Abstract:
BACKGROUND:The indications for nephron-sparing surgery are expanding constantly. One major contributing fact for this development is the improvement of haemostatic techniques following excision of the tumor. Nevertheless, postoperative bleeding complications still occur. To prevent this, we prospectively studied the effect of application of small-intestine submucosa (SIS) over the renal defect. METHODS:We performed 55 nephron-sparing surgeries applying SIS between 08/03 and 10/06 in 53 pts. (mean age: 59 yrs., range 29 - 79 yrs.). After resection of the renal tumor and application of a haemostyptic agent, we used SIS to secure and apply compression on the defect. RESULTS:The final pathology revealed clear-cell and papillary carcinoma, papillary adenoma, oncocytoma, and angiomyolipoma in 39 (70.9%), 6 (10.9), 1 (1.8%), 2 (3.6%) and 7 (12.7%) patients, respectively. The 45 malignant lesions (81.8%) were classified as pT1a and pT1b in 35 (77.8%) and 10 (22.2%) patients, respectively. The median tumor size was 4.5 cm (range: 1.3 - 13 cm). The median operating time was 186 min (range: 90 - 260 min). 18 (32.7%) procedures were performed without ischemia. 23 (41.8%) and 14 (25.5%) cases were operated in in-situ cold and warm ischemia, respectively. The median intraoperative blood loss was 730 cc (range: 100 - 2500 cc). No open operative revision was indicated due to postoperative bleeding complications. Furthermore, there was no necessity to substitute persistent blood loss from the drains postoperatively. No urinoma occurred. CONCLUSION:SIS is a highly effective and easy-to-use instrument for preventing postoperative bleeding and urinary fistula complications in nephron-sparing surgery.
journal_name
BMC Uroljournal_title
BMC urologyauthors
Simon J,de Petriconi R,Meilinger M,Hautmann RE,Bartsch G Jrdoi
10.1186/1471-2490-8-8subject
Has Abstractpub_date
2008-04-29 00:00:00pages
8issn
1471-2490pii
1471-2490-8-8journal_volume
8pub_type
杂志文章相关文献
BMC Urology文献大全abstract:BACKGROUND:To determine risk factors for postoperative fever (POF) after retrograding intrarenal surgery (RIRS) and a nomogram for prediction of POF in patients undertaking RIRS has been developed based on the risk factors found. METHODS:This is a retrospective designed-study. A continuous cohort from a single-center ...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-020-00620-7
更新日期:2020-05-06 00:00:00
abstract:BACKGROUND:Cystic renal cell carcinoma (CRCC) is relatively rare; CRCC is frequently misdiagnosed as a benign renal cyst. CRCC carries an excellent prognosis following surgical treatment. The aim of our study was to summarize the management of CRCC and to characterize the prognosis of affected patients. METHODS:A retr...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-14-87
更新日期:2014-11-07 00:00:00
abstract:BACKGROUND AND AIMS:It has been reported that Helicobacter pylori (HP) infection was more prevalent in infertile populations. HP infection could lead to decreased sperm parameters, and treating the HP infection could improve the quality of sperm. However, studies investigating the relationship between infertility and H...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-020-00725-z
更新日期:2020-11-26 00:00:00
abstract:BACKGROUND:The current standard for Prostate Cancer (PCa) detection in biopsy-naïve men consists of 10-12 systematic biopsies under ultrasound guidance. This approach leads to underdiagnosis and undergrading of significant PCa while insignificant PCa may be overdiagnosed. The recent developments in MRI and Contrast Enh...
