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Article ; Online: Robotic-assisted surgery for gynecological indications in children and adolescents: European multicenter report.

Esposito, Ciro / Blanc, Thomas / Di Mento, Claudia / Ballouhey, Quentin / Fourcade, Laurent / Mendoza-Sagaon, Mario / Chiodi, Annalisa / Cardone, Roberto / Escolino, Maria

Journal of robotic surgery

2024 Volume 18, Issue 1, Page(s) 20

Abstract: Robotic-assisted surgery (RAS) is increasingly adopted in the pediatric population. This retrospective multicenter study aimed to report application of RAS for gynecological indications in pediatric patients. The medical records of all girls with ... ...

Abstract	Robotic-assisted surgery (RAS) is increasingly adopted in the pediatric population. This retrospective multicenter study aimed to report application of RAS for gynecological indications in pediatric patients. The medical records of all girls with gynecological pathology, operated in 4 different institutions over a 3-year period, were retrospectively collected. Robot docking time, total operative time, length of stay (LOS), requirement time of pain medication, complication rate, conversion rate, and pathology were analyzed. Twenty-three girls, with median age of 12.3 years (range 0.6-17.8) and median weight of 47.2 kg (range 9-73), received the following RAS procedures: ovarian cystectomy for ovarian cyst/mass (n = 10), salpingo-oophorectomy for ovarian complex mass (n = 6), bilateral gonadectomy for Turner syndrome SRY + (n = 1), salpingectomy for fallopian tube lesion (n = 1), paratubal cyst excision (n = 1), Gartner cyst excision (n = 1), paravaginal ganglioneuroma resection (n = 1), fistula closure in urogenital sinus (n = 1), and vaginoplasty using ileal flap in cloaca malformation (n = 1). Median operative time was 144.9 min (range 64-360), and median docking time was 17.3 min (range 7-50). Conversion to open or laparoscopy was not necessary in any case. Median LOS was 2.1 days (range 1-7), and median analgesic requirement was 2.2 days (range 1-6). One patient (4.3%) needed redo-surgery for recurrent Gartner cyst (Clavien 3b). This preliminary experience showed that RAS is safe and feasible for surgical treatment of gynecological pathology in pediatric patients, although no conclusive data are available to confirm its superiority over traditional laparoscopy. Randomized, prospective, comparative studies are needed to identify the gold standard approach for such indication.
MeSH term(s)	Female ; Humans ; Child ; Adolescent ; Infant ; Child, Preschool ; Robotic Surgical Procedures/methods ; Retrospective Studies ; Prospective Studies ; Laparoscopy ; Cysts ; Treatment Outcome
Language	English
Publishing date	2024-01-13
Publishing country	England
Document type	Multicenter Study ; Journal Article
ZDB-ID	2268283-1
ISSN	1863-2491 ; 1863-2483
ISSN (online)	1863-2491
ISSN	1863-2483
DOI	10.1007/s11701-023-01767-9
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Article ; Online: A prospective study to evaluate the contribution of the pediatric appendicitis score in the decision process.

Vevaud, Kevin / Dallocchio, Aymeric / Dumoitier, Nathalie / Laspougeas, Alban / Labrunie, Anaïs / Belgacem, Alexis / Fourcade, Laurent / Ballouhey, Quentin

BMC pediatrics

2024 Volume 24, Issue 1, Page(s) 131

Abstract: Background: The objective of this study was to assess the likelihood of acute appendicitis (AA) in children presenting with abdominal symptoms at the emergency department (ED), based on their prior primary care (PC) consultation history.: Methods: ... ...

