, imperviableness of previous abdominal surgery, less problem with extravasations (12). On the other hand, the incidence of IH in the general male population is approximately 5% (13). Coincidental IHs atsurgeryhavebeenreportedinupto33%ofpatientswith prostatectomy (14), and an incidental IH rate of 13% was also reported in patients undergoing laparoscopic surgery (15). Based on these reports, the possibility that subclinical IHs are overlooked needs to be considered, in other word, IH had predated LRP and come to light in the postoperative phase as these patients become symptomatic, even though a thorough physical examination is performed around the time of the operation. However, we could consider that the IH occurred newly clinically in which asymptomatic subclinical IH became to have presented a symptom postoperatively. The results of analysis showed that the complication was observed within 2 years postoperatively in 87.8% of the patients who had developed IH. For the urologist who follows post-lrp patients, a postoperative physical examination will become more important, because IHs sometimes cause not only pain and discomfort, but also a critical ileus. Moreover, patients who will undergo LRP should be informed of the risk of a postoperative IH, especially when the EPA technique is used. CONCLUSIONS IH is a frequent complication after LRP, and IHs develop more often by the EPA than by the TPA. Conflict of interest statement None declared. References 1. Lodding P, Bergdahl C, Nyberg M, Pileblad E, Stranne J, Hugosson J. Inguinal hernia after radical retropubic prostatectomy for prostate cancer: a study of incidence and risk factors in comparison to no operation and lymphadenectomy. JUrol2001;166: Regan TC, Mordkin RM, Constantinople NL, Spence IJ, Dejter SW, Jr. Incidence of inguinal hernias following radical retropubic prostatectomy. Urology 1996;47: Abe T, Shinohara N, Harabayashi T, Sazawa A, Suzuki S, Kawarada Y, et al. Postoperative inguinal hernia after radical prostatectomy for prostate cancer. Urology 2007;69: Ichioka K, Kohei N, Yoshimura K, Arai Y, Terai A. Impact of retraction of vas deferens in postradical prostatectomy inguinal hernia. Urology 2007;70: Twu CM, Ou YC, Yang CR, Cheng CL, Ho HC. Predicting risk factors for inguinal hernia after radical retropubic prostatectomy. Urology 2005;66: Cooperberg MR, Broering JM, Litwin MS, Lubeck DP, Mehta SS, Henning JM, et al. The contemporary management of prostate cancer in the United States: lessons from the cancer of the prostate strategic urologic research endeavor (CapSURE), a national disease registry. JUrol2004;171: Partin AW, Mangold LA, Lamm DM, Walsh PC, Epstein JI, Pearson JD. Contemporary update of prostate cancer staging nomograms (Partin Tables) for the new millennium. Urology 2001;58: Guillonneau B, Vallancien G. Laparoscopic radical prostatectomy: the Montsouris technique. JUrol2000;163:
5 Jpn J Clin Oncol 2009 Page 5 of 5 9. Bollens R, Vanden Bossche M, Roumeguere T, Damoun A, Ekane S, Hoffmann P, et al. Extraperitoneal laparoscopic radical prostatectomy. Results after 50 cases. Eur Urol 2001;40: Stolzenburg JU, Do M, RabenaltR,PfeifferH,HornL,TrussMC, et al. Endoscopic extraperitoneal radical prostatectomy: initial experience after 70 procedures. JUrol2003;169: Sekita N, Suzuki H, Kamijima S, Chin K, Fujimura M, Mikami K, et al. Incidence of inguinal hernia after prostate surgery: open radical retropubic prostatectomy versus open simple prostatectomy versus transurethral resection of the prostate. Int J Urol 2009;16: Erdogru T, Teber D, Frede T, Marrero R, Hammady A, Seemann O, et al. Comparison of transperitoneal and extraperitoneal laparoscopic radical prostatectomy using match-pair analysis. Eur Urol 2004;46:312 9; discussion Finley DS, Rodriguez E, Jr, Ahlering TE. Combined inguinal hernia repair with prosthetic mesh during transperitoneal robot assisted laparoscopic radical prostatectomy: a 4-year experience. J Urol 2007;178:1296 9; discussion Nielsen ME, Walsh PC. Systematic detection and repair of subclinical inguinal hernias at radical retropubic prostatectomy. Urology 2005;66: Watson DS, Sharp KW, Vasquez JM, Richards WO. Incidence of inguinal hernias diagnosed during laparoscopy. South Med J 1994; 87:23 5.
