Additional Information
Book Details
Abstract
From the simple to the complex, Complications of Urologic Surgery, 5th Edition, by Drs. Samir S. Taneja and Ojas Shah, offers concise, to-the-point information on prevention and management strategies that help you provide the best patient care. Covering both office-based complications as well as common and uncommon surgical complications arising from open and minimally invasive urologic surgery, this updated, full-color volume is an invaluable resource for exam study or for convenient reference in everyday practice.
- Contains 14 new chapters including Management of Urine Leak, Urologic Surgery in the Pregnant Female, Complications of Gender Assignment Surgery, Urologic Surgery in the Previously Radiated Field, Complications of Robotic Pelvic Floor Reconstruction, and Complications of Robotic Cystectomy.
- Keeps you up to date with current preoperative management concerns including complications with effusion, hydrothorax, hemothorax, diaphragm injury, pneumonia, and air embolus.
- Features more than 180 superb new illustrations, graphs, and tables for easier understanding of complex concepts.
- Reviews new anticoagulant drugs and their risks and benefits.
- Provides thoroughly updated content on oncology, endourology, and pediatric surgeries – all areas experiencing tremendous changes since the previous edition.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | cover | ||
| Inside Front Cover | ifc1 | ||
| Complications of Urologic Surgery | i | ||
| Copyright Page | iv | ||
| Preface | v | ||
| Dedication | vii | ||
| Table Of Contents | ix | ||
| List of Contributors | xii | ||
| I Preoperative Assessment and Perioperative Management | 1 | ||
| 1 Impact of Host Factors and Comorbid Conditions | 2 | ||
| Chapter Outline | 2 | ||
| Key Points | 2 | ||
| Obesity | 3 | ||
| Obesity and Urologic Malignant Diseases | 4 | ||
| Prostate Cancer | 4 | ||
| Kidney Cancer | 5 | ||
| Bladder Cancer | 5 | ||
| Obesity and Benign Urologic Conditions | 6 | ||
| Benign Prostatic Hyperplasia and Lower Urinary Tract Symptoms | 6 | ||
| Erectile Dysfunction | 6 | ||
| Stress Urinary Incontinence | 6 | ||
| Urolithiasis | 6 | ||
| Malnutrition | 6 | ||
| Nutritional Status Assessment | 7 | ||
| Preoperative Management of Malnutrition | 7 | ||
| Infection and Urosepsis | 8 | ||
| Quantifying Comorbidity | 9 | ||
| Conclusion | 11 | ||
| References | 11 | ||
| References | 11.e3 | ||
| Chapter 1 Questions | 11.e1 | ||
| Answers | 11.e1 | ||
| 2 Preoperative Pulmonary Assessment and Management of Pulmonary Complications | 12 | ||
| Chapter Outline | 12 | ||
| Key Points | 12 | ||
| Preoperative Pulmonary Assessment | 13 | ||
| Patient Factors | 13 | ||
| Cigarette Smoking | 13 | ||
| Procedure Factors | 14 | ||
| Surgical Approach and Anatomic Considerations | 14 | ||
| Anesthesia | 14 | ||
| Preoperative Patient Evaluation | 14 | ||
| Preoperative Strategies | 15 | ||
| Postoperative Strategies | 15 | ||
| Incentive Spirometry and Deep Breathing Exercises | 15 | ||
| Early Mobilization | 15 | ||
| Pain Control | 15 | ||
| Nasogastric Tube | 15 | ||
| Bronchospasm | 15 | ||
| Atelectasis | 16 | ||
| Pleural Effusion | 16 | ||
| Postoperative Pneumonia | 16 | ||
| Postoperative Management for Patients With Obstructive Sleep Apnea | 17 | ||
| Complications Involving the Pleural Space | 17 | ||
| Pneumothorax | 17 | ||
| Chylothorax | 17 | ||
| Hemothorax | 17 | ||
| Hydrothorax | 18 | ||
| Pulmonary Embolism | 18 | ||
| Air Embolism | 18 | ||
| Pulmonary Complications of Open and Laparoscopic Urologic Surgery | 19 | ||
| Pulmonary Complications of Percutaneous Nephrolithotomy | 19 | ||
| Patients With Prior Bleomycin Chemotherapy | 19 | ||
| Conclusion | 20 | ||
| References | 20 | ||
| References | 20.e2 | ||
| Chapter 2 Questions | 20.e1 | ||
| Answers | 20.e1 | ||
| 3 Preoperative Cardiac Assessment and Management of Perioperative Cardiac Complications | 21 | ||
| Chapter Outline | 21 | ||
| Key Points | 21 | ||
| Introduction | 21 | ||
| Timing and Surgical Risk | 22 | ||
| Evaluating the Patient and Risk Stratification | 22 | ||
| Coronary Artery Disease | 23 | ||
| Preoperative | 23 | ||
| Postoperative | 24 | ||
