Abstract:
BACKGROUND:Bladder neck contracture (BNC) following prostatectomy has been reported in 0.5-32% of cases. While the etiology of a BNC is unclear, several factors have been associated with this complication, including blood loss, devascularization of bladder neck tissue, poor mucosal apposition and urinary extravasation. To study the impact of urinary extravasation on BNC formation, we used postoperative drain output as a surrogate measure for anastomotic leakage. METHODS:All patients undergoing a radical retropubic prostatectomy (RRP) or a robotic assisted radical prostatectomy (RARP) from January 2000 to April 2006 have been entered into a prospective review board-approved database. All RRP patients had their anastomosis performed in an interrupted fashion using six monofilament 2-0 sutures. All robotic-assisted radical prostatectomy anastomoses were performed in a running fashion using 2-0 monofilament sutures. A single, closed suction Jackson Pratt drain was placed over the surgical bed at the conclusion of the case. Post-operative drain outputs were recorded. All patients were evaluated at 3, 6, 9, 12 and 24 months post-operatively. All patients who reported a diminished urinary stream or incontinence were evaluated by office cystoscopy. The inability to navigate an 18 French cystoscope through the bladder neck was defined as a bladder neck contracture. RESULTS:A total of 576 patients underwent a radical prostatectomy over this time span. Complete records were available for 535 (93%) of these patients. There were 21 bladder neck contractures (3.9%) overall. The post-operative drain output ranged from 5-5,465 ml (median 119 ml). Eight patients who had drain outputs less than 119 ml developed a BNC while 13 BNC developed in patients with Jackson Pratt drain output > 119 ml (P = 0.343). In patients who underwent an open RRP, 19/424 (4.5%) developed contractures while 2/108 (1.9%) RARP patients developed a BNC (P = 0.105). CONCLUSION:The amount of post-operative drain output is not statistically associated with the development of a bladder neck contracture.
journal_name
Int Urol Nephroljournal_title
International urology and nephrologyauthors
Hanson GR,Odom E,Borden LS Jr,Neil N,Corman JMdoi
10.1007/s11255-007-9239-1subject
Has Abstractpub_date
2008-01-01 00:00:00pages
351-4issue
2eissn
0301-1623issn
1573-2584journal_volume
40pub_type
杂志文章abstract:OBJECTIVE:The prevalence of progressive chronic kidney disease (CKD) in children and adults with spina bifida is considerable, rising, and entirely preventable. REMOVING THE CAUSE:PREVENTION OF SPINA BIFIDA: The best prevention of CKD in spina bifida is prevention of spina bifida itself throug...
journal_title:International urology and nephrology
pub_type: 杂志文章,评审
doi:10.1007/s11255-010-9894-5
更新日期:2012-06-01 00:00:00
abstract::Eight patients with benign prostatic hypertrophy (BPH), considered as a high risk for an operation because of severe accompanying disease, were treated with a self-retaining intraurethral catheter set. Two patients were judged unfit for operation (one because of severe cardiac failure, the other because of severe resp...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract:PURPOSE:Cognitive dysfunction (CO/DY) in chronic kidney disease (CKD) patients has long been recognized. Hypertension is also associated with CO/DY. The study describes associated factors with CO/DY in CKD patients compared to hypertensive subjects. METHODS:Ninety-six hypertensive subjects without CKD, 19 patients wit...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-013-0450-y
更新日期:2013-12-01 00:00:00
abstract:PURPOSE:In this prospective study we aimed to describe our new technique; dehydrated human dura mater as an interposition graft in patients undergoing benign vesicovaginal fistula repair (VVF). PATIENTS AND METHODS:Eleven patients with benign VVFs aged 38-73 years were operated with dura mater interposition technique ...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1023/b:urol.0000032682.84973.e9
更新日期:2004-01-01 00:00:00
abstract::The aim of this study was to find out whether an improvement of vitamin D metabolism and its metabolites and a decrease of parathormones can be reached through a diet and UV irradiation. Forty-eight children with kidney insufficiency were divided into four groups: Group 1--diet according to Bergström with EAA and ceto...
