=== Generating (published_papers) === === Generating (research_experience) === === Generating (awards) === === Generating (presentations) === ==== begin registerFile(/WWW/pub2/data/ERD/person/384425/researchmap/published_papers.jsonl) ==== line:1, {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/35851694","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=389088","label":"url"}],"paper_title":{"en":"Appropriate management reduces radiation exposure in daily urological practice","ja":"Appropriate management reduces radiation exposure in daily urological practice"},"authors":{"en":[{"name":"Ozaki K."},{"name":"Kawanaka Takashi"},{"name":"Fukawa Tomoya"},{"name":"Daizumoto Kei"},{"name":"Sasaki Yutaro"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Takahashi Masayuki"},{"name":"Kanayama Hiro-omi"}],"ja":[{"name":"尾崎 啓介"},{"name":"川中 崇"},{"name":"布川 朋也"},{"name":"大豆本 圭"},{"name":"佐々木 雄太郎"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"高橋 正幸"},{"name":"金山 博臣"}]},"description":{"en":"To identify and raise awareness of the radiation exposure of urologists due to X-ray fluoroscopic procedures in daily practice. This was a single-center, cohort study of 30 consecutive patients who underwent periodic percutaneous or transurethral replacements of urinary tract catheters. A total of 55 replacements every 3 months with cases aligned were performed by a single urologist. The urologist's radiation exposure and the incident dose to patients per case were measured with thermoluminescent dosimeters. In the latter 3-month period, the pulse fluoroscopy condition was changed from 15 to 7.5 pulses per second, and collimation was added to the field of view. In the analysis of all patients, the use of a modified pulse rate and collimation did not affect the fluoroscopy time, but it did significantly reduce the air kerma and dose area product; in addition, with respect to the medical exposure dose during percutaneous catheter replacement, fluoroscopy time was longer, but air kerma and dose area product showed significant decreases. As with decreases in medical exposure of patients, the equivalent dose for eye lenses of the urologist decreased from 1.2 mSv in the first 3-month period to 0.2 mSv in the second 3-month period. Similarly, the exposure dose for the extremities also decreased significantly, from 33.9 mSv to 8.1 mSv. Urologists are exposed to non-negligible amounts of radiation due to fluoroscopy. Appropriate management such as modified pulse fluoroscopy condition and precautions are required.","ja":"To identify and raise awareness of the radiation exposure of urologists due to X-ray fluoroscopic procedures in daily practice. This was a single-center, cohort study of 30 consecutive patients who underwent periodic percutaneous or transurethral replacements of urinary tract catheters. A total of 55 replacements every 3 months with cases aligned were performed by a single urologist. The urologist's radiation exposure and the incident dose to patients per case were measured with thermoluminescent dosimeters. In the latter 3-month period, the pulse fluoroscopy condition was changed from 15 to 7.5 pulses per second, and collimation was added to the field of view. In the analysis of all patients, the use of a modified pulse rate and collimation did not affect the fluoroscopy time, but it did significantly reduce the air kerma and dose area product; in addition, with respect to the medical exposure dose during percutaneous catheter replacement, fluoroscopy time was longer, but air kerma and dose area product showed significant decreases. As with decreases in medical exposure of patients, the equivalent dose for eye lenses of the urologist decreased from 1.2 mSv in the first 3-month period to 0.2 mSv in the second 3-month period. Similarly, the exposure dose for the extremities also decreased significantly, from 33.9 mSv to 8.1 mSv. Urologists are exposed to non-negligible amounts of radiation due to fluoroscopy. Appropriate management such as modified pulse fluoroscopy condition and precautions are required."