Abstract：
OBJECTIVE:We analyze the clinical and economical outcomes of an ambulatory care program for the management of patients presenting to the emergency department with acute urinary retention (AUR). METHOD:A standardized ambulatory care program for managing male patients presenting with AUR was established in October 2007. Prospective data collected in 194 ambulatory patients from January to December 2008 were compared to a historical cohort of 168 patients who were managed by in-patient care from October 2006 to September 2007 for their clinical and economic outcomes. RESULTS:For the historical cohort, the mean length of hospital stay was 4.67±3.34 days and the trial without catheterization (TWOC) success rate was 66.1%. Two patients (1.2%) developed dizziness after using α(1)-blockers. For the patients in the ambulatory care program, the mean duration of catheterization was 4.72±2.26 days and the TWOC success rate was 69.1%. There were four unplanned admissions (2.1%) among the patients who were managed under the ambulatory care program; three of them had catheter-related complications (i.e., hematuria and urinary tract infection) and one developed dizziness after the use of alfuzosin. All of them were managed accordingly and no unfavorable sequelae were resulted. This new program reduced hospital admission rate of male patients presenting with AUR by 59.1%. It leads to significant cost reduction of USD 375,614.3 in our hospital in year 2008. CONCLUSION:The ambulatory care program reduced the hospital admission rate and reduced cost without jeopardizing the TWOC success rate and safety in the management of patients presenting with AUR.
journal_name
Int Urol Nephroljournal_title
International urology and nephrologyauthors
Teoh JY,Kan CF,Tsui B,Chiu PK,Man CY,Hou SS,Ng CFdoi
10.1007/s11255-012-0266-1subject
Has Abstractpub_date
2012-12-01 00:00:00pages
1593-9issue
6eissn
0301-1623issn
1573-2584journal_volume
44pub_type
杂志文章abstract：PURPOSE:The venous thromboembolic events (VTE) incidence is high in nephrotic syndrome (NS). We aimed to assess prospectively the risk of VTE in a large cohort of NS patients and to identify predictive factors for VTE, especially haemostasis-related parameters. METHODS:This is the prospective, observational study cond...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-013-0574-0
更新日期：2014-04-01 00:00:00
abstract：OBJECTIVE:The current study was carried out to assess the effects of omega-3 fatty acid and alpha-tocopherol co-supplementation on malnutrition-inflammation score (MIS), biomarkers of inflammation and oxidative stress in chronic hemodialysis (HD) patients. METHODS:In a randomized double-blind placebo-controlled clinic...
journal_title：International urology and nephrology
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11255-016-1399-4
更新日期：2016-11-01 00:00:00
abstract：OBJECTIVES:To investigate the value of proliferating cell nuclear antigen (PCNA), Ki-67 antigen labelling indices and nucleolar organizer region (NOR) score in relation to histological grade, stage, recurrence and progression of the bladder tumor. MATERIALS AND METHODS:Tissue specimens from 77 bladder cancer patients ...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1023/a:1014452902976
更新日期：2002-01-01 00:00:00
abstract：OBJECTIVES:To present the experience with the use of a "suction bridge" for removal of bladder clots. METHODS:In all patients presenting with bladder clots, mechanical suction was done using a "suction bridge". This bridge has a luer lock that is fixed to the cystoscope sheath, and the other end is connected to suctio...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-015-0962-8
更新日期：2015-05-01 00:00:00
abstract：:Orthostatic hypotension is very common in the elderly. It increases morbidity and is an independant predictor of all cause mortality. It is defined as a fall in systolic blood pressure greater than 20 mm Hg or a fall in diastolic blood pressure greater than 10 mm Hg within 3 minutes of standing. Symptoms include light...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-005-7663-7
更新日期：2005-01-01 00:00:00
abstract：:Rhabdomyosarcoma (RMS) is the commonest variety of soft tissue sarcoma in children and young adults. It represents 6.5% of all malignant tumours in paediatrics with an annual incidence of 4 to 7 cases/million children. The primary paratesticular site is considered to have a good prognosis in comparison with other rhab...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-004-0853-x
更新日期：2004-01-01 00:00:00
abstract：:Recipients of renal allografts are surviving longer and, consequently, may experience a variety of complications related not only to the transplanted kidney, but also to the hematopoietic system. Common hematologic complications in the renal transplant patient include abnormalities of one cell line, such as post-trans...
