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Urology (from Greek οὖρον ouron "urine" and -λογία-logia "study of"), also known as genitourinary surgery, is the branch of medicine that focuses on surgical and medical diseases of the urinary system and the reproductive organs.
Urologist with a rigid cystoscope inserted into the urethra. Traditionally, a cystoscope (a "resectoscope") has been used to perform TURP. The scope is passed through the urethra to the prostate where surrounding prostate tissue can then be excised. There are two types of modalities:
Prostatectomy patients have an increased risk of leaking small amounts of urine immediately after surgery, and for the long-term, often requiring urinary incontinence devices such as condom catheters or diaper pads. A large analysis of the incidence of urinary incontinence found that 12 months after surgery, 75% of patients needed no pad, while ...
A urologist and surgeon, he treats all kinds of conditions, from complex kidney stones to incontinence to urologic cancers. But no matter why someone ends up in his exam room, he asks the same ...
Anthony James Costello, FRACS, FRCSI, is an Australian urologist.He served as head of the department of urology at the Royal Melbourne Hospital, Australia.He established the first robotic prostate cancer surgery programme in Australia and published the first series of men who had laser surgery for benign prostate enlargements.
Radical retropubic prostatectomy was developed in 1945 by Terence Millin at the All Saints Hospital in London. The procedure was brought to the United States by one of Millin's students, Samuel Kenneth Bacon, M.D., adjunct professor of surgery, University of Southern California, and was refined in 1982 by Patrick C. Walsh [1] at the James Buchanan Brady Urological Institute, Johns Hopkins ...
A few steps can be taken before surgery to reduce the discomfort of recovery. It is suggested to wear loose fitting undergarments after the procedure as there is a chance of having a catheter after the procedure. Men's cotton boxers work well for both comfort and containing any bleeding that may occur.
There was a recent study from the University of Michigan by Hollenbeck et al. (Urology 2007; 70: 96-100) after their first 200 cases that they were able to eliminate extensive positive margins (12% in their first 15 cases versus 2% after performing 81 cases) but they continued to have a positive surgical margin rate of 22%.
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