Robot-assisted microsurgery for chronic orchialgia
| Autor: | Nahomy Calixte, Sijo J. Parekattil, Jamin Brahmbhatt, Parviz Kavoussi |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
chronic orchialgia
medicine.medical_specialty Robot assistance Urology First line medicine.medical_treatment Review Article 030230 surgery Spermatic cord 03 medical and health sciences vasectomy reversal 0302 clinical medicine varicocelectomy medicine spermatic cord denervation Orchialgia 030219 obstetrics & reproductive medicine business.industry Robot assisted microsurgery General surgery Vasectomy reversal Microsurgery medicine.disease body regions First line treatment Conservative treatment medicine.anatomical_structure Reproductive Medicine business |
| Zdroj: | Translational Andrology and Urology |
| ISSN: | 2223-4691 2223-4683 |
| Popis: | Chronic orchialgia is one of the most common complaints seen in the urologists office and has traditionally been considered a very difficult diagnostic and therapeutic challenge for the clinician. First line management of chronic orchialgia is conservative treatment; however, in men who fail conservative therapy, surgical intervention may be indicated. Microsurgery has been the mainstay for surgical treatment of chronic orchialgia, but the implementation of robotics to microsurgery lends itself particularly to surgical treatment of chronic orchialgia. PubMed was used to perform a current literature search on chronic orchialgia with robotic microsurgery, robotic spermatic cord denervation, robotic varicocelectomy, and robotic vasectomy reversal. Although conservative therapy is considered the first line treatment for chronic orchialgia, reported outcomes are moderate to poor, with the need to proceed to surgical intervention in select cases. Current surgical therapies in which robot assistance have been applied to microsurgery include microsurgical denervation of the spermatic cord, varicocelectomy, and vasectomy reversal. As further studies have assisted in the understanding of surgical treatment of chronic orchialgia, the application of robot assistance to this level of microsurgery has been shown to be feasible and safe with comparable outcomes to traditional microsurgery and may provide potential advantages. |
| Databáze: | OpenAIRE |
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