Objective: The aim of this study was to assess the quality of TURBT (transurethral resection of b... more Objective: The aim of this study was to assess the quality of TURBT (transurethral resection of bladder tumor) using surrogate parameters and evaluate adherence to the guidelines regarding the management of bladder tumors. Materials and methods: A clinical audit of all new diagnosis of bladder cancer was undertaken from January 2016 to January 2017. A total of 101 new bladder cancer cases were included. Surrogates of TURBT quality including presence of detrusor in the specimen, rate of re-TUR, presence of carcinoma in situ, and 3-month recurrence rates were analyzed. Adherence to guidelines regarding management of non-muscle invasive bladder cancer including time to re-TUR and utilization of single instillation chemotherapy was evaluated. Results: Absence of detrusor muscle in the specimen of the initial TURBT was noted in 22.8% of the cases. The chance of including muscle in the specimen was almost four-fold for tumors larger than 3 cm. A single instillation of intravesical chemoth...
Latest publications state equal efficacy of a recently introduced new percutaneous technique (&am... more Latest publications state equal efficacy of a recently introduced new percutaneous technique ("ultra-mini PCNL", UMP) and flexible ureteroscopy (fURS) in the treatment of medium-size urinary stones. Today we face challenges concerning cost-effectiveness and reduction of in-hospital length of stay. In this retrospective study, we compare clinical outcome parameters and costs of treatment (endoscopes and disposables) of both techniques. Thirty patients treated by UMP at two tertiary university centres were matched to 30 fURS patients from previously recorded databases. Data analysis included operating time, length of stay, stone-free rates (SFR), complications (>Clavien II), ancillary procedures (presurgical ureteral stenting, secondary ureteral stenting or placement of a nephrostomy tube, secondary procedures) and costs for disposable materials and instruments (endoscopes, as calculated per procedure). We found no significant differences in operating times (UMP vs. fURS: 121/102 min), hospital length of stay (2.3/2.0 days), SFR (84/87 %) and complications (7/7 %). Costs for disposable materials and endoscopes were 656 euro (UMP) and 1,160 euro (fURS) per procedure. UMP and fURS are both safe and effective in the treatment of medium-size urinary stones. Costs for endoscopes and disposable materials are significantly lower in UMP.
We report a rare case of an ectopic ureter with renal agenesis and associated normal ipsilateral ... more We report a rare case of an ectopic ureter with renal agenesis and associated normal ipsilateral urinary tract in an adult patient. A 49-year-old woman pre-sented with dull left flank pain, intermittent seropu-rulent vaginal discharge, and periodic symptomatol-ogy of recurrent urinary tract ...
British Journal of Medical and Surgical Urology, 2011
British Journal of Medical & Surgical Urology, Volume 4, Issue 1, Pages 42-43, January 20... more British Journal of Medical & Surgical Urology, Volume 4, Issue 1, Pages 42-43, January 2011, Authors:Konstadinos Skrepetis; Andreas Bourdoumis; Panagiotis Kousoulis. ...
Objective: The aim of this study was to assess the quality of TURBT (transurethral resection of b... more Objective: The aim of this study was to assess the quality of TURBT (transurethral resection of bladder tumor) using surrogate parameters and evaluate adherence to the guidelines regarding the management of bladder tumors. Materials and methods: A clinical audit of all new diagnosis of bladder cancer was undertaken from January 2016 to January 2017. A total of 101 new bladder cancer cases were included. Surrogates of TURBT quality including presence of detrusor in the specimen, rate of re-TUR, presence of carcinoma in situ, and 3-month recurrence rates were analyzed. Adherence to guidelines regarding management of non-muscle invasive bladder cancer including time to re-TUR and utilization of single instillation chemotherapy was evaluated. Results: Absence of detrusor muscle in the specimen of the initial TURBT was noted in 22.8% of the cases. The chance of including muscle in the specimen was almost four-fold for tumors larger than 3 cm. A single instillation of intravesical chemoth...
Latest publications state equal efficacy of a recently introduced new percutaneous technique (&am... more Latest publications state equal efficacy of a recently introduced new percutaneous technique ("ultra-mini PCNL", UMP) and flexible ureteroscopy (fURS) in the treatment of medium-size urinary stones. Today we face challenges concerning cost-effectiveness and reduction of in-hospital length of stay. In this retrospective study, we compare clinical outcome parameters and costs of treatment (endoscopes and disposables) of both techniques. Thirty patients treated by UMP at two tertiary university centres were matched to 30 fURS patients from previously recorded databases. Data analysis included operating time, length of stay, stone-free rates (SFR), complications (>Clavien II), ancillary procedures (presurgical ureteral stenting, secondary ureteral stenting or placement of a nephrostomy tube, secondary procedures) and costs for disposable materials and instruments (endoscopes, as calculated per procedure). We found no significant differences in operating times (UMP vs. fURS: 121/102 min), hospital length of stay (2.3/2.0 days), SFR (84/87 %) and complications (7/7 %). Costs for disposable materials and endoscopes were 656 euro (UMP) and 1,160 euro (fURS) per procedure. UMP and fURS are both safe and effective in the treatment of medium-size urinary stones. Costs for endoscopes and disposable materials are significantly lower in UMP.
We report a rare case of an ectopic ureter with renal agenesis and associated normal ipsilateral ... more We report a rare case of an ectopic ureter with renal agenesis and associated normal ipsilateral urinary tract in an adult patient. A 49-year-old woman pre-sented with dull left flank pain, intermittent seropu-rulent vaginal discharge, and periodic symptomatol-ogy of recurrent urinary tract ...
British Journal of Medical and Surgical Urology, 2011
British Journal of Medical & Surgical Urology, Volume 4, Issue 1, Pages 42-43, January 20... more British Journal of Medical & Surgical Urology, Volume 4, Issue 1, Pages 42-43, January 2011, Authors:Konstadinos Skrepetis; Andreas Bourdoumis; Panagiotis Kousoulis. ...
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Papers by Andreas Bourdoumis