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Article ; Online: Re: Razdan et al.: The State of Robotic Partial Nephrectomy: Operative, Functional, and Oncological Outcomes From A Robust Multi-Institution Collaborative (Urology 2023;173:92-97).

Agarwal, Dinesh K / Dundee, Philip / Corcoran, Niall M

2023 Volume 183, Page(s) 304

MeSH term(s)	Humans ; Robotic Surgical Procedures ; Robotics ; Kidney Neoplasms/surgery ; Nephrectomy ; Treatment Outcome ; Retrospective Studies
Language	English
Publishing date	2023-10-23
Publishing country	United States
Document type	Letter
ZDB-ID	192062-5
ISSN	1527-9995 ; 0090-4295
ISSN (online)	1527-9995
ISSN	0090-4295
DOI	10.1016/j.urology.2023.10.002
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Zs.A 1142: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: A systematic review on the outcomes of local anaesthetic transperineal prostate biopsy.

Kanagarajah, Abbie / Hogan, Donnacha / Yao, Henry H / Dundee, Philip / O'Connell, Helen E

BJU international

2022 Volume 131, Issue 4, Page(s) 408–423

Abstract: Objective: To conduct a systematic review of the literature to assess the diagnostic ability, complication rate, patient tolerability, and cost of local anaesthetic (LA) transperineal prostate biopsy.: Methods: Two reviewers searched Medline, the ... ...

Abstract	Objective: To conduct a systematic review of the literature to assess the diagnostic ability, complication rate, patient tolerability, and cost of local anaesthetic (LA) transperineal prostate biopsy. Methods: Two reviewers searched Medline, the Cochrane Library, and Embase for publications on LA transperineal prostate biopsy up to March 2021. Outcomes of interest included cancer detection rates, complication rates, pain assessments and cost. Results: A total of 35 publications with 113 944 men were included in this review. The cancer detection rate for LA transperineal prostate biopsy in patients undergoing primary biopsy was 52% (95% confidence interval [CI] 0.45-0.60; I Conclusion: Transperineal prostate biopsy performed under LA is a viable option for centres interested in avoiding the risk of infection associated with transrectal biopsy, and the logistical burden of general anaesthesia. Further investigation into LA transperineal prostate biopsy with comparative studies is warranted for its consideration as the standard in prostate biopsy technique.
MeSH term(s)	Male ; Humans ; Prostate/pathology ; Anesthetics, Local ; Prostatic Neoplasms/pathology ; Biopsy/methods ; Anesthesia, Local
Chemical Substances	Anesthetics, Local
Language	English
Publishing date	2022-10-11
Publishing country	England
Document type	Systematic Review ; Journal Article ; Review
ZDB-ID	1462191-5
ISSN	1464-410X ; 1464-4096 ; 1358-8672
ISSN (online)	1464-410X
ISSN	1464-4096 ; 1358-8672
DOI	10.1111/bju.15906
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Article ; Online: A Systematic Review of Intra- and Postoperative Complication Reporting and Grading in Urological Surgery: Understanding the Pitfalls and a Path Forward.

Soliman, Christopher / Sathianathen, Niranjan J / Thomas, Benjamin C / Giannarini, Gianluca / Lawrentschuk, Nathan / Wuethrich, Patrick Y / Dundee, Philip / Nair, Rajesh / Furrer, Marc A

European urology oncology

2023 Volume 6, Issue 4, Page(s) 378–389

Abstract: Context: Surgical outcomes and patient morbidity are often surrogate markers of health care quality and efficiency. These parameters can only be used with confidence if the reporting and grading of intra- and postoperative complications are reliable and ...