Simple method for preventing inguinal hernias after radical retropubic prostatectomy
Original Article Prostate Int 2013;1(2):76-80 P R O S T A T E INTERNATIONAL Simple method for preventing inguinal hernias after radical retropubic prostatectomy Hidekazu Koike, Hiroshi Matsui, Yasuyuki
More informationRadical Prostatectomy Does Not Increase the Risk of Inguinal Hernia
Article ID: WMC003763 ISSN 2046-1690 Radical Prostatectomy Does Not Increase the Risk of Inguinal Hernia Corresponding Author: Dr. Dan Spernat, Senior Lecturer University of Adelaide Urological Surgeon,
More informationInguinal Hernia After Radical Prostatectomy for Prostate Cancer: Results From a Randomized Setting and a Nonrandomized Setting
EUROPEAN UROLOGY 58 (2010) 719 726 available at www.sciencedirect.com journal homepage: www.europeanurology.com Prostate Cancer Inguinal Hernia After Radical Prostatectomy for Prostate Cancer: Results
More informationImpact of prior abdominal surgery on the outcomes after robotic - assisted laparoscopic radical prostatectomy: single center experience
ORIGINAL ARTICLE Vol. 42 (5): 918-924, September - October, 2016 doi: 10.1590/S1677-5538.IBJU.2015.0607 Impact of prior abdominal surgery on the outcomes after robotic - assisted laparoscopic radical prostatectomy:
More informationOutcomes of Radical Prostatectomy in Thai Men with Prostate Cancer
Original Article Outcomes of Radical Prostatectomy in Thai Men with Prostate Cancer Sunai Leewansangtong, Suchai Soontrapa, Chaiyong Nualyong, Sittiporn Srinualnad, Tawatchai Taweemonkongsap and Teerapon
More informationmid-term follow-up of 1115 procedures
1 2 3 Oncologic outcome after extraperitoneal laparoscopic radical prostatectomy: mid-term follow-up of 1115 procedures 4 5 6 7 8 9 Alexandre Paul*, Guillaume Ploussard*, Nathalie Nicolaiew, Evanguelos
More informationTransperitoneal Robotic-Assisted Laparoscopic Prostatectomy After Prosthetic Mesh Herniorrhaphy
SCIENTIFIC PAPER Transperitoneal Robotic-Assisted Laparoscopic Prostatectomy After Prosthetic Mesh Herniorrhaphy Costas D. Lallas, MD, Mark L. Pe, MD, Jitesh V. Patel, MD, Pranav Sharma, Leonard G. Gomella,
More informationThe Predictors of Local Recurrence after Radical Cystectomy in Patients with Invasive Bladder Cancer
The Predictors of Local Recurrence after Radical Cystectomy in Patients with Invasive Bladder Cancer Hiroki Ide, Eiji Kikuchi, Akira Miyajima, Ken Nakagawa, Takashi Ohigashi, Jun Nakashima and Mototsugu
More informationUrethral catheter removal 3 days after radical retropubic prostatectomy is feasible and desirable
Urethral catheter 3 days after radical retropubic prostatectomy is feasible and desirable (2002) 5, 291 295 ß 2002 Nature Publishing Group All rights reserved 1365 7852/02 $25.00 www.nature.com/pcan JM
More informationLaparoscopic radical prostatectomy
Review Article Laparoscopic radical prostatectomy Michael Lipke, Chandru P. Sundaram Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana, USA Address for correspondence:
More informationDepartment of Urology, Cochin hospital Paris Descartes University
Technical advances in the treatment of localized prostate cancer Pr Michaël Peyromaure Department of Urology, Cochin hospital Paris Descartes University Introduction Curative treatments of localized prostate
More informationPERIOPERATIVE BLOOD LOSS IN OPEN RETROPUBIC RADICAL PROSTATECTOMY IS IT SAFE TO GET OPERATED AT AN EDUCATIONAL HOSPITAL?
292 EUROPEAN JOURNAL OF MEDICAL RESEARCH July 22, 2009 Eur J Med Res (2009) 14: 292-296 I. Holzapfel Publishers 2009 PERIOPERATIVE BLOOD LOSS IN OPEN RETROPUBIC RADICAL PROSTATECTOMY IS IT SAFE TO GET
More informationOpen RRP versus LRP in Asian Men. International Braz J Urol Vol. 35 (2): , March - April, 2009
Clinical Urology Open RRP versus LRP in Asian Men International Braz J Urol Vol. 35 (2): 151-157, March - April, 2009 Perioperative Outcomes of Open Radical Prostatectomy versus Laparoscopic Radical Prostatectomy
More informationRadical prostatectomy as radical cure of prostate cancer in a high risk group: A single-institution experience
MOLECULAR AND CLINICAL ONCOLOGY 1: 337-342, 2013 Radical prostatectomy as radical cure of prostate cancer in a high risk group: A single-institution experience NOBUKI FURUBAYASHI 1, MOTONOBU NAKAMURA 1,