| Congestive Heart Failure | 26 | ||
| II Common Surgical Considerations | 98 | ||
| 9 Complications of the Incision and Patient Positioning | 99 | ||
| Chapter Outline | 99 | ||
| Key Points | 99 | ||
| Seroma | 100 | ||
| Pathogenesis and Clinical Features | 100 | ||
| III Surgical Scenarios Predisposing to Complication | 177 | ||
| 16 Urologic Surgery in the Obese | 178 | ||
| Chapter Outline | 178 | ||
| Key Points | 178 | ||
| Condition-specific Considerations | 178 | ||
| Malignant Urologic Disease | 178 | ||
| Prostate Cancer and Radical Prostatectomy | 179 | ||
| IV Complications of Ambulatory Urologic Procedures | 211 | ||
| 20 Prostate Biopsy Complications | 212 | ||
| Chapter Outline | 212 | ||
| Key Points | 212 | ||
| Introduction | 212 | ||
| Prostate Biopsy Complications and Factors Influencing Complications | 213 | ||
| Bleeding Complications | 213 | ||
| Infectious Complications | 213 | ||
| Lower Urinary Tract Symptoms and Acute Urinary Retention | 214 | ||
| Erectile Dysfunction | 214 | ||
| Pain | 215 | ||
| Mortality | 215 | ||
| Complications of Alternative Biopsy Technique: Transperineal Biopsy | 215 | ||
| Methods to Decrease Complication Risks | 215 | ||
| Management of Complications | 216 | ||
| Conclusion | 217 | ||
| References | 217 | ||
| References | 217.e3 | ||
| Chapter 20 Questions | 217.e1 | ||
| Case Studies | 217.e1 | ||
| Case 1 | 217.e1 | ||
| V Complications of Endourologic Procedures | 255 | ||
| 25 Complications of Transurethral Resection of Bladder Tumors | 256 | ||
| Chapter Outline | 256 | ||
| Key Points | 256 | ||
| Introduction | 257 | ||
| General Considerations | 257 | ||
| Surgical Instrumentation | 257 | ||
| Irrigating Solutions | 257 | ||
| Patient Preparation | 258 | ||
| Preoperative Evaluation | 258 | ||
| Medication Counseling | 258 | ||
| Urine Culture and Antibiotic Prophylaxis | 258 | ||
| Anesthesia and Positioning | 258 | ||
| Anesthesia | 258 | ||
| Patient Positioning | 259 | ||
| Surgical Approach | 259 | ||
| Resection | 259 | ||
| Diffuse Carcinoma in Situ | 259 | ||
| Tumor Involving the Ureteral Orifice | 260 | ||
| Tumor on the Anterior Surface | 260 | ||
| Tumor at the Dome | 260 | ||
| Tumor at the Lateral Wall | 260 | ||
| Tumor in Bladder Diverticula | 260 | ||
| Restaging Transurethral Resection of Bladder Tumors | 260 | ||
| “Radical” Transurethral Resection of Bladder Tumors for Muscle Invasive Bladder Cancer | 261 | ||
| Monopolar Versus Bipolar Electrocautery | 261 | ||
| Reducing Cautery Artifact | 261 | ||
| Use of Lasers | 261 | ||
| Complications of Transurethral Resection of Bladder Tumors | 261 | ||
| Overall Morbidity and Mortality | 261 | ||
| Mechanical Difficulties | 261 | ||
| Problems of Instrument Introduction | 261 | ||
| Postoperative Bleeding | 262 | ||
| Bleeding Due to Unresectable Disease, Radiation, or Chemotherapy | 262 | ||
| Bladder Perforation | 262 | ||
| Transurethral Resection Syndrome | 263 | ||
| Infection | 263 | ||
| Urinary Retention | 263 | ||
| The Effect of Trainee Participation on Transurethral Resection of Bladder Tumor Complications | 264 | ||
| Complications of Post Transurethral Resection of Bladder Tumor Intravesical Chemotherapy | 264 | ||
| Conclusions | 264 | ||
| References | 264 | ||
| References | 264.e4 | ||
| Chapter 25 Questions | 264.e1 | ||
| Case Studies | 264.e2 | ||
| Case 1 | 264.e2 | ||
| Case 2 | 264.e2 | ||
| Answers | 264.e3 | ||
| Case 1 | 264.e3 | ||
| Case 2 | 264.e4 | ||
| 26 Complications of Endoscopic Procedures for Benign Prostatic Hyperplasia | 265 | ||
| Chapter Outline | 265 | ||
| Key Points | 265 | ||
| Introduction | 265 | ||
| Nonspecific Complications of Endoscopic Procedures for BPH | 266 | ||
| Intraoperative | 266 | ||
| Intraoperative Bleeding | 266 | ||
| Transurethral Resection Syndrome | 267 | ||
| False Urethral Passage | 268 | ||
| Injury to the Bladder or Ureteral Orifices | 268 | ||
| Injury Beyond the Prostate | 269 | ||
| Challenges to Initiating Treatment | 269 | ||
| Postoperative | 270 | ||
| Postoperative Bleeding | 270 | ||
| Infection | 270 | ||
| Urinary Incontinence | 271 | ||
| Urethral Stricture | 271 | ||
| Bladder Neck Contracture | 272 | ||
| Meatal Stenosis | 273 | ||
| Retrograde Ejaculation | 273 | ||