Abstract	Context: Surgical outcomes and patient morbidity are often surrogate markers of health care quality and efficiency. These parameters can only be used with confidence if the reporting and grading of intra- and postoperative complications are reliable and reproducible. Without uniformity and regulation, the risk of under-reporting, and thus significant underestimation of the burden of intra- and postoperative morbidity, is high and should be of great concern to the international surgical community. Objective: To assess the quality and utility of currently available reporting and classification systems for intra- and postoperative complications, recognise their advantages and pitfalls, discuss the overall implications of these systems for urological surgery, and identify potential solutions for future reporting and classification systems. Evidence acquisition: A comprehensive search was performed using multiple reputable databases and trial registries up to October 25, 2022. Only studies that adhered to predefined inclusion criteria were included. Study selection and data extraction were independently performed by two review authors. The review was performed according to strict methodological guidelines in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 statement. Evidence synthesis: A total of 13 papers highlighting 13 various complication systems were critically assessed in this review. All studies proposed an intra- or postoperative complication reporting or grading system that was surgically related. At present, there is no single instrument in clinical practice to account for all relevant complication data. Six of the 13 studies were clinically validated (46%) and only three studies were urology-focused (23%). Meta-analysis was not possible. Conclusions: Current individual complication tools are flawed, so there is a need for a novel, all-inclusive, specialty-specific reporting and classification system for intra- and postoperative complications. If successfully validated and integrated worldwide, such an instrument would have the potential to play a significant role in reshaping efficiency in health care systems and improving surgical and patient quality of care. Patient summary: Current tools for reporting and classifying complications during and after surgery underestimate how burdensome such complications can be for patients. We summarise the reporting and classification tools currently available, discuss their advantages and drawbacks, and propose potential solutions for future systems. Our review can help in better understanding the changes required for future tools and how to improve overall surgical outcomes for patients.
MeSH term(s)	Humans ; Postoperative Complications/epidemiology ; Delivery of Health Care ; Urology ; Quality of Health Care
Language	English
Publishing date	2023-01-23
Publishing country	Netherlands
Document type	Systematic Review ; Journal Article ; Review ; Research Support, Non-U.S. Gov't
ISSN	2588-9311
ISSN (online)	2588-9311
DOI	10.1016/j.euo.2023.01.002
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Article ; Online: Defining Prostatic Vascular Pedicle Recurrence and the Anatomy of Local Recurrence of Prostate Cancer on Prostate-specific Membrane Antigen Positron Emission Tomography/Computed Tomography.

Dundee, Philip / Furrer, Marc A / Corcoran, Niall M / Peters, Justin / Pan, Henry / Ballok, Zita / Ryan, Andrew / Guerrieri, Mario / Costello, Anthony J

European urology open science

2022 Volume 41, Page(s) 116–122

Abstract: Background: The term : Objective: To describe PVP local recurrence and to map the anatomic pattern of prostate bed recurrence on PSMA PET/CT.: Design setting and participants: This was a retrospective multicentre study of 185 patients imaged with ... ...

Abstract	Background: The term Objective: To describe PVP local recurrence and to map the anatomic pattern of prostate bed recurrence on PSMA PET/CT. Design setting and participants: This was a retrospective multicentre study of 185 patients imaged with PSMA PET/CT following radical prostatectomy (RP) between January 2016 and November 2018. All patient data and clinical outcomes were prospectively collected. Recurrences were documented according to anatomic location. For patients presenting with local recurrence, the precise location of the recurrence within the prostate bed was documented. Intervention: PSMA PET/CT for BCR following RP. Results and limitations: A total of 43 local recurrences in 41/185 patients (22%) were identified. Tumour recurrence at the PVP was found in 26 (63%), VUA in 15 (37%), and within a retained seminal vesicle and along the anterior rectal wall in the region of the neurovascular bundle in one (2.4%) each. Histological and surgical evidence of PVP recurrence was acquired in two patients. The study is limited by its retrospective nature with inherent selection bias. This is an observational study reporting on the anatomy of local recurrence and does not include follow-up for patient outcomes. Conclusions: Our study showed that prostate cancer can recur in the PVP and is distant to the VUA more commonly than previously thought. This may have implications for RP technique and for the treatment of selected patients in the local recurrence setting. Patient summary: We investigated more precise identification of the location of tumour recurrence after removal of the prostate for prostate cancer. We describe a new definition of local recurrence in an area called the prostatic vascular pedicle. This new concept may alter the treatment recommended for recurrent disease.
Language	English
Publishing date	2022-06-11
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	3040546-4
ISSN	2666-1683 ; 2058-4881
ISSN (online)	2666-1683
ISSN	2058-4881
DOI	10.1016/j.euros.2022.05.011
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Article ; Online: Evolution and Implications of the Novel CAMUS Reporting and Classification System: From Rationale to End Product.

Soliman, Christopher / Thomas, Benjamin C / Giannarini, Gianluca / Lawrentschuk, Nathan / Wuethrich, Patrick Y / Dasgupta, Prokar / Malde, Sachin / Nair, Rajesh / Dundee, Philip / Furrer, Marc A

European urology open science

2023 Volume 50, Page(s) 123–126

Language	English
Publishing date	2023-03-14
Publishing country	Netherlands
Document type	Editorial
ZDB-ID	3040546-4
ISSN	2666-1683 ; 2058-4881
ISSN (online)	2666-1683
ISSN	2058-4881
DOI	10.1016/j.euros.2023.02.007
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Article ; Online: Same day discharge for robot-assisted radical prostatectomy: a prospective cohort study documenting an Australian approach.