More informationda Vinci Prostatectomy
da Vinci Prostatectomy Justin T. Lee MD Director of Robotic Surgery Urology Associates of North Texas (UANT) USMD Prostate Cancer Center (www.usmdpcc.com) Prostate Cancer Facts Prostate cancer Leading
More informationProstate cancer (PCa) and inguinal hernia (IH) are
MISCELLANEOUS Concurrent Repair of Inguinal Hernias with Mesh Application During Transperitoneal Robotic-assisted Radical Prostatectomy: Is it Safe? Ali Fuat Atmaca 1#, Nurullah Hamidi 2 * #, Abdullah
More informationLaparoscopic radical prostatectomy: single centre experience after 5 years
O R I G I N A L A R T I C L E Laparoscopic radical prostatectomy: single centre experience after 5 years Steven WH Chan KM Lam SC Kwok C Yu WH Au YP Yung Ida SF Mah Peggy SK Chu CW Man Key words Laparoscopy;
More informationPreoperative Gleason score, percent of positive prostate biopsies and PSA in predicting biochemical recurrence after radical prostatectomy
JBUON 2013; 18(4): 954-960 ISSN: 1107-0625, online ISSN: 2241-6293 www.jbuon.com E-mail: editorial_office@jbuon.com ORIGINAL ARTICLE Gleason score, percent of positive prostate and PSA in predicting biochemical
More informationJaspreet S. Sandhu,*,, Geoffrey T. Gotto,*, Luis A. Herran, Peter T. Scardino, James A. Eastham and Farhang Rabbani
Age, Obesity, Medical Comorbidities and Surgical Technique are Predictive of Symptomatic Anastomotic Strictures After Contemporary Radical Prostatectomy Jaspreet S. Sandhu,*,, Geoffrey T. Gotto,*, Luis
More informationOncological and functional results of extraperitoneal laparoscopic radical prostatectomy
ONCOLOGY LETTERS 4: 351-357, 2012 Oncological and functional results of extraperitoneal laparoscopic radical prostatectomy TAO ZHENG, XU ZHANG, XIN MA, HONG-ZHAO LI, JIANG-PIN GAO, WEI CAI, GUANG-FU CHEN,
More informationeuropean urology 50 (2006)
european urology 50 (2006) 1278 1284 available at www.sciencedirect.com journal homepage: www.europeanurology.com Laparoscopy Complications, Urinary Continence, and Oncologic Outcome of 1000 Laparoscopic
More informationInseparable interaction of the prostate and inguinal hernia
International Journal of Urology (2018) doi: 10.1111/iju.13717 Review Article Inseparable interaction of the prostate and inguinal hernia Akira Miyajima Department of Urology, Tokai University School of
More informationHow does visceral obesity affect surgical performance in laparoscopic radical nephrectomy?
Japanese Journal of Clinical Oncology, 2015, 45(4) 373 377 doi: 10.1093/jjco/hyv001 Advance Access Publication Date: 30 January 2015 Original Article Original Article How does visceral obesity affect surgical
More informationOpen Prostatectomy is Best
Open Prostatectomy is Best William J. Catalona, M.D. The Trifecta Trifecta Cure Continence Potency Northwestern University Feinberg School of Medicine Eastham, J et al, JUrol 179:2207 Continence (Pad Free
More informationCONTEMPORARY UPDATE OF PROSTATE CANCER STAGING NOMOGRAMS (PARTIN TABLES) FOR THE NEW MILLENNIUM
RAPID COMMUNICATION CME ARTICLE CONTEMPORARY UPDATE OF PROSTATE CANCER STAGING NOMOGRAMS (PARTIN TABLES) FOR THE NEW MILLENNIUM ALAN W. PARTIN, LESLIE A. MANGOLD, DANA M. LAMM, PATRICK C. WALSH, JONATHAN
More informationRole of surgery. Theo M. de Reijke MD PhD FEBU Department of Urology Academic Medical Center Amsterdam
Role of surgery Theo M. de Reijke MD PhD FEBU Department of Urology Academic Medical Center Amsterdam Surgery and alternative treatments Radical prostatectomy Open Laparoscopic Robot-assisted Temperature
More informationDivision of Urology, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan 2
Original Article Prostate Int 2014;2(2):82-89 P ROSTATE INTERNATIONAL Robotic assisted laparoscopic radical prostatectomy following transurethral resection of the prostate: perioperative, oncologic and
More informationSwitching from Endoscopic Extraperitoneal Radical Prostatectomy to Robot-Assisted Laparoscopic Prostatectomy: Comparing Outcomes and Complications
Urologia Internationalis Original Paper Urol Int 2015;95:380 385 Received: November 24, 2014 Accepted after revision: January 28, 2015 Published online: March 27, 2015 Switching from Endoscopic Extraperitoneal
More informationSCIENTIFIC PAPER ABSTRACT INTRODUCTION METHODS
