Reporting of complication for PCNL should be uniform, and modified Dindo-Clavien grading system that is validated for PCNL should be accepted to be a standard in urology. Surgeons training and experience are the most important to ensure the efficacy of procedure, therefore we suggest that learning of percutaneous renal access should be mandatory in residents trainee program.
Introduction: Stress urinary incontinence is one of the main complications
after radical prostatectomy (RP) with a significant percentage of patients
reporting bothersome incontinence >1 year after surgery Objective: Assessment
of one surgeon?s results in surgical treatment of urinary stress incontinence
of patients with radical prostatectomy applying transobturator and suprapubic
slings. Patients and methods: From February 2010. - February 2014., 20
patients, age 57 - 76, with moderate and severe stress urinary incontinence
(SUI) were treated surgically. All patients previously had radical
prostatectomy due to prostate cancer. Results: All 20 patients with stress
urinary incontinence (PRPUI) had Argus slings placement after radical
prostatectomy. Patients were followed for a longer period of time, 6 months
minimum, 48 months maximum.18 patients (90%) had negative, dry PAD test after
surgery, one patient (5%) had positive PAD test, and one patient (5%) who
previously had Advance transobturator sling placement with no positive
results, had sling removed due to an infection. 6 patients (30 %) needed
additional sling adjustment, performed between 9 - 21st day after the
surgery. Conclusion: We concluded that Argus sligs, suprapubic or
transobturatory are an effective and safe treatment for PRPUI. This procedure
is minimal invasive and our results clearly demonstrate that both heavy and
moderate incontinence responds well.
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