journal_title：International urology and nephrology
pub_type： 杂志文章,评审
doi：10.1007/s11255-009-9558-5
更新日期：2010-03-01 00:00:00
abstract：PURPOSE:To evaluate conservative management of renal echinococcosis in cases with normal renal function and active disease. PATIENTS AND METHODS:From a series of 12 consecutive patients with primary renal echinococcosis, nephrectomy was suggested to 4 patients because of kidney destruction. One patient who denied surg...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1023/a:1014405325703
更新日期：2001-01-01 00:00:00
abstract：PURPOSE:To correlate the accuracy of intraoperative and surgical specimen (ex vivo) ultrasound (US) with pathological margin status at partial nephrectomy. MATERIALS AND METHODS:Patients undergoing partial nephrectomy for T1 renal tumours in the period May 2010-January 2014 at a single institution who had intraoperati...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-015-1083-0
更新日期：2015-10-01 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：BACKGROUND:B cell-targeted immunosuppression with rituximab as primary treatment or when conventional therapy is contraindicated or unsuccessful can induce remission in idiopathic membranous nephropathy (IMN). We explored the efficacy and safety of rituximab therapy in an adult population with IMN and other primary glo...
journal_title：International urology and nephrology
pub_type： 杂志文章,评审
doi：10.1007/s11255-012-0206-0
更新日期：2013-06-01 00:00:00
abstract：:In this report serum apolipoprotein A I (Apo A I) and apolipoprotein B (Apo B) levels were determined in children with chronic renal disease (CRD) during metabolic acidosis, after the correction of metabolic acidosis and in healthy children to look for the effect of metabolic acidosis on Apo A I and B levels. It was f...
journal_title：International urology and nephrology
pub_type： 临床试验,杂志文章
doi：10.1007/BF02552208
更新日期：1997-01-01 00:00:00
abstract：INTRODUCTION:Renal function after renal surgery depends on the volume of renal parenchyma loss and improves in the postoperative period. However, the knowledge on kidney function after radical (RN) and partial (PN) nephrectomy is still insufficient. The aim of this study is to analyze the global renal function and comp...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-011-0058-z
更新日期：2012-06-01 00:00:00
abstract：OBJECTIVE:To assess the effectiveness of stepwise extracorporeal shock wave lithotripsy in the treatment of upper urinary stones in childhood. PATIENTS AND METHODS:Between August 1998 and August 2003, 31 patients were treated for renal or ureteric stones. All treatments were performed with Dornier Compact Delta lithot...
journal_title：International urology and nephrology
pub_type： 临床试验,杂志文章
doi：10.1007/s11255-005-4971-x
更新日期：2006-01-01 00:00:00
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：PURPOSE:In this research, the normal anatomy of urethral sphincter complex in young Chinese males has been studied. METHODS:The sagittal, coronal, and axial T2-weighted non-fat suppressed fast spin-echo images of pelvic cavities of 86 Chinese young males were studied. RESULT:Urethral sphincter complex is a cylindrica...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-014-0686-1
更新日期：2014-08-01 00:00:00
abstract：PURPOSE:In mouse models of prostate cancer, increased epinephrine levels accelerated tumor growth via the beta2-adrenoreceptor/PKA signaling pathway. It is unknown, however, whether men experience increased epinephrine levels sufficient to activate the beta2-adrenoreceptor/PKA pathway in the prostate gland. We measured...
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：:In this study we explored the possible role of arachidonoylethanolamine (AEA) in regulating blood pressure in patients on continuous ambulatory peritoneal dialysis (CAPD). One hundred and five patients on CAPD were enrolled. Volume status was evaluated by the overhydration (OH) value obtained by bioimpedance analysis....