Abstract	Background: The objective of this study was to assess the likelihood of acute appendicitis (AA) in children presenting with abdominal symptoms at the emergency department (ED), based on their prior primary care (PC) consultation history. Methods: Between February and June 2021, we prospectively enrolled all children presenting at the ED with acute abdominal pain indicative of possible acute appendicitis (AA). Subsequently, they were categorized into three groups: those assessed by a PC physician (PG), those brought in by their family without a prior consultation (FG), and those admitted after a PC consultation without being assessed as such. The primary objective was to assess the probability of AA diagnosis using the Pediatric Appendicitis Score (PAS). Secondary objectives included analyzing PAS and C-reactive protein (CRP) levels based on the duration of pain and final diagnoses. Results: 124 children were enrolled in the study (PG, n = 56; FG, n = 55; NG, n = 13). Among them, 29 patients (23.4%) were diagnosed with AA, with 13 cases (23.2%) from the PG and 14 cases (25.4%) from the FG. The mean PAS scores for AA cases from the PG and FG were 6.69 ± 1.75 and 7.57 ± 1.6, respectively, (p = 0.3340). Both PAS scores and CRP levels showed a significant correlation with AA severity. No cases of AA were observed with PAS scores < 4. Conclusions: There was no significant difference in PAS scores between patients addressed by PG and FG, even though PAS scores tended to be higher for patients with AA. We propose a new decision-making algorithm for PC practice, which incorporates inflammatory markers and pain duration. Trial registration: Institutional Ethics Committee registration number: 447-2021-103 (10/01/2021). Clinical trials registration number: ClinicalTrials.gov Identifier: NCT04885335 (Registered on 13/05/2021).
MeSH term(s)	Child ; Humans ; Appendicitis/diagnosis ; Appendicitis/complications ; Prospective Studies ; Abdominal Pain/etiology ; Abdominal Pain/complications ; Leukocyte Count ; Abdomen, Acute ; Acute Disease ; Sensitivity and Specificity
Language	English
Publishing date	2024-02-19
Publishing country	England
Document type	Journal Article
ZDB-ID	2041342-7
ISSN	1471-2431 ; 1471-2431
ISSN (online)	1471-2431
ISSN	1471-2431
DOI	10.1186/s12887-024-04619-z
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Article ; Online: Bertolotti's syndrome in children: From low-back pain to surgery. A case report.

Cuenca, C / Bataille, J / Ghouilem, M / Ballouhey, Q / Fourcade, L / Marcheix, P-S

Neuro-Chirurgie

2019 Volume 65, Issue 6, Page(s) 421–424

Abstract: Bertolotti's syndrome is a little-known and little-discussed pathology. We report the case of a 13-year-old child diagnosed with Bertolotti's syndrome after several years of functional complaints. Conventional radiography was used to diagnose the ... ...

Abstract	Bertolotti's syndrome is a little-known and little-discussed pathology. We report the case of a 13-year-old child diagnosed with Bertolotti's syndrome after several years of functional complaints. Conventional radiography was used to diagnose the transverse mega-apophysis of L5, while sectional and functional imaging confirmed a lumbosacral-iliac impingement. In view of the transient efficacy of medical management, surgical resection of the transverse mega-apophysis was performed. The medium-term decline in symptoms was excellent and the patient resumed physical activities without limitation or pain.
MeSH term(s)	Adolescent ; Humans ; Image Processing, Computer-Assisted ; Low Back Pain/surgery ; Lumbar Vertebrae/surgery ; Lumbosacral Region/diagnostic imaging ; Lumbosacral Region/surgery ; Male ; Neurosurgical Procedures ; Treatment Outcome
Language	English
Publishing date	2019-07-10
Publishing country	France
Document type	Case Reports ; Journal Article
ZDB-ID	207146-0
ISSN	1773-0619 ; 0028-3770 ; 0150-9586
ISSN (online)	1773-0619
ISSN	0028-3770 ; 0150-9586
DOI	10.1016/j.neuchi.2019.06.004
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Article ; Online: Evaluation of surgical outcomes of calcaneonavicular coalition and too-long anterior process in children: A prospective study.

Lescot, Timothé / Compagnon, Roxane / Accadbled, Franck / Sales de Gauzy, Jérôme / Mouliès, Dominique / Mihluedo, Louis / Fourcade, Laurent / Ballouhey, Quentin

Orthopaedics & traumatology, surgery & research : OTSR

2023 , Page(s) 103620

Abstract: Introduction: Calcaneonavicular coalitions (CC) affect approximately 1% of the general population. CC or Too-long anterior process (TLAP) result in "repeated sprains" that can be associated with foot and/or ankle chronic pain. The main objective of this ...

