The aim of our study is to introduce a safe and easy way to perform partial nephrectomy via different approaches with a set of our specially engineered instruments for parenchyma clamping. Between January 2011 and October 2013 we performed a total number of 110 open, laparoscopic and robotic partial nephrectomies (PN) in patients with RCC stage T1-2N0M0. Eighty-six and 24 patients underwent PN with traditional vascular clamping (VC group) and selective parenchyma clamping (PC group), respectively. We worked out 3 types renal parenchyma clamps (patented inventions): one for laparoscopic/robotic PN and two kinds for open procedures (upper/lower pole and middle segment of kidney). We measured glomerular filtration rate (GFR) before the procedure and 24 hours and 1 year after. We also measured operative time, blood loss, warm ischemia time and parenchyma clamping time. In VC group depression of GFR 24 hours and 1 year after the operation was 22% and 33%, respectively. Deterioration of GFR 24 hours and 1 year after surgery in PC group was 5% and 12%, respectively. In both groups patients didn’t face any perioperative complications or reinterventions. Cancer-specific survival rate was 100% in both groups during 1 year follow-up. NSS can be performed in a safe manner under regional ischemia with selective parenchyma clamping. Regional ischemia shows better functional results immediately and 1 year after the surgery and can be achieved by using specially designed parenchyma clamps during open, laparoscopic and robotic partial nephrectomy.

 

Results of treatment of 60 mongrel dogs using hypobaric superoxygenation modes 500, 1500 and 3000 meters above sea level and the simultaneous flow of humidified oxygen 70-80%. The efficiency of hypobaric superoxygenation mode of 1500 meters above sea level, consisting in the regression of the inflammatory process.

The lecture covered the problem of tuberculosis of the prostate, its pathogenesis, clinical course, diagnostic methods, as well as evaluated sexual dysfunction in men associated with tuberculosis. The possibilities and results of modern methods of tuberculosis treatment. Clinical examples of patients with tuberculosis of the prostate.

 

Original Authors: Matthias Oelkea , Alexander Bachmannb , Aure´lienDescazeaudc , Mark Embertond , Stavros Gravas e , Martin C. Michelf , James N’Dowg , Jørgen Nordlingh , Jean J. de la Rosettei aDepartment of Urology, Hannover Medical School, Hannover, Germany; bDepartment of Urology, University Hospital Basel, Basel, Switzerland; cDepartment of Urology, Dupuytren Hospital, University of Limoges, Limoges, France; dDivision of Surgical and Interventional Science, University College London, London, UK; eDepartment of Urology, University of Thessaly, Larissa, Greece; fDepartment of Pharmacology, Johannes-Gutenberg-University, Mainz, Germany; g Academic Urology Unit, University of Aberdeen, Aberdeen, UK; hDepartment of Urology, Herlev Hospital, University of Copenhagen, Herlev, Denmark; iDepartment of Urology, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands EUROPEAN UROLOGY 64 (2013) 118–140, http://dx.doi.org/10.1016/j.eururo.2013.03.004.

The analysis of the data of foreign literature in the treatment of recurrence of urinary incontinence in women. Standards for treatment of recurrent forms of urinary incontinence to date does not exist. Efficiency reoperation slightly lower primary. Efficacy of repeat loop plastics made from retropubic access higher than transobturator. The most commonly used and effective operation TVT. A detailed survey of patients helps to increase the effectiveness of the treatment.