- Email: [email protected]
355 SAFETY AND EFFICACY OF TUBELESS PERCUTANEOUS NEPHROLITHOTOMY IN CIRRHOTIC PATIENTS AND PATIENTS ON ANTICOAGULANT THERAPY
Conclusions: )OH[LEOHV\VWRVFRSHDVVLVWHG3&1/PD\UDLVHWKHVWRQHIUHHUDWH ZLWKRXWDGGLWLRQDOWUDFWVLQWUHDWLQJFRPSOLFDWHGUHQDOFDOFXOL
353
IMPACTED UPPER-URETERAL CALCULI: WHICH IS THE BEST; PERCUTANEOUS ANTEGRADE REMOVAL OR LAPAROSCOPY OR EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OR RETROGRADE APPROACH?
.DUDPL+5H]DHL,0D]ORRPIDUG00 Shahid Beheshti Medical Science University, Tajrish Hospital, Dept. of Urology, Tehran, Iran Introduction & Objectives: &DOFXOLDUHLPSRUWDQWSUREOHPLQXURORJ\ᚏHOG8UHWHUDO VWRQHV FDQ FDXVH REVWUXFWLYH XURSDWK\ DQG VXEVHTXHQW GHWHULRUDWLRQ RI UHQDO IXQFWLRQ$QLPSDFWHGXSSHUXUHWHUDOFDOFXOXVLVFRPPRQO\GHᚏQHGDVVWRQHSODFHG DERYHORZHUERUGHURINLGQH\WKDWUHPDLQVᚏ[HGDWWKHVDPHVLWHIRUPRUHWKDQ PRQWKVDQGHLWKHULVDVVRFLDWHGZLWKK\GURQHSKURVLVRUSUHYHQWVFRQWUDVWPHGLXP IURPSDVVLQJEHORZWKHFDOFXOXVRQLQWUDYHQRXVXURJUDSK\ ,98 Material & Methods: )URP 1RYHPEHU WKURXJK 6HSWHPEHU ZH WUHDWHG SDWLHQWV KDYLQJ LPSDFWHG XSSHUXUHWHUDO FDOFXOLX LQ JURXS XVLQJ HLWKHU WXEHOHVV SHUFXWDQHRXV QHSKUROLWKRWRP\ SDWLHQWV RU 7UDQVSULWXRQHDO ODSDURVFRSLF XUHWHUROLWKRWRP\ SDWLHQWV RU (6:/ SDWLHQWV RU SQHXPDWLF WUDQVXUHWKUDO XUHWHUROLWKRWULSV\ SDWLHQWV 7KHVH SDWLHQWV ZHUH DVVLJQHG LQ D UDQGRPL]HGVHTXHQWLDORUGHUWRDWUHDWPHQWXVLQJVLPSOHUDQGRPL]DWLRQ Results: ,Q WKH 3&1/ JURXS WKH FDOFXOL ZHUH H[WUDFWHG HQ EORF LQ SDWLHQWV ,QWKH78/JURXSWKHFDOFXOLPLJUDWHGXSZDUGLQWRWKHUHQDOSHOYLVLQ SDWLHQWV ,QSDWLHQWV WKHFDOFXOLIUDJPHQWHGLQFRPSOHWHO\VRD GRXEOH-VWHQWZDVLQVHUWHGDQG6:/ZDVSHUIRUPHG Conclusions: ,Q RXU H[SHULHQFH EHFDXVH RI ᚐH[LEOH XUHWHURVFRS\ ZLWK ODVHU OLWKRWULSV\LVH[SHQVLYHDQGQRWUHDGLO\DYDLODEOHLQWKHSUHVHQFHRIPRGHUDWHWR VHYHUH K\GURQHSKURVLV WXEHOHVV 3&1/ DQG ODSDURVFRSLF XUHWHUROLWKRWRP\ DUH HᚎHFWLYHDOWHUQDWLYHRSWLRQVIRUODUJHLPSDFWHGXSSHUXUHWHUDOFDOFXOL
354
‘NEPHROSTOMY-FREE’ PERCUTANEOUS NEPHROLITHOTOMY FOR STAGHORN AND MULTIPLE STONES: OUR 1 YEAR OF EXPERIENCE
1RVLURY)50XNKWDURY67$NLORY)$)LGDHY11
355