| Erectile Dysfunction | 273 | ||
| Need for Retreatment | 273 | ||
| Miscellaneous | 273 | ||
| Conclusions | 274 | ||
| Chapter 26 Questions | 274.e1 | ||
| Case Studies | 274.e1 | ||
| Case 1 | 274.e1 | ||
| Case 2 | 274.e2 | ||
| Answers | 274.e2 | ||
| Case 1 | 274.e3 | ||
| Case 2 | 274.e3 | ||
| References | 274 | ||
| References | 274.e3 | ||
| 27 Complications of Ureteroscopic Surgery | 275 | ||
| Chapter Outline | 275 | ||
| Key Points | 275 | ||
| Introduction | 275 | ||
| Patient Selection | 276 | ||
| Renal and Ureteral Stones | 276 | ||
| Upper Urinary Tract Strictures | 276 | ||
| Upper Urinary Tract Urothelial Carcinoma | 276 | ||
| Contraindications | 276 | ||
| Preparation | 276 | ||
| Preoperative Assessment | 276 | ||
| Perioperative Preparation | 277 | ||
| Technique of Upper Urinary Tract Endoscopy | 277 | ||
| Cystoscopy and Initial Upper Urinary Tract Access | 277 | ||
| Negotiating the Obstruction | 277 | ||
| Maintaining Access | 277 | ||
| Entry of the Ureteroscope | 278 | ||
| Endoscopy | 279 | ||
| Intraoperative Complications | 279 | ||
| Ureteral Bleeding | 280 | ||
| Low-Grade Ureteral Injury | 281 | ||
| High-Grade Ureteral Injury | 281 | ||
| Failure and Conversion | 281 | ||
| Instrument Failure | 282 | ||
| Stone Retrieval Basket Failure. | 282 | ||
| Scope Damage and Durability. | 282 | ||
| Early Postoperative Complications | 283 | ||
| Infectious Complications | 283 | ||
| Cardiopulmonary Complications | 284 | ||
| Other Complications | 284 | ||
| Late Postoperative Complications | 284 | ||
| Ureteral Stricture | 284 | ||
| Retained and Encrusted Ureteral Stents | 285 | ||
| Conclusions | 285 | ||
| References | 285 | ||
| References | 285.e5 | ||
| Chapter 27 Questions | 285.e1 | ||
| Case Studies | 285.e2 | ||
| Case 1 | 285.e2 | ||
| Case 2 | 285.e2 | ||
| Answers | 285.e3 | ||
| Case 1 | 285.e4 | ||
| Case 2 | 285.e5 | ||
| 28 Complications of Percutaneous Renal Surgery | 286 | ||
| Chapter Outline | 286 | ||
| Key Points | 286 | ||
| Hemorrhage | 287 | ||
| Intraoperative Hemorrhage | 287 | ||
| Antegrade Endopyelotomy | 288 | ||
| Tubeless Percutaneous Renal Surgery | 288 | ||
| Postoperative Hemorrhage | 288 | ||
| Collecting System Injuries | 290 | ||
| Perforation and Extravasation | 290 | ||
| Ureteral Avulsion | 291 | ||
| Extrarenal and Extraureteral Stone Fragment Migration | 291 | ||
| Stricture | 291 | ||
| Infundibular Stenosis | 291 | ||
| Retained Foreign Bodies | 292 | ||
| Tumor Seeding | 292 | ||
| Nephrocutaneous Fistula | 293 | ||
| Injury Resulting From Energy Sources | 293 | ||
| Injury to Adjacent Structures | 293 | ||
| Lung and Pleura | 293 | ||
| Colon | 294 | ||
| Small Intestine | 295 | ||
| Liver, Gallbladder, and Spleen | 295 | ||
| Lymphatics | 296 | ||
| Medical Complications | 296 | ||
| Infection and Sepsis | 296 | ||
| Fluid Overload | 297 | ||
| Hypothermia | 297 | ||
| Positioning-Related Injuries | 297 | ||
| Air Embolism | 297 | ||
| Deep Vein Thrombosis and Pulmonary Embolism | 297 | ||
| Mortality | 297 | ||
| Loss of Renal Function | 298 | ||
| Conclusions | 298 | ||
| Chapter 28 Questions | 298.e1 | ||
| Cases Studies | 298.e2 | ||
| Case 1 | 298.e2 | ||
| Case 2 | 298.e2 | ||
| Answers | 298.e3 | ||
| Case 1 | 298.e3 | ||
| Case 2 | 298.e3 | ||
| References | 298 | ||
| References | 298.e3 | ||
| 29 Complications of Extracorporeal Shock Wave Lithotripsy | 299 | ||
| Chapter Outline | 299 | ||
| Key Points | 299 | ||
| Hematoma | 299 | ||
| Steinstrasse | 301 | ||
| Sepsis | 301 | ||
| Cardiac Arrhythmias | 302 | ||
| Vascular Injury | 302 | ||
| Adjacent Organ Injury | 303 | ||
| Urinary Fistulas | 303 | ||
| Hypertension | 303 | ||
| Renal Insufficiency | 304 | ||
| Diabetes Risk | 305 | ||
| Fertility Effects | 305 | ||
| Potential Long-term Complications | 305 | ||
| Strategies to Reduce Risk of Complications | 305 | ||
| Conclusions | 306 | ||
| References | 306 | ||
| References | 306.e3 | ||
| Chapter 29 Questions | 306.e1 | ||
| Case Studies | 306.e1 | ||
| Case 1 | 306.e1 | ||
| VI Complications of Laparoscopic/Robotic Procedures | 307 | ||
| 30 Special Considerations in Laparoscopy | 308 | ||
| Chapter Outline | 308 | ||
| Key Points | 308 | ||
