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    hub sciencedirect scopus applications register login login go to scival suite username: password: remember me | not registered? Forgotten your username or password? Go to athens / institution login remote access activation home publications search my settings my alerts shopping cart help export citation purchase more options... Email article signed up for journal alerts [remove] alert me about new articles in this journal your selection(s) could not be saved due to an internal error. Please try again. Search     all fields     author advanced search     journal/book title     volume   issue   page search tips article outline is loading... Javascript required for article outline urology volume 77, issue 6, june 2011, pages 1370–1374 laparoscopy and robotics robotic ureterolysis for relief of ureteral obstruction from retroperitoneal fibrosis aryeh y. viagra discount Keehn, patrick w. viagra triangle westlake Mufarrij, michael d. Stifelman , department of urology, new york university, langone medical center, new york, united states received 30 may 2010 accepted 17 november 2010 available online 5 february 2011 how to cite or link using doi permissions & reprints view full text purchase $31. 50 material and methods results comment conclusions references objective to review our experience with robotic surgery for the management of retroperitoneal fibrosis (rpf) with ureteral obstruction. Ureteral obstruction is common in retroperitoneal fibrosis rpf. viagra price at costco Methods since april 2006, 21 patients have presented to our institution with ureteral obstruction, apparently from rpf. All underwent robotic biopsy. If frozen pathology reveals malignancy, is equivocal, and/or the fibrotic reaction is extensive, we stent the obstructed side(s) and await final pathology. viagra coupon If rpf is confirmed, medical therapy is initiated to relieve obstruction; failures receive salvage ureterolysis. Lymphomas are referred to medical oncology. non prescription viagra from canada If frozen pathology demonstrates rpf, immediate ureterolysis is performed, if technically feasible. is there anything over the counter that works like viagra Ureterolysis is not performed for uninvolved contralateral systems. We reviewed data with institutional review board approval. Results of 21 patients, 3 were diagnosed with lymphoma and 18 with rpf. Seventeen patients (21 renal units) with rpf received robotic ureterolysis (11 primary, 6 salvage); the other patient died of trauma before intervention. cheap generic viagra The only perioperative complication, an enterocutaneous fistula, required bowel resection. Three patients required a secondary procedure to relieve obstruction. buy generic viagra online At a mean follow-up of 20. 5 months, no renal unit has evidence of obstruction, and all patients have improved or resolved symptoms. generic viagra best prices Furthermore, none of the 13 patients who underwent a unilateral. viagra 911 call generic viagra overnight delivery since 1979
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