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4 results on '"Keiko Iguchi"'

1. Case in which percutaneous fibrin glue injection was useful for refractory urinary fistula following robot‐assisted partial nephrectomy

Author

Nao Yukimatsu, Takeshi Yamasaki, Keiko Iguchi, Taiyo Otoshi, Minoru Kato, and Junji Uchida

Subjects
fibrin glue, robot‐assisted partial nephrectomy, urinary fistula, Diseases of the genitourinary system. Urology, RC870-923
Abstract

Introduction Urinary fistula is a rare complication following robot‐assisted partial nephrectomy. For cases refractory to conservative treatment, only ureteral stent placement and percutaneous drainage are the established treatment alternatives. Case presentation A 44‐year‐old man presented with urinary fistula 3 weeks after robot‐assisted partial nephrectomy for right renal cell carcinoma. Follow‐up observations were conducted for 2 weeks; however, no improvements were observed. Additionally, the patient did not improve following percutaneous drainage and ureteral stent insertion. Subsequently, the patient received percutaneous injections of fibrin glue, with the urinary fistula showing significant improvements on the following day. Conclusion Our findings indicated that percutaneous fibrin glue injection can effectively treat refractory urinary fistula following partial nephrectomy.

Published
2024
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3. Characteristics of urodynamic study parameters associated with intermediate-term continence after robot-assisted radical prostatectomy in elderly patients

Author

Tomoaki Tanaka, Akinori Minami, Junji Uchida, Keiko Iguchi, Tatsuya Nakatani, and Katsuyuki Kuratsukuri

Subjects
Intermediate term, Male, Prostatectomy, medicine.medical_specialty, business.industry, medicine.medical_treatment, 030232 urology & nephrology, Urology, Prostatic Neoplasms, 030209 endocrinology & metabolism, Urinary incontinence, Robotics, 03 medical and health sciences, Urodynamics, 0302 clinical medicine, Urinary Incontinence, Robotic Surgical Procedures, medicine, Humans, Geriatrics and Gerontology, medicine.symptom, business, Maximum urethral closure pressure, Aged
Abstract

To investigate the relationship between urodynamic study (UDS) data and recovery of urinary incontinence (UI) in elderly patients who underwent robot-assisted radical prostatectomy (RARP).Seventy-five prostate cancer (PCa) patients received UDS before and at 3 months after RARP. They were divided into two groups; a younger group (70 years old,In the older group, preoperative maximum urethral closure pressure (MUCP) in the UI group was significantly lower than that in the UC group. Detrusor overactivity (DO) rate was significantly higher in the older UI group than in the older UC group at both pre- and 3 months post-RARP. Persistent DO rate pre- and post-RARP was significantly higher in the older group than in the younger group. Regardless of age, postoperative DO was an independent predictor of UI 6 months post-RARP.In elderly patients, low preoperative MUCP and both pre- and postoperative DO are associated with postoperative UI.

Published
2019

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