Abstract：
BACKGROUND:Patients presenting in urinary retention secondary to prostatic obstruction are offered transurethral resection of the prostate (TURP) to free them from long-term catheterization. Short-term success is well understood, but there is scarce data about effect of age on outcome, quality of life and catheter-free rates. METHODS:One hundred consecutive patients who presented in urinary retention and underwent TURP were identified. Patients were followed up for 3 years to establish the rate of catheter dependence, incontinence, pad usage and quality of life using the International Prostate Symptom Score. RESULTS:Data were obtained from 95 patients with mean age of 75.6 years and mean follow-up of 704 days. A total of 14 had died and 23 had prostate cancer. Eighty-seven per cent was passing urine and 13% was catheter dependent. Mean age of catheter-dependent patients was 84.9 years compared with 74.3 years in catheter-free men (P < 0.0001). Twenty-four per cent of patients 80 years and older were catheter dependent (P = 0.0039), 22% with prostate cancer were catheter dependent (P = 0.15). Fifty per cent of those who had died were catheter dependent (P = 0.0002). Thirty-one per cent of patients reported leakage of urine but only 5% reported leakage requiring pad use. Overall, the mean quality of life score was 1.08. CONCLUSION:Outcome after TURP for urinary retention is satisfactory. Advanced age is associated with higher long-term failure requiring catheterization, although it is still recommended in the elderly where an anaesthetic is safe. A high proportion of patients report urine leakage but the majority of this is clinically insignificant. Overall, patients report good quality of life.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Losco G,Mark S,Jowitt Sdoi
10.1111/ans.12014subject
Has Abstractpub_date
2013-04-01 00:00:00pages
243-5issue
4eissn
1445-1433issn
1445-2197journal_volume
83pub_type
杂志文章abstract：BACKGROUND:Progressive musculoskeletal pathology is ubiquitous among children with cerebral palsy (CP). Corrective surgery places them at risk of major blood loss and red blood cell (RBC) transfusion. Significant variability exists in uptake of perioperative patient blood management (PBM) strategies. This study aimed t...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.16288
更新日期：2020-09-06 00:00:00
abstract：BACKGROUND:The education and training of tomorrow’s surgeons are predicated upon the involvement of a broad spectrum of surgical educators. Identification of the factors that influence their ongoing participation is crucial for its continuity. METHODS:A study was performed on 695 surgeons identified as having major in...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2011.05777.x
更新日期：2011-06-01 00:00:00
abstract：BACKGROUND:Publicly funded bariatric surgery in New Zealand (NZ) is steadily on the rise to meet the obesity epidemic. Ethnic disparities in obesity rates exist in NZ with Māori and Pacific people having three to five times higher rates than all other ethnic groups within NZ. Ethnic disparities in rates of bariatric su...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14220
更新日期：2018-05-01 00:00:00
abstract：:Gluteal compartment syndrome is uncommon and is often diagnosed late, resulting in muscle necrosis and sciatic nerve palsy. The mainstay of treatment is prompt diagnosis and early surgery. A high index of suspicion is essential, especially in the setting of major bleeding and excessive pain. Embolization and hyperbari...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2006.03797.x
更新日期：2006-07-01 00:00:00
abstract：BACKGROUND:This study documents the anatomy of the pudendal nerve, which has a major role in maintaining faecal continence. Unexpected faecal incontinence can develop following perineal surgery even when the anal sphincters are not damaged. In addition, injury to the pudendal nerve might be encountered during pelvic pr...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-1433.2003.02885.x
更新日期：2004-01-01 00:00:00
abstract：BACKGROUND:High hospital-volume and service capability are associated with improved mortality following complex cancer surgery. Using a population-based study in Queensland, we assessed differences in mortality following oesophagectomy and pancreaticoduodenectomy, comparing high- and low-volume hospitals stratified by ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15389
更新日期：2019-11-01 00:00:00
abstract：:Carpal tunnel syndrome is a common condition affecting 1% of the population. Open carpal tunnel release is the most commonly performed procedure for this condition. About 70-90% of patients have good to excellent long-term outcomes with open carpal tunnel release. The remainder have poor outcomes. An understanding of ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/j.1445-2197.2009.05175.x
更新日期：2010-01-01 00:00:00
abstract：BACKGROUND:Flail chest is a serious injury in trauma with a significant mortality rate, and long-term pain and disability. Traditionally, management has consisted of internal pneumatic splinting, leading to prolonged periods of mechanical ventilation, and its attendant complications. The aim of this study was to assess...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2009.05104.x
更新日期：2009-11-01 00:00:00
