Most technically challenging procedures?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
Get help with your application

Use all the free resources available to you from SDN: articles, guides, expert advising, forums discussions, and school research.

drivesmecraazee

Full Member
10+ Year Member
5+ Year Member
15+ Year Member
Advertisement - Members don't see this ad
I would like to know which are the hardest procedures in urology? Those than could only be done by experienced, talented and hard working surgeons...
Thanks a lot for your answers! 👍
 
My father is a Urologist, and I often ask him this question. He claims cystectomies can be a challenge to even experienced urologist. It's an apparently long, long surgery to perform with a lot of delicacy involved.
 
I scrubbed into a subtotal cystectomy recently... more than four hour procedure. Pretty stinkin complex

Simple question that I didnt want to start a new thread for. What are the open approaches to radical prostatectomy? As far as I know theres retropubic (which I assume is the same as suprapubic), and theres perineal. Is that it?
 
Advertisement - Members don't see this ad
I scrubbed into a subtotal cystectomy recently... more than four hour procedure. Pretty stinkin complex

Simple question that I didnt want to start a new thread for. What are the open approaches to radical prostatectomy? As far as I know theres retropubic (which I assume is the same as suprapubic), and theres perineal. Is that it?


Only two ways to do an open radical prostatectomy - retropubic and perineal.

Simple prostatectomies are either suprapubic (thru the bladder) or retropubic (thru the prostatic capsule). Each is done thru a retropubic skin incision.
 
Only two ways to do an open radical prostatectomy - retropubic and perineal.

Simple prostatectomies are either suprapubic (thru the bladder) or retropubic (thru the prostatic capsule). Each is done thru a retropubic skin incision.

Thanks much for the clarification.
 
I'd have to agree with cystectomies being the most challenging. Granted, I'm a medical student interested in urology - but the few procedures I've scrubbed for, it's certainly the longest. 4-8 hours depending on anatomy, size of the individual, # of nodes taken, and diversion chosen.
 
persistent cloaca or cloacal exstrophy repair is much much harder than a cystectomy (even witha neobladder)