Abstract：
:Transurethral microwave thermotherapy of 340 patients treated at our center for benign prostatic hypertrophy shows the importance of the role played by two thermoregulation processes during the procedure. The first one is artificial and automatically driven by the machine (the power output and cooling rate are adjusted to the urethral and rectal temperature safety thresholds). The second one is natural thermoregulation; the latter is species specific, organ specific, zone specific and even cell specific. Thermoregulation variability is linked to the geometry of the gland, vessel distribution, histology and tissue conductivity. This variability has been demonstrated by interstitial thermometry and histological study. Interstitial thermometry was performed during treatment in 30 dogs and 35 patients; a histological study of prostate specimens was performed 1-12 weeks after treatment in 30 dogs and 15 patients. The human prostate is more resistant to heat than the dog prostate of a comparable volume and treated with the same thermal dose. The prostate of a young patient requires a higher thermal dose than that of an old patient with the same prostate volume in order to achieve a comparable intraprostatic temperature, probably due to a more viable blood supply. The transition zone is more sensitive to heat than the peripheral zone, as demonstrated by temperatures recorded at the same distance from the antenna of up to 60 versus 42 degrees C, respectively. Acinar cells seem to be more resistant to heat than smooth muscle cells when exposed to the same temperature level, as demonstrated by microscopic examination at the periphery of the treated area.(ABSTRACT TRUNCATED AT 250 WORDS)
journal_name
Eur Uroljournal_title
European urologyauthors
Devonec M,Berger N,Fendler JP,Joubert P,Nasser M,Perrin Pdoi
10.1159/000474683subject
Has Abstractpub_date
1993-01-01 00:00:00pages
63-7eissn
0302-2838issn
1873-7560journal_volume
23 Suppl 1pub_type
杂志文章相关文献
EUROPEAN UROLOGY文献大全abstract：BACKGROUND:Limited data exist on long-term outcomes among men with prostate cancer (PCa) from population-based cohorts incorporating information on clinical risk category. OBJECTIVE:To assess 15-yr mortality for men with PCa treated with noncurative intent according to clinical stage, Gleason score (GS), serum levels ...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2012.08.001
更新日期：2013-01-01 00:00:00
abstract：:A case of transitional cell carcinoma arising from a bladder which was left behind for more than 24 years without pyocystis syndrome is described. A search in the literature revealed 10 cases of defunctionalized bladder that developed tumors over a rather short latent period ranging from 3 months to 7 years, and mostl...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000473114
更新日期：1979-01-01 00:00:00
abstract：OBJECTIVES:To evaluate the efficacy, tolerability, endocrinological effects and the pharmacokinetics of Casodex, when given as monotherapy during daily dosing of 10-200 mg to patients with advanced prostate cancer. METHODS:A total of 390 patients with advanced prostate cancer were treated for a minimum of 12 weeks wit...
journal_title：European urology
pub_type： 临床试验,杂志文章
doi：10.1159/000019526
更新日期：1998-01-01 00:00:00
abstract：PURPOSE:The cellular mechanisms involved in unstable uncontrolled detrusor contractions in the human bladder remain unknown. One hypothesis, based on electron microscopical observations and animal studies, is that gap junctions are present in the human detrusor and are increased in patients with detrusor overactivity. ...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2004.08.020
更新日期：2004-12-01 00:00:00
abstract：BACKGROUND:Midurethral slings have become the most preferred surgical treatment for female urinary incontinence. OBJECTIVE:To compare the efficacy and safety of two midurethral sling procedures with a different technique of sling insertion 5 yr after intervention. DESIGN, SETTING, AND PARTICIPANTS:Multicenter randomi...
journal_title：European urology
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.eururo.2014.01.031
更新日期：2014-06-01 00:00:00
abstract：OBJECTIVES:The European Association of Urology (EAU) Guideline Group for renal cell carcinoma (RCC) prepared this guideline to help urologists assess the evidence-based management of RCC and to incorporate the guideline recommendations into their clinical practice. METHODS:The recommendations provided in the current g...