abstract：BACKGROUND:Previous studies have shown that children with isolated linear skull fractures have excellent clinical outcomes and low risk of surgery. We wish to identify other injury patterns within the spectrum of paediatric mild head injury, which need only conservative management. Children with low risk of evolving ne...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14175
更新日期：2018-03-01 00:00:00
abstract：BACKGROUND:Oncology literature is increasingly recognizing prevalence of second primary cancers including several longitudinal studies showing an increased risk of colorectal cancer following a prostate cancer diagnosis. A retrospective study was conducted to examine the relationship between prior prostate cancer diagn...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.12136
更新日期：2013-12-01 00:00:00
abstract：BACKGROUND:There is increasing evidence that uncomplicated acute diverticulitis (UAD) can be safely and effectively managed as an outpatient. The aim of the current study was to evaluate if an early computed tomography (CT) scan in the emergency department (ED) can reduce the number of hospital admissions when UAD is d...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15285
更新日期：2019-09-01 00:00:00
abstract：BACKGROUND:Worldwide, the evolution of management of liver injury has resulted in improved outcomes. The aim of this study was to examine the trend in the management and outcomes of patients with liver injury. Primary outcomes were defined as mortality and hospital length of stay. The secondary aim was to identify inde...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13248
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND:Rural and regional Australia presents a unique challenge in the delivery of surgical services by virtue of its geographical vastness and low population density. While up to 33% of Australians live in rural or regional areas, only 14.8% of surgeons work in a rural or regional area. Data regarding the caseload...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14680
更新日期：2019-06-01 00:00:00
abstract：BACKGROUND:Acute appendicitis (AA) is a common indication for urgent abdominal surgery. CA-125 glycoprotein antigen is a non-specific marker for epithelial ovarian cancer; CA-125 serum levels also increased in the conditions of peritoneal inflammation. The aim of this study was to examine the correlation between serum ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.13128
更新日期：2016-04-01 00:00:00
abstract：BACKGROUND:Surgical therapy for the thoracic aorta carries a high morbidity and mortality. Endovascular therapy for aneurysms and its adaptation to the thoracic aorta over the past 10 years is an exciting advance. This is a retrospective review of endovascular grafting of the thoracic aorta during the past decade at Ro...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2007.04293.x
更新日期：2007-11-01 00:00:00
abstract：BACKGROUND:Patients with centrally located tumours involving the nipple-areolar complex (NAC) who undergo breast-conserving treatment (BCT) are at high risk for breast deformity and asymmetry. Immediate oncoplastic breast reconstruction (OBR) can have a favourable impact on surgical outcome. METHODS:We retrospectively...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15078
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND:With the introduction of laparoscopic Tenckhoff catheter insertion in the early 1990s, catheter malposition resulting in malfunction remains a frequent complication, often requiring surgical or radiological intervention. In this pioneer study, we describe the technique of suturing the Tenckhoff catheter usin...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15506
更新日期：2020-01-01 00:00:00
abstract：BACKGROUND:Burns are complex, multifaceted injuries that can pose significant challenges to the treating team. The Royal Adelaide Hospital (RAH) Burns Service has undergone a major evolution over the past two decades, with perceived improvement in outcomes. We present here a longitudinal audit of the RAH Burns Service ...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.16349
更新日期：2020-11-02 00:00:00
abstract：BACKGROUND:Laparoscopic liver resection (LLR) is increasingly common worldwide but its suitability in patients with cirrhosis is not clearly defined. There are minimal data in the western literature on this topic and previous work has compared LLR to open hepatectomy rather than to LLR in non-cirrhotic patients. This s...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.15745
更新日期：2020-06-01 00:00:00
abstract：BACKGROUND:The Victorian Audit of Surgical Mortality (VASM) seeks to peer review all deaths associated with surgical care in Victoria, Australia. The effectiveness of the VASM as an educational and quality improvement tool is dependent on the accuracy of source data it receives. We aimed to examine the accuracy and qua...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/ans.14910
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:Atrial fibrillation (AF) after coronary artery bypass graft surgery constitutes the most common sustained arrhythmia and results in many complications. The purpose of this study was to assess the effects of prophylactic use of beta-blockers against atrial fibrillation in off-pump surgery patients in the earl...
