Related Experiment Video
Updated: Feb 22, 2026
12:10
Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
9.5K
Enhanced recovery after urologic surgery-Current applications and future directions
Daniel Zainfeld1, Hooman Djaladat1
1Institute of Urology, USC Keck/Norris Comprehensive Cancer Center, Los Angeles, California.
Journal of Surgical Oncology
|September 24, 2017
Summary
Enhanced recovery protocols improve urologic surgery outcomes. Further development of enhanced recovery after surgery (ERAS) pathways is crucial for patient care, addressing adoption barriers and standardizing evidence-based principles.
Area of Science:
- Urologic Surgery
- Perioperative Care
- Surgical Protocols
Background:
- Multidisciplinary perioperative care using enhanced recovery protocols has demonstrated improved outcomes in urologic surgery.
- Enhanced recovery after surgery (ERAS) pathways represent a structured approach to optimizing surgical patient care.
Purpose of the Study:
- To highlight the benefits of enhanced recovery protocols in urologic surgery.
- To discuss the ongoing development and refinement of ERAS pathways for comprehensive patient care.
- To identify key challenges in the widespread adoption and implementation of ERAS.
Main Methods:
- Review of current enhanced recovery protocols in urologic surgery.
- Analysis of factors influencing ERAS pathway adoption and patient adherence.
- Examination of strategies for standardizing ERAS pathways based on evidence.
Main Results:
- Enhanced recovery protocols are associated with improved patient outcomes in urologic procedures.
- Challenges to ERAS adoption include provider buy-in, patient compliance, and pathway standardization.
- Further application of ERAS in complex urologic procedures beyond radical cystectomy is warranted.
Conclusions:
- Continued refinement of ERAS pathways is essential for advancing urologic surgical care.
- Addressing barriers to ERAS adoption and ensuring adherence are critical for maximizing benefits.
- Standardization and broader application of ERAS protocols will further enhance perioperative management in urology.
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
629
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
629
01:30Urinary Tract Calculi III: Medical Management
291
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
291
01:22Imaging Studies V: Intravenous Urography and Retrograde Pyelography
1.9K
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
1.9K
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
3.8K
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
3.8K
01:26Kidney Transplant II: Surgical Procedure
512
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
512
01:26Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
465
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
465