Technologic advances in urology: implications for the twenty-first century
Gespeichert in:
Format: | Buch |
---|---|
Sprache: | English |
Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1998
|
Schriftenreihe: | The urologic clinics of North America
25,1 |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | XII, 159 S. zahlr. Ill., graph. Darst. |
Internformat
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Datensatz im Suchindex
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adam_text | I TEC) IN Ol OGIC ADVANCES IN UROLOGY:
IMPLICATIONS FOR THE TWENTY FIRST CENTURY
CONTENTS
Preface xi
Kevin R. Loughlin
The Economics of Urologic Practice in the Twenty first Century 1
H. Logan Holtgrewe
Our nation s health care has been undergoing an economic revolution. The
practice of urology has not escaped. Speculation regarding the economics
of urologic practice in the twenty first century must be based on the
continuation of policy trends begun over the last decade by government
and managed care coupled with the impact of changes in the science of
urology, shifting population demographics, and changing social factors.
The hallmarks of the years ahead include increased physician accountabil¬
ity, expanded use of clinical care guidelines, continued relentless penetra¬
tion of managed care, and reduced reimbursement for surgical services.
Manpower Needs in Urology in the Twenty first Century 15
David L. McCullough
This article covers a variety of topics regarding manpower needs in urol¬
ogy in the twenty first century, including the changes in urology man¬
power, general practitioner data, the demand for graduating residents,
recent actions on medical residency training, and changes in surgical
subspecialty numbers.
The Future of Gene Therapy in the Treatment of Urologic
Malignancies 23
Jonathan W. Simons and Fray F. Marshall
Gene therapy as a field of academic inquiry and as a medical technology
is perhaps the inevitable consequence of living in today s technologic age.
At its essence, gene therapy is merely therapy using molecular informa¬
tion. The identification of the pivotal role of DNA in the information
systems of life and the subsequent emergence of molecular biology and
its technologies has led to routine use of the genetic code like software to
treat human disease in clinical trials.
1 UROLOGIC CLINICS OF NORTH AMERICA
¦¦¦ ¦ ¦ ¦ VOLUME 25 • NUMBER 1 • FEBRUARY 1998 vii
Tissue Engineering in Urologic Surgery 39
Anthony Atala
The use of nonurologic tissues in the genitourinary tract is common (owing
to a lack of a better alternative) despite the known possible adverse
effects. Selective cell transplantation is providing a means to engineer
genitourinary tissues that may be used for reconstruction. This novel
technology involves an interdisciplinary approach, combining techniques
of cell biology and materials sciences towards the development of func¬
tional tissues or organs. Tissues associated with urology, such as clitoral,
cavernosal, urethral, vesical, ureteral, and renal have been created in the
laboratory, with varying degrees of function. Cells have also been recently
used in patients as bulking agents for the treatment of vesicoureteral reflux
and urinary incontinence. As the science of tissue engineering evolves, one
can expect a wider application of this technology to the armamentarium of
urologic surgery.
Organ Transplantation in the Twenty first Century 51
Markus Weber, Shaoping Deng, Kim Olthoff, Ali Naji, Clyde F. Barker,
Abraham Shaked, and Kenneth L. Brayman
Over the last 30 years, the field of organ transplantation has advanced
from an experimental curiosity to an established treatment option for
patients with irreversible organ failure. Recently developed immunosup
pressive drugs, which are becoming available with increasing frequency,
may finally solve the problem of acute allorejection during the remainder
of the millennium. Graft loss, owing to chronic rejection, and an ever
widening gap between recipient and donor numbers (organ shortage)
remain major problems at the gateway to the next century. Further devel¬
opment of efficacious, but nontoxic immunosuppressive agents, and induc¬
tion of immune tolerance and xenotransplantation will be the goals of
future developments in the field of organ transplantation.
Fetal Urinary Tract Abnormalities: Natural History, Pathophysiology,
and Treatment 63
H. Tamiko Housley and Michael R. Harrison
Urologic abnormalities are commonly detected on routine obstetric sono
graphic examinations. The progressive nature and potential reversibility
of obstructive urologic anomalies have led to interest in in utero treatment
of these lesions. Over 90% of obstructive urologic lesions do not need
treatment until after birth. For a select group of patients, antenatal treat¬
ment may improve postnatal renal and pulmonary function. When indi¬
cated, minimally invasive nephroamniotic or vesicoamniotic stenting is
the preferred method of treatment.
