Abstract:
:Because the number of patients requiring oral anticoagulation (OA) is steadily growing, more and more patients requiring surgical treatment of benign prostatic hyperplasia (BPH) are on OA. Laser treatment of BPH was said to offer a higher quality of hemostasis than transurethral resection of the prostate (TURP). Thus, laser was considered an interesting tool for BPH surgery in patients on OA therapy. To date, no randomized studies focusing on laser treatment in patients on OA are available. Compared to TURP, laser seems to decrease the risk of hemorrhage in patients on OA. Therefore, the laser could be considered a useful tool for managing patients on OA, and could be proposed as a first-line therapy for those patients requiring surgery. Continuing platelet aggregation inhibitors during the procedure is feasible. A switch to low molecular weight heparine medication prior to surgery is preferable to the continued use of OA during TURP. No conclusion can be reached regarding the preferred laser technique to treat these patients.
journal_name
Curr Urol Repjournal_title
Current urology reportsauthors
Berger J,Robert G,Descazeaud Adoi
10.1007/s11934-010-0115-7subject
Has Abstractpub_date
2010-07-01 00:00:00pages
236-41issue
4eissn
1527-2737issn
1534-6285journal_volume
11pub_type
杂志文章,评审abstract:PURPOSE OF REVIEW:We reviewed the literature to determine what role, if any, radical prostatectomy should play in the treatment of high-risk and/or node-positive prostate cancer. RECENT FINDINGS:The AUA, NCCN, and EAU all include radical prostatectomy as a treatment option for high-risk prostate cancer based on eviden...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-017-0703-x
更新日期:2017-07-01 00:00:00
abstract::Robot-assisted surgery has become a widely used surgical approach in the management of urologic malignancies. With its initial experience in the treatment of prostate cancer, the technology rapidly expanded to other urologic malignancies including bladder cancer. Since its introduction in 2003, robot-assisted radical ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-016-0598-y
更新日期:2016-06-01 00:00:00
abstract:PURPOSE OF REVIEW:Targeting PD-1/PD-L1 immune checkpoints is a new therapeutic tool in patients with locally advanced and metastatic clear cell renal cell carcinoma (CCRCC). The purpose of this review is to offer clinicians an updated translational insight into the current status of a therapeutic alternative that may i...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-019-0866-8
更新日期:2019-01-15 00:00:00
abstract::Medical treatments for lower urinary tract symptoms due to benign prostatic hyperplasia are frequently associated with changes in sexual function. While these medications are generally well-tolerated and have both reduced and delayed more invasive surgical options, the ramifications of long-term chronic use are largel...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-014-0441-2
更新日期:2014-10-01 00:00:00
abstract::Erectile dysfunction (ED) often is caused by endothelial dysfunction and may be a sign that a patient has vascular disease elsewhere in the body. Risk factors for coronary artery disease such as lipid abnormalities, smoking, diabetes, and hypertension also are risk factors for ED. Oral therapy for ED, such as sildenaf...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-003-0028-9
更新日期:2003-12-01 00:00:00
abstract:PURPOSE OF REVIEW:Urolithiasis is a disease of prevalence across the world and up to a quarter of patients present with multiple stones. Most procedures carried out in this scenario are staged; however, there is a growing body of evidence to suggest bilateral simultaneous (BS) procedures are safe. We performed a system...
journal_title:Current urology reports
pub_type: 杂志文章
doi:10.1007/s11934-019-0877-5
更新日期:2019-02-21 00:00:00
abstract::Benign prostatic hyperplasia (BPH) is a common cause of lower urinary tract symptoms (LUTS) in men. Patients with BPH often present with a combination of obstructive and overactive bladder (OAB) symptoms. It is postulated that bladder outlet obstruction (BOO) from BPH results in concomitant OAB symptoms through ischem...