journal_title:BMC urology
pub_type: 临床试验,杂志文章
doi:10.1186/s12894-017-0213-7
更新日期:2017-04-05 00:00:00
abstract:BACKGROUND:Wilms tumor is the most common renal tumor of childhood. Duplication of the inferior vena cava is an uncommon anomaly. In the present study, we present a case of Wilms tumor with the inferior vena cava duplication, which has not been reported previously. CASE PRESENTATION:A 14-month-old female presented wit...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-018-0401-0
更新日期:2018-10-19 00:00:00
abstract:BACKGROUND:The use of ureteral access sheath (UAS) during ureteroscopy is controversial. We aimed to explore practice patterns of UAS during ureteroscopy for nephrolithiasis among endourologists worldwide. METHODS:A 15-question survey was designed using the SurveyMonkey® platform. The questions covered the background ...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-019-0489-x
更新日期:2019-07-04 00:00:00
abstract:BACKGROUND:Previous studies have suggested a greater benefit for various outcomes in men diagnosed with benign prostatic hyperplasia (BPH) who are treated with dutasteride than for men treated with finasteride. This study investigates whether the rates of BPH-related prostate surgery and acute urinary retention (AUR) d...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-016-0170-6
更新日期:2016-08-31 00:00:00
abstract:BACKGROUND:We describe a detailed novel step-by-step approach for creation of an ileal neobladder and compare the outcomes with standart neobladder. METHODS:Between August 2009 and January 2016, 36 consecutive patients with bladder cancer underwent radical cystectomy and orthotopic urinary diversion with an ileal neob...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-018-0406-8
更新日期:2018-10-26 00:00:00
abstract:BACKGROUND:Atraumatic renal pelvis rupture without pre-existing renal or ureteric pathology is an uncommon event. It is reported in the setting of acute urinary tract obstruction, most often secondary to ureteric calculi. Typical symptoms include acute flank pain and nausea, mimicking pyelonephritis or other causes of ...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-020-00669-4
更新日期:2020-07-13 00:00:00
abstract::This review summarizes recent literature on advances regarding renal and ureteral calculi, with particular focus in areas of recent advances in the overall field of urolithiasis. Clinical management in everyday practice requires a complete understanding of the issues regarding metabolic evaluation and subgrouping of s...
journal_title:BMC urology
pub_type: 杂志文章,评审
doi:10.1186/1471-2490-13-10
更新日期:2013-02-16 00:00:00
abstract:BACKGROUND:C-C chemokine receptor type 7 (CCR7) overexpression correlated with lymphatic metastasis and poor prognosis is a major obstacle to bladder cancer treatment. Recent studies have revealed that miR-199a-5p was significantly abnormal expressed in several solid tumors and functioned as oncogene or tumor suppresso...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-016-0181-3
更新日期:2016-11-04 00:00:00
abstract:BACKGROUND:Follicular dendritic cell sarcoma is a very rare bladder tumor with very few cases that have been reported in the English literature. CASE PRESENTATION:We report an unusual case of follicular dendritic cell sarcoma that is coexistent with urothelial carcinoma (UC) in the urinary bladder of a 73-year-old man...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-019-0517-x
更新日期:2019-09-05 00:00:00
abstract:BACKGROUND:Ureteral herniations are a rare occurrence, generally found incidentally on cross sectional imaging or during surgical intervention for unrelated processes. Several locations of ureteral herniations can occur including the inguinal, femoral, sciatic, obturator, and thoracic regions. While few reports of uret...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-017-0207-5
更新日期:2017-04-05 00:00:00
abstract:BACKGROUND:To observe the efficacy of self-help position therapy (SHPT) after holmium laser lithotripsy via flexible ureteroscopy (FURS). METHODS:From January 2010 to November 2015, 736 nephrolithiasis patients who had received FURS lithotripsy were analyzed retrospectively. In position group, 220 cases accepted SHPT ...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-018-0348-1
更新日期:2018-05-08 00:00:00
abstract:BACKGROUND:Site-dependent and interindividual histological differences in Denonvilliers' fascia (DF) are not well understood. This study aimed to examine site-dependent and interindividual differences in DF and to determine whether changes in the current approach to radical prostatectomy are warranted in light of these...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-015-0034-5
更新日期:2015-05-12 00:00:00
abstract:BACKGROUND:Urethral injury produces partial or complete disruption of the urethral integrity. Advances in endourology have made endoscopic management of most of these injuries feasible without greatly compromising the final result. We report our institutional experience of immediate endoscopic realignment of complete i...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-5-13
更新日期:2005-11-09 00:00:00
abstract:BACKGROUND:Patients with newly diagnosed non-metastatic prostate adenocarcinoma are typically classified as at low, intermediate, or high risk of disease progression using blood prostate-specific antigen concentration, tumour T category, and tumour pathological Gleason score. Classification is used to both predict clin...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-018-0433-5
更新日期:2019-01-07 00:00:00
abstract:BACKGROUND:Recently, the Expanded Prostate Cancer Index Composite 26-item version (EPIC-26) was recommended for the assessment of adverse effects after the treatment of prostate cancer without clear reasons. This decision encouraged us to review the questionnaire development from the UCLA Prostate Cancer Index (UCLA-PC...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-017-0302-7
更新日期:2017-12-02 00:00:00
abstract:BACKGROUND:To assess whether application of a hyaluronic acid-carboxymethyl cellulose membrane (HA/CMC) to the prostate bed and neurovascular plate facilitated early return of continence after nerve-sparing robot-assisted radical prostatectomy (RARP). METHODS:The subjects were 183 consecutive patients with organ-confi...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-019-0458-4
更新日期:2019-04-23 00:00:00
abstract:BACKGROUND:Congenital mid-ureteral stricture is a rare malformation of the ureter leading to prenatal and neonatal hydronephrosis. Site characterization of the narrowing is important to optimize the surgical approach to the newborn affected by hydronephrosis. CASE PRESENTATION:We report a female EM with a rare form of...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-7-8
更新日期:2007-06-08 00:00:00
abstract:BACKGROUND:Prostate cancer is the most frequently reported cancer in males in Europe, and is associated with substantial morbidity and mortality. The aim of the current review was to characterize the clinical, economic and humanistic burden of disease associated with prostate cancer in France, Germany, the UK and Canad...