Robotic Surgery in Urology 75
Jeffrey A. Cadeddu, Dan Stoianovici, and Louis R. Kavoussi
The demand for improved surgical performance and reduced health care
costs have led to the evaluation of surgical robotic systems. Robotic devices
to assist urologists with transurethral resection of the prostate, percutane¬
ous renal access, and laparoscopy are currently in development or are
already in clinical use. The rapid advances made in telecommunication
technology also have allowed for the development of telesurgical systems
that permit surgeons to participate in surgery from a remote location. In
the twenty first century, surgical robots will be efficient, invaluable, and
safe adjuncts to urologic practice.
viii CONTENTS
Total Alloplastic Replacement of the Urinary Bladder 87
Melinda K. Knight and David M. Barrett
Bladder cancer is the second most common malignancy of the genitouri¬
nary tract. In 1992, the estimated incidence of bladder cancer in the
United States was 50,000 cases. Cystectomy and urinary diversion were
the preferred methods of treatment. Currently, these patients undergo
various types of intestinal urinary diversion. These procedures represent
a significant advancement over bilateral ureterostomies; however, many
problems are associated with their use and they are among the topics
discussed in this article.
Laparoscopic Surgery: Transition to the Future 93
Richard M. Satava and Shaun B. Jones
The twenty first century will usher in a fundamentally new approach to
the practice of medicine. It will be based heavily on information technolo¬
gies, broadly defined as the devices that acquire information; those that
process, transmit, and distribute information; and those that use informa¬
tion to provide therapy. Although conventional surgery will continue to
have a presence, there will be radically different surgical approaches and
technologies that may become the predominant form of surgery. The
medical record may become a three dimensional visual representation of
the individual patient (like the Visible Human Project), which can be the
vehicle that integrates the entire spectrum of health care. Examples of the
technologies and infrastructures that support this new approach to medi¬
cine are discussed and illustrated, with emphasis on how technologies
improve individual patient care.
Three Dimensional Computed Tomography for Planning Urologic
Surgery 103
Geoffrey S. Young, Stuart G. Silverman, Joachim Kettenbach,
Nobuhiko Hata, Polina Golland, Ferenc A. Jolesz,
Kevin R. Loughlin, and Ron Kikinis
This article discusses the development of three dimensional computed
tomography (CT) for planning urologic surgery, current data rendering
techniques, clinical studies to date (with emphasis on current develop¬
ments), and future considerations for three dimensional imaging.
Open Configuration MR Imaging, Intervention, and Surgery of the
Urinary Tract 113
Terence Z. Wong, Stuart G. Silverman, Julia R. Fielding,
Clare M.C. Tempany, Kullervo Hynynen, and Ferenc A. Jolesz
Open configuration MR imaging systems provide new possibilities for
diagnosis and treatment of conditions in the urinary tract. Flexible patient
positioning facilitates urodynamic imaging, and open access permits sur¬
gery or minimally invasive procedures to be performed with the patient
in the MR scanner. Integrated, interactive navigational tools facilitate MR
imaging guided interventions, and MR imaging may ultimately be used
to monitor and control thermal ablation therapy.
Laser Tissue Welding 123
Douglas S. Scherr and Dix P. Poppas
Laser tissue welding is a technologic innovation that is beginning to
move from the theoretical laboratory environment to the reality of clinical
application. This article reviews the concepts, potential advantages, and
techniques involved in laser tissue welding as they apply to urology.
CONTENTS ix
Telemedicine: Present Applications and Future Prospects 137
Joseph C. Kvedar, Eric Menn, and Kevin R. Loughlin
Information technology has enabled much of the business community to
function in a time and place independent manner. Health care has lagged
in adopting this technology because of tradition, concern for patient secu¬
rity and confidentiality, liability, and licensure issues. This article reviews
the current state of telemedicine technology, its applications, and opportu¬
nities for further development. Urology is identified as a specialty that
stands to benefit from advances in technologies applicable to remote
diagnosis, monitoring and care of patients, physician training, and record
keeping.