| Introduction | 308 | ||
| Patient Selection and Anesthetic Considerations | 308 | ||
| Positioning | 309 | ||
| Access Injuries | 310 | ||
| Minor Vascular Injuries | 311 | ||
| Major Vascular Injuries | 312 | ||
| Superior Mesenteric Artery Injury | 313 | ||
| Electrosurgery | 313 | ||
| Mechanical Failure | 316 | ||
| Visceral Injuries | 317 | ||
| Pleural/Diaphragmatic Injury | 318 | ||
| Conclusions | 318 | ||
| References | 318 | ||
| References | 318.e2 | ||
| Chapter 30 Questions | 318.e1 | ||
| Answers | 318.e1 | ||
| 31 Special Considerations in Robot-Assisted Surgery | 319 | ||
| Chapter Outline | 319 | ||
| Key Points | 319 | ||
| Introduction | 319 | ||
| Patient Selection and Preparation | 319 | ||
| Robotic-team Approach | 320 | ||
| Patient Positioning | 320 | ||
| Effects of Pneumoperitoneum | 323 | ||
| Team Communication | 323 | ||
| Robotic System Failure | 324 | ||
| Conclusions | 325 | ||
| References | 325 | ||
| References | 325.e2 | ||
| Chapter 31 Questions | 325.e1 | ||
| Answers | 325.e1 | ||
| 32 Complications of Robotic-Assisted Laparoscopic Radical Prostatectomy | 326 | ||
| Chapter Outline | 326 | ||
| Key Points | 326 | ||
| Preoperative Considerations | 327 | ||
| Complications of Positioning | 328 | ||
| Complications of Access | 329 | ||
| Port Insertion/Insufflation | 329 | ||
| Bowel Injury | 330 | ||
| Bladder Injury | 330 | ||
| Retroperitoneal Vascular Injury | 330 | ||
| Epigastric/Abdominal Wall Vascular Injury | 330 | ||
| Intraoperative Surgical Complications | 331 | ||
| Bleeding | 331 | ||
| Visceral Injury: Bladder, Bowel, and Rectum | 332 | ||
| Ureteral Injury | 334 | ||
| Nerve Injury | 334 | ||
| Early Postoperative Complications | 334 | ||
| Bleeding | 334 | ||
| Anastomotic Urine Leak | 335 | ||
| Lymphocele | 336 | ||
| Urinary Tract and Wound Infection | 336 | ||
| Thromboembolic Complications | 337 | ||
| Port Site Hernia | 337 | ||
| Late Postoperative Consequences | 337 | ||
| Incontinence | 337 | ||
| Impotence | 338 | ||
| Oncologic Outcomes | 338 | ||
| References | 338 | ||
| References | 338.e3 | ||
| Further Reading | 338.e5 | ||
| Chapter 32 Questions | 338.e1 | ||
| Case Study 1 | 338.e1 | ||
| Case Study 2 | 338.e2 | ||
| Answers | 338.e2 | ||
| Case Study 1 | 338.e3 | ||
| Case Study 2 | 338.e3 | ||
| 33 Complications of Robotic Pelvic Floor Reconstruction | 339 | ||
| Chapter Outline | 339 | ||
| Key Points | 339 | ||
| Preoperative Considerations | 340 | ||
| Patient Positioning and Surgical Setup | 341 | ||
| Intraoperative Complications | 343 | ||
| Bowel Complications | 343 | ||
| Hemorrhagic Complications | 343 | ||
| Urologic Complications | 344 | ||
| Vaginal Complications | 346 | ||
| Postoperative Complications | 346 | ||
| Infectious Complications | 346 | ||
| Thromboembolic Complications | 347 | ||
| Bowel Complications | 347 | ||
| Complications Related to Synthetic Mesh | 347 | ||
| De Novo Incontinence | 348 | ||
| Conclusions | 348 | ||
| References | 348 | ||
| References | 348.e3 | ||
| Chaper 33 Questions | 348.e1 | ||
| Answers | 348.e1 | ||
| 34 Complications of Laparoscopic/Robotic Nephrectomy and Partial Nephrectomy | 349 | ||
| Chapter Outline | 349 | ||
| Key Points | 349 | ||
| Preoperative Considerations | 350 | ||
| Patient Selection | 350 | ||
| Operative Planning | 351 | ||
| Procedural Complications | 352 | ||
| Complications Related to Patient Positioning | 352 | ||
| Rhabdomyolysis | 353 | ||
| Nerve Injuries | 353 | ||
| Other Complications | 353 | ||
| Complications Related to Kidney Exposure | 353 | ||
| Vascular Injury | 354 | ||
| Bowel Injury | 355 | ||
| Spleen Injury | 355 | ||
| Pleural Injury | 355 | ||
| Pancreatic Injury | 355 | ||
| Hepatobiliary Injury | 355 | ||
| Chylous Ascites | 355 | ||
| Procedure-specific Considerations | 356 | ||
| Partial Nephrectomy | 356 | ||
| Bleeding | 356 | ||
| Urine Leak | 358 | ||
| Renal Function | 359 | ||
| Donor Nephrectomy | 360 | ||
| Simple Nephrectomy | 360 | ||
| Conclusions | 361 | ||
| References | 361 | ||
| References | 361.e5 | ||
| Chapter 34 Questions | 361.e1 | ||
| Case Study 1 | 361.e1 | ||
| Case Study 2 | 361.e2 | ||
| Answers | 361.e3 | ||
| Case Study 1 | 361.e4 | ||
| Case Study 2 | 361.e4 | ||