RIDQWLFRDJXODQWWKHUDS\SHUFXWDQHRXVQHSKUROLWKRWRP\FDQEHSHUIRUPHGVDIHO\ DQGHᚑFLHQWO\LQVHOHFWHGSDWLHQWV:LWKRXWWKHWHPSRQDGHHᚎHFWRIQHSKURVWRP\ WXEHSRVWRSHUDWLYHKHPRUUKDJHLVDPDMRUFRQFHUQWRWKHVDIHW\RIWXEHOHVV3&1/ HVSHFLDOO\ LQ SDWLHQWV ZLWK SRWHQWLDO EOHHGLQJ WHQGHQF\ ,Q WKLV VWXG\ ZH UHSRUW RXUH[SHULHQFHLQSHUIRUPLQJWXEHOHVV3&1/VLQSDWLHQWVZLWKOLYHUFLUUKRVLVDQG SDWLHQWVUHFHLYLQJFKURQLFDQWLFRDJXODQWWKHUDS\ Material & Methods: %HWZHHQ -DQXDU\ DQG -XQH 3&1/V ZHUH SHUIRUPHGDW&KLD\L&KULVWLDQ+RVSLWDO$WWKHHQGRIRSHUDWLRQWKHEOHHGLQJSRLQWV RYHUWKHDFFHVVWUDFWZHUHFDXWHUL]HGIRUKHPRVWDVLV2IWKH3&1/V 3&1/V ZHUHSHUIRUPHGZLWKWXEHOHVVPRGLᚏFDWLRQ$PRQJWKH WXEHOHVV3&1/VZH LGHQWLᚏHGSDWLHQWVZLWKOLYHUFLUUKRVLVDQGSDWLHQWVXQGHUDQWLFRDJXODQWWKHUDS\ ZLWKDQWLSODWHOHWDJHQWV7KHFOLQLFDORXWFRPHVRIWKHVHSDWLHQWVZHUHHYDOXDWHGE\ UHWURVSHFWLYHFKDUWUHYLHZ Results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onclusions: :LWK FDUHIXO KHPRVWDVLV WXEHOHVV 3&1/ LV D VDIH PRGDOLW\ LQ WKH WUHDWPHQW RI XULQDU\ VWRQH GLVHDVH SDWLHQWV ZLWK EOHHGLQJ WHQGHQF\ VXFK DV FLUUKRWLFSDWLHQWVDQGSDWLHQWVRQFKURQLFDQWLFRDJXODQWWKHUDS\
SAFETY AND EFFICACY OF TUBELESS PERCUTANEOUS NEPHROLITHOTOMY IN CIRRHOTIC PATIENTS AND PATIENTS ON ANTICOAGULANT THERAPY
-RX<&/LQ&76KHQ&+&KHQJ0&&KHQ3&7VDL<6 1 Chiayi Christian Hospital, Dept. of Urology, Chiayi, Taiwan, 2National Cheng Kung University Hospital, Dept. of Urology, Tainan, Taiwan Introduction & Objectives: ,QUHFHQW\HDUVPDQ\UHSRUWVKDYHGHPRQVWUDWHGWKH VDIHW\DQGHᚑFDF\RIWXEHOHVVSHUFXWDQHRXVQHSKUROLWKRWRP\ 3&1/ SDUWLFXODUO\ ZLWKWKHEHQHᚏWVRIUHGXFLQJKRVSLWDOVWD\DQGDQDOJHVLFUHTXLUHPHQW8QWUHDWHG FRDJXODWLRQ GLVRUGHU LV D FRQWUDLQGLFDWLRQ LQ WKH VWRQH PDQDJHPHQW EHFDXVH PDMRU KHPRUUKDJLF FRPSOLFDWLRQ PD\ RFFXU LQ XQWUHDWHG RU XQNQRZQ FORWWLQJ GLVRUGHU ,Q .HIHU GHPRQVWUDWHG WKDW ZLWK FDUHIXO SHULRSHUDWLYH UHJXODWLRQ
356
UROLOGIST VERSUS RADIOLOGIST FOR PERCUTANEOUS NEPHROLITHOTOMY ACCESS UNDER FLUOROSCOPIC GUIDANCE: A SYSTEMATIC REVIEW
:DQJ.--LDQJ/+:DQJ//L+ Sichuan University Huaxi Hospital, Dept. of Urology, Chengdu, China, 2West China Hospital, Dept. of Urology, Chengdu, China, 3West China Hospital, Chinese Evidence-Based Medicine Center, Chengdu, China 1
