Edith D. Canby-Hagino’s research while affiliated with Brooke Army Medical Center and other places

What is this page?


This page lists works of an author who doesn't have a ResearchGate profile or hasn't added the works to their profile yet. It is automatically generated from public (personal) data to further our legitimate goal of comprehensive and accurate scientific recordkeeping. If you are this author and want this page removed, please let us know.

Publications (3)


Single Dose Levofloxacin Prophylaxis for Prostate Biopsy in Patients at Low Risk
  • Article

October 2002

·

178 Reads

·

75 Citations

The Journal of Urology

Brian C Griffith

·

Allen F Morey

·

Mustafa M Ali-Khan

·

[...]

·

Thomas A Rozanski

We determine if a single 500 mg. oral tablet of levofloxacin represents adequate prophylaxis for patients at low risk who undergo transrectal prostate biopsy. From April 2000 to May 2001 we prospectively evaluated 400 consecutive men who underwent transrectal needle biopsy of the prostate after a single 500 mg. oral dose of levofloxacin. Under an institutional review board approved protocol the drug was issued under a standing order by a clinic nurse 30 to 60 minutes before the procedure. Patients were issued 2 additional daily doses of levofloxacin if they were deemed at increased risk for infectious complications, that is if they had a large prostate more than 75 cc, diabetes mellitus, recent steroid use, severe voiding dysfunction or immune compromise. No patient received a cleansing enema before the procedure. Complications, the number of biopsy cores, prostate size and cancer detection rates were assessed. Only 1 of the 377 patients at low risk in whom biopsy was completed experienced a symptomatic urinary tract infection (0.27%). None of the 23 men at high risk who received additional doses of levofloxacin experienced a complication. Thus, the overall infection rate was 1 of 400 cases (0.25%) in this series. A mean of 7 biopsy cores (range 2 to 16) was obtained per patient and mean prostate volume was 49.75 cc (range 12 to 150). Prostate cancer was present in 93 patients (23%). A single 500 mg. dose of levofloxacin before transrectal needle biopsy of the prostate is effective and safe in patients at low risk. The administration of prophylaxis by a clinic nurse under a standing order optimizes patient compliance and physician efficiency. In patients at higher risk for infection additional antibiotic administration appears to provide adequate prophylaxis.


Fibrin sealant treatment of splenic injury during open and laparoscopic left radical nephrectomy

January 2001

·

17 Reads

·

127 Citations

The Journal of Urology

We describe the use of fibrin sealant for rapid and definitive hemostasis of splenic injuries incurred during open and laparoscopic left nephrectomy. In 2 patients undergoing left nephrectomy for a suspicious renal mass splenic laceration occurred during mobilization of the colonic splenic flexure at open nephrectomy and laparoscopic upper pole dissection, respectively. Fibrin sealant was applied topically in each case. In each patient fibrin sealant achieved immediate hemostasis and each recovered without further splenic bleeding. The topical application of fibrin sealant safely, rapidly and reliably achieves definitive hemostasis of splenic injuries. It is simple to use in the open and laparoscopic approaches.


Intraluminal, pneumatic lithotripsy for the removal of encrusted urinary catheters

January 2000

·

79 Reads

·

20 Citations

The Journal of Urology

Urologists frequently treat patients requiring long-term urinary drainage with a percutaneous nephrostomy tube or ureteral stent. When such tubes are neglected and become encrusted, removal challenges even experienced urologists. We describe a new, minimally invasive technique for safely and rapidly removing encrusted, occluded tubes using the Swiss Lithoclast pneumatic lithotriptor. Patients presenting with an encrusted urinary catheter were evaluated by excretory urography for renal function and obstruction. Gentle manual extraction of the tube was attempted, followed by traditional extracorporeal shock wave lithotripsy and/or ureteroscopy. When the tube was not extracted, patients were then treated with intraluminal insertion of a pneumatic lithotripsy probe. One patient presented with an encrusted, occluded nephrostomy tube and 2 had an encrusted, occluded, indwelling ureteral stent. None was removed by manual traction. Intraluminal encrustations prevented the pigtail portions of these tubes from uncoiling and removal. In each case a pneumatic lithotripsy probe was inserted into the lumen of the catheter and advanced in a jackhammer-like fashion. This technique resulted in disruption of the intraluminal encrustations and straightening of the tubes so that they were removed in an atraumatic manner. Intraluminal pneumatic lithotripsy is a safe, easy and rapid technique for removing encrusted urinary catheters. It is unique in that the pneumatic lithotripsy probe functions in an aqueous and nonaqueous environment, and dislodges intraluminal calcifications. We recommend its use as first line treatment for removing encrusted urinary catheters.

Citations (3)


... Urinary obstruction due to stent encrustations can typically lead to problems such as hydronephrosis, loss of renal function, and urosepsis (1,2). Numerous methods including some minimally invasive procedures such as ureterorenoscopic lithotripsy, percutaneous nephrolithotomy, and open surgical methods have been used in the literature for the treatment of stent encrustations due to forgotten DJ stents (3,4). This study presents five cases with stent encrustation due to forgotten DJ stents and the removal of these stents with holmium laser and percutaneous intervention. ...

Reference:

Stent Encrustation due to Forgotten Double-J Stents: A Series of Five Cases
Intraluminal, pneumatic lithotripsy for the removal of encrusted urinary catheters
  • Citing Article
  • January 2000

The Journal of Urology

... If the patient is hemodynamically unstable, then live-saving splenorraphy or splenectomy is mandated (Fig. 3). Hemostatic fibrin glue can be used to increase the chance of preserving the spleen [44]. In order to minimize the risk of splenic injury during percutaneous access, percutaneous puncture between the posterior axillary line and the spine and US scanning of the puncture site is recommended [45]. ...

Fibrin sealant treatment of splenic injury during open and laparoscopic left radical nephrectomy
  • Citing Article
  • January 2001

The Journal of Urology

... Additionally, complications such as nausea and vomiting, photosensitivity and hepatotoxicity are less common with this medicine compared with other fluoroquinolones [6]. A previous study has shown the efficacy and safety of a single dose of levofloxacin 500 mg before prostate surgery [7]. Cefazolin, another effective antibiotic against Gram-positive and Gram-negative microorganisms, is also used as a prophylaxis in various urological surgeries [8]. ...

Single Dose Levofloxacin Prophylaxis for Prostate Biopsy in Patients at Low Risk
  • Citing Article
  • October 2002

The Journal of Urology