Sheppardcollier6353

010; .004), but ROC curve showed the NEUT%, NEUT and NLR area under curve (.526; .452; .513, respectively) were calculated as less then 0.600. Patients with Qmax over 7.12 had more WBC count in peripheral blood (7.56±1.77 VS 6.37±1.86, P=.026). The NLR was significantly higher in the group of IPSS over 20 and AUR presence (P=.018; .017).The NEUT%, LYMPH%, LYMPH and NLR showed a statistically significance in different obstruction classification (P=.047; .046; .028; .014, respectively). CONCLUSION There was correlation between chronic Inflammation and LUTS related to BPH. The patient without inflammation could acquire more sustained and steady relief than those with inflammation in LUTS related to BPH after TUPKRP.PURPOSE To describe our experience and analyze the outcomes of robot-assisted laparoscopic ureteral reimplantation (RALUR) and conventional laparoscopic ureteral reimplantation (LUR) in treating benign distal ureteral stricture (DUS). MATERIAL AND METHODS Patients who underwent RALUR or LUR for DUS were retrospectively analyzed. All surgeries were performed by transperitoneal approach in a refluxing manner. Baseline characteristics, history of previous abdominal surgery, operative profile and follow-up data were collected and analyzed. RESULTS Among 68 patients with DUS, 62 were diagnosed with unilateral DUS, including 28 patients underwent RALUR. The mean operative time of the RALUR group was 2.44 ± .45 hours, while the mean operative time of the LUR group was 3.09 ± .74 hours (P less then .001). The average suturing time of LUR (39.59 ± 3.78 min) is about 2 times that of RALUR (20.04 ± 3.5 min) (P less then .001). The success rate of the RALUR group and the LUR group were 89.3% and 82.4% respectively (P = .494). In multiple linear regression model, the modality of surgery was the only variable that influences operative time (Beta = -.964, P less then .001), suturing time (Beta = -1.899, P less then .001) and hemoglobin decline (Beta = -.611, P = .020). CONCLUSIONS Basically, the postoperative outcomes are similar but robotic surgery offers a quicker surgery and anastomosis.PURPOSE To evaluate the efficacy of caudal regional anesthesia and local anesthesia methods in prostate biopsy applied under transrectal ultrasonography.Matherials and Methods This prospective study included a total of 160 patients randomly separated into 4 equal groups as intrarectal local anesthesia (IRLA), periprostatic local anesthesia (PPLA), combined local anesthesia (IRLA+PPLA), and caudal regional anesthesia (CRA). The patients were evaluated using the pain scores on a visual analog scale. RESULTS The pain score during anesthesia induction was significantly higher in the CRA group than in the IRLA and IRLA+PPLA groups (p less then 0.001). The pain score during entry of the probe to the rectum and movement was significantly lower in the CRA group than the IRLA groups (p=0.014). The pain score on penetration of the needle to the prostate and at 30 mins after the biopsy was significantly higher in the IRLA group (p less then 0.001). At 2 hours after the biopsy, the pain score in the CRA group was significantly lower than IRLA groups (p=0.015). CONCLUSION The PPLA alone can be applied more quickly than CRA, causes less pain during the application, and has similar efficacy in reducing pain during and after the prostate biopsy procedure.PURPOSE Recent studies reported that the presence of metabolic syndrome is closely correlated with impaired kidney function after living donor nephrectomy. Since the measurement of body mass index cannot differentiate the amount of body adipose tissue from total body weight, body mass index is not a reliable or enough alone parameter for determining metabolic syndrome. In the present study, we investigated the correlation between body adipose tissue and kidney function recovery following living donor nephrectomy procedure. MATERIALS AND METHODS The patients who underwent living kidney donor nephrectomy consequently from July 2016 through December 2017 were enrolled in the study. A preoperative computed tomography scan measured the visceral (VAdT), retroperitoneal (RPAdT), and subcutaneous (SCAdT) adipose tissue volume. selleckchem Body mass index, adipose tissue measurements were analyzed according to a postoperative estimated glomerular filtration rate (eGFR). RESULTS The decrease between preoperative eGFR, and the first day, the first month and the sixth month eGFR after surgery was statistically significant (p = .001; p = .001; p = .001, respectively). The negative correlation between VAdT/SCAdT measurements and changes in eGFR at the first and the sixth postoperative month compared to preoperative eGFR were found to be statistically significant (p = .049; p = .041, respectively). Additionally, RPAdT measurements and changes in eGFR at the first and the sixth postoperative month compared to preoperative eGFR (decreasing as RPAdT value increased) were found to be statistically significant (p = .035; p = .026, respectively). CONCLUSION According to a preoperative computed tomography scan, VAdT, RPAdT, and VAdT-to-SAdT ratio can predict impaired kidney function recovery. Furthermore, RPAdT measurement is a new variable to predict the impaired kidney function after donor nephrectomy at a postoperative six months in living kidney donors.To investigate the clinical efficacy and safety of ultrasound-guided percutaneous nephrolithotomy(PCNL) assisted by a puncture frame. Materials and Methods Clinical data of 106 patients with kidney stones who underwent ultrasound-guided percutaneous nephrolithotomy from October 2016 to December 2017 in our hospital were analyzed retrospectively. The channels were established by the assistance of the puncture frame. Results The average puncture time was (35±18)s, the puncture was performed for (1.3±0.9) times on average. The puncture was successfully performed at one time in 73 cases. The operation time was (67.3±39.2)min, and the intraoperative blood loss was (48±22) ml. The stones were located on the left in 50 cases, and on the right in 56 cases, The channels were established through the upper, middle and lower calyces of the kidney in 78, 20, and 8 cases, respectively. The puncture sites were located on the upper and lower 12th rib in 81 v.s 25 cases. Intraoperative and postoperative blood transfusion was given in 4 cases, pleural injuries occurred in 2 patients, and hydropneumothorax occurred in one case and closed thoracic drainage was performed.