SCIENTIFIC PAPER Patient-Reported Validated Functional Outcome After Extraperitoneal Robotic-Assisted Nerve-Sparing Radical Prostatectomy Ralph Madeb, MD, Dragan Golijanin, MD, Joy Knopf, MD, Ivelisse
More informationA Study of the Clinical Manifestation of Subclinical Inguinal Hernias
75 Original Article J. St. Marianna Univ. Vol. 8, pp. 75 81, 2017 A Study of the Clinical Manifestation of Subclinical Inguinal Hernias Keisuke Ida, Shinjiro Kobayashi, Takehito Otsubo, Natsuko Sasaki,
More informationDepartment of Urology, Graduate School of Medicine, Chiba University, Chiba , Japan 2
Prostate Cancer Volume 211, Article ID 6655, 7 pages doi:1.1155/211/6655 Clinical Study Complications, Urinary Continence, and Oncologic Outcomes of Laparoscopic Radical Prostatectomy: Single-Surgeon Experience
More informationda Vinci Prostatectomy My Greek personal experience
da Vinci Prostatectomy My Greek personal experience Vassilis Poulakis MD, PhD, FEBU Ass. Prof. of Urology Director of Urologic Clinic Doctors Hospital Athens Laparoscopy - golden standard in Urology -
More informationClinical Study Retrograde Robotic Radical Prostatectomy: Description of a New Technique and Early Perioperative Outcomes
ISRN Urology, Article ID 945604, 5 pages http://dx.doi.org/10.1155/2014/945604 Clinical Study Retrograde Robotic Radical Prostatectomy: Description of a New Technique and Early Perioperative Outcomes Gino
More informationSince the beginning of the prostate-specific antigen (PSA) era in the. Characteristics of Insignificant Clinical T1c Prostate Tumors
2001 Characteristics of Insignificant Clinical T1c Prostate Tumors A Contemporary Analysis Patrick J. Bastian, M.D. 1 Leslie A. Mangold, B.A., M.S. 1 Jonathan I. Epstein, M.D. 2 Alan W. Partin, M.D., Ph.D.
More informationOriginal Article - Urological Oncology
www.kjurology.org http://dx.doi.org/10.4111/kju.2014.55.12.802 Original Article - Urological Oncology http://crossmark.crossref.org/dialog/?doi=10.4111/kju.2014.55.12.802&domain=pdf&date_stamp=2014-12-16
More informationRadical Perineal Prostatectomy and Simultaneous Extended Pelvic Lymph Node Dissection via the Same Incision
european urology 52 (2007) 384 388 available at www.sciencedirect.com journal homepage: www.europeanurology.com Surgery in Motion Radical Perineal Prostatectomy and Simultaneous Extended Pelvic Lymph Node
More informationInformation Content of Five Nomograms for Outcomes in Prostate Cancer
Anatomic Pathology / NOMOGRAMS IN PROSTATE CANCER Information Content of Five Nomograms for Outcomes in Prostate Cancer Tarek A. Bismar, MD, 1 Peter Humphrey, MD, 2 and Robin T. Vollmer, MD 3 Key Words:
More informationNIH Public Access Author Manuscript World J Urol. Author manuscript; available in PMC 2012 February 1.
NIH Public Access Author Manuscript Published in final edited form as: World J Urol. 2011 February ; 29(1): 11 14. doi:10.1007/s00345-010-0625-4. Significance of preoperative PSA velocity in men with low
More informationFacing Prostate Cancer Surgery? Learn about minimally invasive da Vinci Surgery
Facing Prostate Cancer Surgery? Learn about minimally invasive da Vinci Surgery The Condition: Prostate Cancer Your prostate is a walnut-sized gland that is part of the male reproductive system. The prostate
More informationInterval from Prostate Biopsy to Robot-Assisted Laparoscopic Radical Prostatectomy (RALP): Effects on Surgical Difficulties
www.kjurology.org http://dx.doi.org/10.4111/kju.2011.52.10.4 Urological Oncology Interval from Prostate Biopsy to RobotAssisted Laparoscopic Radical Prostatectomy (RALP): Effects on Surgical Difficulties
More informationLAPAROSCOPIC RADICAL PROSTATECTOMY IN THE ERA OF ROBOT-ASSISTED TECHNOLOGY
LAPAROSCOPIC RADICAL PROSTATECTOMY IN THE ERA OF ROBOT-ASSISTED TECHNOLOGY *Iason Kyriazis, 1 Marinos Vasilas, 1 Panagiotis Kallidonis, 2 Vasilis Panagopoulos, 1 Evangelos Liatsikos 3 1. Resident in Urology,
More informationPredictive factors of late biochemical recurrence after radical prostatectomy
JJCO Japanese Journal of Clinical Oncology Japanese Journal of Clinical Oncology, 2017, 47(3) 233 238 doi: 10.1093/jjco/hyw181 Advance Access Publication Date: 9 December 2016 Original Article Original
