Abstract:
INTRODUCTION:Recently, small renal masses (SRMs) (< or =4 cm) are found more frequently, especially in the elderly and co-morbid patients. Standard treatment for SRMs is nephron-sparing surgery (NSS). New techniques like energy ablation and surveillance have been introduced. MATERIALS AND METHODS:Overview of treatment options for SRMs, based mainly on the meta-analyses available for NSS, cryoablation, radio-frequency ablation (RFA), and surveillance. RESULTS:NSS for SRMs is the standard therapy with excellent cancer-specific survival rates up to 97%. Cryoablation was mainly performed laparoscopically, and RFA mainly percutaneously. Pretreatment biopsies were used frequently for cryoablation (80%) and less frequently for RFA (50%). Primary failure rate for cryoablation was 4.8% and for RFA 13%. Major complication rates for both procedures are around 5%. Based on 6-month post-ablative biopsies, non-contrast enhancement seems to be an effective surrogate marker after cryoablation, but not after RFA. Follow-up after energy ablation is too short to draw final conclusion. Data on surveillance are based on small, retrospective data with insufficient follow-up. Growth patterns during follow-up do not correlate with the underlying tumour entity. CONCLUSION:Standard therapy for SRMs is still NSS. Energy ablation should be reserved for the elderly patients with co-morbidities and surveillance for the elderly and infirm patients.
journal_name
World J Uroljournal_title
World journal of urologyauthors
Remzi M,Javadli E,Ozsoy Mdoi
10.1007/s00345-010-0516-8subject
Has Abstractpub_date
2010-06-01 00:00:00pages
275-81issue
3eissn
0724-4983issn
1433-8726journal_volume
28pub_type
杂志文章,评审abstract:BACKGROUND:Several studies have reported brain activations and functional connectivity (FC) during micturition using functional magnetic resonance imaging (fMRI) and concurrent urodynamics (UDS) testing. However, due to the invasive nature of UDS procedure, non-invasive resting-state fMRI is being explored as a potenti...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-021-03599-4
更新日期:2021-01-29 00:00:00
abstract:INTRODUCTION:Adherent perirenal fat (APF) can be defined as inflammatory fat sticking to renal parenchyma, whose dissection is difficult and makes it troublesome to expose the tumour. Our objective was to evaluate the impact of APF on the technical difficulty of robot-assisted partial nephrectomy (RPN). PATIENTS AND M...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-015-1500-0
更新日期:2015-11-01 00:00:00
abstract::Contemporary literature regarding the management of neobladder-vaginal fistula and stress urinary incontinence following radical cystectomy and neobladder reconstruction in women is reviewed in this article. Neobladder-vaginal fistula is uncommon but mandates meticulous repair. Compared to the native bladder, the wall...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-005-0013-7
更新日期:2005-09-01 00:00:00
abstract::The thin mucus or glycosaminoglycan layer of the bladder may be implicated in the pathogenesis of many bladder disease states. We have developed a specific antimucus, antisera stabilization technique to study the ultrastructural morphological appearance of the layer in both normal and abnormal bladders that should pro...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/BF00182045
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:To investigate the effects of onabotulinum toxin type A (Onabot/A) intravesical injections on urinary and sexual function in a group of patients affected by multiple sclerosis (MS). METHODS:We enrolled 31 MS female patients with symptoms of overactive bladder and detrusor overactivity. All patients underwent u...
