Raphael B. Arada

A Review of the Recommendations and Strength of Evidence for Clinical Practice Guidelines on the Management of Small Renal Masses

Pengbo Jiang, Sohrab Naushad Ali, Akhil Peta, Raphael B. Arada et autres

Introduction:With the rise in the detection of incidental small renal masses (SRM), the management paradigm for these patients has become an issue of increasing concern. We aim to identify areas of consensus, controversy, and opportunities for improvement among recently published guidelines and …

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Porcine Bladder Replacement with a Bilayer Silk Fibroin Enhanced Prosthetic Reservoir: A Feasibility Study

Pengbo Jiang, Sohrab Naushad Ali, Raphael B. Arada, Akhil Peta et autres

Introduction: The creation of synthetic reservoirs for bladder replacement has been limited by challenges of interfacing synthetic materials and native tissue. We sought to overcome this challenge by utilizing a novel bilayer silk fibroin scaffold (BLSF) as an intermediary toward the development …

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MP44-17 COMPARISON OF OPERATIVE EFFICIENCY AND EFFECTIVENESS BETWEEN A DUAL LUMEN AND SINGLE LUMEN URETEROSCOPE FOR URETEROSCOPIC STONE REMOVAL

Andrew Brevik, Rohit V. Bhatt, Kalon L. Morgan, Sohrab Naushad Ali et autres

You have accessJournal of UrologyCME1 May 2022MP44-17 COMPARISON OF OPERATIVE EFFICIENCY AND EFFECTIVENESS BETWEEN A DUAL LUMEN AND SINGLE LUMEN URETEROSCOPE FOR URETEROSCOPIC STONE REMOVAL Andrew Brevik, Rohit Bhatt, Kalon Morgan, Sohrab Ali, Akhil Peta, Sina Zarandi, Luke Limfueco, Rajiv Karani, Lillian …

Prospective, Randomized Comparison of Dual-Lumen vs Single-Lumen Flexible Ureteroscopes in Proximal Ureteral and Renal Stone Management

Andrew Brevik, Akhil Peta, Zhamshid Okhunov, Andrew Shea Afyouni et autres

Introduction: We sought to compare the safety, efficacy, efficiency, and surgeon experience during upper urinary tract stone management with single-lumen (SLFU) vs dual-lumen flexible ureteroscopes (DLFU). Materials and Methods: Seventy-nine patients with proximal ureteral or renal stone burden <2 cm were randomized …

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Multidisciplinary Approach and Outcomes of Pretreatment Small (cT1a) Renal Mass Biopsy: Single-Center Experience

Pengbo Jiang, Raphael B. Arada, Zhamshid Okhunov, Andrew Shea Afyouni et autres

Purpose: We evaluated our experience of a multidisciplinary approach to renal mass biopsy (RMB) for small renal masses (SRMs) employing in-office ultrasound (US)-guided biopsy by urology (24%), CT, or US biopsy by interventional radiology (IR) (79%), and endoscopic ultrasound (EUS)-guided biopsy by …

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Ex Vivo Renal Stone Dusting: Impact of Laser Modality, Ureteral Access Sheath, and Suction on Total Stone Clearance

Pengbo Jiang, Akhil Peta, Andrew Brevik, Raphael B. Arada et autres

Introduction and Objectives: Conventional renal stone dusting is challenging; the holmium (Ho:YAG) laser and holmium with MOSES effect (Ho:YAG- MOSES ) fail to uniformly produce fragments ≤100 μm (i.e., dust). The superpulse thulium fiber laser (sTFL) may more effectively render uroliths into …

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Urinary tract infections in candidates to active treatment of renal stone: results from an international multicentric study on more than 2600 patients

Salvatore Micali, Tommaso Calcagnile, Maria Chiara Sighinolfi, A. Iseppi et autres

Endoscopic Guided Percutaneous Nephrolithotomy

Rajiv Karani, Raphael B. Arada, Zhamshid Okhunov, Shlomi Tapiero et autres

Percutaneous nephrolithotomy (PCNL) is the treatment of choice for kidney stones >2 cm in size. Obtaining a nephrostomy tract to access the kidney is a key step in this procedure that ultimately determines the patient's outcome. We describe each step of the …

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PD35-11 TOTAL PORCINE BLADDER REPLACEMENT WITH AN ACELLULAR ALLOPLAST

Pengbo Jiang, Akhil Peta, Raphael B. Arada, Maged Ayad et autres

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: Ureter (including Pyeloplasty) and Bladder Reconstruction (including fistula), Augmentation, Substitution, Diversion I (PD35)1 Sep 2021PD35-11 TOTAL PORCINE BLADDER REPLACEMENT WITH AN ACELLULAR ALLOPLAST Pengbo Jiang, Akhil Peta, Raphael Arada, Maged Ayad, Nicholas Nguyen, Erik Larson, Krista Larson, …

MP65-05 SUPERPULSE THULIUM, HOLMIUM, AND HOLMIUM MOSES LASER LITHOTRIPSY: AN EX-VIVO LABORATORY EVALUATION ON THE EFFECTIVENESS OF “DUSTING” COUPLED WITH URETEROSCOPIC FRAGMENT ASPIRATION

Pengbo Jiang, Akhil Peta, Raphael B. Arada, Maged Ayad et autres

You have accessJournal of UrologyStone Disease: Surgical Therapy V (MP65)1 Sep 2021MP65-05 SUPERPULSE THULIUM, HOLMIUM, AND HOLMIUM MOSES LASER LITHOTRIPSY: AN EX-VIVO LABORATORY EVALUATION ON THE EFFECTIVENESS OF “DUSTING” COUPLED WITH URETEROSCOPIC FRAGMENT ASPIRATION Pengbo Jiang, Akhil Peta, Raphael Arada, Maged Ayad, …

Caveat Emptor: The Heat Is “ON”—An In Vivo Evaluation of the Thulium Fiber Laser and Temperature Changes in the Porcine Kidney During Dusting and Fragmentation Modes

Zhamshid Okhunov, Pengbo Jiang, Andrew Shea Afyouni, Maged Ayad et autres

Introduction: We sought to examine the intrarenal fluid and tissue temperature alterations during dusting and fragmentation with the thulium fiber laser (TFL) in an in vivo porcine kidney. Materials and Methods: In two female Yorkshire pigs, temperature was continuously measured within the …

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Comparison of Conventional and Triple Bolus Computerized Tomographic Urography Protocols for Radiation Dose Reduction in Hematuria Evaluation: A Randomized Controlled Trial

Rajiv Karani, John M. Sung, Lillian Xie, Raphael B. Arada et autres

PURPOSE: Computerized tomographic urography is the diagnostic tool of choice for evaluating hematuria. In keeping with the ALARA (As Low As Reasonably Achievable) principle, we evaluated a triple bolus computerized tomography protocol designed to reduce radiation exposure. MATERIALS AND METHODS: Patients with …

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