| 35 Complications of Robotic Upper Urinary Tract Reconstruction | 362 | ||
| Chapter Outline | 362 | ||
| Key Points | 362 | ||
| Preoperative Considerations | 362 | ||
| Operative Planning | 362 | ||
| Intraoperative Complications | 363 | ||
| Minimally Invasive Pyeloplasty | 363 | ||
| Minimally Invasive Ureteral Reconstruction | 363 | ||
| Minimally Invasive Ureterolysis | 364 | ||
| Minimally Invasive Buccal Mucosa Graft Ureteroplasty | 364 | ||
| Minimally Invasive Renal Autotransplantation | 364 | ||
| Postoperative Complications | 365 | ||
| Minimally Invasive Pyeloplasty | 365 | ||
| Minimally Invasive Ureterolysis | 366 | ||
| Minimally Invasive Ureteral Reimplantation | 367 | ||
| Minimally Invasive Ureteroureterostomy | 367 | ||
| Minimally Invasive Boari Flap | 368 | ||
| Minimally Invasive Buccal Mucosa Ureteroplasty | 368 | ||
| Minimally Invasive Ileal Ureter | 368 | ||
| Minimally Invasive Ureterocalicostomy | 368 | ||
| Minimally Invasive Transureteroureterostomy | 368 | ||
| Conclusions | 369 | ||
| References | 369 | ||
| References | 369.e4 | ||
| Chapter 35 Questions | 369.e1 | ||
| Case Studies | 369.e1 | ||
| Case 1 | 369.e1 | ||
| Case 2 | 369.e3 | ||
| Answers | 369.e4 | ||
| Case 1 | 369.e4 | ||
| Case 2 | 369.e4 | ||
| 36 Complications of Robotic Cystectomy | 370 | ||
| Chapter Outline | 370 | ||
| Key Points | 370 | ||
| Introduction | 371 | ||
| Review of Perioperative and Postoperative Complications | 371 | ||
| Comparisons Between Robotic and Open Radical Cystectomy | 371 | ||
| Factors Associated With Complications During Robotic Cystectomy | 372 | ||
| Perioperative Preparation | 373 | ||
| Patient Selection | 373 | ||
| Perioperative Pathways | 373 | ||
| Operative Equipment and Setup | 373 | ||
| Intraoperative Complications and Management | 374 | ||
| Ureteral Dissection | 374 | ||
| Posterior Dissection and Pedicles | 376 | ||
| Developing Space of Retzius and Prostate Dissection | 377 | ||
| Lymph Node Dissection | 377 | ||
| Issues Unique to Female Cystectomy | 378 | ||
| Urinary Diversion | 378 | ||
| Postoperative Complications and Management | 380 | ||
| Venous Thromboembolism | 380 | ||
| Wound Infection/Fascial Dehiscence | 381 | ||
| Lymphocele | 381 | ||
| Ileus | 382 | ||
| Anastomotic Leak and Enterocutaneous Fistula | 382 | ||
| Conclusions | 382 | ||
| References | 382 | ||
| References | 382.e4 | ||
| Chapter 36 Questions | 382.e1 | ||
| Case Studies | 382.e1 | ||
| Case 1 | 382.e1 | ||
| Case 2 | 382.e2 | ||
| Answers | 382.e3 | ||
| Case 1 | 382.e4 | ||
| Case 2 | 382.e4 | ||
| VII Complications of Extirpative Surgery | 383 | ||
| 37 Complications of Nephrectomy | 384 | ||
| Chapter Outline | 384 | ||
| Key Points | 384 | ||
| Preoperative Considerations | 385 | ||
| Cardiopulmonary Considerations | 385 | ||
| Urologic Considerations | 385 | ||
| Patient Preparation | 385 | ||
| General Medico-Renal Considerations | 385 | ||
| Surgical Approach | 385 | ||
| Site Verification | 385 | ||
| Anterior Incisions | 386 | ||
| Flank Incisions | 387 | ||
| Thoracoabdominal Incisions | 387 | ||
| Lumbodorsal Incisions | 388 | ||
| Intraoperative Complications | 388 | ||
| Hemorrhage | 388 | ||
| Arterial Anatomy | 388 | ||
| Venous Anatomy | 388 | ||
| Statistics of Hemorrhage | 388 | ||
| Preoperative Embolization | 388 | ||
| Vessel Dissection | 389 | ||
| Hematoma | 390 | ||
| Injury to Nearby Organs | 390 | ||
| Spleen | 390 | ||
| Pancreas | 390 | ||
| Duodenum | 391 | ||
| Liver | 391 | ||
| Colon and Stomach | 392 | ||
| Adrenal Glands | 392 | ||
| Diaphragm | 392 | ||
| Infection | 392 | ||
| Pneumonia | 393 | ||
| Abscess | 393 | ||
| Special Populations | 393 | ||
| Tumor Thrombus | 393 | ||
| Cytoreductive Nephrectomy | 395 | ||
| Locally Recurrent Disease | 395 | ||
| Donor Nephrectomy | 395 | ||
| Elderly Patients | 396 | ||
| Transitional Cell Carcinoma | 396 | ||
| References | 396 | ||
| References | 396.e4 | ||
| Chapter 37 Questions | 396.e1 | ||
| Case Studies | 396.e1 | ||
| Case 1 | 396.e1 | ||
| Case 2 | 396.e2 | ||
| Answers | 396.e3 | ||
| Case 1 | 396.e4 | ||
| Case 2 | 396.e4 | ||
| 38 Complications of Open Partial Nephrectomy | 397 | ||
| Chapter Outline | 397 | ||
