Mutahar Ahmed's research while affiliated with Hackensack University Medical Center and other places
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Publications (48)
Objective
Preoperative surgical planning for localized, small renal masses relies on two-dimensional axial imaging when determining suitability for partial vs radical nephrectomy. Iris, a recently introduced segmentation software, generates interactive three-dimensional virtual models to aid preoperative surgical planning and intraoperative navigat...
Purpose Single-port (SP) robotic surgery is a new technology and early in its adoption curve. The goal of this study is to compare the perioperative outcomes of single port (SP) to multi-port (MP) robotic technology for partial nephrectomy. Materials and Methods This is a prospective cohort study of patients who have undergone robot-assisted partia...
The objective of this study was to compare the perioperative and short-term functional and oncological outcomes of single-port and multiport robotic-assisted laparoscopic partial nephrectomy using propensity-score analysis. We evaluated all patients who underwent robotic partial nephrectomy at our institution between January 2019 and October 2020....
Introduction:
Single-port robotic-assisted simple prostatectomy (SP RASP) through the transvesical approach is a novel surgical option in the management of large prostatic glands. We present the first multi-institutional study to further assess the perioperative and postoperative outcomes of SP RASP.
Patients and methods:
From February 2019 to N...
INTRODUCTION AND OBJECTIVE:
The introduction of the da Vinci Single Port (SP) robot allowed to perform prostate surgery using the transvesical approach, with promising outcomes. We sought to compare the perioperative outcomes between SP transvesical simple prostatectomy (SP) and multiport simple prostatectomy (MP) in a multi-institutional setting....
Objectives
: To compare the perioperative results and intermediate-term functional outcomes of single port and multiport robotic-assisted laparoscopic prostatectomy by using a propensity-score analysis.
Materials and Methods
: We evaluated all patients who underwent robotic prostatectomy by three urologic surgeons at our institution between Januar...
Multiple medical conditions require urinary diversion including radical cystectomy due to bladder cancer, refractory hematuria, radiation cystitis, or chronic pelvic pain. John Simon performed the first urinary diversion in 1851. Sixty years later in 1911, Zaayer described the first ileal conduit. Since then, urinary diversion has become a widely k...
Objectives
To compare the perioperative and postoperative outcomes of single port robotic pyeloplasty and multiport robotic pyeloplasty using a propensity-score matched analysis.
Materials and Methods
We performed a chart review of all patients who underwent single port robotic pyeloplasty from January 2019 to October 2020 and multiport robotic py...
Ureterolysis is the release of the ureter from its surrounding compressive fibrotic tissue. It is required in the setting of extrinsic compression from retroperitoneal disease processes, including idiopathic retroperitoneal fibrosis, lymphoma, infection, or scarring from previous surgery. Boari flap ureteral reimplantation is a reconstructive proce...
Introduction & objective:
Scant literature is available on surgical outcomes of radical cystectomies on the new single-port (SP) system. This study compares short term outcomes in patients undergoing radical cystectomy with intracorporeal urinary diversion (ICUD) on the multi-port (MP) vs. SP platform.
Methods:
This IRB approved study used a pro...
Objectives
To evaluate the effect of ureteral rest on outcomes of robotic ureteral reconstruction.
Methods
We retrospectively reviewed all patients who underwent robotic ureteral reconstruction of proximal and/or middle ureteral strictures in our multi-institutional database between 2/2012—03/2019 with ≥12 months follow-up. All patients were recom...
Objectives:
To report our multi-institutional, comprehensive experience with robotic ureteral reconstruction (RUR) in patients with radiation-induced ureteral stricture (RIUS).
Patients & methods:
In a retrospective review of our multi-institutional robotic reconstruction database between January 2013 to January 2020, we identified patients with...
OBJECTIVES
To describe surgical techniques and peri-operative outcomes with secondary robotic pyeloplasty (RP), and compare them to those of primary RP.
METHODS
We retrospectively reviewed our multi-institutional, Collaborative of Reconstructive Robotic Ureteral Surgery (CORRUS) database for all consecutive patients who underwent RP between 04/201...
Introduction:
Closed drains have traditionally been placed after partial nephrectomy because of risks of bleeding and urine leak. We sought to study the safety of a nonroutine drain (NRD) approach after transperitoneal robotic partial nephrectomy (RPN).
Patients and Methods:
From a multi-institutional database, we have analyzed the data of 904 pat...
The objective of this study was to evaluate the safety and effectiveness of cryopreserved umbilical cord (UC) allograft as a nerve wrap around the neurovascular bundle (NVB) in accelerating return to continence after radical prostatectomy. A single-center, retrospective study was performed on 200 patients who underwent bilateral, nerve-sparing robo...