The Craft of Urologic Surgery
Endoscopic Treatment of Vesicoureteral Reflux in Children 151
Joseph Ortenberg
Endoscopic surgery for vesicoureteral reflux involves injection of a sub¬
stance beneath the ureterovesical junction (UVJ) to buttress this region. In
children, this procedure typically is performed under anesthesia on an
outpatient basis, with minimal postoperative pain and a rapid recovery.
Index 157
Subscription Information Inside back cover
x CONTENTS
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spelling | Technologic advances in urology implications for the twenty-first century Kevin R. Loughlin guest ed. Philadelphia [u.a.] Saunders 1998 XII, 159 S. zahlr. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier The urologic clinics of North America 25,1 Chirurgie (geneeskunde) gtt Technologie médicale Therapieën gtt Urologie Urologie gtt Child Endoscopic surgery Infant Medical technology Surgical Procedures, Endoscopic Technology, Medical Trends Technology, Medical trends Urology trends Vesico-Ureteral Reflux Vesico-ureteral reflux in children Technischer Fortschritt (DE-588)4059252-2 gnd rswk-swf Harnwegskrankheit (DE-588)4135486-2 gnd rswk-swf Urologie (DE-588)4062158-3 gnd rswk-swf Therapie (DE-588)4059798-2 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Urologie (DE-588)4062158-3 s Technischer Fortschritt (DE-588)4059252-2 s DE-604 Harnwegskrankheit (DE-588)4135486-2 s Therapie (DE-588)4059798-2 s Loughlin, Kevin R. Sonstige (DE-588)129522163 oth The urologic clinics of North America 25,1 (DE-604)BV000001584 25,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=008001415&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Technologic advances in urology implications for the twenty-first century The urologic clinics of North America Chirurgie (geneeskunde) gtt Technologie médicale Therapieën gtt Urologie Urologie gtt Child Endoscopic surgery Infant Medical technology Surgical Procedures, Endoscopic Technology, Medical Trends Technology, Medical trends Urology trends Vesico-Ureteral Reflux Vesico-ureteral reflux in children Technischer Fortschritt (DE-588)4059252-2 gnd Harnwegskrankheit (DE-588)4135486-2 gnd Urologie (DE-588)4062158-3 gnd Therapie (DE-588)4059798-2 gnd |
subject_GND | (DE-588)4059252-2 (DE-588)4135486-2 (DE-588)4062158-3 (DE-588)4059798-2 (DE-588)4143413-4 |
title | Technologic advances in urology implications for the twenty-first century |
title_auth | Technologic advances in urology implications for the twenty-first century |
title_exact_search | Technologic advances in urology implications for the twenty-first century |
title_full | Technologic advances in urology implications for the twenty-first century Kevin R. Loughlin guest ed. |
title_fullStr | Technologic advances in urology implications for the twenty-first century Kevin R. Loughlin guest ed. |
title_full_unstemmed | Technologic advances in urology implications for the twenty-first century Kevin R. Loughlin guest ed. |
title_short | Technologic advances in urology |
title_sort | technologic advances in urology implications for the twenty first century |
title_sub | implications for the twenty-first century |
topic | Chirurgie (geneeskunde) gtt Technologie médicale Therapieën gtt Urologie Urologie gtt Child Endoscopic surgery Infant Medical technology Surgical Procedures, Endoscopic Technology, Medical Trends Technology, Medical trends Urology trends Vesico-Ureteral Reflux Vesico-ureteral reflux in children Technischer Fortschritt (DE-588)4059252-2 gnd Harnwegskrankheit (DE-588)4135486-2 gnd Urologie (DE-588)4062158-3 gnd Therapie (DE-588)4059798-2 gnd |
topic_facet | Chirurgie (geneeskunde) Technologie médicale Therapieën Urologie Child Endoscopic surgery Infant Medical technology Surgical Procedures, Endoscopic Technology, Medical Trends Technology, Medical trends Urology trends Vesico-Ureteral Reflux Vesico-ureteral reflux in children Technischer Fortschritt Harnwegskrankheit Therapie Aufsatzsammlung |
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