More informationThe Clinical Impact of the Classification of Carcinoma In Situ on Tumor Recurrence and their Clinical Course in Patients with Bladder Tumor
Original Article Japanese Journal of Clinical Oncology Advance Access published December 17, 2010 Jpn J Clin Oncol 2010 doi:10.1093/jjco/hyq228 The Clinical Impact of the Classification of Carcinoma In
More informationDepartment of Urology, Nara Medical University, 840 Shijo-cho, Kashihara, Nara , Japan 2
Advances in Urology Volume 2012, Article ID 204215, 7 pages doi:10.1155/2012/204215 Research Article Calculated Tumor Volume Is an Independent Predictor of Biochemical Recurrence in Patients Who Underwent
More informationDepartment of Urology, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea
www.kjurology.org http://dx.doi.org/10.4111/kju.2014.55.5.321 Original Article - Urological Oncology http://crossmark.crossref.org/dialog/?doi=10.4111/kju.2014.55.5.321&domain=pdf&date_stamp=2014-05-16
More informationCorrespondence should be addressed to Taha Numan Yıkılmaz;
Advances in Medicine Volume 2016, Article ID 8639041, 5 pages http://dx.doi.org/10.1155/2016/8639041 Research Article External Validation of the Cancer of the Prostate Risk Assessment Postsurgical Score
More informationA New Postoperative Predictor of Time to Urinary Continence after Laparoscopic Radical Prostatectomy: The Urine Loss Ratio
european urology 52 (2007) 178 185 available at www.sciencedirect.com journal homepage: www.europeanurology.com Laparoscopy A New Postoperative Predictor of Time to Urinary Continence after Laparoscopic
More informationEvaluation of prognostic factors after radical prostatectomy in pt3b prostate cancer patients in Japanese population
Japanese Journal of Clinical Oncology, 2015, 45(8) 780 784 doi: 10.1093/jjco/hyv077 Advance Access Publication Date: 15 May 2015 Original Article Original Article Evaluation of prognostic factors after
More informationLaparoscopic Surgery. The Da Vinci Robot. Limits of Laparoscopy. What Robotics Offers. Robotic Urologic Surgery: A New Era in Patient Care
Laparoscopic Surgery Robotic Urologic Surgery: A New Era in Patient Care Laparoscopic technique was introduced in urologic surgery in the 1990s Benefits: Improved recovery time, decreased morbidity Matthew
More informationHealth-related Quality of Life in the First Year after Laparoscopic Radical Prostatectomy Compared with Open Radical Prostatectomy
Jpn J Clin Oncol 2014;44(7)686 691 doi:10.1093/jjco/hyu052 Advance Access Publication 3 May 2014 Health-related Quality of Life in the First Year after Laparoscopic Radical Prostatectomy Compared with
More informationLaparoscopic radical prostatectomy: Washington University initial experience and prospective evaluation of quality of life
Washington University School of Medicine Digital Commons@Becker Open Access Publications 2004 Laparoscopic radical prostatectomy: Washington University initial experience and prospective evaluation of
More informationComparison of surgical technique (Open vs. Laparoscopic) on pathological and long term functional outcomes following radical prostatectomy
Magheli et al. BMC Urology 2014, 14:18 RESEARCH ARTICLE Open Access Comparison of surgical technique (Open vs. Laparoscopic) on pathological and long term functional outcomes following radical prostatectomy
More informationKey words: prostatic neoplasms, risk groups, biochemical recurrence, clinical progression, prostate cancer specific mortality
JJCO Japanese Journal of Clinical Oncology Japanese Journal of Clinical Oncology, 2016, 46(8) 762 767 doi: 10.1093/jjco/hyw061 Advance Access Publication Date: 20 May 2016 Original Article Original Article
More informationComplications of laparoscopic radical prostatectomye A single institute experience
Kaohsiung Journal of Medical Sciences (2012) 28, 550e554 Available online at www.sciencedirect.com journal homepage: http://www.kjms-online.com ORIGINAL ARTICLE Complications of laparoscopic radical prostatectomye
More informationPrognostic Value of Surgical Margin Status for Biochemical Recurrence Following Radical Prostatectomy
Original Article Japanese Journal of Clinical Oncology Advance Access published January 17, 2008 Jpn J Clin Oncol doi:10.1093/jjco/hym135 Prognostic Value of Surgical Margin Status for Biochemical Recurrence
More informationFacing Prostate Cancer?