| Key Points | 397 | ||
| Preoperative Considerations | 397 | ||
| Operative Planning | 398 | ||
| General Complications | 400 | ||
| Open Partial Nephrectomy: Incidence | 401 | ||
| Specific Complications | 403 | ||
| Positive Margin | 403 | ||
| Bleeding | 403 | ||
| Infarct | 405 | ||
| Urine Leak | 405 | ||
| Renal Function | 408 | ||
| Reoperation | 409 | ||
| Conclusions | 409 | ||
| References | 409 | ||
| References | 409.e3 | ||
| Chapter 38 Questions | 409.e1 | ||
| Answers | 409.e2 | ||
| 39 Complications of Adrenal Surgery | 410 | ||
| Chapter Outline | 410 | ||
| Key Points | 410 | ||
| General and Radiographic Workup and Adrenal Incidentaloma | 410 | ||
| Hyperaldosteronism | 412 | ||
| Cushing’s Syndrome | 412 | ||
| Pheochromocytoma | 413 | ||
| Adrenal Carcinoma | 413 | ||
| Metastasis to Adrenal | 414 | ||
| Surgical Approaches and Intraoperative Complications | 415 | ||
| Basic Description of the Different Surgical Approaches | 415 | ||
| Partial Adrenalectomy | 415 | ||
| Postoperative Complications and Patient Management | 416 | ||
| Hyperaldosteronism | 416 | ||
| Pheochromocytoma | 417 | ||
| Cushing’s Syndrome | 417 | ||
| References | 418 | ||
| References | 418.e2 | ||
| Chapter 39 Questions | 418.e1 | ||
| Case Study 1 | 418.e1 | ||
| Case Study 2 | 418.e1 | ||
| Case Study 3 | 418.e1 | ||
| VIII Complications of Reconstructive Surgery | 457 | ||
| 43 Complications of Ureteral Reconstructive Surgery | 458 | ||
| Chapter Outline | 458 | ||
| Key Points | 458 | ||
| Surgical Anatomy | 459 | ||
| Etiology and Epidemiology of Ureteral Injury | 459 | ||
| Diagnosis and Preoperative Planning | 460 | ||
| General Surgical Considerations | 461 | ||
| Surgical Management | 461 | ||
| Ureteroureterostomy | 461 | ||
| Ureteroneocystostomy (Ureteral Reimplant) | 462 | ||
| Vesicopsoas Hitch (Psoas Hitch) | 462 | ||
| Boari Bladder Flap | 463 | ||
| Renal Descensus (Nephropexy) | 464 | ||
| Buccal Mucosal Graft for Ureteroplasty | 464 | ||
| Transureteroureterostomy | 465 | ||
| Intestinal Interposition (Ileal Ureter) | 465 | ||
| Autotransplant | 466 | ||
| Ureteroenteric Anastomotic Stricture | 466 | ||
| Transplant Anastomotic Stricture | 467 | ||
| Ureterolysis | 467 | ||
| Postoperative Stenting and Drainage | 467 | ||
| General Complications and Management | 468 | ||
| Urine Leakage | 468 | ||
| Ureteral Stricture | 468 | ||
| References | 468 | ||
| References | 468.e4 | ||
| Chapter 43 Questions | 468.e1 | ||
| Case Study 1 | 468.e2 | ||
| Case Study 2 | 468.e2 | ||
| Answers | 468.e3 | ||
| Case Study 1 | 468.e4 | ||
| Case Study 2 | 468.e4 | ||
| 44 Complications of Renal Transplantation | 469 | ||
| Chapter Outline | 469 | ||
| Key Points | 469 | ||
| Basic Operative Procedure | 469 | ||
| Surgical Challenges | 470 | ||
| Multiple Vessels | 470 | ||
| Perioperative Anticoagulation | 470 | ||
| Severe Recipient Peripheral Vascular Disease | 470 | ||
| Poor Graft Perfusion | 470 | ||
| Bleeding | 470 | ||
| Immunosuppression Toxicity | 471 | ||
| Cardiovascular Disease | 471 | ||
| Urologic Complications | 471 | ||
| Urinary Extravasation | 471 | ||
| Obstruction | 471 | ||
| Reflux | 472 | ||
| Hematuria | 473 | ||
| Vascular Complications | 473 | ||
| Hematomas | 473 | ||
| Renal Artery Stenosis | 473 | ||
| Renal Artery Thrombosis | 475 | ||
| Renal Vein Thrombosis | 475 | ||
| Deep Vein Thrombosis and Pulmonary Embolism | 475 | ||
| Lymphocele | 476 | ||
| Arteriovenous Fistula | 476 | ||
| Graft Rejection | 476 | ||
| References | 477 | ||
| References | 477.e4 | ||
| Chapter 44 Questions | 477.e1 | ||
| Case Studies | 477.e1 | ||
| Case 1 | 477.e1 | ||
| Case 2 | 477.e2 | ||
| Answers | 477.e3 | ||
| Case 1 | 477.e3 | ||
| Case 2 | 477.e4 | ||
| 45 Complications of Conduit Urinary Diversion | 478 | ||
| Chapter Outline | 478 | ||
| Key Points | 478 | ||
| Preoperative Considerations | 479 | ||
| Selection of Bowel Segment | 479 | ||
| Selecting the Length of Bowel | 480 | ||
| Selecting the Site of Stoma | 480 | ||
| Extracorporeal versus Intracorporeal Laparoscopic Urinary Diversion | 482 | ||
| Complications | 482 | ||
| Conduit | 482 | ||
| Calculi | 482 | ||
| Malignant Disease | 483 | ||
| Bowel | 483 | ||
| Stoma | 483 | ||