Background:
Single port (SP) robotic assisted laparoscopic surgery was approved by the FDA for urologic surgery and clinically available in 2018. This new robotic system enables a camera and 3 separate instruments, with fully wristed motions, to be placed through a single 25 mm port. This system was designed to perform complex surgery in narrow de...
Objectives:
To most accurately assess the risks and benefits of this technique we evaluated outcomes of selective clamping vs. full clamping in a patients with a solitary kidney undergoing robotic partial nephrectomy (RPN).
Subjects/patients and methods:
Data from IRB approved retrospective and prospective databases from 2006 to 2019 at multiple...
Objectives:
To assess the incidence of post-operative arterial malformation (AM) and urine leak/urinoma (UL) after robotic partial nephrectomy (RPN) in a contemporary series. To evaluate risk factors for these complications.
Methods:
All RPNs were queried from IRB-approved retrospective and prospective nephrectomy databases. Demographics, peri-o...
Citations
... Four studies reported length of hospital stay, including 464 patients [19,21,22,24]. We found no statistically significant differences between the two groups (p = 0.41). ...
... However, they did find that those who underwent SP PN had significantly shorter median hospital stay (1.4 days vs 1.6 days, p=0.0045) and lower median opioid use on postoperative day 1 (4.6 MME vs 9.8 MME, p=0.0209). 36 Glaser et al also attempted to establish whether one technique was preferable when they examined 78 patients who underwent either SP PN (26) or MP PN (52). They found no significant differences between the two cohorts in mean operative time, rate of EBL >500 mL, complication rates, rate of discharge on postoperative day 1, or rates of opioid prescriptions being filled. ...
... In reality, the comfort of a large working space and improved visibility still make the transperitoneal approach favorable for most urologists (30). Single-port RARP could be performed in a smaller operating space, which allows it to be performed in extraperitoneal ways more easily (31). Compared with transperitoneal single-port RARP, extraperitoneal singleport RARP is associated with a significantly shorter postoperative hospital stay and decreased need for postoperative narcotics (32). ...
... For either anxiety or depression, the total score ranges from 0 to 21. In this study, the anxiety/depression scores of HADS were further divided into four cases: non-anxiety/depression case (0-7), mild case (8-10), moderate case (11)(12)(13)(14), and severe case (15)(16)(17)(18)(19)(20)(21) [11]. For the Chinese version of the HADS, it was reported that Cronbach's alpha was 0.86 for the full scale, 0.77 for the anxiety subscale, and 0.82 for the depression subscale [12]. ...
... Multiple examples of success with the appendiceal interposition technique have been described in treating traumatic ureteral injury, radiation-induced stricture disease, obliterative stricture disease, and pediatric stricture disease (18)(19)(20)(21)(22)(23). In 2000, Richter and colleagues performed an appendiceal interposition to replace the ureter in three children. ...
... Although data from retrospective series regarding ureteral reconstruction surgery in this setting have been favourable, most reports focus solely on outcomes of secondary pyeloplasty for management of recurrent ureteropelvic junction obstruction (UPJO). [4][5][6][7][8][9][10][11] There are insufficient data surrounding the use of reconstructive techniques for recurrent strictures in the proximal, middle or distal ureter. 12,13 Herein, we describe peri-operative outcomes of patients undergoing robotic ureteral reconstruction (RUR) for management of recurrent ureteral strictures after prior failed endoscopic and/or surgical intervention. ...
... In general, a single overnight stay is achievable in most patients undergoing RAPN [39]. The omission of a drain in most cases is another factor that might have contributed to this trend of reduced LOS [40]. ...
... Thus, differences in specific sexual AEs amongst these AUA recommended medications require further investigation. The Food and Drug Administration Adverse Event Reporting System (FAERS) database contains reports of AEs from a worldwide population and has been investigated in past urologic studies for hypothesis generation about the AEs associated with certain medications [13][14][15]. In this study, we examined FAERS reports for commonly prescribed PE medication and dosage combinations. ...
... Intuitive surgical recently released a purpose-built, single-site robotic platform, the da Vinci SP system, which received FDA approval in 2018 and has already been successfully used in many urological procedures [5,6]. Studies have shown that the single-port (SP) system may allow for a shorter hospital stay, decreased postoperative pain, and improved scar cosmesis [7,8]. ...
... Partial nephrectomy (PN) should entail optimal locoregional tumor control with minimization of procedure-related complications (1). The impact of ischemic injury on renal function remains controversial (2)(3)(4)(5)(6). Many studies concur on the two main principles regarding the optimization of functional outcomes: maximizing parenchymal volume preservation and minimizing ischemia-related nephron damage (7)(8)(9)(10). ...