The Enabling Technology: The da Vinci Surgical System Your doctor is one of the growing number of surgeons worldwide offering da Vinci Surgery for a range of complex conditions. The da Vinci Surgical System
More informationLaparoscopic Radical Prostatectomy: A Literature Review of the Causes, Risk Factors and Consequences of Open Conversion
MINI REVIEW Laparoscopic Radical Prostatectomy: A Literature Review of the Causes, Risk Factors and Consequences of Open Conversion Luis André Silva Santos Sepúlveda Department of Urology, Tras-os-montes
More informationPositive Surgical Margins in Robotic-Assisted Radical Prostatectomy: Impact of Learning Curve on Oncologic Outcomes
european urology 49 (2006) 866 872 available at www.sciencedirect.com journal homepage: www.europeanurology.com Laparoscopy Positive Surgical Margins in Robotic-Assisted Radical Prostatectomy: Impact of
More informationManagement of Rectal Injury during Laparoscopic Radical Prostatectomy
Clinical Urology Rectal Injury in Laparoscopic Radical Prostatectomy International Braz J Urol Vol. 32 (4): 428-433, July - August, 2 Management of Rectal Injury during Laparoscopic Radical Prostatectomy
More informationIntroduction. Original Article
bs_bs_banner International Journal of Urology (2015) 22, 363 367 doi: 10.1111/iju.12704 Original Article Prostate-specific antigen level, stage or Gleason score: Which is best for predicting outcomes after
More informationIntussusception of the bladder neck does not promote early restoration to urinary continence after non-nervesparing radical retropubi c prostatectomy
Blackwell Science, LtdOxford, UKIJUInternational Journal of Urology0919-81722004 Blackwell Publishing Asia Pty LtdMarch 2004123275279Original ArticleIntussusception of the bladder neck and early continencei
More informationAccepted for publication 3 January 2005
Original Article RACIAL DIFFERENCES IN PSA DOUBLING TIME AND RECURRENCE TEWARI et al. In a multi-institutional study authors from the USA and Austria attempt to determine if there are differences in several
More informationOHTAC Recommendation
OHTAC Recommendation Robotic-Assisted Minimally Invasive Surgery for Gynecologic and Urologic Oncology Presented to the Ontario Health Technology Advisory Committee in August 2010 December 2010 OHTAC Recommendation:
More informationCombined Reporting of Cancer Control and Functional Results of Radical Prostatectomy $
European Urology European Urology 44 (2003) 656 660 Combined Reporting of Cancer Control and Functional Results of Radical Prostatectomy $ Laurent Salomon a,*, Fabien Saint a, Aristotelis G. Anastasiadis
More informationWhen PSA fails. Urology Grand Rounds Alexandra Perks. Rising PSA after Radical Prostatectomy
When PSA fails Urology Grand Rounds Alexandra Perks Rising PSA after Radical Prostatectomy Issues Natural History Local vs Metastatic Treatment options 1 10 000 men / year in Canada 4000 RRP 15-year PSA
More informationEvolution of Robotic Radical Prostatectomy. BACKGROUND. Robotic-assisted radical prostatectomy (RAP) is the dominant
1951 Evolution of Robotic Radical Prostatectomy Assessment After 2766 Procedures Ketan K. Badani, MD Sanjeev Kaul, MD Mani Menon, MD Vattikuti Urology Institute, Henry Ford Hospital, Detroit, Michigan.
More informationPOTENCY, CONTINENCE AND COMPLICATIONS IN 3,477 CONSECUTIVE RADICAL RETROPUBIC PROSTATECTOMIES
0022-5347/04/1726-2227/0 Vol. 172, 2227 2231, December 2004 THE JOURNAL OF UROLOGY Printed in U.S.A. Copyright 2004 by AMERICAN UROLOGICAL ASSOCIATION DOI: 10.1097/01.ju.0000145222.94455.73 POTENCY, CONTINENCE
More informationNasser Simforoosh, Ahmad Javaherforooshzadeh, Alireza Aminsharifi, Ali Tabibi
Laparoscopic Urology Early Continence After Open and Laparoscopic Radical Prostatectomy With Sutureless Vesicourethral Alignment An Alternative Technique, 8 Years Experience Nasser Simforoosh, Ahmad Javaherforooshzadeh,
More informationMetastatic mechanism of spermatic cord tumor from stomach cancer
Int Canc Conf J (2013) 2:191 195 DOI 10.1007/s13691-013-0-9 CANCER BOARD CONFERENCE Metastatic mechanism of spermatic cord tumor from stomach cancer Masahiro Seike Yoshikazu Kanazawa Ryuji Ohashi Tadashi
More informationLong-Term Risk of Clinical Progression After Biochemical Recurrence Following Radical Prostatectomy: The Impact of Time from Surgery to Recurrence
EUROPEAN UROLOGY 59 (2011) 893 899 available at www.sciencedirect.com journal homepage: www.europeanurology.com Platinum Priority Prostate Cancer Editorial by Bertrand D. Guillonneau and Karim Fizazi on
More informationLong-term Oncological Outcome and Risk Stratification in Men with High-risk Prostate Cancer Treated with Radical Prostatectomy