Abstract	Introduction: Calcaneonavicular coalitions (CC) affect approximately 1% of the general population. CC or Too-long anterior process (TLAP) result in "repeated sprains" that can be associated with foot and/or ankle chronic pain. The main objective of this study was to analyze the effectiveness of surgery using the AOFAS score. Hypothesis: Functional results after surgical treatment of CC or TLAP are not as good as expected. Materials and methods: A single-center prospective study was carried out at our University Hospital from 01/01/2019 to 06/01/2021. The patients included were operated on in the pediatric surgery department for CC or TLAP resection by direct approach after MRI confirmation and failure of non-operative treatment. A survey evaluating the AOFAS score as well as the number of ankle sprains and the intensity of pain was undertaken at the preoperative consultation and then at three and twelve months postoperatively. Results: A total of 17 feet in 16 patients (14 girls and 2 boys) comprising 12 TLAP and 5 CC were included. The AOFAS score was statistically significantly increased (58.6 vs. 82.9; p<0.001) postoperatively. No statistical difference was noted between the follow-up visits at three and twelve months. At the twelve-month follow-up, 9 out of 16 patients (56.2%) still reported activity restrictions; mainly linked to the persistence of chronic pain, and 10 out of 16 patients (62.5%) reported a feeling of instability. Discussion: CC and TLAP surgery rapidly improves function but it does not dramatically reduce foot pain and activity restrictions. A dedicated score would be useful to identify patients who will benefit the most from surgery. Level of evidence: IV; prospective study.
Language	English
Publishing date	2023-04-11
Publishing country	France
Document type	Journal Article
ISSN	1877-0568
ISSN (online)	1877-0568
DOI	10.1016/j.otsr.2023.103620
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Article ; Online: Efficiency of non-operative management for pectus deformities in children using an X-ray-free protocol.

Belgacem, Alexis / Tricard, Jérémy / Dutoit, Alexandre / Grosos, Céline / Auditeau, Emilie / Masselin, Mathilde Casson / Fourcade, Laurent / Ballouhey, Quentin

Interdisciplinary cardiovascular and thoracic surgery

2023 Volume 36, Issue 6

Abstract: Objectives: The aim of this study was to explore the correlation between the Haller index (HI), the external depth of protrusion and the external Haller index (EHI) for both pectus excavatum (PE) and pectus carinatum (PC) and to assess the variation in ... ...

Abstract	Objectives: The aim of this study was to explore the correlation between the Haller index (HI), the external depth of protrusion and the external Haller index (EHI) for both pectus excavatum (PE) and pectus carinatum (PC) and to assess the variation in the HI during this first year of non-operative treatment for pectus deformities in children. Methods: From January 2018 to December 2022, all children treated for PE by vacuum bell and for PC by compression therapy at our institution were evaluated by external gauge, 3D scanning (iPad with Structure Sensor and Captevia-Rodin4D) and magnetic resonance imaging (MRI). The main objectives were to assess the effectiveness of the treatment during the first year and to compare the HI determined by MRI to the EHI evaluated with 3D scanning and external measurements. The HI determined by MRI was compared to the EHI evaluated with 3D scanning and external measurements at M0 and M12. Results: A total of 118 patients (80 PE and 38 PC) had been referred for pectus deformity. Of these, 79 met the inclusion criteria (median age 13.7 years, 8.6-17.8). There was a statistically significant difference in the external measurements of the depth for PE between M0 and M12: 23.0 ± 7.2 vs 13.8 ± 6.1 mm, respectively, P < 0.05, and for PC 31.1 ± 10.6 vs 16.7 ± 8.9 mm, respectively, P < 0.01. During this first year of treatment, the reduction in the external measurement increased more rapidly for PE compared with PC. We found a strong correlation between the HI by MRI and the EHI by 3D scanning for PE (Pearson coefficient = 0.910, P < 0.001) and for PC (Pearson coefficient = 0.934, P < 0.001). A correlation between the EHI by 3D scanning and the external measurements by profile gauge was found for PE (Pearson coefficient = 0.663, P < 0.001) but not for PC. Conclusions: Excellent results were observed as soon as the sixth month for both PE and PC. Measurement of protrusion is a reliable monitoring tool at clinical consultation but caution is required for PC as it does not appear to be correlated to the HI by MRI.
Language	English
Publishing date	2023-05-26
Publishing country	England
Document type	Journal Article
ISSN	2753-670X
ISSN (online)	2753-670X
DOI	10.1093/icvts/ivad093
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Article ; Online: Hemolytic uremic syndrome following complicated appendicitis in a child: what is the missing link?

