Abstract:
OBJECTIVES:Bladder perforation is the second most common complication during transurethral resection of bladder tumours. It is unknown whether perforation affects the natural history of the tumour through cell seeding. The aim of this study was to study the impact of perforation on the oncologic outcomes of bladder carcinoma. MATERIALS AND METHODS:Between 2003 and 2007, 926 consecutive patients underwent transurethral resection of bladder tumours at our institution; 327 cases were staged ≥ pT2 and were treated immediately with cystectomy and/or multimodal therapy and therefore excluded from the study. An additional 34 cases without urothelial carcinoma were excluded. Of the remaining 565 patients with non-muscle invasive bladder cancer, 457 (80.8 %) were male and 108 (19.2 %) were female with a mean age of 69.5 years in men and 67.3 years in women. Thirty-seven patients (6.5 %) experienced bladder perforation at the time of tumour resection. This group of patients (Group 1) was compared to the remaining 528 patients (Group 2) who did not experience a bladder perforation. RESULTS:Patients with bladder wall perforation experienced a shorter disease-free survival in both univariate (p = 0.003) and multivariate analyses (p = 0.006). In addition, subsequent recurrences revealed stage progression of recurrent disease (p = 0.05) and trended to a higher number of cystectomies in the perforated group of patients (p = 0.06). Nevertheless, perforation did not appear to influence overall survival (p = 0.127) or cancer-specific survival (p = 0.141). CONCLUSION:The results indicate that bladder perforation during resection of superficial bladder tumours is burdened by a shortened disease-free survival and T-stage progression.
journal_name
World J Uroljournal_title
World journal of urologyauthors
Comploj E,Dechet CB,Mian M,Trenti E,Palermo S,Lodde M,Mian C,Ambrosini-Spaltro A,Horninger W,Pycha Adoi
10.1007/s00345-013-1197-xsubject
Has Abstractpub_date
2014-10-01 00:00:00pages
1219-23issue
5eissn
0724-4983issn
1433-8726journal_volume
32pub_type
杂志文章abstract::The use of intestinal segments in genitourinary reconstruction could influence vitamin metabolism and affect the skeletal bone and its mineral content in the long term. In 137 patients, serum levels of the vitamins A, B1, B2, B6, B12, D, and E and of folic acid, bile acid, and ammonia as well as levels of intracorpusc...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s003450050069
更新日期:1998-01-01 00:00:00
abstract:OBJECTIVE:Robotic-assisted radical cystectomy (RARC) is a less invasive means of performing the radical cystectomy operation, which holds promise for improved patient morbidity. We review the history, technique and current literature pertaining to RARC and place the current results in context with the open procedure. ...
journal_title:World journal of urology
pub_type: 历史文章,杂志文章,评审
doi:10.1007/s00345-013-1053-z
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:To evaluate the feasibility of measuring the intrapelvic pressure (IPP) during f-URS with a wire including a pressure sensor and to assess IPP profiles during the procedure. METHODS:Patients undergoing f-URS for stone disease were recruited. A wire with pressure sensor was placed in the renal cavities to measu...
journal_title:World journal of urology
pub_type: 杂志文章
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journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-011-0720-1
更新日期:2013-08-01 00:00:00
abstract::Our objectives were to ascertain the tolerability and efficacy of trospium chloride in doses of 20 mg twice daily for long-term therapy (52 weeks) in patients with urge syndrome. The trial comprised a total of 358 patients with urge syndrome or urge incontinence. After randomisation in the ratio of 3:1, participants w...
journal_title:World journal of urology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1007/s00345-003-0321-8
更新日期:2003-05-01 00:00:00
abstract::Growth and morphogenesis of the prostate involves mesenchymal-epithelial interactions. Transforming growth factor-beta 1 (TGF-beta1) is one growth factor that may play a role in these paracrine interactions. We have localized TGF-beta1 by molecular and immunohistochemical analysis in the developing mouse prostate. Acc...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/BF00191212
更新日期:1995-01-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00345-015-1646-9
更新日期:2016-04-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章,评审
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pub_type: 杂志文章
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journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-011-0810-0
更新日期:2012-04-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00345-014-1457-4
更新日期:2015-09-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
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更新日期:2020-04-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-018-2270-2
更新日期:2018-08-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章,评审
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更新日期:2020-02-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s003450050092
更新日期:1998-01-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
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journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03313-w
更新日期:2020-06-26 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s003450050187
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journal_title:World journal of urology
pub_type: 临床试验,杂志文章
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journal_title:World journal of urology
pub_type: 杂志文章
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journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-003-0390-8
更新日期:2004-06-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-009-0383-3
更新日期:2009-06-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章,meta分析
doi:10.1007/s00345-018-2593-z
更新日期:2019-09-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03229-5
更新日期:2020-05-05 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
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更新日期:2017-10-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-014-1369-3
更新日期:2015-02-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/BF00182064
更新日期:1996-01-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
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更新日期:2015-08-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-018-2353-0
更新日期:2018-12-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
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更新日期:2006-11-01 00:00:00