Jpn J Clin Oncol 2012;42(6)541 547 doi:10.1093/jjco/hys043 Advance Access Publication 28 March 2012 Long-term Oncological Outcome and Risk Stratification in Men with High-risk Prostate Cancer Treated with
More informationClinical Study Laparoscopic Radical Prostatectomy: The Learning Curve of a Low Volume Surgeon
The Scientific World Journal, Article ID 974276, 5 pages http://dx.doi.org/10.1155/2013/974276 Clinical Study Laparoscopic Radical Prostatectomy: The Learning Curve of a Low Volume Surgeon Anuar I. Mitre,
More informationHolmium:YAG Laser for Treatment of Strictures of Vesicourethral Anastomosis after Radical Prostatectomy
JOURNAL OF ENDOUROLOGY Volume 19, Number 4, May 2005 Mary Ann Liebert, Inc. Holmium:YAG Laser for Treatment of Strictures of Vesicourethral Anastomosis after Radical Prostatectomy BRUNOLF W. LAGERVELD,
More informationFactors Affecting the Outcome of Extraperitoneal Laparoscopic Radical Prostatectomy: Pelvic Arch Interference and Depth of the Pelvic Cavity
www.kjurology.org DOI:10.4111/kju.2011.52.1.39 Endourology/Urolithiasis Factors Affecting the Outcome of Extraperitoneal Laparoscopic Radical Prostatectomy: Pelvic Arch Interference and Depth of the Pelvic
More informationAppropriate preoperative membranous urethral length predicts recovery of urinary continence after robot-assisted laparoscopic prostatectomy
Ikarashi et al. World Journal of Surgical Oncology (2018) 16:224 https://doi.org/10.1186/s12957-018-1523-2 RESEARCH Appropriate preoperative membranous urethral length predicts recovery of urinary continence
More informationAge-stratified outcomes after robotic-assisted laparoscopic radical prostatectomy
J Robotic Surg (2007) 1:125 132 DOI 10.1007/s11701-007-0009-y ORIGINAL ARTICLE Age-stratified outcomes after robotic-assisted laparoscopic radical prostatectomy Kevin C. Zorn Æ Frederick P. Mendiola Æ
More informationClinical Study A Comparison of Radical Perineal, Radical Retropubic, and Robot-Assisted Laparoscopic Prostatectomies in a Single Surgeon Series
Prostate Cancer Volume 2011, Article ID 878323, 6 pages doi:10.1155/2011/878323 Clinical Study A Comparison of Radical Perineal, Radical Retropubic, and Robot-Assisted Laparoscopic Prostatectomies in a
More informationeuropean urology 51 (2007)
european urology 51 (2007) 1341 1349 available at www.sciencedirect.com journal homepage: www.europeanurology.com Laparoscopy Laparoscopic Radical Prostatectomy in Men Older than 70 Years of Age with Localized
More informationEiji Kikuchi, Yutaka Horiguchi, Jun Nakashima, Takashi Ohigashi, Mototsugu Oya, Ken Nakagawa, Akira Miyajima and Masaru Murai
Assessment of Long-Term Quality of Life Using the FACT-BL Questionnaire in Patients with an Ileal Conduit, Continent Reservoir, or Orthotopic Neobladder Eiji Kikuchi, Yutaka Horiguchi, Jun Nakashima, Takashi
More informationeuropean urology 55 (2009)
european urology 55 (2009) 1377 1385 available at www.sciencedirect.com journal homepage: www.europeanurology.com Prostate Cancer Selective versus Standard Ligature of the Deep Venous Complex during Laparoscopic
More informationProstate cancer (PCa) is the most commonly
UROLOGICAL ONCOLOGY Predictors of Urinary Continence Recovery after Modified Radical Prostatectomy for Clinically High-Risk Prostate Cancer Guo-Liang Hou*, Yun Luo*, Jin-Ming Di, Li Lu, Yi Yang, Jun Pang,
More informationresults with a recently reported series of laparoscopic and robotic RRP.
. JOURNAL COMPILATION 2008 BJU INTERNATIONAL Urological Oncology CLAVIEN CLASSIFICATION OF COMPLICATIONS OF OPEN RADICAL PROSTATECTOMY CONSTANTINIDES et al. BJUI BJU INTERNATIONAL Short- and long-term
More informationRobotic Surgery for Prostate Cancer: A Realistic Approach to Getting Started The Evolution of a Robotic Surgeon
Robotic Surgery for Prostate Cancer: A Realistic Approach to Getting Started The Evolution of a Robotic Surgeon Douglas S. Scherr, M.D. Clinical Director, Urologic Oncology Weill Medical College of Cornell
More informationDiscrepancies in Perception of Urinary Incontinence between Patient and Physician after Robotic Radical Prostatectomy
Original rticle DOI 1.339/ymj.1.51..3 pissn: 513-579, eissn: 197-37 Yonsei Med J 51():3-7, 1 Discrepancies in Perception of Urinary Incontinence between Patient and Physician after Robotic Radical Prostatectomy
More informationReview Article Comments on the Extraperitoneal Approach for Standard Laparoscopic Radical Prostatectomy: What Is Gained and What Is Lost
Prostate Cancer Volume 2011, Article ID 150978, 6 pages doi:10.1155/2011/150978 Review Article Comments on the Extraperitoneal Approach for Standard Laparoscopic Radical Prostatectomy: What Is Gained and
More informationProstate Cancer Dashboard