Belgacem, Alexis / Miane, Hortense / Fillali, Wasfi / Hangard, Pauline / Ponthier, Laure / Ballouhey, Quentin

The Journal of international medical research

2021 Volume 49, Issue 4, Page(s) 3000605211006952

Abstract: We herein describe an 18-month-old boy who underwent initially successful surgical and antibiotic treatment of complicated appendicitis with postoperative occurrence of hemolytic uremic syndrome (HUS). This complication was due to Shiga toxin- ... ...

Abstract	We herein describe an 18-month-old boy who underwent initially successful surgical and antibiotic treatment of complicated appendicitis with postoperative occurrence of hemolytic uremic syndrome (HUS). This complication was due to Shiga toxin-producing
MeSH term(s)	Anti-Bacterial Agents/therapeutic use ; Appendicitis/complications ; Appendicitis/surgery ; Child ; Escherichia coli Infections/drug therapy ; Hemolytic-Uremic Syndrome/drug therapy ; Hemolytic-Uremic Syndrome/etiology ; Humans ; Infant ; Male ; Shiga-Toxigenic Escherichia coli
Chemical Substances	Anti-Bacterial Agents
Language	English
Publishing date	2021-04-11
Publishing country	England
Document type	Journal Article
ZDB-ID	184023-x
ISSN	1473-2300 ; 0300-0605 ; 0142-2596
ISSN (online)	1473-2300
ISSN	0300-0605 ; 0142-2596
DOI	10.1177/03000605211006952
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Article ; Online: Pediatric robot-assisted extravesical ureteral reimplantation (revur) in simple and complex ureter anatomy: Report of a multicenter experience.

Esposito, Ciro / Masieri, Lorenzo / Fourcade, Laurent / Ballouhey, Quentin / Varlet, Francois / Scalabre, Aurelien / Castagnetti, Marco / El Ghoneimi, Alaa / Escolino, Maria

Journal of pediatric urology

2022 Volume 19, Issue 1, Page(s) 136.e1–136.e7

Abstract: Background: Robot-assisted extravesical ureteral reimplantation (REVUR) is a well established approach for surgical treatment of pediatric vesicoureteral reflux (VUR). However, further evidence is needed to confirm its efficacy even in case of complex ... ...

Abstract	Background: Robot-assisted extravesical ureteral reimplantation (REVUR) is a well established approach for surgical treatment of pediatric vesicoureteral reflux (VUR). However, further evidence is needed to confirm its efficacy even in case of complex anatomy. Objective: This study aimed to further confirm the evidence that REVUR is safe and effective in both simple and complex ureter anatomy. Study design: The charts of all patients with VUR, who received REVUR in 6 different institutions over a 5-year period, were retrospectively reviewed. Patients with both simple and complex ureter anatomy were included. Patient demographics, surgical variables, and post-operative results were assessed. VUR resolution was defined as either being resolved VUR on voiding cystourethrogram (VCUG) or clinically without symptoms during the follow-up. Results: Fifty-seven patients with median age of 6.9 years (range 4.5-12), receiving REVUR in the study period, were included. Eighteen (31.6%) patients had complex anatomy and included prior failed endoscopic injection (n = 13), complete ureteral duplication (n = 2), periureteral diverticulum (n = 2), ectopic megaureter requiring dismembering (n = 1). The median operative time was 155 min for unilateral and 211.5 min for bilateral repairs. The clinical + radiographic VUR resolution rate was 96.5%. Post-operative complications (Clavien 2) included urinary retention following bilateral repair (n = 5, 8.7%), febrile urinary tract infection (UTI) (n = 6, 10.5%) and gross hematuria (n = 3, 5.2%). Comparative analysis between simple and complex cases showed that REVUR was faster in simple cases in both unilateral [p = 0.002] and bilateral repair [p = 0.001] and post-operative urinary retention was more frequent in simple cases [p = 0.004] and in patients with pre-operative bowel and bladder dysfunction (BBD) [p = 0.001] (Table). Discussion: This series confirmed that the robot-assisted technique was feasible even in cases with complex anatomy using some technical refinements, that justified the longer operative times in both unilateral and bilateral cases. An interesting finding of this study was the correlation emerged between BBD and risk of post-operative urinary retention and VUR persistence. Our results also excluded any significant correlation between complex cases and risk of post-operative urinary retention. The main study limitations included the retrospective and nonrandomized design, the small number of cases and the arbitrary definition of complex anatomy. Conclusion: REVUR was safe and effective for management of VUR in both simple and complex ureter anatomy. Complex REVUR required slightly longer operative times, without significant differences in post-operative mordidity and success rates. Aside from complex anatomy, BBD emerged as the main risk factor associated with surgical failure and post-operative morbidity.
MeSH term(s)	Humans ; Child ; Child, Preschool ; Ureter/surgery ; Retrospective Studies ; Urinary Retention ; Robotics ; Treatment Outcome ; Robotic Surgical Procedures/methods ; Laparoscopy/methods ; Vesico-Ureteral Reflux/surgery ; Replantation/methods ; Postoperative Complications/epidemiology ; Postoperative Complications/surgery
Language	English
Publishing date	2022-10-22
Publishing country	England
Document type	Multicenter Study ; Journal Article
ZDB-ID	2237683-5
ISSN	1873-4898 ; 1477-5131
ISSN (online)	1873-4898
ISSN	1477-5131
DOI	10.1016/j.jpurol.2022.10.024
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Zs.A 6387: Show issues

