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This article explains how and why urine tested for epithelial cells, what the results mean, and which conditions cause an increase in epithelial cells.
Eating too much fiber can cause bloating, gas, and constipation. Find out how much fiber is too much and how to relieve symptoms in this article.
Intraoperative Conversion From Partial to Radical Nephrectomy: Incidence, Predictive Factors, and Outcomes
ObjectivesTo evaluate preoperative and intraoperative predictors of conversion to radical nephrectomy (RN) in a cohort of patients undergoing a planned partial nephrectomy (PN) for renal cell carcinoma (RCC).MethodsA single center, retrospective review was conducted using our PN database that includes patients who were scheduled to undergo PN (regardless of the approach) but were converted to RN between August 1990 and December 2016. Reasons for conversion were collected from the operative report.
To use the Truven Health MarketScan® (THM) database to better approximate the annual rate of vasectomies performed in the US population, determine changes over time, regional differences, providers performing this, and if there is any monthly variation in vasectomy rates.
To evaluate the microscopic characteristics and quantify the volume of a radiofrequency ablation (RFA) lesion.
No Appendix is Too Short - Simultaneous Mitrofanoff Catheterizable Vesicostomy and Malone Antegrade Continence Enema (MACE) for Children with Spina Bifida
To present the results of simultaneous creation of both Mitrofanoff stoma and Malone antegrade continence stoma (MACE) using simple division of the appendix and a cecal extension method.
Although I can attribute the phrase to no singular source, I have frequently described to patients that our current robotic operating platform is “a million dollar sewing machine.” Depending upon one's purview and ego, the surgeon who has invested years of his or her life developing and refining pure laparoscopic skills may likewise make this claim about himself or herself. Perhaps both statements are true, and although this book review is not intended to exclusively address the “man versus machine” argument, it is nevertheless important to highlight the comparative outcomes among both adult and pediatric patients undergoing robotic and laparoscopic reconstructive procedures.
Autologous Rectus Fascia Graft Interposition Repair of Urethrocutaneous Fistulae in Female-to-Male Metoidioplasty Patients
ObjectiveTo describe our technique and outcomes using an autologous rectus fascia interposition graft for repair of recurrent urethrocutaneous fistulae (UCF) following metoidioplasty.Materials and MethodsA circumferential incision is made to the skin surrounding the UCF and carried to the level of the underlying subcutaneous tissues. The inner fistula skin edges are closed with a running 5-0 monofilament absorbable suture to obliterate the urethral side. The length of the urethral wound is measured and an appropriate sized rectus fascia graft harvested from a small transverse lower abdominal incision that is also used for concomitant percutaneous suprapubic tube placement.
To measure decisional quality in patients being counseled on treatment for small renal masses and identify potential areas of improvement.
Twiddler's syndrome is the deliberate, inadvertent, or subconscious manipulation of an implantable generator within its subcutaneous pocket which can lead to malposition and fracture of the associated lead.1 The syndrome is well-recognized in patients with pacemakers, implantable cardioverter-defibrillators, deep brain stimulators and more recently in intrathecal drug delivery devices.1-3 Here we present an instance of Twiddler's syndrome after sacral neuromodulation [SNM].
We compared the effectiveness of targeted prophylaxis (TP) to augmented empirical prophylaxis (AEP) and single agent empirical prophylaxis (SAEP) in preventing sepsis after transrectal prostate biopsy (TRPB).
Comparative Survival Following Initial Cytoreductive Nephrectomy Versus Initial Targeted Therapy for Metastatic Renal Cell Carcinoma
The optimal sequence of cytoreductive nephrectomy (CN) and targeted therapy (TT) in metastatic renal cell carcinoma (mRCC) is unclear. We sought to compare overall survival (OS) between patients with mRCC receiving initial CN (iCN) with or without subsequent TT versus initial TT (iTT) with or without subsequent CN.
We fully agree that focal therapy is intended for patients with a low or intermediate risk of PCa who are not candidates for active surveillance. It is widely acknowledged today that Gleason 7 (3 + 4) cancer, when localized, discrete and of favorable size, represents the ideal case for FT.
Ferraro et al leveraged the well characterized NHS and HPFS to investigate the association between incident kidney stones, and dietary and total (including supplemental) intake of trace metals. The established internal validity of these large prospective cohort studies of women and men overcomes the limitations of prior observational studies on trace metal intake and incident stones. Ferraro et al report that higher dietary and total manganese intake was associated with a lower risk of incident stones while higher copper intake was associated with an increased risk.
In the current study we found greater performance of qSOFA and SOFA than SIRS to predict in hospital mortality and ICU admission of patients with acute pyelonephritis associated with upper urinary tract calculi. Our results support the use of qSOFA and SOFA to assess sepsis instead of SIRS.
Our understanding of what defines sepsis has evolved in the last 25 years. The prevailing view was that sepsis was the result of the host SIRS to infection. However, the SIRS criteria have inadequate sensitivity and specificity to identify sepsis.
Re: Association of Robotic-Assisted vs Laparoscopic Radical Nephrectomy with Perioperative Outcomes and Health Care Costs, 2003 to 2015
I. G. Jeong, Y. S. Khandwala, J. H. Kim, D. H. Han, S. Li, Y. Wang, S. L. Chang and B. I. Chung
Re: High-Deductible Health Plans Reduce Health Care Cost and Utilization, Including Use of Needed Preventive Services
R. Agarwal, O. Mazurenko and N. Menachemi
C. A. Thiels, S. S. Anderson, D. S. Ubl, K. T. Hanson, W. J. Bergquist, R. J. Gray, H. M. Gazelka, R. R. Cima and E. B. Habermann
N. M. Dean, G. Ellis, G. P. Herbison, D. Wilson and A. Mashayekhi