journal_title:International urology and nephrology
pub_type: 临床试验,杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::Artificial insemination (ADI) has been carried out with donor semen since 1984. Following artificial insemination 14 women out of 27 became pregnant in 1984, 30 women out of 57 in 1985 and 33 women out of 56 until October 1, 1986. The cycles were monitored. Serum LH and oestradiol levels were determined every day from...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02549573
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:Significantly increased cardiovascular mortality in patients with chronic kidney (CKD) disease cannot be explained by traditional risk factors. Recent studies revealed that the quality of HDL and LDL cholesterol may be more important than their serum levels. The aim of this study was to assess which LDL and ...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-016-1466-x
更新日期:2017-01-01 00:00:00
abstract::A modified method of retropubic radical prostatectomy was devised. The root of the penis was compressed and the bilateral internal iliac arteries were clamped before the dissection of the prostate. The urethra was divided at the junction of the prostate and bladder so that the bladder stump thus created has the size o...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02549537
更新日期:1992-01-01 00:00:00
abstract::A door to door survey of 38,805 persons from urban (9527) and rural (nontribal--19,716; tribal--9562) areas was carried out from 59 localities of Udaipur region to find out the prevalence of urinary stone disease. Simultaneously 118 water samples were also collected. The three sources of drinking water in these locali...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02552251
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVE:Primary bladder neck obstruction (PBNO) is a nonneurogenic voiding disorder and frequently overlooked in young men. Prior studies have reported the efficacy of α-blockers only in the short-term for male patients with PBNO. We hereby report our long-term results using α1-blocker therapy in young men with PBNO....
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-011-0096-6
更新日期:2012-06-01 00:00:00
abstract::The incidence of cytomegalovirus infection in Chinese patients was reviewed in a retrospective study of 99 renal transplant recipients. CMV infection occurred in 18 patients (18.2%). In 4 the infection was considered primary and in 14 it was thought to be reactivation. Of the infections 88.9% occurred within the first...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02767664
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:Water intake is important for preventing kidney stones. Small molecules water is a more active restructured water under magnetic field. Here, we studied the relation between small molecules water and crystal formation in the rat kidney. MATERIALS:The small molecules water was prepared by a water machine provid...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-017-1769-6
更新日期:2018-02-01 00:00:00
abstract:PURPOSE:To determine the effectiveness of Vacuum-Assisted Closure Device in the postoperative wound care for Fournier's gangrene METHODS: We performed a systematic review in the following databases: Medline (Ovid), EMBASE, and The Cochrane Central Register of Controlled Trials (CENTRAL), from inception to nowadays. We ...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-020-02705-6
更新日期:2020-11-13 00:00:00
abstract::Three hundred fifteen (315) elderly (> or = 60 years) patients with clinical renal diseases were evaluated for the evidence of glomerular diseases between November 1998 to June 2002. Glomerular diseases (GN) were observed in 20.6% (65/315) of the elderly patients. The age of the patients (male 56; female 9) ranged bet...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1023/b:urol.0000020429.14190.5b
更新日期:2003-01-01 00:00:00
abstract::We report a case of penile incarceration in a 53-year-old impotent man. The base of the penis was encircled by a metal ring in order to achieve better erection. There was marked oedema of the entire penis distal to the constricting ring. The metal ring was removed successfully by cutting it with a steel saw. ...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02564752
更新日期:1995-01-01 00:00:00
abstract::The authors review the experience of total parathyroidectomy with microsurgical autotransplantation with reference to the long-term results. This method--after further control investigations--may be envisaged for making a definitive evaluation of the results. ...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02082771
更新日期:1984-01-01 00:00:00
abstract::An unusual case of a 15-year-old male who presented with a characteristic clinical syndrome of testicular torsion one week prior to our observation, is reported. During our intervention the testicle was not removed but, on the contrary, restoration of a satisfactory testicular albugineal appearance was achieved. ...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1023/a:1007189111613
更新日期:1999-01-01 00:00:00
abstract::Nephroblastoma (Wilms' tumour) is very rarely found in adult patients. We report on 10 cases to demonstrate the diagnostic and therapeutic problems. In case of flank pain, large tumour mass, fast tumour growth and young age, the possibility of Wilms' tumour should be taken into consideration even in adult patients. Th...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02550952
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:To evaluate the effect of masturbation on the spontaneous expulsion of distal ureteral stones 5-10 mm in size. MATERIAL AND METHODS:A total of 128 men with distal ureteral stones were randomly divided into 3 groups. All patients received standard medical therapy. Patients in group 1 (n = 43) were instructed to...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-020-02672-y
更新日期:2020-10-07 00:00:00
abstract:PURPOSE:To report outcomes 5 years after a resident quality initiative incorporated topical rectal antiseptic into our ultrasound-guided prostate needle biopsy (TRUS PNB) protocol. METHODS:A chart review was conducted on 1007 men who underwent TRUS PNB between 2010 and 2017. Comparison groups include those who receive...
