Jason K Sprunger

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PURPOSE During the last 10 years we attempted to treat most children presenting with a ureterocele with a single definitive operative procedure. We reviewed the surgical results to assess the success of the preoperative plan in achieving this outcome. MATERIALS AND METHODS We retrospectively reviewed the records and diagnostic studies of all children who(More)
PURPOSE Benefits of minimally invasive procedures include decreased hospitalization and recovery times. Decreased length of stay (LOS) improves hospital efficiency and decreases costs. However, decreasing the LOS at the expense of patient care and satisfaction is not acceptable. A clinical pathway (CP) with structured order sets and imaging was developed(More)
PURPOSE We questioned whether it is feasible in the current era of cost consciousness to perform standard open pediatric urological procedures on an outpatient basis while maintaining patient safety and satisfaction. MATERIALS AND METHODS We report on 51 consecutive patients 2 months to 13 years old (mean age 4 years 3 months) who underwent a standard(More)
BACKGROUND AND PURPOSE The optimal surgical tool for laparoscopic partial nephrectomy (LPN) would permit resection of lesions that penetrate relatively deeply and achieve hemostasis while allowing accurate viewing of the margins of the lesion, identification of the collecting system, control of both arteries and veins, and sealing of the collecting system.(More)
Approximately 33% of patients with renal cell carcinoma will present with metastases. Patients have a reported 35% 5-year survival rate in instances in which nephrectomy and surgical resection of a solitary metastasis have been performed. Laparoscopic partial nephrectomy has become an increasingly viable option in the treatment of some renal cancers. We(More)
The flexible ureteroscope has revolutionized the diagnosis and treatment of the entire upper urinary tract. Endoscopic tools have evolved, providing the surgeon with the armamentarium necessary to treat many different pathologic processes. Almost all renal calculi can be treated with retrograde ureteroscopy. The fragility of these new endoscopes is a(More)
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