Abstract:
PURPOSE:As silodosin 8 mg, used for treating BPH, is known to cause absence of sperms in the ejaculate, its potential as an on-demand, reversible, nonhormonal oral contraceptive for males was assessed in this pilot study. METHODS:In this randomized, double-blind, placebo-controlled pilot study, healthy, sexually active adult male volunteers in a stable sexual relationship with a female partner with proven fertility were recruited. Those using other contraceptive methods were excluded. During the first part of the study, silodosin 8 mg and placebo were crossed over among the randomly assigned two groups of participants and their post-masturbation semen and post-ejaculation urine were analyzed for spermatozoa. During the second part, both groups received silodosin 8 mg 3 h prior to heterosexual vaginal intercourse for 1 year. The primary outcome measure was the number of unintended pregnancies in their female partners. The secondary outcome measure was dropout rate due to adverse events. The clinical trial registry number was CTRI/2017/09/009872. RESULTS:The study period was January 2017 to December 2017 with sample size 63. Reversible azoospermia was noted following silodosin intake during the first part of the study. During the second part, no untended pregnancy was reported. None of the participants dropped out due to adverse events. Four patients were lost to follow-up. CONCLUSIONS:Silodosin 8 mg achieved total reversible azoospermia, hence prevented unintended pregnancies in the female partners of the males who used the drug as an on-demand oral contraceptive.
journal_name
World J Uroljournal_title
World journal of urologyauthors
Bhat GS,Shastry Adoi
10.1007/s00345-019-02806-7subject
Has Abstractpub_date
2020-03-01 00:00:00pages
747-751issue
3eissn
0724-4983issn
1433-8726pii
10.1007/s00345-019-02806-7journal_volume
38pub_type
杂志文章,随机对照试验abstract:PURPOSE:Despite the increasing number of studies confirming the importance of neoadjuvant chemotherapy (NC) in patients before radical cystectomy (RC) for bladder cancer (BCa), NC remains underused. The aim of our study was to develop a nomogram predicting the cancer-specific mortality (CSM) of patients who underwent R...
journal_title:World journal of urology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00345-015-1640-2
更新日期:2016-02-01 00:00:00
abstract:PURPOSE:Recent lung cancer data have shown an association of XPA-210, a key peptide of thymidine kinase, with advanced disease. We thus assessed its proliferation status in primary (M0) and metastatic (M1) renal cell carcinoma (RCC). METHODS:Paraffin slides from 30 patients (mean age: 61.2 years; range: 42-84) with cl...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-010-0621-8
更新日期:2011-12-01 00:00:00
abstract:PURPOSE:To compare the ability of Prostate Health Index (PHI) to diagnose csPCa, with that of total PSA, PSA density (PSAD) and the multiparametric magnetic resonance (mpMRI) of the prostate. METHODS:We analysed a group of 395 men planned for a prostate biopsy who underwent a mpMRI of the prostate evaluated using the ...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03397-4
更新日期:2020-08-06 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:To compare the range of reach of our newly designed omni-directional ureteroscope (URF-Y0016), compared to the commonly used URF-P6, FlexX2s, and LithoVue™ scopes, in the upper, middle, and lower calyces in an ex-vivo pyelocaliceal model. METHODS:We fabricated a three-dimensional pyelocaliceal model of the upp...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03151-w
更新日期:2020-03-14 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:During rejection, leukocytes are recruited from the peripheral circulation into the graft leading to the damage of endothelial cells, capillary perfusion failure and graft loss. Chemokines play a pivotal role in the recruitment of leukocytes to the endothelium. Viral macrophage inflammatory protein-II (vMIP-II)...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-010-0556-0
更新日期:2010-08-01 00:00:00
abstract:PURPOSE:To assess the efficacy of an accelerated proficiency-based training protocol in robotic simulation practice in delivering durable proficiency compared to conventional training methods. METHODS:Novice medical students (n = 16) were randomized into either the accelerated skills acquisition protocol (ASAP) or con...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-019-02858-9
更新日期:2020-07-01 00:00:00
abstract:CONTEXT:The majority of prostate cancer diagnoses are facilitated by testing serum Prostate Specific Antigen (PSA) levels. Despite this, there are limitations to the diagnostic accuracy of PSA. Consideration of patient demographic factors and biochemical adjuncts to PSA may improve prostate cancer risk stratification. ...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03392-9
更新日期:2020-08-03 00:00:00
abstract::Radical cystectomy with pelvic lymph node dissection has been accepted as the standard treatment for muscle-invasive bladder cancer. Radiation therapy and chemotherapy are increasingly being implemented in bladder-preservation protocols to provide an alternative treatment to cystectomy. We review experience with radia...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-002-0276-1
更新日期:2002-08-01 00:00:00
abstract::Animal models are at the centre of laboratory bladder cancer (BC) research and at the same time, the bridge to the clinic. A new and very promising therapeutical approach is to silence abnormally up-regulated genes in cancer, through small interfering RNA (siRNA) molecules. Therapeutic use and success of siRNAs will l...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-009-0374-4
更新日期:2009-06-01 00:00:00
abstract::We are fortunate that our ability to diagnose the specific adrenal entities that mandate a surgical approach is extremely accurate. The combination of analytical methodology to measure the appropriate adrenocortical and medullary hormone production and the radiology techniques for localization are superb. The manageme...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s003450050103
更新日期:1999-02-01 00:00:00
abstract::Prostate carcinoma (PCa) displays a wide variety of genetic alterations, versatile expression profiles as well as cell surface markers. Despite this heterogeneity, a common treatment for advanced PCa is androgen deprivation therapy (ADT). ADT targets the androgen receptor-a member of the nuclear receptor superfamily-w...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-011-0792-y
更新日期:2012-06-01 00:00:00
abstract:PURPOSE:To propose a new coating to silicone implants using Manganese dioxide. We present bacterial adhesion and proliferation when implants are challenged with Escherichia coli. METHODS:Coated and control silicon implants were placed in two independent subcutaneous pouches in the dorsum of Wistar rats. After skin clo...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-019-02856-x
更新日期:2020-03-01 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:PURPOSE:Robotic radical cystectomy (RRC) has become a commonly utilised alternative to open radical cystectomy (ORC). We performed a systematic review and meta-analysis of RRC vs ORC focusing on perioperative outcomes and safety. METHODS:Medline, EMBASE and CENTRAL were searched from January 2000 to April 2020 followi...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-020-03385-8
更新日期:2020-07-30 00:00:00
abstract:OBJECTIVES:To compare the oncological and functional outcomes reported after radical retropubic prostatectomy (RRP) versus brachytherapy (BT) in the treatment of low-risk prostatic cancer (CaP). METHODS:Between May 1999 and October 2002, 200 patients (mean age 65.3 +/- 8.7) were enrolled and randomized into two groups...