| Parastomal Hernia or Prolapse | 484 | ||
| Stomal Stenosis | 486 | ||
| Ureterointestinal Anastomosis | 488 | ||
| Ureteroileal Anastomotic Leak | 489 | ||
| Anastomotic Strictures | 491 | ||
| Fate of the Kidney | 492 | ||
| Pyelonephritis and Renal Damage | 492 | ||
| Refluxing Versus Nonrefluxing Anastomoses | 492 | ||
| Double-barreled Wet Colostomy | 493 | ||
| Bacteriology of the Ileal Conduit | 493 | ||
| Other Potential Complications | 493 | ||
| References | 493 | ||
| References | 493.e4 | ||
| Chapter 45 Questions | 493.e1 | ||
| Case Study 1 | 493.e1 | ||
| Case Study 2 | 493.e3 | ||
| Answers | 493.e3 | ||
| Case Study 1 | 493.e4 | ||
| Case Study 2 | 493.e4 | ||
| 46 Complications of Continent Cutaneous Diversion | 494 | ||
| Chapter Outline | 494 | ||
| Key Points | 494 | ||
| Introduction | 495 | ||
| Prevention of Complications | 495 | ||
| Application to Robotic Surgery | 496 | ||
| Early Complications | 496 | ||
| Urine Leak | 496 | ||
| Necrosis of the Efferent Limb of the Pouch | 497 | ||
| Problems Related to Catheterization | 497 | ||
| Urinary Infection | 497 | ||
| Bowel Fistula to the Pouch and Other Bowel Complications | 497 | ||
| General Medical Complications and Complications Unrelated to the Diversion | 498 | ||
| Late Complications | 498 | ||
| Infections | 498 | ||
| Incontinence | 498 | ||
| Pouch Stones | 499 | ||
| Kidney Stones | 500 | ||
| Ureteral Pouch Obstruction | 500 | ||
| Stomal Stenosis and Difficulty With Catheterization | 501 | ||
| Conversion From a Continent to a Noncontinent Diversion | 502 | ||
| Afferent Antireflux Mechanism | 502 | ||
| Acute Pouch Rupture | 503 | ||
| Parastomal Hernia | 503 | ||
| Late Malignant Diseases | 504 | ||
| Conclusions | 504 | ||
| References | 504 | ||
| References | 504.e4 | ||
| Chapter 46 Questions | 504.e1 | ||
| Case Studies | 504.e2 | ||
| Case 1 | 504.e2 | ||
| Case 2 | 504.e2 | ||
| Answers | 504.e3 | ||
| Case 1 | 504.e4 | ||
| Case 2 | 504.e4 | ||
| 47 Complications of Orthotopic Neobladder | 505 | ||
| Chapter Outline | 505 | ||
| Key Points | 505 | ||
| Patient Selection and Contraindications to Orthotopic Diversion | 506 | ||
| Surgical Complications | 507 | ||
| Bowel Complications | 508 | ||
| Urethral Anastomotic Complications | 509 | ||
| Ureterointestinal Anastomotic Complications | 509 | ||
| Urolithiasis | 511 | ||
| Urinary Tract Colonization and Pyelonephritis | 511 | ||
| Fistulas | 512 | ||
| Voiding Dysfunction | 513 | ||
| Urethral and Pelvic Tumor Recurrence | 514 | ||
| Neobladder Rupture | 515 | ||
| References | 515 | ||
| References | 515.e5 | ||
| Chapter 47 Questions | 515.e1 | ||
| Case Studies | 515.e2 | ||
| Case 1 | 515.e2 | ||
| Case 2 | 515.e3 | ||
| Answers | 515.e3 | ||
| Case 1 | 515.e4 | ||
| Case 2 | 515.e4 | ||
| 48 Complications of Bladder Augmentation and Surgery for Neurogenic Bladder | 516 | ||
| Chapter Outline | 516 | ||
| Key Points | 516 | ||
| Introduction | 516 | ||
| Short-term Complications | 517 | ||
| Long-term Complications | 518 | ||
| Urinary Tract Infection and Bacteriuria | 518 | ||
| Stones | 519 | ||
| Perforation | 520 | ||
| Carcinoma | 520 | ||
| Metabolic Disorders | 520 | ||
| Bowel Dysfunction | 521 | ||
| Incontinence | 521 | ||
| Pregnancy | 522 | ||
| Conclusions | 522 | ||
| References | 522 | ||
| References | 522.e3 | ||
| Chapter 48 Questions | 522.e1 | ||
| Case Studies | 522.e1 | ||
| Case 1 | 522.e1 | ||
| Case 2 | 522.e2 | ||
| Answers | 522.e2 | ||
| Case 1 | 522.e3 | ||
| Case 2 | 522.e3 | ||
| 49 Complications of Female Incontinence Surgery | 523 | ||
| Chapter Outline | 523 | ||
| Key Points | 523 | ||
| Types of Incontinence | 523 | ||
| Types of Incontinence Operations | 524 | ||
| Stress Incontinence Operations | 524 | ||
| Urge Incontinence Operations | 525 | ||
| Prevention of Complications | 526 | ||
| Complications | 526 | ||
| Choice of Approach | 526 | ||
| Risk Factors | 527 | ||
| Complications Related to Stress Urinary Incontinence Surgery | 527 | ||
| Intraoperative Complications | 527 | ||
| Bleeding. | 527 | ||
| Urinary Tract Injury | 528 | ||
| Urethral Injury. | 528 | ||
| Bladder Injury. | 528 | ||
| Ureteral Injury. | 529 | ||
| Intraoperative Cystoscopy. | 529 | ||