Process Risk Assessment Risk assessment: family history assessment of family history of prostate cancer Best Observed: 97 %1 ; Ideal Benchmark:100% measure P8 2 Process Appropriateness of Care Pre-treatment
More informationLaparoscopic Radical Prostatectomy - the Experience of the German Laparoscopic Working Group
european urology 49 (2006) 113 119 available at www.sciencedirect.com journal homepage: www.europeanurology.com Laparoscopy Laparoscopic Radical Prostatectomy - the Experience of the German Laparoscopic
More informationIntrafascial Nerve-Sparing Endoscopic Extraperitoneal Radical Prostatectomy
european urology 53 (2008) 931 940 available at www.sciencedirect.com journal homepage: www.europeanurology.com Surgery in Motion Intrafascial Nerve-Sparing Endoscopic Extraperitoneal Radical Prostatectomy
More informationThe Change of Prostate Cancer Treatment in Korea: 5 Year Analysis of a Single Institution
Original Article http://dx.doi.org/1.3349/ymj.213.54.1.87 pissn: 513-5796, eissn: 1976-2437 Yonsei Med J 54(1):87-91, 213 The Change of Prostate Cancer Treatment in Korea: 5 Year Analysis of a Single Institution
More informationPathologic Outcomes during the Learning Curve for Robotic-Assisted Laparoscopic Radical Prostatectomy
Clinical Urology Pathologic Outcomes While Learning RALP International Braz J Urol Vol. 34 (2): 159-163, March - April, 2008 Pathologic Outcomes during the Learning Curve for Robotic-Assisted Laparoscopic
More informationTreatment Failure After Primary and Salvage Therapy for Prostate Cancer
307 Treatment Failure After Primary and Salvage Therapy for Prostate Cancer Likelihood, Patterns of Care, and Outcomes Piyush K. Agarwal, MD 1 Natalia Sadetsky, MD, MPH 2 Badrinath R. Konety, MD, MBA 2
More informationImpact of Posterior Urethral Plate Repair on Continence Following Robot-Assisted Laparoscopic Radical Prostatectomy
Original Article DOI 10.3349/ymj.2010.51.3.427 pissn: 0513-5796, eissn: 1976-2437 Yonsei Med J 51(3): 427-431, 2010 Impact of Posterior Urethral Plate Repair on Continence Following Robot-Assisted Laparoscopic
More informationShort ( 1 mm) positive surgical margin and risk of biochemical recurrence after radical prostatectomy
Short ( 1 mm) positive surgical margin and risk of biochemical recurrence after radical prostatectomy Sergey Shikanov, Pablo Marchetti, Vikas Desai, Aria Razmaria, Tatjana Antic, Hikmat Al-Ahmadie*, Gregory
More informationPotency after unilateral nerve sparing surgery: a report on functional and oncological results of unilateral nerve sparing surgery
Potency after unilateral nerve sparing surgery: a report on functional and oncological results of unilateral nerve sparing surgery F Van der Aa 1, S Joniau 1, D De Ridder 1 & H Van Poppel 1 * 1 Department
More informationUrinary Continence and Erectile Function: A Prospective Evaluation of Functional Results after Radical Laparoscopic Prostatectomy
European Urology European Urology 42 (2002) 338±343 Urinary Continence and Erectile Function: A Prospective Evaluation of Functional Results after Radical Laparoscopic Prostatectomy Laurent Salomon a,b,*,
More informationGenitourinary Imaging Pictorial Essay
Genitourinary Imaging Pictorial Essay Kawamoto et al. Robot-ssisted Radical Prostatectomy Genitourinary Imaging Pictorial Essay Satomi Kawamoto 1 Mohamad llaf 2 Frank M. orl 1 Tom Feng 2 Jithin Yohannan
More informationMasashi Matsushima, Akira Miyajima *, Seiya Hattori, Toshikazu Takeda, Ryuichi Mizuno, Eiji Kikuchi and Mototsugu Oya
Matsushima et al. BMC Urology (2015) 15:77 DOI 10.1186/s12894-015-0065-y RESEARCH ARTICLE Open Access Comparison of continence outcomes of early catheter removal on postoperative day 2 and 4 after laparoscopic
More informationDepartment of Urology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan
JJCO Japanese Journal of Clinical Oncology Japanese Journal of Clinical Oncology, 2017, 47(1) 74 79 doi: 10.1093/jjco/hyw150 Advance Access Publication Date: 12 October 2016 Original Article Original Article
More informationEvaluation of the 7th American Joint Committee on Cancer TNM Staging System for Prostate Cancer in Point of Classification of Bladder Neck Invasion
Jpn J Clin Oncol 2013;43(2)184 188 doi:10.1093/jjco/hys196 Advance Access Publication 5 December 2012 Evaluation of the 7th American Joint Committee on Cancer TNM Staging System for Prostate Cancer in
More informationA NEURAL NETWORK PREDICTS PROGRESSION FOR MEN WITH GLEASON SCORE 3 4 VERSUS 4 3 TUMORS AFTER RADICAL PROSTATECTOMY
ADULT UROLOGY CME ARTICLE A NEURAL NETWORK PREDICTS PROGRESSION FOR MEN WITH GLEASON SCORE 3 4 VERSUS 4 3 TUMORS AFTER RADICAL PROSTATECTOMY MISOP HAN, PETER B. SNOW, JONATHAN I. EPSTEIN, THERESA Y. CHAN,
More information