journal_title:Current urology reports
pub_type: 杂志文章
doi:10.1007/s11934-013-0363-4
更新日期:2013-12-01 00:00:00
abstract::This paper is aimed at focusing on the nerve-sparing aspect of the robotic prostatectomy. It reviews the existing principles and presents the arguments based on robotic fresh cadaver dissections and from actual robotic prostatectomy cases. ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-005-0080-8
更新日期:2005-03-01 00:00:00
abstract:PURPOSE OF REVIEW:Amid the opioid crisis, postoperative pain management is a major challenge for practitioners. Recent pain management guidelines emphasize the importance of using regional anesthesia as part of opioid-sparing multimodal analgesia. This report aims to review recent evidence regarding the utilization of ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-019-0883-7
更新日期:2019-03-23 00:00:00
abstract:PURPOSE OF REVIEW:Urethral strictures that are refractory to initial management present unique challenges to the reconstructive surgeon. Treatment trends have shifted as new tissue resources are becoming available. There is renewed interest in old methods as skill and technique have improved. We describe the scope of t...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-018-0769-0
更新日期:2018-02-26 00:00:00
abstract::The increased detection of incidental renal masses has introduced new challenges into the management of patients with newly discovered renal masses. Much interest has been focused on the diagnostic accuracy and the prognostic ability of imaging studies. These studies have elucidated trends that can guide management bu...
journal_title:Current urology reports
pub_type: 杂志文章
doi:10.1007/s11934-009-0004-0
更新日期:2009-01-01 00:00:00
abstract::For years the bladder epithelium has been the focus for diagnosing and treating the frequency, urgency, and pelvic pain of interstitial cystitis. However, many patients have not found symptom relief with these therapies. Pelvic floor dysfunction is often present in these patients, yet it is often untreated. Pelvic flo...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-006-0053-6
更新日期:2006-11-01 00:00:00
abstract::The lack of reliable imaging tools in detecting prostate cancer makes a random biopsy still the standard of care to detect prostate cancer. To reduce the number of cores during a biopsy and therefore the risk of biopsy-related complications, an imaging tool which provides reliable guided biopsies is required. Transrec...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-013-0392-z
更新日期:2014-03-01 00:00:00
abstract:PURPOSE OF REVIEW:Therapeutic options for the management of lower urinary tract symptoms (LUTS) secondary to benign prostatic enlargement (BPE) have considerably increased in recent years. However, the ideal timing to initiate medical treatment of LUTS/BPE has not been fully established. The aim of this review was to s...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-018-0823-y
更新日期:2018-07-09 00:00:00
abstract:PURPOSE OF REVIEW:Patient-reported outcome measures (PROMs) are tools that are widely used by clinicians and researchers across different medical specialties. In this review, we examine the use of PROMs in the evaluation of female pelvic floor disorders (PFD). RECENT FINDINGS:PROM development in the assessment of urin...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-019-0888-2
更新日期:2019-03-27 00:00:00
abstract:PURPOSE OF REVIEW:The goal of this paper is to describe the pathophysiology of adult nocturnal enuresis and develop a generalized approach for evaluation and treatment. RECENT FINDINGS:Although nocturnal enuresis (NE) impacts a significant proportion of the adult population, research on this topic remains lacking. In ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-020-00983-2
更新日期:2020-06-06 00:00:00
abstract::Overactive bladder syndrome continues to be a significant burden for the general population. Current first-line medical therapy often includes antimuscarinic medications designed for overactive bladder. Poor efficacy and significant side effects of these antimuscarinic medications have left patients and physicians loo...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-010-0134-4
更新日期:2010-09-01 00:00:00
abstract::Prostate cancer is a key health concern for men with its etiology still under investigation. Recently, the role of dietary supplements has been noted to have a major inhibitory effect on prostate cancer and numerous studies have been conducted in this regard. This review provides a summary on numerous recent studies c...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-016-0637-8
更新日期:2016-11-01 00:00:00
abstract::Congenital abnormalities, cancer, trauma, infection, inflammation, iatrogenic injuries, and other conditions may lead to genitourinary organ damage or loss, requiring eventual reconstruction. Tissue engineering follows the principles of cell transplantation, materials science, and engineering toward the development of...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-001-0030-z