},"publication_date":"2022-07-18","publication_name":{"en":"International Journal of Urology","ja":"International Journal of Urology"},"languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/iju.14971"],"issn":["1442-2042"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} line:2, {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/35842843","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=389089","label":"url"}],"paper_title":{"en":"Efficacy of the Mercedes-Benz closure technique for vaginal reconstruction in female robot-assisted radical cystectomy","ja":"Efficacy of the Mercedes-Benz closure technique for vaginal reconstruction in female robot-assisted radical cystectomy"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Daizumoto Kei"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamaguchi Kunihisa"},{"name":"Yamamoto Yasuyo"},{"name":"Kanayama Hiro-omi"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"大豆本 圭"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山口 邦久"},{"name":"山本 恭代"},{"name":"金山 博臣"}]},"description":{"en":"Vaginal reconstruction using the posterior vaginal wall is required following radical cystectomy in women with resection of the uterus, adnexa, and anterior vaginal wall. Roll closure and clamshell closure are two widely known techniques. Of these, clamshell closure is recommended because roll closure has a high likelihood of breakdown or a resultant canal that is too narrow for sexual intercourse. In clamshell closure, however, folding the posterior vaginal wall anteriorly can be difficult. Therefore, we devised Mercedes-Benz closure, in which the vaginal wall is sutured from three directions to form a Mercedes-Benz shape, for anastomosis without tension on the vaginal wall. The present study was performed to investigate the efficacy of this alternative surgical technique for vaginal reconstruction. Twenty-six patients who underwent vaginal reconstruction following robot-assisted radical cystectomy were divided into two groups: 15 underwent clamshell closure and 11 underwent Mercedes-Benz closure. The patients' characteristics and surgical outcomes were compared between the two groups. There were no significant differences in clinical characteristics, including age, body mass index, and prior abdominal surgery between the two groups. The median vaginal reconstruction time tended to be longer in the Mercedes-Benz closure group than in the clamshell closure group (35.0 vs. 27.0 min, p = 0.102). No complications associated with vaginal reconstruction were identified. The surgical outcomes were comparable between Mercedes-Benz closure and clamshell closure. If vaginal reconstruction with clamshell closure is difficult, Mercedes-Benz closure is a valuable alternative technique.","ja":"Vaginal reconstruction using the posterior vaginal wall is required following radical cystectomy in women with resection of the uterus, adnexa, and anterior vaginal wall. Roll closure and clamshell closure are two widely known techniques. Of these, clamshell closure is recommended because roll closure has a high likelihood of breakdown or a resultant canal that is too narrow for sexual intercourse. In clamshell closure, however, folding the posterior vaginal wall anteriorly can be difficult. Therefore, we devised Mercedes-Benz closure, in which the vaginal wall is sutured from three directions to form a Mercedes-Benz shape, for anastomosis without tension on the vaginal wall. The present study was performed to investigate the efficacy of this alternative surgical technique for vaginal reconstruction. Twenty-six patients who underwent vaginal reconstruction following robot-assisted radical cystectomy were divided into two groups: 15 underwent clamshell closure and 11 underwent Mercedes-Benz closure. The patients' characteristics and surgical outcomes were compared between the two groups. There were no significant differences in clinical characteristics, including age, body mass index, and prior abdominal surgery between the two groups. The median vaginal reconstruction time tended to be longer in the Mercedes-Benz closure group than in the clamshell closure group (35.0 vs. 27.0 min, p = 0.102). No complications associated with vaginal reconstruction were identified. The surgical outcomes were comparable between Mercedes-Benz closure and clamshell closure. If vaginal reconstruction with clamshell closure is difficult, Mercedes-Benz closure is a valuable alternative technique."},"publication_date":"2022-07-17","publication_name":{"en":"Asian Journal of Endoscopic Surgery","ja":"Asian Journal of Endoscopic Surgery"},"languages":["eng"],"referee":true,"identifiers":{"doi":["10.1111/ases.13109"],"issn":["1758-5910"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} line:3, {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://repo.lib.tokushima-u.ac.jp/ja/116363","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/34081290","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=389091","label":"url"}],"paper_title":{"en":"The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men","ja":"The patient-side surgeon plays a key role in facilitating robot-assisted intracorporeal ileal conduit urinary diversion in men"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Takahashi Masayuki"},{"name":"Daizumoto