journal_title:BMC urology
pub_type: 杂志文章,评审
doi:10.1186/s12894-019-0448-6
更新日期:2019-03-18 00:00:00
abstract:BACKGROUND:The association between surgical outcome of hypospadias repair and long-term male reproductive function has not been documented. The purpose of this study was to clarify association between paternity in adult hypospadias patients and reoperation for urethral obstruction after two-stage repair during childhoo...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-019-0512-2
更新日期:2019-10-04 00:00:00
abstract:BACKGROUND:Polyorchidism is a congenital anomaly of the urogenital system and means more than two testes. It is a rare phenomenon, where there are no more than 200 reported cases in the literature. In this case, we report a 13-month year's old case with five testicles. CASE PRESENTATION:We report a rare five testicles...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-020-00681-8
更新日期:2020-08-20 00:00:00
abstract:BACKGROUND:Retzius-sparing robot-assisted laparoscopic radical prostatectomy (rsRARP) allows entire prostatectomy procedure via the pouch of Douglas. In low- and intermediate-risk prostate cancer (PCa) there is level 1 evidence that the Retzius-sparing approach impacts early continence recovery. Since specific data on ...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-019-0550-9
更新日期:2019-11-12 00:00:00
abstract:BACKGROUND:Bladder hyperthermic intracavitary chemotherapy (HIVEC) has good effectiveness for bladder cancer, but conventional HIVEC systems lack precision and convenient application. To test the safety of a new HIVEC device (BR-TRG-II-type) in pigs and to perform a preliminary clinical trial in patients with bladder c...
journal_title:BMC urology
pub_type: 临床试验,杂志文章
doi:10.1186/s12894-019-0543-8
更新日期:2019-12-03 00:00:00
abstract:BACKGROUND:Survival rate for patients presenting muscle invasive bladder cancer is very low, and useful therapeutic target has not been identified yet. In the present study, new COX2 downstream signals involved in urothelial carcinoma cell survival were investigated in vitro and in vivo. METHODS:COX2 gene was silenced...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-11-8
更新日期:2011-05-18 00:00:00
abstract:BACKGROUND:Vasitis or inflammation of the vas deferens is a rare condition, and few case reports with computed tomography images have been published since 1980. CASE PRESENTATION:A 50-year-old man presented with severe right inguinal and lower abdominal pain. Initial diagnosis at the emergency department was incarcera...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-019-0460-x
更新日期:2019-04-29 00:00:00
abstract:BACKGROUND:This study compared the detection rates for clinically significant prostate cancer (CSPC) between magnetic resonance imaging and ultrasonography (MRI/US)-fusion-targeted biopsy (TB), systematic biopsy (SB) and combination of TB and SB. METHODS:This prospective study evaluated simultaneous TB and SB for cons...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-017-0310-7
更新日期:2017-12-12 00:00:00
abstract:BACKGROUND:Due to the lack of strong evidence to identify the relationship between antihypertensive drugs use and the risk of prostate cancer, it was needed to do a systematic review to go into the subject. METHODS:We systematically searched PubMed, Web of Science and Embase to identify studies published, through May ...
journal_title:BMC urology
pub_type: 杂志文章,meta分析,评审
doi:10.1186/s12894-018-0318-7
更新日期:2018-03-07 00:00:00
abstract:BACKGROUND:Partial segmental thrombosis of the corpus cavernosum (PSTCC) is a rare disease predominantly occurring in young men. Cardinal symptoms are pain and perineal swelling. Although several risk factors are described in the literature, the exact etiology of penile thrombosis remains unclear in most cases. MRI or ...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-14-100
更新日期:2014-12-17 00:00:00