journal_title：European urology
pub_type： 杂志文章,实务指引
doi：10.1016/j.eururo.2007.03.035
更新日期：2007-06-01 00:00:00
abstract：OBJECTIVE:The aim of the present study was to determine whether the serum levels of a bone formation marker, i.e., the carboxy-terminal propeptide of type I procollagen (PICP), and a bone resorption marker, i.e., the carboxy-terminal telopeptide of type I collagen (ICTP) have prognostic value in prostate cancer patient...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000019700
更新日期：1998-08-01 00:00:00
abstract：INTRODUCTION:Telepresence surgery offers theoretically to overcome two main problems of laparoscopic surgery, i.e. the limitation to only four degrees of freedom and the lack of stereovision. Since 1998, telesurgical minimally invasive procedures have been performed with the da Vinci system mainly for cardiac bypass su...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000049752
更新日期：2001-07-01 00:00:00
abstract：:Scrotal ultrasonography was performed in 888 testes of 444 randomly selected men appearing before the medical board prior to military service (Mili group, 287 men, median age 18.8 years), and in employees from an industrial company (Empl group, 157 men, median age 35.6 years). The ultrasonic volume of each testis was ...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000474300
更新日期：1993-01-01 00:00:00
abstract：:The foundations of the generally accepted principles underlying the surgical management of renal cell carcinoma (RCC) were best annunciated in 1969 by Robson in his classic description of the radical nephrectomy [J Urol 1969;101;297]. Since then, much has changed in our understanding of the basic biology and genetics ...
journal_title：European urology
pub_type： 杂志文章,评审
doi：10.1016/j.eururo.2004.02.002
更新日期：2004-06-01 00:00:00
abstract：:We have studied embryonic and fetal differentiation of the human prostate in relation to androgen-producing Leydig cell differentiation. We have studied the differentiation of human prostatic glands and the synthesis of acid phosphatase in vivo and in vitro. These studies have shown that the mesenchyme at the level of...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000471623
更新日期：1989-01-01 00:00:00
abstract：BACKGROUND:The contact surface area (CSA) of a tumor with adjacent renal parenchyma may determine the complexity and thus the perioperative outcomes of partial nephrectomy (PN). OBJECTIVE:We devised a novel imaging parameter, renal tumor CSA, and correlate it with perioperative outcomes in patients undergoing PN. DES...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2014.03.010
更新日期：2014-11-01 00:00:00
abstract：:The length changes of the flaccid penis provoked by a maximum manual stretching of the glans have been measured in 905 men in order to study its biomechanical qualities. Our study shows that the flaccid penis is deformable, extensible and elastic in its longitudinal axis. The analysis of the variations of these biomec...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000474858
更新日期：1992-01-01 00:00:00
abstract：:50 patients with urethral strictures (35 bulbar, 40% iatrogenic) were treated by a one-stage skin inlay urethroplasty, using either a free full thickness patch (29 cases) or an island flap (21 cases), and followed up from 6 months to 3 years. Good results were achieved in 79% of the bulbar strictures irrespective of t...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000463507
更新日期：1984-01-01 00:00:00
abstract：OBJECTIVES:To assess the factors effecting PSA bounce and to identify any possible relationship with biochemical control after 3-D conformal radiotherapy (3D-CRT) and total androgen deprivation (TAD) for prostate cancer by evaluating four previously described PSA bounce definitions. METHODS:Between January 1998 and Ja...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2005.04.007
更新日期：2005-07-01 00:00:00
abstract：PURPOSE:To establish a teaching program for the performance of endoscopic extraperitoneal radical prostatectomy (EERPE) that would ascertain the safe and efficacious training of residents with no previous experience with open pelvic surgery. MATERIALS AND METHODS:The technique of EERPE was divided in 12 segments with ...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2005.10.022
更新日期：2006-03-01 00:00:00
abstract：BACKGROUND:Androgen deprivation therapy (ADT) is associated with coronary heart disease and diabetes in men with prostate cancer (PCa); however, controversy exists regarding ADT and cardiovascular mortality (CVM) with limited data for lower risk disease. OBJECTIVE:We conducted a hypothesis-generating retrospective ana...
journal_title：European urology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.eururo.2015.08.027
更新日期：2016-02-01 00:00:00
abstract：BACKGROUND:Conventional gray scale ultrasound has a low sensitivity and specificity for prostate cancer detection. Better imaging modalities are needed. OBJECTIVE:To determine sensitivity and specificity for prostate cancer detection with ultrasound-based real-time elastography (elastography) in patients scheduled for...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2008.02.035
更新日期：2008-12-01 00:00:00
abstract：BACKGROUND:Many men (21-52%) are reported to have no cancer on the second, also known as the confirmatory, biopsy (B2) for prostate cancer active surveillance (AS). If these men had a reduced risk of pathologic progression, particularly grade related, the intensity of their follow-up could be decreased. OBJECTIVE:To i...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2013.04.038
更新日期：2014-09-01 00:00:00
abstract：CONTEXT:Treatment for lower urinary tract symptoms resulting from benign prostatic hyperplasia (BPH) is varied, and significant side effects, particularly concerning sexual function, affect uptake. The prostatic urethral lift (PUL) procedure is a recent addition to the armamentarium for BPH treatment, with independent ...
