BACKGROUND The aim of this study was to define determinants of fertility in patients treated conservatively for mucinous borderline ovarian tumours (MBOTs), and to compare outcomes after salpingo-oophorectomy or cystectomy. METHODS This was a retrospective cohort study of fertility results in a series of patients treated conservatively for MBOTs and desiring pregnancy. Conservative surgery was ...

OBJECTIVES To evaluate the role of initial cystectomy in the management of high-grade T1 bladder cancer. METHODS A selected review of the literature was performed to evaluate outcomes with intravesical therapy vs. initial cystectomy in this patient population, with a focus on identifying risk factors for failure of conservative therapy. RESULTS Many studies in the literature fail to include...

Currently, laparoscopic cystectomy is the first-line therapy for ovarian benign cysts that are resistant to current therapies. There are different studies that point to ovarian reserve damage due to laparoscopic cystectomy. In this study, we evaluate the ovarian damage following laparoscopic cystectomy for non-endometriosis cysts using ultrasound and pathology findings. This is a prospective co...

OBJECTIVE Robot-assisted radical cystectomy has the potential to cure patients from bladder cancer while offering the benefits of minimally invasive surgery. We sought to evaluate the learning curve for this technically demanding procedure. MATERIALS AND METHODS Robot-assisted radical cystectomy was attempted in 100 consecutive patients. An IRB-approved review of our robot-assisted radical cy...

Background and Objectives Clostridium Difficile is the most common cause of nosocomial infectious diarrhea. This study evaluates the prevalence and predictors of Clostridium Difficile infections in patients undergoing radical cystectomy with or without neoadjuvant chemotherapy. Methods Retrospective chart review was performed of all patients undergoing cystectomy and urinary diversion at a si...

Objective: Test the impact of delay in time to cystectomy and mortality in a national database. Participants/Methods: Using a linked Surveillance, Epidemiology, and End Results (SEER)-Medicare dataset, 441 patients were indentified who underwent radical cystectomy for stage II bladder cancer within 4 to 52 weeks of diagnosis and who did not receive preoperative chemotherapy. Survival models wer...

BACKGROUND Controversy exists about the most appropriate treatment for high-risk superficial (stage T1; grade G3) bladder cancer. Immediate cystectomy offers the best chance for survival but may be associated with an impaired quality of life compared with conservative therapy. We estimated life expectancy (LE) and quality-adjusted life expectancy (QALE) for both of these treatments for men and ...

OBJECTIVE The aim of this study was to evaluate the surgical impact of benign ovarian mass on ovarian reserve as measured by serum follicle stimulating hormone (FSH), estradiol (E2) and anti-Müllerian hormone (AMH) levels, antral follicle count (AFC) and ovarian volumes. In addition, the differences in ovarian reserve impairment between endometrioma cystectomy and non-endometrioma cystectomy we...

OBJECTIVE To evaluate the emerging role of robotic-assisted radical cystectomy (RARC) in the management of bladder cancer. METHODS Review of the published literature on robotic-assisted radical cystectomy, including data from our cystectomy series of 30 patients. RESULTS Nearly 150 procedures have been performed worldwide. The benefits of robotic-assisted operations are similar to those of ...

Bladder cancer is the most common urinary tract malignancy. Radical cystectomy preferred as gold standard therapy for non-metastatic SCC, reflected from better survival rates than other treatment options such partial cystectomy, chemotherapy, and radiation. Several factors are associated with occurrence of bladder cancer, including stone infection ; conditions suggestively could cause chronic i...