journal_title:World journal of urology
pub_type: 临床试验,杂志文章
doi:10.1007/s00345-015-1578-4
更新日期:2015-12-01 00:00:00
abstract:PURPOSE:Radical cystectomy (RC) can be associated with significant blood loss. Allogenic blood transfusion (ABT) may alter disease outcome because of a theoretical immunomodulatory effect. We evaluated the effects of ABT on overall survival (OS) and progression-free survival (PFS) of patients undergoing RC for urotheli...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-014-1257-x
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVES:Squamous cell carcinoma (SCC) of the penis with inguinal lymph node involvement aggravates prognosis and can cause femoral artery bleeding, hemorrhagic shock and even death. The objective of this study is to describe the use of extra-anatomical transobturator bypass graft for femoral artery involvement by me...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-008-0282-z
更新日期:2008-10-01 00:00:00
abstract:PURPOSE:Management of male infertility is always a difficult task, with pathophysiology and available treatments often poorly understood. The purpose of this review was to summarize current evidence regarding the use of protective agents against reactive oxygen species (ROS), such as antioxidants that may be useful in ...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-019-02656-3
更新日期:2019-06-01 00:00:00
abstract:PURPOSE:In the present study, we aimed to evaluate the sexual function in patients with multiple sclerosis (MS) who were examined in two subgroups and compare the results to the control group with a validated questionnaire. METHODS:A total of 23 consecutive female MS patients divided into groups with relapsing-remitti...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-012-0891-4
更新日期:2013-08-01 00:00:00
abstract::In multivariate analysis, GS of the regular prostatectomy specimen was the only statistically significant parameter for pT2R1 prostate cancer. ...
journal_title:World journal of urology
pub_type: 杂志文章,已发布勘误
doi:10.1007/s00345-020-03136-9
更新日期:2020-06-01 00:00:00
abstract:PURPOSE:Chronic inflammation has been considered a potential risk factor for prostate cancer. Toll-like receptors (TLRs) are important in the innate immune response to pathogens and in cross talk between innate immunity and adaptive immunity. In this study, sequence variants in the TLR4 gene were investigated to determ...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-011-0690-3
更新日期:2012-04-01 00:00:00
abstract::The physiological role of dehydroepiandrosterone (DHEA) and DHEA sulphate (DHEAS) is poorly understood. It depends in a large part on their transformation into testosterone and estradiol. The capacity of DHEA as a neurosteroid, the recent discovery of putative specific DHEA receptors on endothelial and vascular smooth...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-003-0367-7
更新日期:2003-11-01 00:00:00
abstract:OBJECTIVE:To evaluate whether elderly patients aged ≥ 75 years with locally advanced prostate cancer (LAPC) may benefit from local treatment (LT). METHODS:Elderly patients aged ≥ 75 years with non-metastatic cT3-4 LAPC who were treated with LT [radical prostatectomy (RP), radiation therapy (RT)] or non-LT (NLT) were i...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-018-2389-1
更新日期:2019-02-01 00:00:00
abstract:PURPOSE:First robotic-assisted kidney transplants (RAKT) were performed in Germany in 2016. To introduce and establish this method as a routine procedure for patients in transplantation medicine, our 2-year experiences are presented. METHODS:Non-randomized open-label cohort study to compare functional and operative re...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-019-02814-7
更新日期:2020-03-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-014-1404-4
更新日期:2015-10-01 00:00:00
abstract:PURPOSE:Prostate cancer (PCa) is the most common malignancy in men and the cause for the second most common cancer-related death in the western world. Despite ongoing development of novel approaches such as second generation androgen receptor targeted therapies, metastatic disease is still fatal. In PCa, immunotherapy ...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03497-1
更新日期:2020-10-26 00:00:00
abstract:OBJECTIVES:Recent advances have led to the use of magnetic resonance imaging (MRI) alone or with fusion to transrectal ultrasound (TRUS) images for guiding biopsy of the prostate. Our group sought to develop consensus recommendations regarding MRI-guided prostate biopsy based on currently available literature and exper...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-018-2374-8
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:To explore efficacy and safety of Botulinum Neurotoxin Type A (BoNT-A) prostatic injection in patients with lower urinary tract symptoms (LUTS) due to benign prostatic hyperperplasia. MATERIALS AND METHODS:A phase 3 multicenter open-labeled study randomised patients to receive BoNT-A prostatic injection or o...
journal_title:World journal of urology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00345-018-2193-y
更新日期:2018-06-01 00:00:00
abstract:PURPOSE:To systematically analyze the impact of prophylactic abdominal or retroperitoneal drain placement or omission in uro-oncologic surgery. METHODS:This systematic review follows the Cochrane recommendations and was conducted in line with the PRISMA and the AMSTAR-II criteria. A comprehensive database search inclu...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-019-02978-2
更新日期:2020-08-01 00:00:00
abstract:PURPOSE:To compare the impact of 18F-sodium-fluoride (NaF) PET/CT, 18F-fluorocholine (FCH) PET/CT and diffusion-weighted whole-body MRI (DW-MRI) on the management of patients with prostate cancer (PCa) suspicious for distant metastasis. METHODS:Prostate cancer patients were prospectively included between December 2011...