Introduction & Objectives: 7RDVVHVVWKHRXWFRPHVDQGFRPSOLFDWLRQVRIXURORJLVW YHUVXVUDGLRORJLVWIRUUHQDODFFHVVLQSHUFXWDQHRXVQHSKUROLWKRWRP\ Material & Methods: $ V\VWHPDWLF OLWHUDWXUH UHYLHZ ZDV SHUIRUPHG VHDUFKLQJ 3XEPHG(PEDVH&(175$/DQGUHIHUHQFHOLVWVIRUUHOHYDQWVWXGLHV'DWDIURPDOO VHOHFWHGDUWLFOHVZHUHH[WUDFWHGLQGHSHQGHQWO\E\WZRUHYLHZHUVDQGDQDO\VHGE\ 6366DQG5HY0DQVRIWZDUH Results: FRPSDUDWLYHVWXGLHVLQYROYLQJ FDVHVFDVHVVHULHVLQFOXGLQJ UHQDOXQLWVRIXURORJLVWJURXSDQGUHQDOXQLWVRIUDGLRORJLVWJURXSZHUH LGHQWLᚏHG 1HLWKHU FRPSDUDWLYH VWXGLHV QRU FDVH VHULHV GHPRQVWUDWHG VLJQLᚏFDQW GLᚎHUHQFH EHWZHHQ XURORJLVW DQG UDGLRORJLVW LQ WHUPV RI VWRQHIUHH UDWH 55 &, WR 9VS᧺ ([FHSWSOHXUDOLQMXU\VKRZHG VWDWLVWLFDO GLᚎHUHQFH 55 &, WR RWKHU DFFHVV UHODWHG FRPSOLFDWLRQVLQFOXGLQJFRORQLFLQMXU\DQGIDLOHGDFFHVVZHUHFRPSDUDEOHEHWZHHQ WKHWZRJURXSVLQFRPSDUDWLYHVWXGLHV 55 &,WRWR UHVSHFWLYHO\ :HGLGQRWSRROWKHGDWDRIEOHHGLQJEHFDXVHRIKHWHURJHQHLW\ EHWZHHQWZRJURXSV$VODUJHUSURSRUWLRQRIVWDJKRUQFDOFXOL 9VS EOHHGLQJUDWHDQGSOHXUDOLQMXU\ZHUHKLJKHULQXURORJLVWVHULHV 9V S 9VS UHVSHFWLYHO\ 7KHUDWHRIFRORQLFLQMXU\ DQGIDLOHGDFFHVVZHUHORZHULQXURORJLVWJURXS 9VS! 9V S᧸UHVSHFWLYHO\ Conclusions: 8URORJLVWFDQFUHDWHSHUFXWDQHRXVUHQDODFFHVVDVZHOODVUDGLRORJLVW ZLWK VLPLODU VWRQHIUHH UDWH DQG FRPSOLFDWLRQV 8URORJLVWDFTXLUHG SHUFXWDQHRXV UHQDODFFHVVLVVDIHDQGHᚎHFWLYH
357
23-HOUR STAY PCNL: THE NEW SAFE AND COST EFFECTIVE METHOD OF MANAGING RENAL CALCULI!
$OXUX3*RZDUGKDQ%0DUVK5-RKQVRQ3 1 Sunderland Royal Hospital, Dept. of Urology, Sunderland, United Kingdom, 2 Sunderland Royal Hospital, Dept. of Radiology, Sunderland, United Kingdom Introduction & Objectives: 3HUFXWDQHRXV1HSKUROLWKRWRP\ 3&1/ KDVEHHQWKH JROGVWDQGDUGLQWKHPDQDJHPHQWRIUHQDOFDOFXOLIRUWKHODVWIHZGHFDGHVDQGKDV XQGHUJRQH QXPHURXV FKDQJHV LQ WKH WHFKQLTXH DQG HTXLSPHQW XVHG 7KH PRVW QRWDEOH EHLQJ WKH XVH RI ಫ7KH 7XEHOHVV 3&1/ಬ ZKLFK KDV LPSURYHG WKH SDWLHQW H[SHULHQFHRIWKHSURFHGXUHVLPXOWDQHRXVO\UHGXFLQJPRUELGLW\DQGKRVSLWDOVWD\ 7KHSURFHGXUHKDVODUJHO\VWLOOUHTXLUHGKRVSLWDODGPLVVLRQIRUದGD\VLQPRVW H[SHULHQFHG FHQWUHV :H VWXGLHG WKH IHDVLELOLW\ RI SHUIRUPLQJ D VKRUW VWD\ 3&1/ ZLWKDKRXUPD[LPXPKRVSLWDOVWD\ Material & Methods: ,QRXUXQLWZHSHUIRUPHGVKRUWVWD\3&1/SURFHGXUHVZLWK
Eur Urol Suppl 2010;9(2):135
353
IMPACTED UPPER-URETERAL CALCULI: WHICH IS THE BEST; PERCUTANEOUS ANTEGRADE REMOVAL OR LAPAROSCOPY OR EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY OR RETROGRADE APPROACH?