journal_title：European urology
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.eururo.2014.10.031
更新日期：2015-04-01 00:00:00
abstract：CONTEXT:An increasing number of small renal masses (SRMs) with heterogeneous histology and clinical behaviour are being detected with modern radiologic imaging. Although surgical removal is the standard of care for small renal tumours, alternative minimally invasive and conservative treatment options are possible in se...
journal_title：European urology
pub_type： 杂志文章,评审
doi：10.1016/j.eururo.2011.05.044
更新日期：2011-09-01 00:00:00
abstract：:Herein we report a very rare case involving acute occlusion of a Foley catheter by worms. The treatment consisted of removal of the occluded catheter followed by bladder washing with a Betadine solution mixed with normal saline and introduction of a new catheter. ...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000471598
更新日期：1989-01-01 00:00:00
abstract：OBJECTIVE:Based on 4 cases of infravesical obstruction due to extreme caliber disproportion between the posterior urethra and the penile urethra, a pathophysiological mechanism for this dynamic obstruction is given and endoscopic treatment is described. SUBJECTS:Four cases of membrano-bulbo-urethral junction (MBUJ) st...
journal_title：European urology
pub_type： 杂志文章
doi：
更新日期：1997-01-01 00:00:00
abstract：OBJECTIVES:The surgical margin status after radical prostatectomy for prostate cancer has long been considered a powerful prognostic factor, as well as an important risk factor for local recurrent disease after radical prostatectomy. In this study, a critical analysis of the predictive value of the surgical margin stat...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2005.11.030
更新日期：2006-08-01 00:00:00
abstract：OBJECTIVE:To compare the oncologic outcomes of nephron-sparing surgery versus radical nephrectomy in intracapsular renal cell carcinoma (RCC) up to 7 cm by reviewing surgical experience retrospectively. METHODS:Data from 1290 consecutive patients who had surgery for RCC have been stored in a dedicated database since 1...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2007.11.007
更新日期：2008-04-01 00:00:00
abstract：:The erythrocyte polyamines, spermidine and spermine, are known proliferation markers. The authors present their experience with polyamines and prostatic carcinoma. 229 patients with prostatic carcinoma had polyamine erythrocyte determination at diagnosis. Previous results confirmed a tendency to spermidine increase wi...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000474279
更新日期：1993-01-01 00:00:00
abstract：:A 32-year-old male who presented with idiopathic retroperitoneal fibrosis developed peritesticular fibrosis 4 years later. The lesion appeared as a diffuse, uniform thickening without a tendency to form nodules. Histologic examination revealed a densely collagenized tissue with scattered cells, consisting mainly of fi...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000472580
更新日期：1986-01-01 00:00:00
abstract：BACKGROUND:Previous studies in humans, dogs, and rats have shown that intraprostatic injection of botulinum neurotoxin type A (BoNTA) reduces gland size. OBJECTIVE:To investigate the role of eventual impairment of sympathetic, parasympathetic, and sensory nerves to gland atrophy after intraprostatic BoNTA administrati...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2008.07.003
更新日期：2009-07-01 00:00:00
abstract：CONTEXT:Extracorporeal shock wave lithotripsy (SWL) and ureteroscopy (URS), with or without intracorporeal lithotripsy, are the most common treatments for upper ureteric stones. With advances in technology, it is unclear which treatment is most effective and/or safest. OBJECTIVE:To systematically review literature rep...
journal_title：European urology
pub_type： 杂志文章,评审
doi：10.1016/j.eururo.2017.04.016
更新日期：2017-11-01 00:00:00
abstract：OBJECTIVE:The experience with MVAC (methotrexate, vinblastine, Adriamycin and cisplatin) chemotherapy in advanced urothelial cancer is reviewed with emphasis on toxicity and efficacy. METHODS:We report on 28 patients with advanced, progressive transitional cell carcinoma (TCC) of the bladder (27) or ureter (1), treate...
journal_title：European urology
pub_type： 临床试验,杂志文章
doi：10.1159/000474499
更新日期：1997-01-01 00:00:00