journal_title:World journal of urology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00345-018-2547-5
更新日期:2019-08-01 00:00:00
abstract:INTRODUCTION:The "trifecta" is a summary measure of outcome after partial nephrectomy (PN) that encompasses three parameters: negative surgical margin, ≤ 10% decrease in post-operative estimated glomerular filtration rate (eGFR) and absence of urological complications. We assessed trifecta rates in patients undergoing ...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03349-y
更新日期:2020-07-12 00:00:00
abstract::The field of tissue engineering has developed in phases: initially researchers searched for "inert" biomaterials to act solely as replacement structures in the body. Then, they explored biodegradable scaffolds--both naturally derived and synthetic--for the temporary support of growing tissues. Now, a third phase of ti...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-008-0273-0
更新日期:2008-08-01 00:00:00
abstract::During bladder development, undifferentiated mesenchymal and epithelial cells undergo an orderly sequence of differentiation defined by the expression of smooth-muscle (alpha-actin, myosin, vinculin, desmin, vimentin, and laminin) and epithelial (cytokeratins 5, 7, 8, 14, 18 and 19) protein markers. This process requi...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/BF00184602
更新日期:1996-01-01 00:00:00
abstract::Sacral nerve modulation (SNM) is an effective way to treat non-neurogenic dysfunctions of pelvic organs. For over 20 years, this technique has been used for the treatment of overactive bladder, urinary retention, pelvic pain and even more recently, fecal incontinence and constipation. The objective of the study is to ...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-007-0204-5
更新日期:2007-12-01 00:00:00
abstract:PURPOSE:To investigate a potential correlation between the achievement of a cut-off of nadir PSA (nPSA) after brachytherapy (BRT) with biochemical Disease-Free Survival (bDFS) and to define the rate of post-BRT PSA bounces. METHODS:Retrospective analysis was carried out in 105 consecutive patients affected with early-...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-012-0932-z
更新日期:2013-04-01 00:00:00
abstract:PURPOSE:To assess and report the feasibility and efficacy of electronic follow-up in patients after mid-urethral sling (MUS) operation. METHODS:All 235 patients after MUS operation for stress urinary incontinence (SUI) were divided into the WeChat follow-up (WFU) and the outpatient follow-up (OFU) groups. Patients com...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03245-5
更新日期:2020-05-19 00:00:00
abstract:PURPOSE:STAMPEDE arm H demonstrated a survival benefit for newly diagnosed prostate cancer (PCa) patients with low metastatic burden (LMB) who additionally received radiotherapy (RT) to the primary. However, it is unknown if radical prostatectomy (RP) may achieve equivalent results, since existing studies did neither i...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-019-02950-0
更新日期:2020-06-01 00:00:00
abstract::A catheter was designed to decrease the incidence of catheter-induced urinary infections. A randomized, controlled study was performed to assess its safety and efficacy. The study comprised 24 patients subjected to hemorrhoidectomy. The criteria for entry were a preoperative urinary pathogen count below 10(5) colony-f...
journal_title:World journal of urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/BF00211417
更新日期:1993-01-01 00:00:00
abstract:PURPOSE:To review the etiology and pathogenesis of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). METHODS:A literature review for the years 1985-2012 was performed using the MEDLINE database of the United States National Library of Medicine. RESULTS:The evidence for ongoing infection in men with CP/CPPS ...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-013-1061-z
更新日期:2013-08-01 00:00:00
abstract:PURPOSE:Clear cell, papillary cell, and chromophobe renal cell carcinomas (RCCs) have now been well characterised thanks to large collaborative projects such as The Cancer Genome Atlas (TCGA). Not only has knowledge of the genomic landscape helped inform the development of new drugs, it also promises to fine tune progn...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-018-2429-x
更新日期:2018-12-01 00:00:00