Mulholland, Clancy / Soliman, Christopher / Furrer, Marc A / Sathianathen, Niranjan / Corcoran, Niall M / Schramm, Belinda / Mertens, Evie / Peters, Justin / Costello, Anthony / Lawrentschuk, Nathan / Dundee, Philip / Thomas, Benjamin

ANZ journal of surgery

2023 Volume 93, Issue 3, Page(s) 669–674

Abstract: Background: The introduction of robotic surgical systems has significantly impacted urological surgery, arguably more so than other surgical disciplines. The focus of our study was length of hospital stay - patients have traditionally been discharged ... ...

Abstract	Background: The introduction of robotic surgical systems has significantly impacted urological surgery, arguably more so than other surgical disciplines. The focus of our study was length of hospital stay - patients have traditionally been discharged day 1 post-robot-assisted radical prostatectomy (RARP), however, during the ongoing COVID-19 pandemic and consequential resource limitations, our centre has facilitated a cohort of same-day discharges with initial success. Methods: We conducted a prospective tertiary single-centre cohort study of a series of all patients (n = 28) - undergoing RARP between January and April 2021. All patients were considered for a day zero discharge pathway which consisted of strict inclusion criteria. At follow-up, each patient's perspective on their experience was assessed using a validated post-operative satisfaction questionnaire. Data were reviewed retrospectively for all those undergoing RARP over the study period, with day zero patients compared to overnight patients. Results: Overall, 28 patients 20 (71%) fulfilled the objective criteria for day zero discharge. Eleven patients (55%) agreed pre-operatively to day zero discharge and all were successfully discharged on the same day as their procedure. There was no statistically significant difference in age, BMI, ASA, Charlson score or disease volume. All patients indicated a high level of satisfaction with their procedure. Median time from completion of surgery to discharge was 426 min (7.1 h) in the day zero discharge cohort. Conclusion: Day zero discharge for RARP appears to deliver high satisfaction, oncological and safety outcomes. Therefore, our study demonstrates early success with unsupported same-day discharge in carefully selected and pre-counselled patients.
MeSH term(s)	Male ; Humans ; Robotic Surgical Procedures/methods ; Prospective Studies ; Patient Discharge ; Cohort Studies ; Retrospective Studies ; Pandemics ; Robotics ; Australia/epidemiology ; COVID-19 ; Prostatectomy/methods ; Treatment Outcome
Language	English
Publishing date	2023-01-13
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2050749-5
ISSN	1445-2197 ; 1445-1433 ; 0004-8682
ISSN (online)	1445-2197
ISSN	1445-1433 ; 0004-8682
DOI	10.1111/ans.18198
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Article ; Online: Robotics in Australian urology contemporary practice and future perspectives.

Furrer, Marc A / Costello, Daniel M / Thomas, Benjamin C / Peters, Justin S / Costello, Anthony J / Dundee, Philip

ANZ journal of surgery

2021 Volume 91, Issue 11, Page(s) 2241–2245

MeSH term(s)	Australia ; Forecasting ; Humans ; Robotic Surgical Procedures ; Robotics ; Urology
Language	English
Publishing date	2021-11-11
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2050749-5
ISSN	1445-2197 ; 1445-1433 ; 0004-8682
ISSN (online)	1445-2197
ISSN	1445-1433 ; 0004-8682
DOI	10.1111/ans.17161
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Article ; Online: RPN (Radius, Position of tumour, iNvasion of renal sinus) Classification and Nephrometry Scoring System: An Internationally Developed Clinical Classification To Describe the Surgical Difficulty for Renal Masses for Which Robotic Partial Nephrectomy Is Planned.

Agarwal, Dinesh K / Mulholland, Clancy / Koye, Digsu N / Sathianathen, Niranjan / Yao, Henry / Dundee, Philip / Moon, Daniel / Furrer, Marc / Giudice, Christina / Wang, Wayland / Simpson, Julie A / Kearsley, Jamie / Norris, Briony / Zargar, Homi / Pan, Henry Y C / Agarwal, Ashwin / Lawrentschuk, Nathan / Corcoran, Niall M

European urology open science

2023 Volume 54, Page(s) 33–42

Abstract: Background: The surgical difficulty of partial nephrectomy (PN) varies depending on the operative approach. Existing nephrometry classifications for assessment of surgical difficulty are not specific to the robotic approach.: Objective: To develop an ...