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-012-0153-9
更新日期：2012-12-01 00:00:00
abstract：:Considering the aging dialysis population of today, increasing our knowledge about the nature, diagnosis and the treatment of bone mineral density (BMD) problems in end-stage renal disease (ESRD) patients deserves more attention. Osteoporosis is basicly defined as a decrease in bone mass. Large epidemiological studies...
journal_title：International urology and nephrology
pub_type： 杂志文章,评审
doi：10.1007/s11255-006-9109-2
更新日期：2007-01-01 00:00:00
abstract：BACKGROUND:Medication adherence plays an essential role in slowing the progression of chronic kidney disease (CKD). This review aims to summarise factors affecting medication adherence among these pre-dialysis CKD patients. METHODS:A systematic review of the literature was performed in Medline®, Embase®, SCOPUS® and C...
journal_title：International urology and nephrology
pub_type： 杂志文章,评审
doi：10.1007/s11255-020-02452-8
更新日期：2020-05-01 00:00:00
abstract：INTRODUCTION:Erectile dysfunction (ED) is one of the most encountered male health problem and sildenafil citrate is used worldwide for treatment of ED. Aim of the present study was to determine and evaluate hemodynamic effects of sildenafil citrate on segmental branches of bilateral renal arteries of cases with ED. PA...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-005-3621-7
更新日期：2005-01-01 00:00:00
abstract：INTRODUCTION:We investigated the effect of ginkgo biloba on testicular ischemia-reperfusion (IR) injury. MATERIALS AND METHODS:Thirty-two Wistar Albino rats were randomly assigned into four groups. Torsion/detorsion (T/D) performed to the rats in group 1, group 2 received ginkgo biloba (50 mg/day) for a month before T...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-007-9296-5
更新日期：2008-01-01 00:00:00
abstract：:In 68 men with benign prostatic hyperplasia, we evaluated the association between obesity and prostatic enlargement, as well as changes in serum levels of oestradiol, testosterone, dihydroepiandrosterone and dihydroepiandrosterone sulphate. Despite the larger adenomas, no increase in the symptom score for BPH was obse...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/BF02550138
更新日期：1996-01-01 00:00:00
abstract：:Measuring calcium (Ca) absorption, Ca balance and Ca level in serum,feces and urine during HK (hypokinesia) with and without Ca loading, the aim of this study was to disclose if prolonged HK could reduce Ca deposition more with or without Ca load contributing to greater Ca imbalance. Studies were conducted during 30-d...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-004-0929-7
更新日期：2004-01-01 00:00:00
abstract：PURPOSE:To report the incidence of emergency admissions attributable to infective complications of transrectal ultrasound-guided prostate biopsy (TGB) and evaluate appropriateness of antimicrobial prophylaxis. METHODS:Retrospective cross-sectional study of patients undergoing TGB at the North West London Hospitals in ...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-013-0529-5
更新日期：2014-02-01 00:00:00
abstract：PURPOSE:Chronic kidney disease is independently associated with an increased risk of cardiovascular events; however, the relationship between the glomerular filtration rate (GFR) and coronary artery disease (CAD) in patients undergoing coronary angiography has yet to be fully elucidated. METHODS:This retrospective stu...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-011-0070-3
更新日期：2012-08-01 00:00:00
abstract：PURPOSE:No safe ultrasound (US) parameters have been established to differentiate the causes of graft dysfunction. OBJECTIVES:To define US parameters and identify the predictors of normal graft evolution, delayed graft function (DGF), and rejection at the early period after kidney transplantation. METHODS:Between Jun...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-014-0896-6
更新日期：2015-02-01 00:00:00
abstract：PURPOSE:Reusable flexible-ureteroscopes (fURS) require personnel and budget for processing and repairing, whereas single-use fURS were recently developed. After exclusive reusable fURS since 2011, we experienced high repair costs and single-use fURS were therefore introduced in mid-2017. We aimed to evaluate economic a...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-019-02230-1
更新日期：2019-10-01 00:00:00
abstract：PURPOSE:To investigate the effects of combined treatment of tadalafil (a phosphodiesterase-5 inhibitor) and tamsulosin (an α1-adrenoceptor antagonist) on bladder dysfunction in a rat model of bladder outlet obstruction (BOO). METHODS:Cystometry was performed in conscious female BOO rats 6 weeks after partially ligatio...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/s11255-018-1835-8
更新日期：2018-05-01 00:00:00
abstract：:Silicon transfers were examined during haemodialysis (HD) in 120 chronic HD patients who received 5-hour dialyses 3 times a week. Si levels were measured by flameless atomic absorption spectrophotometry. Ultrafiltrable Si levels approximately equalled dialysate Si levels. Serum Si levels before HD significantly increa...
journal_title：International urology and nephrology
pub_type： 杂志文章
doi：10.1007/BF02549799
更新日期：1990-01-01 00:00:00