journal_title：ANZ journal of surgery
pub_type： 临床试验,杂志文章
doi：10.1111/j.1445-2197.2007.04088.x
更新日期：2007-06-01 00:00:00
abstract：OBJECTIVE:This study reviews the functional outcome and satisfaction of patients after subtotal or total colectomy (STTC). METHODS:A retrospective review of patients who underwent STTC between June 1999 and September 2003 was performed. A standardized questionnaire was formulated and phone interviews were conducted wi...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2005.03552.x
更新日期：2005-10-01 00:00:00
abstract：:The gastrocnemius muscle is versatile in flap repair of defects from anterior knee to lower leg. We describe a case of extensor reconstruction using an extended medial gastrocnemius myocutaneous flap. A medial gastrocnemius flap was raised distal to its musculotendinous insertion. At its point of rotation, it was anch...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2006.03951.x
更新日期：2006-12-01 00:00:00
abstract：BACKGROUND:Stabbing and firearm trauma causing severe injuries (injury severity score (ISS) >15) and death is uncommon in Australia. The present study describes the experience with stabbings and firearm trauma causing severe injuries at a major Australian urban trauma centre. METHODS:Data from a prospectively generate...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2005.03333.x
更新日期：2005-04-01 00:00:00
abstract：BACKGROUND:This review examines the surgical management of acute superior mesenteric artery (SMA) occlusion and the impact of interventional radiology techniques. METHODS:Eight consecutive patients with SMA occlusion were treated at the Lismore Base Hospital, Lismore, NSW, Australia, from 1996 through to 2001 and of t...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1046/j.1445-2197.2002.02289.x
更新日期：2002-01-01 00:00:00
abstract：BACKGROUND:Thoracic Outlet Syndrome (TOS) refers to compression of the neurovascular structures in the region between the scalene muscles and the first rib, or by anatomical abnormalities such as cervical rib, fibrous bands and other variations in the scalene musculature. METHODS:Our experience with 63 consecutive ope...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1111/j.1445-2197.2004.03016.x
更新日期：2004-06-01 00:00:00
abstract：INTRODUCTION:Thrombosis of the hepatic artery following orthotopic liver transplantation (OLT) can be a devastating com-plication impacting on recipient outcome. The utility of routine intraoperative flow measurements of the hepatic artery in predicting subsequent hepatic artery thrombosis (HAT) is presented in this st...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2002.02552.x
更新日期：2002-11-01 00:00:00
abstract：BACKGROUND:Sacral neuromodulation (SNM) has emerged as a treatment option for faecal incontinence (FI). However, its objective effect on symptoms and anorectal function is inconsistently described. This study aimed to systematically review the impact of SNM on clinical symptoms and gastrointestinal physiology in patien...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,评审
doi：10.1111/ans.13257
更新日期：2016-04-01 00:00:00
abstract：BACKGROUND:Solid pseudopapillary tumour of the pancreas is a rare pancreatic tumour that occurs predominantly in women, with very few cases reported in men. This is a tumour with low malignancy potential and surgical resection usually results in cure. METHODS:A retrospective review of our experience with solid pseudop...
journal_title：ANZ journal of surgery
pub_type： 杂志文章
doi：10.1046/j.1445-2197.2003.t01-1-02634.x
更新日期：2003-06-01 00:00:00
abstract：BACKGROUND:Carbon dioxide (CO2) insufflation during colonoscopy was reported to reduce pain, but data are limited. The objective of this randomized controlled trial was to assess the effect of CO2 insufflation on pain during and after colonoscopy. METHODS:Patients were randomized into CO2 insufflation (CO2i) or air in...
journal_title：ANZ journal of surgery
pub_type： 杂志文章,随机对照试验
doi：10.1111/j.1445-2197.2008.04683.x
更新日期：2008-10-01 00:00:00