.DUDPL+5H]DHL,0D]ORRPIDUG00 Shahid Beheshti Medical Science University, Tajrish Hospital, Dept. of Urology, Tehran, Iran Introduction & Objectives: &DOFXOLDUHLPSRUWDQWSUREOHPLQXURORJ\ᚏHOG8UHWHUDO VWRQHV FDQ FDXVH REVWUXFWLYH XURSDWK\ DQG VXEVHTXHQW GHWHULRUDWLRQ RI UHQDO IXQFWLRQ$QLPSDFWHGXSSHUXUHWHUDOFDOFXOXVLVFRPPRQO\GHᚏQHGDVVWRQHSODFHG DERYHORZHUERUGHURINLGQH\WKDWUHPDLQVᚏ[HGDWWKHVDPHVLWHIRUPRUHWKDQ PRQWKVDQGHLWKHULVDVVRFLDWHGZLWKK\GURQHSKURVLVRUSUHYHQWVFRQWUDVWPHGLXP IURPSDVVLQJEHORZWKHFDOFXOXVRQLQWUDYHQRXVXURJUDSK\ ,98 Material & Methods: )URP 1RYHPEHU WKURXJK 6HSWHPEHU ZH WUHDWHG SDWLHQWV KDYLQJ LPSDFWHG XSSHUXUHWHUDO FDOFXOLX LQ JURXS XVLQJ HLWKHU WXEHOHVV SHUFXWDQHRXV QHSKUROLWKRWRP\ SDWLHQWV RU 7UDQVSULWXRQHDO ODSDURVFRSLF XUHWHUROLWKRWRP\ SDWLHQWV RU (6:/ SDWLHQWV RU SQHXPDWLF WUDQVXUHWKUDO XUHWHUROLWKRWULSV\ SDWLHQWV 7KHVH SDWLHQWV ZHUH DVVLJQHG LQ D UDQGRPL]HGVHTXHQWLDORUGHUWRDWUHDWPHQWXVLQJVLPSOHUDQGRPL]DWLRQ Results: ,Q WKH 3&1/ JURXS WKH FDOFXOL ZHUH H[WUDFWHG HQ EORF LQ SDWLHQWV ,QWKH78/JURXSWKHFDOFXOLPLJUDWHGXSZDUGLQWRWKHUHQDOSHOYLVLQ SDWLHQWV ,QSDWLHQWV WKHFDOFXOLIUDJPHQWHGLQFRPSOHWHO\VRD GRXEOH-VWHQWZDVLQVHUWHGDQG6:/ZDVSHUIRUPHG Conclusions: ,Q RXU H[SHULHQFH EHFDXVH RI ᚐH[LEOH XUHWHURVFRS\ ZLWK ODVHU OLWKRWULSV\LVH[SHQVLYHDQGQRWUHDGLO\DYDLODEOHLQWKHSUHVHQFHRIPRGHUDWHWR VHYHUH K\GURQHSKURVLV WXEHOHVV 3&1/ DQG ODSDURVFRSLF XUHWHUROLWKRWRP\ DUH HᚎHFWLYHDOWHUQDWLYHRSWLRQVIRUODUJHLPSDFWHGXSSHUXUHWHUDOFDOFXOL
354
‘NEPHROSTOMY-FREE’ PERCUTANEOUS NEPHROLITHOTOMY FOR STAGHORN AND MULTIPLE STONES: OUR 1 YEAR OF EXPERIENCE
1RVLURY)50XNKWDURY67$NLORY)$)LGDHY11
355
RIDQWLFRDJXODQWWKHUDS\SHUFXWDQHRXVQHSKUROLWKRWRP\FDQEHSHUIRUPHGVDIHO\ DQGHᚑFLHQWO\LQVHOHFWHGSDWLHQWV:LWKRXWWKHWHPSRQDGHHᚎHFWRIQHSKURVWRP\ WXEHSRVWRSHUDWLYHKHPRUUKDJHLVDPDMRUFRQFHUQWRWKHVDIHW\RIWXEHOHVV3&1/ HVSHFLDOO\ LQ SDWLHQWV ZLWK SRWHQWLDO EOHHGLQJ WHQGHQF\ ,Q WKLV VWXG\ ZH UHSRUW RXUH[SHULHQFHLQSHUIRUPLQJWXEHOHVV3&1/VLQSDWLHQWVZLWKOLYHUFLUUKRVLVDQG SDWLHQWVUHFHLYLQJFKURQLFDQWLFRDJXODQWWKHUDS\ Material & Methods: %HWZHHQ -DQXDU\ DQG -XQH 3&1/V ZHUH SHUIRUPHGDW&KLD\L&KULVWLDQ+RVSLWDO$WWKHHQGRIRSHUDWLRQWKHEOHHGLQJSRLQWV RYHUWKHDFFHVVWUDFWZHUHFDXWHUL]HGIRUKHPRVWDVLV2IWKH3&1/V 3&1/V ZHUHSHUIRUPHGZLWKWXEHOHVVPRGLᚏFDWLRQ$PRQJWKH WXEHOHVV3&1/VZH LGHQWLᚏHGSDWLHQWVZLWKOLYHUFLUUKRVLVDQGSDWLHQWVXQGHUDQWLFRDJXODQWWKHUDS\ ZLWKDQWLSODWHOHWDJHQWV7KHFOLQLFDORXWFRPHVRIWKHVHSDWLHQWVZHUHHYDOXDWHGE\ UHWURVSHFWLYHFKDUWUHYLHZ Results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onclusions: :LWK FDUHIXO KHPRVWDVLV WXEHOHVV 3&1/ LV D VDIH PRGDOLW\ LQ WKH WUHDWPHQW RI XULQDU\ VWRQH GLVHDVH SDWLHQWV ZLWK EOHHGLQJ WHQGHQF\ VXFK DV FLUUKRWLFSDWLHQWVDQGSDWLHQWVRQFKURQLFDQWLFRDJXODQWWKHUDS\
SAFETY AND EFFICACY OF TUBELESS PERCUTANEOUS NEPHROLITHOTOMY IN CIRRHOTIC PATIENTS AND PATIENTS ON ANTICOAGULANT THERAPY
-RX<&/LQ&76KHQ&+&KHQJ0&&KHQ3&7VDL<6 1 Chiayi Christian Hospital, Dept. of Urology, Chiayi, Taiwan, 2National Cheng Kung University Hospital, Dept. of Urology, Tainan, Taiwan Introduction & Objectives: ,QUHFHQW\HDUVPDQ\UHSRUWVKDYHGHPRQVWUDWHGWKH VDIHW\DQGHᚑFDF\RIWXEHOHVVSHUFXWDQHRXVQHSKUROLWKRWRP\ 3&1/ SDUWLFXODUO\ ZLWKWKHEHQHᚏWVRIUHGXFLQJKRVSLWDOVWD\DQGDQDOJHVLFUHTXLUHPHQW8QWUHDWHG FRDJXODWLRQ GLVRUGHU LV D FRQWUDLQGLFDWLRQ LQ WKH VWRQH PDQDJHPHQW EHFDXVH PDMRU KHPRUUKDJLF FRPSOLFDWLRQ PD\ RFFXU LQ XQWUHDWHG RU XQNQRZQ FORWWLQJ GLVRUGHU ,Q .HIHU GHPRQVWUDWHG WKDW ZLWK FDUHIXO SHULRSHUDWLYH UHJXODWLRQ
356
UROLOGIST VERSUS RADIOLOGIST FOR PERCUTANEOUS NEPHROLITHOTOMY ACCESS UNDER FLUOROSCOPIC GUIDANCE: A SYSTEMATIC REVIEW
:DQJ.--LDQJ/+:DQJ//L+ Sichuan University Huaxi Hospital, Dept. of Urology, Chengdu, China, 2West China Hospital, Dept. of Urology, Chengdu, China, 3West China Hospital, Chinese Evidence-Based Medicine Center, Chengdu, China 1