| Bowel Injury. | 529 | ||
| Postoperative Complications | 529 | ||
| Voiding Dysfunction and Urinary Retention. | 529 | ||
| Vaginal Exposure and Urinary Tract Erosion. | 531 | ||
| Neuromuscular Injury. | 532 | ||
| Pain. | 532 | ||
| Sexual Dysfunction. | 533 | ||
| Other Postoperative Complications. | 533 | ||
| Urethral Bulking Agents | 533 | ||
| Complications Related to Urge Incontinence Surgery | 533 | ||
| Botulinum Toxin A | 533 | ||
| Sacral Neuromodulation | 534 | ||
| Conclusions | 534 | ||
| References | 534 | ||
| References | 534.e4 | ||
| Chapter 49 Questions | 534.e1 | ||
| Case Studies | 534.e2 | ||
| Case 1 | 534.e2 | ||
| Case 2 | 534.e2 | ||
| Answers | 534.e3 | ||
| Case 1 | 534.e3 | ||
| Case 2 | 534.e4 | ||
| 50 Complications of Surgery for Male Incontinence | 535 | ||
| Chapter Outline | 535 | ||
| Key Points | 535 | ||
| Introduction | 536 | ||
| Preoperative Considerations | 536 | ||
| Procedures for Male Incontinence | 536 | ||
| Artificial Urinary Sphincter | 536 | ||
| Male Slings | 537 | ||
| Fixed Male Slings | 537 | ||
| Bone-Anchored Sling. | 537 | ||
| Transobturator Sling. | 537 | ||
| Quadratic Sling. | 538 | ||
| Adjustable Male Slings | 538 | ||
| Adjustable Retropubic Slings. | 538 | ||
| Adjustable Transobturator Slings. | 539 | ||
| Inflatable Balloon Compression | 539 | ||
| Intraoperative Complications | 539 | ||
| Artificial Urinary Sphincter | 539 | ||
| Bleeding | 539 | ||
| Corporal Injury | 539 | ||
| Urethral Injury | 539 | ||
| Device Injury | 539 | ||
| Male Sling | 540 | ||
| Bleeding | 540 | ||
| Urethral Injury | 540 | ||
| Early Postoperative Complications | 540 | ||
| Artificial Urinary Sphincter | 540 | ||
| IX Complications of Pediatric Urologic Surgery | 580 | ||
| 54 Special Considerations in the Pediatric Patient | 581 | ||
| Chapter Outline | 581 | ||
| Key Points | 581 | ||
| Introduction | 581 | ||
| Preoperative Considerations | 581 | ||
| Psychological Preparation | 581 | ||
| Preoperative WorkUp | 582 | ||
| Medical Evaluation | 582 | ||
| Laboratory Evaluation | 582 | ||
| Important Medical Considerations | 582 | ||
| Bowel Preparation | 583 | ||
| Preoperative Fasting | 583 | ||
| Intraoperative Considerations | 584 | ||
| Robotic and Laparoscopic Considerations | 584 | ||
| Latex Precautions | 584 | ||
| Perioperative Antibiotics | 584 | ||
| Anesthesia | 584 | ||
| Hypothermia | 585 | ||
| Surgery Specific Complications | 585 | ||
| Complications of Circumcision | 585 | ||
| Complications of Inguinal Surgery | 586 | ||
| Orchidopexy | 586 | ||
| Hernia Repair and Inguinal Hydrocele Repair | 587 | ||
| Complications of Pyeloplasty | 587 | ||
| Postoperative Considerations | 588 | ||
| PostAnesthesia Care Considerations | 588 | ||
| Airway Obstruction | 588 | ||
| Nausea and Emesis | 588 | ||
| Surgical Site Infections | 588 | ||
| Fluid and Electrolyte Management | 588 | ||
| Pain Management | 589 | ||
| Ethics | 590 | ||
| Conclusions | 590 | ||
| References | 590 | ||
| References | 590.e2 | ||
| Chapter 54 Questions | 590.e1 | ||
| Answers | 590.e1 | ||
| 55 Complications of Pediatric Endoscopic Surgery | 591 | ||
| Chapter Outline | 591 | ||
| Key Points | 591 | ||
| Cystoscopic Interventions | 591 | ||
| Puncture of Ureterocele | 591 | ||
| Endoscopic Correction of Vesicoureteral Reflux | 592 | ||
| Incision of Posterior Urethral Valve | 592 | ||
| Nephrolithiasis | 593 | ||
| Introduction | 593 | ||
| Goals of Therapy | 593 | ||
| General Considerations | 593 | ||
| Radiation | 593 | ||
| Residual Fragments | 594 | ||
| Ancillary Procedures/Anesthesia | 594 | ||
| Ureteroscopy | 594 | ||
| Percutaneous Nephrolithotomy | 595 | ||
| Conclusions | 597 | ||
| References | 597 | ||
| References | 597.e2 | ||
| Chapter 55 Questions | 597.e1 | ||
| Case Study 1 | 597.e1 | ||
| Index | 675 | ||
| A | 675 | ||
| B | 676 | ||
| C | 678 | ||
| D | 680 | ||
| E | 680 | ||
| F | 681 | ||
| G | 682 | ||
| H | 682 | ||
| I | 683 | ||
| J | 684 | ||
| K | 684 | ||
| L | 684 | ||
| M | 685 | ||
| N | 686 | ||
| O | 687 | ||
| P | 688 | ||
| Q | 691 | ||
| R | 691 | ||
| S | 692 | ||
| T | 693 | ||
| U | 694 | ||
| V | 697 | ||
| W | 698 | ||
| X | 698 | ||
| Y | 698 | ||
| Inside Back Cover | ibc1 |