journal_title:World journal of urology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00345-009-0418-9
更新日期:2009-10-01 00:00:00
abstract:PURPOSE:For the treatment of persistent post-prostatectomy incontinence (PPI), several surgical treatment options including male slings are available. In 2010, the second generation of the retrourethral male sling Advance, AdVanceXP, was introduced. Aim of the study was to examine in a prospective multicentre study the...
journal_title:World journal of urology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00345-015-1731-0
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVES:It has been reported that apoptosis of penile erectile tissue occurs after penile denervation, castration, and diabetes mellitus in animal studies. Aim of this study was to investigate apoptosis in corpora cavernosa of patients with organic erectile dysfunction (ED). METHODS:Cavernous biopsies were obtained...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-008-0332-6
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVES:Adjuvant chemotherapy (ACT) is recommended for non-organ-confined bladder cancer (BCa) after radical cystectomy (RC) and pelvic lymph node dissection (PLND), but there are sparse data regarding its specific efficacy in patients with histological variants. The aim of our study was to evaluate the role of ACT ...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03362-1
更新日期:2020-07-25 00:00:00
abstract:PURPOSE:To determine whether individual and/or cumulative components of metabolic syndrome (obesity, hypertension, dyslipidemia, and hyperglycemia) are associated with pathologic features of kidney cancer. PATIENTS AND METHODS:A review of our kidney tumor database identified 462 patients who underwent partial or radic...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-016-1850-2
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:To assess the impact of surgical approaches and clinico-pathological parameters on the prognosis of localized renal cell carcinoma (RCC) after laparoscopic radical nephrectomy (LRN) or open radical nephrectomy (ORN). METHODS:Between 2002 and 2008, 336 patients with localized RCC were treated at our two inst...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-009-0487-9
更新日期:2010-06-01 00:00:00
abstract::In this prospective study a comparison of 4-versus 7-MHz transrectal ultrasonography for the detection of prostatic carcinoma is reported. A total of 150 prostates were biopsied due to suspicion of malignancy arising at either digital rectal examination, 4- and/or 7-MHz transrectal ultrasonography, or elevated serum p...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/BF00182174
更新日期:1993-01-01 00:00:00
abstract:PURPOSE:Oxidative stress is believed to be one of the important etiologies in carcinogenesis that has not been systemically investigated in urothelial carcinoma (UC). Through data mining from a published transcriptomic database of UC of urinary bladders (UBUCs) (GSE31684), glutathione peroxidase 2 (GPX2) was identified...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-015-1522-7
更新日期:2015-11-01 00:00:00
abstract::With the advantages of constant availability, minimal loss of bowel, relative simplicity (no mesentery interfering with implantation, high mobility of the tube), minimized risk of stone formation (no use of staples), reliable continence (no leak point) and easy catheterization (longitudinal folds), this straightforwar...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s003450050059
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:Assess knowledge and awareness concerning human papillomavirus (HPV) infection, HPV-associated diseases, and the existence of a specific vaccine among non-HPV-screened Caucasian-European adults after the market introduction of HPV vaccines. METHODS:A cohort of 934 consecutive patients seeking their first medic...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-014-1379-1
更新日期:2015-06-01 00:00:00
abstract::Many human tumors such as bladder carcinoma that are initially responsive to chemotherapy eventually fail to respond to treatment. For most drugs, dose escalation that may be required for a cure cannot be achieved because sensitive tissues such as bone marrow limit cytotoxic therapy. Approaches to prevent or circumven...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/BF00184246
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:Clinical outcomes prognostic markers are awaited in clear-cell renal carcinoma (ccRCC) to improve patient-tailored management and to assess six different markers' influence on clinical outcomes from ccRCC specimen and their incremental value combined with TNM staging. MATERIALS AND METHODS:This is a retrospect...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-016-1854-y
更新日期:2017-01-01 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
abstract:OBJECTIVES:Objective characterization of renal mass anatomy facilitates treatment selection and prediction of surgical outcomes. We investigated R.E.N.A.L nephrometry score (NS) efficacy in predicting outcomes after minimally invasive nephron-sparing surgery (MINSS). METHODS:A total of 250 patients with 252 renal mass...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-012-0876-3
更新日期:2013-10-01 00:00:00