Kei"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Kanayama Hiro-omi"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"高橋 正幸"},{"name":"大豆本 圭"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"金山 博臣"}]},"description":{"en":"The influence of the console surgeon on the feasibility and outcome of various robot-assisted surgeries has been evaluated. These variables may be partially affected by the skills of the patient-side surgeon (PSS), but this has not been evaluated using objective data. This study aimed to describe the surgical techniques of the PSS in robot-assisted radical cystectomy (RARC) and intracorporeal ileal conduit (ICIC) urinary diversion and objectively examine the changes in surgical outcomes with increasing PSS experience. During a 3-year period, 28 men underwent RARC and ICIC urinary diversion. Clinical characteristics and surgical outcomes were compared between patients who underwent surgery early (first half group) or late in the study period (second half group). The pre-docking incision enabled easy specimen removal. The glove port technique widened the working space of the PSS. The stay suture allowed the PSS to control the distal portion of the conduit, facilitating the passage of the ureteral stents. During stoma creation, pneumoperitoneum pressure was lost by opening the abdominal cavity. To overcome this problem, the robotic arm was used to lift the abdominal wall to maintain the surgical field and facilitate the PSS procedure. Compared with the first half group, the second half group had significantly shorter times for urinary diversion (202 min vs 148 min, p < 0.001), ileal isolation and anastomosis (73 min vs 45 min, p < 0.001), and stenting (23.0 min vs 6.5 min, p < 0.001). As the experience of the PSS increased, the time of the PSS procedures decreased.","ja":"The influence of the console surgeon on the feasibility and outcome of various robot-assisted surgeries has been evaluated. These variables may be partially affected by the skills of the patient-side surgeon (PSS), but this has not been evaluated using objective data. This study aimed to describe the surgical techniques of the PSS in robot-assisted radical cystectomy (RARC) and intracorporeal ileal conduit (ICIC) urinary diversion and objectively examine the changes in surgical outcomes with increasing PSS experience. During a 3-year period, 28 men underwent RARC and ICIC urinary diversion. Clinical characteristics and surgical outcomes were compared between patients who underwent surgery early (first half group) or late in the study period (second half group). The pre-docking incision enabled easy specimen removal. The glove port technique widened the working space of the PSS. The stay suture allowed the PSS to control the distal portion of the conduit, facilitating the passage of the ureteral stents. During stoma creation, pneumoperitoneum pressure was lost by opening the abdominal cavity. To overcome this problem, the robotic arm was used to lift the abdominal wall to maintain the surgical field and facilitate the PSS procedure. Compared with the first half group, the second half group had significantly shorter times for urinary diversion (202 min vs 148 min, p < 0.001), ileal isolation and anastomosis (73 min vs 45 min, p < 0.001), and stenting (23.0 min vs 6.5 min, p < 0.001). As the experience of the PSS increased, the time of the PSS procedures decreased."},"publication_date":"2022-04","publication_name":{"en":"Journal of Robotic Surgery","ja":"Journal of Robotic Surgery"},"volume":"Vol.16","number":"No.2","starting_page":"437","ending_page":"444","languages":["eng"],"referee":true,"identifiers":{"doi":["10.1007/s11701-021-01256-x"],"issn":["1863-2491"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} line:4, {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"http://id.ndl.go.jp/bib/031646568","label":"url"},{"@id":"https://cir.nii.ac.jp/crid/1523388081028360448/","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=389095","label":"url"}],"paper_title":{"en":"腎移植後のリンパ漏にリンパ管造影が効果的であった3例","ja":"腎移植後のリンパ漏にリンパ管造影が効果的であった3例"},"authors":{"en":[{"name":"Yamaguchi Kunihisa"},{"name":"Sasaki Yutaro"},{"name":"Fukawa Tomoya"},{"name":"Takahashi Masayuki"},{"name":"Kanayama Hiro-omi"}],"ja":[{"name":"山口 邦久"},{"name":"佐々木 雄太郎"},{"name":"布川 朋也"},{"name":"高橋 正幸"},{"name":"金山 博臣"}]},"publication_date":"2021-12","publication_name":{"en":"日本臨床腎移植学会雑誌","ja":"日本臨床腎移植学会雑誌"},"volume":"Vol.1","number":"No.19","starting_page":"118","ending_page":"121","languages":["jpn"],"referee":true,"identifiers":{"issn":["2187-9907"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} line:5, {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://cir.nii.ac.jp/crid/1390855656035011840/","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=391380","label":"url"}],"paper_title":{"en":"Two