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Article ; Online: Transition effects from laparocscopic to robotic surgery skills in small cavities.

Moncayo, S / Compagnon, R / Caire, F / Grosos, C / Bahans, C / Ilhero, P / Fourcade, L / Ballouhey, Q

Journal of robotic surgery

2019 Volume 14, Issue 3, Page(s) 525–530

Abstract: Conventional laparoscopic surgery (LS) is being challenged by the ever-increasing use of robotic surgery (RS) to perform reconstructive procedures. The purpose of this study was to assess the acquisition of skills in both techniques and the potential ... ...

Abstract	Conventional laparoscopic surgery (LS) is being challenged by the ever-increasing use of robotic surgery (RS) to perform reconstructive procedures. The purpose of this study was to assess the acquisition of skills in both techniques and the potential transfer of skills from one technique to the other when restricted spaces are involved. A preclinical randomized crossover study design was implemented. Twelve subjects performed two different reproducible drill procedures: "Thread the Ring" (TR) and "Transfer the Plot" (TP). To assess surgical proficiency in confined workspaces, these exercises were performed with LS and RS technology in a pediatric laparoscopic surgery (PLS) simulator. Each performance was recorded and evaluated by two reviewers using objective structured assessment of technical skills (OSATS). The times to complete the TP and the TR procedure were significantly shorter with RS compared to LS (64 s vs. 319 s; p < 0.0001 for both TP and TR). A significant transfer effect of skills between LS and RS was noted for the TP exercise (p = 0.006). The percentage improvement was greater overall with LS, meaning a higher number of trials were required to adequately master the procedure. This study demonstrated that RS performed significantly better compared to LS on pediatric simulation devices. A transfer effect was identified from LS to RS exclusively. The learning curves showed that progression was definitely longer with LS. These results, indicate that novice surgeons should be encouraged to persist with learning LS, and they support the use of a pediatric robotic simulation device.
MeSH term(s)	Adult ; Clinical Competence ; Cross-Over Studies ; Education, Medical/methods ; Female ; Humans ; Laparoscopy/education ; Laparoscopy/methods ; Learning Curve ; Male ; Reconstructive Surgical Procedures/education ; Reconstructive Surgical Procedures/methods ; Robotic Surgical Procedures/education ; Robotic Surgical Procedures/methods ; Simulation Training/methods ; Students, Medical ; Young Adult
Language	English
Publishing date	2019-09-12
Publishing country	England
Document type	Journal Article
ZDB-ID	2268283-1
ISSN	1863-2491 ; 1863-2483
ISSN (online)	1863-2491
ISSN	1863-2483
DOI	10.1007/s11701-019-01024-y
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Article: Mise au point sur la prise en charge des traumatismes de l'urètre antérieur de l'enfant.

Sanson, S / Ballouhey, Q / Abbo, O / Galinier, P

Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie

2013 Volume 23, Issue 6, Page(s) 410–414

Abstract: Introduction: Anterior urethral injuries are a rare entity in the pediatric age group. Data of the literature are limited to the injuries of the posterior urethra. The aim of this study was to take stock of the initial management of this disease, from ... ...