Introduction & Objectives: 7RDVVHVVWKHRXWFRPHVDQGFRPSOLFDWLRQVRIXURORJLVW YHUVXVUDGLRORJLVWIRUUHQDODFFHVVLQSHUFXWDQHRXVQHSKUROLWKRWRP\ Material & Methods: $ V\VWHPDWLF OLWHUDWXUH UHYLHZ ZDV SHUIRUPHG VHDUFKLQJ 3XEPHG(PEDVH&(175$/DQGUHIHUHQFHOLVWVIRUUHOHYDQWVWXGLHV'DWDIURPDOO VHOHFWHGDUWLFOHVZHUHH[WUDFWHGLQGHSHQGHQWO\E\WZRUHYLHZHUVDQGDQDO\VHGE\ 6366DQG5HY0DQVRIWZDUH Results: FRPSDUDWLYHVWXGLHVLQYROYLQJ FDVHVFDVHVVHULHVLQFOXGLQJ UHQDOXQLWVRIXURORJLVWJURXSDQGUHQDOXQLWVRIUDGLRORJLVWJURXSZHUH LGHQWLᚏHG 1HLWKHU FRPSDUDWLYH VWXGLHV QRU FDVH VHULHV GHPRQVWUDWHG VLJQLᚏFDQW GLᚎHUHQFH EHWZHHQ XURORJLVW DQG UDGLRORJLVW LQ WHUPV RI VWRQHIUHH UDWH 55 &, WR 9VS᧺ ([FHSWSOHXUDOLQMXU\VKRZHG VWDWLVWLFDO GLᚎHUHQFH 55 &, WR RWKHU DFFHVV UHODWHG FRPSOLFDWLRQVLQFOXGLQJFRORQLFLQMXU\DQGIDLOHGDFFHVVZHUHFRPSDUDEOHEHWZHHQ WKHWZRJURXSVLQFRPSDUDWLYHVWXGLHV 55 &,WRWR UHVSHFWLYHO\ :HGLGQRWSRROWKHGDWDRIEOHHGLQJEHFDXVHRIKHWHURJHQHLW\ EHWZHHQWZRJURXSV$VODUJHUSURSRUWLRQRIVWDJKRUQFDOFXOL 9VS EOHHGLQJUDWHDQGSOHXUDOLQMXU\ZHUHKLJKHULQXURORJLVWVHULHV 9V S 9VS UHVSHFWLYHO\ 7KHUDWHRIFRORQLFLQMXU\ DQGIDLOHGDFFHVVZHUHORZHULQXURORJLVWJURXS 9VS! 9V S᧸UHVSHFWLYHO\ Conclusions: 8URORJLVWFDQFUHDWHSHUFXWDQHRXVUHQDODFFHVVDVZHOODVUDGLRORJLVW ZLWK VLPLODU VWRQHIUHH UDWH DQG FRPSOLFDWLRQV 8URORJLVWDFTXLUHG SHUFXWDQHRXV UHQDODFFHVVLVVDIHDQGHᚎHFWLYH
357
23-HOUR STAY PCNL: THE NEW SAFE AND COST EFFECTIVE METHOD OF MANAGING RENAL CALCULI!
$OXUX3*RZDUGKDQ%0DUVK5-RKQVRQ3 1 Sunderland Royal Hospital, Dept. of Urology, Sunderland, United Kingdom, 2 Sunderland Royal Hospital, Dept. of Radiology, Sunderland, United Kingdom Introduction & Objectives: 3HUFXWDQHRXV1HSKUROLWKRWRP\ 3&1/ KDVEHHQWKH JROGVWDQGDUGLQWKHPDQDJHPHQWRIUHQDOFDOFXOLIRUWKHODVWIHZGHFDGHVDQGKDV XQGHUJRQH QXPHURXV FKDQJHV LQ WKH WHFKQLTXH DQG HTXLSPHQW XVHG 7KH PRVW QRWDEOH EHLQJ WKH XVH RI ಫ7KH 7XEHOHVV 3&1/ಬ ZKLFK KDV LPSURYHG WKH SDWLHQW H[SHULHQFHRIWKHSURFHGXUHVLPXOWDQHRXVO\UHGXFLQJPRUELGLW\DQGKRVSLWDOVWD\ 7KHSURFHGXUHKDVODUJHO\VWLOOUHTXLUHGKRVSLWDODGPLVVLRQIRUದGD\VLQPRVW H[SHULHQFHG FHQWUHV :H VWXGLHG WKH IHDVLELOLW\ RI SHUIRUPLQJ D VKRUW VWD\ 3&1/ ZLWKDKRXUPD[LPXPKRVSLWDOVWD\ Material & Methods: ,QRXUXQLWZHSHUIRUPHGVKRUWVWD\3&1/SURFHGXUHVZLWK
Eur Urol Suppl 2010;9(2):135