Cases of Robot-Assisted Total Pelvic Exenteration and Intracorporeal Ileal Conduit for Locally Advanced Rectal Cancer","ja":"局所進行直腸癌に対してロボット支援骨盤内臓全摘除術および体腔内回腸導管造設術を施行した2例"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"安宅 真利花"},{"name":"多田 航生"},{"name":"中西 亮太"},{"name":"橋本 啓佑"},{"name":"吉岡 拓哉"},{"name":"Daizumoto Kei"},{"name":"Ozaki Keisuke"},{"name":"Ueno Yoshiteru"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Takahashi Masayuki"},{"name":"Kanayama Hiro-omi"},{"name":"Kashihara Hideya"},{"name":"Tokunaga Takuya"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"安宅 真利花"},{"name":"多田 航生"},{"name":"中西 亮太"},{"name":"橋本 啓佑"},{"name":"吉岡 拓哉"},{"name":"大豆本 圭"},{"name":"尾崎 啓介"},{"name":"上野 恵輝"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"高橋 正幸"},{"name":"金山 博臣"},{"name":"柏原 秀也"},{"name":"徳永 卓哉"}]},"publication_date":"2021-04-30","publication_name":{"en":"Acta Urologica Japonica","ja":"泌尿器科紀要"},"volume":"Vol.68","number":"No.5","starting_page":"155","ending_page":"159","languages":["jpn"],"referee":true,"identifiers":{"doi":["10.14989/actauroljap_68_5_155"],"issn":["0018-1994"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} line:6, {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/34107613","label":"url"},{"@id":"https://www.scopus.com/record/display.url?eid=2-s2.0-85108011497&origin=inward","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=391374","label":"url"}],"paper_title":{"en":"A Case of Robot-Assisted Radical Cystoprostatectomy for Locally Advanced Prostate Cancer with Bladder Infiltration","ja":"膀胱浸潤を来たした局所進行性前立腺癌に対してロボット支援腹腔鏡下膀胱前立腺全摘除術を施行した1例"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"角陸 文哉"},{"name":"深谷 友祐"},{"name":"山本 拓"},{"name":"Daizumoto Kei"},{"name":"Ozaki Keisuke"},{"name":"Ueno Yoshiteru"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Takahashi Masayuki"},{"name":"Kanayama Hiro-omi"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"角陸 文哉"},{"name":"深谷 友祐"},{"name":"山本 拓"},{"name":"大豆本 圭"},{"name":"尾崎 啓介"},{"name":"上野 恵輝"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"高橋 正幸"},{"name":"金山 博臣"}]},"description":{"en":"While robot-assisted radical cystoprostatectomy (RARC) for locally advanced prostate cancer (LAPC) may sometimes prove to be excessive treatment, it can significantly reduce the risk of positive surgical margins and lower urinary tract obstruction in some cases. Here, we report a case of LAPC treated with RARC in a patient with right hydronephrosis due to bladder infiltration and left hypoplastic kidney. A 71-year-old man presented with frequent urination in August 2019. Prostate-specific antigen (PSA) level was 8.633 ng/ml, and magnetic resonance imaging led to the suspicion that the prostate cancer extended beyond the prostate capsule without distant metastasis. Prostatic biopsy revealed Gleason score 10 (5+5) adenocarcinoma in 8 out of 8 specimens. We diagnosed left hypoplastic kidney and LAPC with right hydronephrosis due to bladder infiltration. We performed percutaneous right nephrostomy and started neoadjuvant hormone therapy. RARC and intracorporeal ileal conduit were performed in March 2020. The prostate was adherent to the anterior surface of the rectum and was difficult to remove. At present, five months after the surgery, the patient remains free of recurrence and metastasis with PSA level <0.003 ng/ml. RARC for LAPC with bladder infiltration can be an effective therapeutic strategy in some cases.","ja":"While robot-assisted radical cystoprostatectomy (RARC) for locally advanced prostate cancer (LAPC) may sometimes prove to be excessive treatment, it can significantly reduce the risk of positive surgical margins and lower urinary tract obstruction in some cases. Here, we report a case of LAPC treated with RARC in a patient with right hydronephrosis due to bladder infiltration and left hypoplastic kidney. A 71-year-old man presented with frequent urination in August 2019. Prostate-specific antigen (PSA) level was 8.633 ng/ml, and magnetic resonance imaging led to the suspicion that the prostate cancer extended beyond the prostate capsule without distant metastasis. Prostatic biopsy revealed Gleason score 10 (5+5) adenocarcinoma in 8 out of 8 specimens. We diagnosed left hypoplastic kidney and LAPC with right hydronephrosis due to bladder infiltration. We performed percutaneous right nephrostomy and started neoadjuvant hormone therapy. RARC and intracorporeal ileal conduit were performed in March 2020. The prostate was adherent to the anterior surface of the rectum and was difficult to remove. At present, five months after the surgery, the patient remains free of recurrence and metastasis with PSA level <0.003 ng/ml. RARC for LAPC with bladder infiltration can be an effective therapeutic strategy in some cases."