Abstract	Background: The surgical difficulty of partial nephrectomy (PN) varies depending on the operative approach. Existing nephrometry classifications for assessment of surgical difficulty are not specific to the robotic approach. Objective: To develop an international robotic-specific classification of renal masses for preoperative assessment of surgical difficulty of robotic PN. Design setting and participants: The RPN classification (Radius, Position of tumour, iNvasion of renal sinus) considers three parameters: tumour size, tumour position, and invasion of the renal sinus. In an international survey, 45 experienced robotic surgeons independently reviewed de-identified computed tomography images of 144 patients with renal tumours to assess surgical difficulty of robot-assisted PN using a 10-point Likert scale. A separate data set of 248 patients was used for external validation. Outcome measurements and statistical analysis: Multiple linear regression was conducted and a risk score was developed after rounding the regression coefficients. The RPN classification was correlated with the surgical difficulty score derived from the international survey. External validation was performed using a retrospective cohort of 248 patients. RPN classification was also compared with the RENAL (Radius; Exophytic/endophytic; Nearness; Anterior/posterior; Location), PADUA (Preoperative Aspects and Dimensions Used for Anatomic), and SPARE (Simplified PADUA REnal) scoring systems. Results and limitation: The median tumour size was 38 mm (interquartile range 27-49). The majority (81%) of renal tumours were peripheral, followed by hilar (12%) and central (7.6%) locations. Noninvasive and semi-invasive tumours accounted for 37% each, and 26% of the tumours were invasive. The mean surgical difficulty score was 5.2 (standard deviation 1.9). Linear regression analysis indicated that the RPN classification correlated very well with the surgical difficulty score (R Conclusions: The proposed RPN classification is the first nephrometry system to assess the surgical difficulty of renal masses for which robot-assisted PN is planned, and is a useful tool to assist in surgical planning, training and data reporting. Patient summary: We describe a simple classification system to help urologists in preoperative assessment of the difficulty of robotic surgery for partial kidney removal for kidney tumours.
Language	English
Publishing date	2023-06-15
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	3040546-4
ISSN	2666-1683 ; 2058-4881
ISSN (online)	2666-1683
ISSN	2058-4881
DOI	10.1016/j.euros.2023.05.007
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Article ; Online: There is a Need for a Universal Language in the Reporting and Grading of Complication and Intervention Events to Ensure Comparability and Improvement of Surgical Care.

Soliman, Christopher / Sathianathen, Niranjan J / Giannarini, Gianluca / Wuethrich, Patrick Y / Pan, Henry Y C / Thomas, Benjamin C / Dundee, Philip / Cumberbatch, Marcus G / Nair, Rajesh / Lawrentschuk, Nathan / Furrer, Marc A

European urology

2022 Volume 81, Issue 5, Page(s) 440–445

Abstract: To enhance the clarity and quality of complication reporting and grading for clinicians and patients, the CAMUS-Collaboration aims to develop the following: (1) a data dictionary; (2) parameters required for reporting; (3) risk-based reporting; (4) ... ...

Abstract	To enhance the clarity and quality of complication reporting and grading for clinicians and patients, the CAMUS-Collaboration aims to develop the following: (1) a data dictionary; (2) parameters required for reporting; (3) risk-based reporting; (4) nursing and patient opinions; and (5) prospective reporting and grading of short- and long-term complications.
MeSH term(s)	Humans ; Language ; Postoperative Complications/etiology ; Prospective Studies
Language	English
Publishing date	2022-01-24
Publishing country	Switzerland
Document type	Editorial
ZDB-ID	193790-x
ISSN	1873-7560 ; 1421-993X ; 0302-2838
ISSN (online)	1873-7560 ; 1421-993X
ISSN	0302-2838
DOI	10.1016/j.eururo.2021.12.022
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Zs.A 1247: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Transperineal prostate biopsy: template-guided or freehand?

Dundee, Philip E / Grummet, Jeremy P / Murphy, Declan G

BJU international

2015 Volume 115, Issue 5, Page(s) 681–683

MeSH term(s)	Biopsy, Needle/adverse effects ; Biopsy, Needle/methods ; Humans ; Male ; Perineum ; Prostate/pathology ; Sepsis/etiology ; Sepsis/prevention & control
Language	English
Publishing date	2015-05
Publishing country	England
Document type	Journal Article
ZDB-ID	1462191-5
ISSN	1464-410X ; 1464-4096 ; 1358-8672
ISSN (online)	1464-410X
ISSN	1464-4096 ; 1358-8672
DOI	10.1111/bju.12860
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