journal_title:International urology and nephrology
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更新日期:2018-09-01 00:00:00
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journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-013-0513-0
更新日期:2014-03-01 00:00:00
abstract::A patient with bladder carcinoma, subjected to cystectomy and bilateral ureterosigmoidostomy, survived for the length of 31 years. The Coffey method of anastomosis was applied in a form modified by the authors. The patient succumbed to acute circulatory insufficiency at the age of 85. Metastases were not discovered ei...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02081864
更新日期:1984-01-01 00:00:00
abstract::Infertility in a large proportion of infertile couples is due, in part, to the male factor. Spermatozoa must survive the unique environment of the female reproductive tract in their path to fertilize the ovum. This fact is even more problematic for men with oligospermia. Of the many environmental factors that effect s...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-008-9493-x
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:To share our 7-year experiences of a safe and effective method for tract creation in percutaneous nephrolithotomy (PCNL). METHODS:A total of 143 patients had received this kind of method for renal stone disease at our institute from May 2010 to December 2016. Finally, 130 patients with complete data were inclu...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-018-1949-z
更新日期:2018-09-01 00:00:00
abstract::Biomedical informatics in Health (BIH) is the discipline in charge of capturing, handling and using information in health and biomedicine in order to improve the processes involved with assistance and management. Informatic nephrology has appeared as a product of the combination between conventional nephrology with BI...
journal_title:International urology and nephrology
pub_type: 杂志文章,评审
doi:10.1007/s11255-012-0282-1
更新日期:2013-08-01 00:00:00
abstract::A total of 234 patients with chronic glomerulonephritis, detected on the basis of clinical, immunological and pathomorphological criteria, have been examined. A group of 23 chronic glomerulonephritis patients with massive deposits of immunoglobulin A found by immunofluorescent examination, has been separated on the ba...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02085414
更新日期:1985-01-01 00:00:00
abstract::The paper deals with the authors' own experience in endoscopic treatment of urethrostenosis in males. Since 1980, 86 patients have been treated in this manner. Good results were obtained in 60 (70%) after one surgical procedure and in 18 (21%) after two operations. Two patients were operated upon by routine methods. W...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/BF02550611
更新日期:1988-01-01 00:00:00
abstract::Minimal change disease is the most common glomerular disease affecting children; its prevalence among adults, however, is eclipsed by other glomerular pathologies. Each of these diseases has a number of classic associations, such as membranoproliferative glomerulonephritis with hepatitis C. We report the case of a mid...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1007/s11255-012-0285-y
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:The purpose of this study is to determine the morbidity of lumbotomy incision used in the last 100 living related donor nephrectomies retrospectively. METHODS:Since March 1991, 100 donor nephrectomies were made to living donors with lumbar incision. Incisions made in lateral decubitus position, subcostally o...
journal_title:International urology and nephrology
pub_type: 杂志文章
doi:10.1023/a:1015000328796
更新日期:2001-01-01 00:00:00
abstract::The prevalence of sleep disorders is significantly higher (up to 80%) in patients with chronic uremia compared to the general population. Sleep disorders appear even in the early stages of chronic kidney disease. These disturbances are complex, including difficulties in falling asleep and awakening, interrupted sleep,...
journal_title:International urology and nephrology
pub_type: 杂志文章,评审
doi:10.1007/s11255-007-9262-2
更新日期:2007-01-01 00:00:00