Title translation	Pediatric anterior urethral injuries: time to take stock.
Abstract	Introduction: Anterior urethral injuries are a rare entity in the pediatric age group. Data of the literature are limited to the injuries of the posterior urethra. The aim of this study was to take stock of the initial management of this disease, from our experience and data of the literature. Patients and methods: A literature review and a retrospective study were conducted. We used our department database to find all the patients treated for anterior urethral injuries at the Children's Hospital of Toulouse between 2000 and 2011. Data on patients with trauma of the anterior urethra were analysed. Results: Among the 13 patients treated for urethral injuries, seven patients had trauma to the anterior urethra. The initial symptom was an acute retention of urine in three cases (43%) and urethral bleeding in six cases (85%). All patients with acute retention of urine had emergency management consisting in endoscopic realignment and urinary diversion by suprapubic catheter. Patients with hematuria were treated with paracetamol and non-steroidal anti-inflammatory. After a mean follow-up of 507 days (332-893), none had dysuria and no posttraumatic stenosis has been demonstrated in uroflowmetry. Conclusion: In our experience, the trauma of the anterior urethra of the child had a satisfactory development through appropriate management. Clinical and uroflometry follow-up is necessary.
MeSH term(s)	Child ; Decision Trees ; Humans ; Retrospective Studies ; Urethra/injuries ; Urethra/surgery
Language	French
Publishing date	2013-05
Publishing country	France
Document type	English Abstract ; Journal Article ; Review
ZDB-ID	1186190-3
ISSN	1166-7087
ISSN	1166-7087
DOI	10.1016/j.purol.2013.01.012
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Article ; Online: Robot-assisted laparoscopic pyeloplasty (RALP) in children with complex pelvi-ureteric junction obstruction (PUJO): results of a multicenter European report.

Esposito, Ciro / Masieri, Lorenzo / Blanc, Thomas / Musleh, Layla / Ballouhey, Quentin / Fourcade, Laurent / Escolino, Maria

World journal of urology

2020 Volume 39, Issue 5, Page(s) 1641–1647

Abstract: Purpose: This study aimed to report a multi-institutional retrospective case series of outcomes after robot-assisted laparoscopic pyeloplasty (RALP) in pediatric patients with complex pelvi-ureteric junction obstruction (PUJO).: Methods: All patients ...

Abstract	Purpose: This study aimed to report a multi-institutional retrospective case series of outcomes after robot-assisted laparoscopic pyeloplasty (RALP) in pediatric patients with complex pelvi-ureteric junction obstruction (PUJO). Methods: All patients undergoing complex RALP over the last 5 years were included. RALP was defined complex in the following cases of PUJO: anatomic variations including ectopic, malrotated, horseshoe, or duplex kidney and recurrent PUJO after failed open pyeloplasty. Results: Forty-eight patients underwent complex RALP in four European centers in the study period and included 18 girls and 30 boys with a median age of 8 years (range 5-12). The PUJO was associated with anatomic variations in 35/48 (72.9%), whereas a recurrent PUJO was present in 13/48 (27.1%). A dismembered Anderson-Hynes pyeloplasty was performed in all patients. The median operative time including docking was 178.5 min (range 117-255) and the median anastomotic time was 64.8 min (range 50-76). All patients were discharged on 2nd postoperative day (POD). The median follow-up was 18.2 months (range 14-43). The overall success rate was 95.8% (46/48). Early postoperative complications (< 30th POD) included urinary tract infections (UTIs) and stent-related irritative symptoms in 4/48 (8.3%) [II Clavien], whereas late complications (> 30th POD) included recurrence of PUJO in 2/48 (4.2%), who needed re-operation [IIIb Clavien]. Conclusions: RALP was safe, feasible, and with good mid-term outcome in complex PUJO. An accurate pre-operative planning, a standardized technique, and an experienced surgical robotic team represented key points to manage successfully such complex cases.
MeSH term(s)	Child ; Child, Preschool ; Europe ; Female ; Humans ; Hydronephrosis/congenital ; Hydronephrosis/surgery ; Kidney Pelvis/surgery ; Laparoscopy ; Male ; Multicystic Dysplastic Kidney/surgery ; Retrospective Studies ; Robotic Surgical Procedures ; Treatment Outcome ; Ureteral Obstruction/surgery ; Urologic Surgical Procedures/methods
Language	English
Publishing date	2020-06-27
Publishing country	Germany
Document type	Journal Article ; Multicenter Study
ZDB-ID	380333-8
ISSN	1433-8726 ; 0724-4983
ISSN (online)	1433-8726
ISSN	0724-4983
DOI	10.1007/s00345-020-03331-8
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