},"publication_date":"2021-04-30","publication_name":{"en":"Acta Urologica Japonica","ja":"泌尿器科紀要"},"volume":"Vol.67","number":"No.4","starting_page":"163","ending_page":"166","languages":["jpn"],"referee":true,"identifiers":{"doi":["10.14989/ActaUrolJap_67_4_163"],"issn":["0018-1994"]},"published_paper_type":"scientific_journal"},"priority":"input_data"} line:7, {"insert":{"user_id":"B000366681","type":"published_papers"},"similar_merge":{"see_also":[{"@id":"https://repo.lib.tokushima-u.ac.jp/ja/116511","label":"url"},{"@id":"https://www.ncbi.nlm.nih.gov/pubmed/34759153","label":"url"},{"@id":"https://web.db.tokushima-u.ac.jp/cgi-bin/edb_browse?EID=389094","label":"url"}],"paper_title":{"en":"Efficacy of the direct grasping technique using pean forceps under fluoroscopy to replace ureteral stents in women","ja":"Efficacy of the direct grasping technique using pean forceps under fluoroscopy to replace ureteral stents in women"},"authors":{"en":[{"name":"Sasaki Yutaro"},{"name":"Takahashi Masayuki"},{"name":"Ozaki Keisuke"},{"name":"Daizumoto Kei"},{"name":"Ueno Yoshiteru"},{"name":"Tsuda Megumi"},{"name":"Kusuhara Yoshito"},{"name":"Fukawa Tomoya"},{"name":"Yamamoto Yasuyo"},{"name":"Yamaguchi Kunihisa"},{"name":"Kanayama Hiro-omi"}],"ja":[{"name":"佐々木 雄太郎"},{"name":"高橋 正幸"},{"name":"Ozaki Keisuke"},{"name":"大豆本 圭"},{"name":"Ueno Yoshiteru"},{"name":"津田 恵"},{"name":"楠原 義人"},{"name":"布川 朋也"},{"name":"山本 恭代"},{"name":"山口 邦久"},{"name":"金山 博臣"}]},"description":{"en":"Purpose : To evaluate the efficacy of the direct grasping technique using pean forceps under fluoroscopic guidance for ureteral stent replacement in women. Methods : Between April 2018 and September 2020, 28 female patients underwent ureteral stent replacements at our facility, and 184 stent replacement procedures were performed. A total of 127 stents were replaced using pean forceps under fluoroscopic guidance (pean forceps group), and 57 stents were replaced using the cystoscope (cystoscopy group). Clinical characteristics and surgical outcomes were compared between the groups. Results : All stents were successfully replaced. There was a statistically significant difference in the procedure time between the two groups (median [interquartile range], pean forceps group : 10.8 [8.2-13.9] minutes vs. cystoscopy group : 15.8 [11.1-20.9] minutes, P < 0.001). There were no intraoperative complications in either group and no difference in the incidence of postoperative complications (pean forceps group : 1.6% vs. cystoscopy group : 1.8%, P = 1.000). Fluoroscopy time was longer in the pean forceps group, although this difference was not statistically significant (pean forceps group : 38.9 [22.6-60.1] seconds vs. cystoscopy group : 33.0 [20.0-48.9] seconds, P = 0.0558). Conclusion : The direct grasping technique using pean forceps under fluoroscopy may be a beneficial alternative to cystoscopy for ureteral stent replacement in women. J. Med. Invest. 68 : 326-329, August, 2021.","ja":"Purpose : To evaluate the efficacy of the direct grasping technique using pean forceps under fluoroscopic guidance for ureteral stent replacement in women. Methods : Between April 2018 and September 2020, 28 female patients underwent ureteral stent replacements at our facility, and 184 stent replacement procedures were performed. A total of 127 stents were replaced using pean forceps under fluoroscopic guidance (pean forceps group), and 57 stents were replaced using the cystoscope (cystoscopy group). Clinical characteristics and surgical outcomes were compared between the groups. Results : All stents were successfully replaced. There was a statistically significant difference in the procedure time between the two groups (median [interquartile range], pean forceps group : 10.8 [8.2-13.9] minutes vs. cystoscopy group : 15.8 [11.1-20.9] minutes, P < 0.001). There were no intraoperative complications in either group and no difference in the incidence of postoperative complications (pean forceps group : 1.6% vs. cystoscopy group : 1.8%, P = 1.000). Fluoroscopy time was longer in the pean forceps group, although this difference was not statistically significant (pean forceps group : 38.9 [22.6-60.1] seconds vs. cystoscopy group : 33.0 [20.0-48.9] seconds, P = 0.0558). Conclusion : The direct grasping technique using pean forceps under fluoroscopy may be a beneficial alternative to cystoscopy for ureteral stent replacement in women. J. Med. 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