Genitourinary (GU) injuries among military service members are as old as war itself. The frequency and clinical picture of GU injuries sustained in conflicts over the ages have evolved along with the constantly changing nature of combat. In this review, we discuss changing trends in the diagnosis and management of GU injuries over the past century and introduce areas of innovation which could impact the care of casualties who sustain GU trauma in the future.
Robot-assisted radical cystectomy has become widely accepted as a safe and minimally invasive procedure for the treatment of bladder cancer. The urinary diversion continues to be performed completely intracorporeally or extracorporeally. Over the past decade, there has been an increasing number of continent diversions being performed intracorporeally. We evaluated the most recent literature regarding intraoperative metrics and outcomes that compare the intracorporeal and extracorporeal approaches.
RESULTS: Operative time was 4.5 hours. Patient went home on second p/o day and the stent was removed 4 weeks following surgery. After more than 4 years of follow up there is no clinical, laboratory or radiographic evidence of recurrence.CONCLUSIONS: This technique may be a valid reconstructive option for mid ureteral long strictures in selected patients.
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