更新日期:2001-02-01 00:00:00
abstract::Nodal staging in prostate cancer is suboptimal both with respect to current imaging modalities and pelvic lymph node dissection, and thus other techniques are being explored. Lymphotropic nanoparticle-enhanced MRI, also called magnetic resonance lymphography (MRL), is a technique that has shown high sensitivity (65-92...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-013-0389-7
更新日期:2014-03-01 00:00:00
abstract:PURPOSE OF REVIEW:From health systems to individuals, nephrolithiasis is economically burdensome. The aim of the current paper is to characterize the financial burden of disease associated with nephrolithiasis with an emphasis on investigating treatment modality economic efficiency. RECENT FINDINGS:For small volume pr...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-020-00971-6
更新日期:2020-03-31 00:00:00
abstract:PURPOSE OF THE REVIEW:To update the most relevant literature regarding complex vascular cases in kidney transplant setting involving the graft, especially during the harvesting procedure and back-table preparation from the subsequent implant. RECENT FINDINGS:Challenging situations affecting the kidney graft such as mu...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-020-0955-8
更新日期:2020-01-31 00:00:00
abstract::Numerous surgeries have been proposed for the treatment of genuine stress incontinence, with the goals to improve functional outcome and decrease complications and their associated morbidity. Two new, minimally invasive procedures, transvaginal retropubic urethropexy and transvaginal Cooper's ligament sling, are revie...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-996-0018-9
更新日期:2001-10-01 00:00:00
abstract::To decrease side effects observed after high-intensity focused ultrasound (HIFU) treatment for localized prostate cancer and to re-establish normal micturition in a patient population that often presents with concomitant prostate enlargement, the impact of a combined transurethral resection of the prostate (TURP) and ...
journal_title:Current urology reports
pub_type: 临床试验,杂志文章
doi:10.1007/s11934-003-0077-0
更新日期:2003-06-01 00:00:00
abstract:PURPOSE OF REVIEW:This review summarizes the latest reports in inflatable penile prosthesis (IPP) complication management. RECENT FINDINGS:IPP complications are rare, and reports are limited to retrospective studies. However, recent multi-institutional studies and use of national databases have provided further insigh...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-019-0872-x
更新日期:2019-01-30 00:00:00
abstract:PURPOSE OF REVIEW:This article explores the anatomy, management options, and outcomes of pelvic organ prolapse with a female cystectomy patient. RECENT FINDINGS:There is a lack of data on surgical management outcomes for prolapse following radical cystectomy. However, most case series from tertiary referral centers sh...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-019-0941-1
更新日期:2019-10-15 00:00:00
abstract::Bulking therapy for stress urinary incontinence in women continues to evolve from the standpoint of material science. Several new materials have recently been subjected to clinical trials with the aim of assessing efficacy and safety of these agents for possible device registration. These new additions run the gamut o...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-006-0012-2
更新日期:2006-09-01 00:00:00
abstract::Surgical treatment of long urethral stricture disease remains one of the most challenging problems in urology. In recent years there has been continuous discussion with regard to the etiology, location, length, and management of extensive urethral stricture disease. Various tissues such as genital and extragenital ski...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-014-0424-3
更新日期:2014-08-01 00:00:00
abstract::The development of a lymphocele after pelvic surgery is a well-documented complication, especially where pelvic lymph node dissection (PLND) is part of the operation. However, not all lymphoceles are symptomatic and require treatment. Most lymphoceles spontaneously resolve, and even lymphoceles that become symptomatic...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-014-0445-y
更新日期:2014-10-01 00:00:00
abstract::Benign prostatic hyperplasia (BPH) is one of the most common causes of lower urinary tract symptoms (LUTS) in aging men. Over the age of 60, more than a half of men have BPH and/or bothersome LUTS. Contemporary guidelines advocate surgery as the standard of care for symptomatic BPH after failure of medical therapy, wh...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-016-0601-7
更新日期:2016-06-01 00:00:00