Abstract:
:With the introduction of laparoscopy into adult urology, a vast new field has suddenly opened itself up to the urologic surgeon, filled with exciting and promising possibilities of applying the principles of minimally invasive surgery to an ever increasing number of diseases that so far have only been approachable by incisional surgery. While undoubtedly, laparoscopy has been providing unprecedented challenges to the principles of open surgery, it is of paramount importance to critically evaluate each new laparoscopic procedure against its open surgical counterpart. However, despite a widely publicized higher complication rate for laparoscopic procedures, it must not be overlooked that each laparoscopist must go through his/her very own individual learning curve; although a painful process at times, it is not any different than the novice's introduction to open incisional surgery. The problems of the learning curve can be partly alleviated by carefully studying the basic principles of laparoscopy in the animal laboratory, and by subsequent clinical training under the guidance of an experienced laparoscopist. The discoverer's enthusiasm for his or her own newly developed procedure and the instinctive negative reaction of the practicing community to new concepts that threaten to overturn what is perceived as 'tried and true', must both be tempered by the accumulation of clinical data, testing the validity of all procedures, new and old alike. To this end, surgeons have the opportunity to explore a gentler form of surgical practice, one in which the practitioner can heal without the need to harm.
journal_name
Eur Uroljournal_title
European urologyauthors
Kerbl K,Clayman RVdoi
10.1159/000475237subject
Has Abstractpub_date
1994-01-01 00:00:00pages
1-6issue
1eissn
0302-2838issn
1873-7560journal_volume
25pub_type
杂志文章,评审相关文献
EUROPEAN UROLOGY文献大全abstract:OBJECTIVE:The strong familial basis of vesicoureteric reflux (VUR) is well recognised, however little progress has been made in identifying the causative genes. In this study we have investigated whether human vesicoureteric reflux (VUR) is associated with the aberrant expression of urothelial differentiation-associate...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2005.08.018
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:The functional outcome of a nerve-sparing radical prostatectomy (RP) depends on the knowledge of autonomic nerve distribution in correlation to the prostate. OBJECTIVE:Recent literature has focused predominantly on the anterior prostate; this study evaluates the nerve distribution on the entire prostate, us...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2008.06.007
更新日期:2008-11-01 00:00:00
abstract::Surgeon-specific outcome data for cardiac surgery have been published in the UK since 2005 and have been associated with improvement in risk-adjusted survival over time. This reassurance about the safety of cardiac surgery is unique in the world, but it remains controversial. ...
journal_title:European urology
pub_type: 社论
doi:10.1016/j.eururo.2016.09.024
更新日期:2017-03-01 00:00:00
abstract::Renal transplantation is the treatment of choice for patients with end-stage renal disease and it has already been described in the literature in patients with orthotopic neobladders, mostly in the paediatric population. We report the first case of a living-donor renal graft in an adult patient with a orthotopic neobl...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2009.05.020
更新日期:2010-11-01 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::Luteinizing hormone-releasing hormone (LH-RH) analogs are an effective treatment of metastatic carcinoma of the prostate. However, they induce an initial rise in serum testosterone responsible for 10-30% of diseases flares. The efficacy of the antiandrogen cyproterone acetate (CPA) was tested in 15 patients with metas...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000472667
更新日期:1986-01-01 00:00:00
abstract::An improved shock wave source is required for the extended application of extracorporeal lithotripsy in proven and anticipated novel fields of therapy. Fundamental research was performed in the domains: disintegration efficiency; hydrophone stability; absolute calibration, and source optimization. The combined experie...
journal_title:European urology
pub_type: 杂志文章
doi:
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:The role of cytoreductive nephrectomy in metastatic clear cell renal cell carcinoma (ccRCC) is controversial. OBJECTIVE:To determine the outcome of patients with metastatic ccRCC who receive sunitinib prior to planned nephrectomy. DESIGN, SETTING, AND PARTICIPANTS:The study combined the data from two prosp...
journal_title:European urology
pub_type: 杂志文章,meta分析
doi:10.1016/j.eururo.2011.05.028
更新日期:2011-09-01 00:00:00
abstract::Hormonal therapy represents first-line treatment for patients with advanced prostate cancer. Generally, surgical castration is viewed as the 'gold standard' but carries with it a psychological effect. Medical alternatives include LHRH analogues, antiandrogens, and oestrogens, though the last of these is associated wit...
journal_title:European urology
pub_type: 杂志文章,评审
doi:10.1159/000475049
更新日期:1995-01-01 00:00:00
abstract::An experimental study was planned to evaluate if contralateral testicular deterioration following ipsilateral torsion requires the presence of a twisted ipsilateral testis and/or epididymis. Five groups, each containing 6 rats, were established. The groups underwent sham operation, epididymo-orchiectomy, testicular to...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000019744
更新日期:1998-10-01 00:00:00
abstract:OBJECTIVES:To compare the therapeutic success, the morbidity and the costs of antegrade sclerotherapy versus laparoscopic varicocelectomy. METHODS:Seventy-six consecutive varicocele patients were randomly assigned to two treatment arms. Preoperative and 3 month postoperative sperm density, motility and morphology were...
journal_title:European urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0302-2838(02)00022-2
更新日期:2002-04-01 00:00:00
abstract::We reviewed retrospectively a series of 58 patients with deeply invasive bladder cancer treated with fast neutron therapy (p(65) + Be) in order to evaluate its tolerance and side effects. Patients were divided into three groups according to treatment technique. Patients of group A received whole pelvis irradiation up ...
journal_title:European urology
pub_type: 杂志文章,评审
doi:10.1159/000474262
更新日期:1993-01-01 00:00:00
abstract:BACKGROUND:Several studies have shown that robot-assisted laparoscopic radical prostatectomy (RALP) is feasible, with favorable complication rates and short hospital times. However, the early recovery of urinary continence remains a challenge to be overcome. OBJECTIVE:We describe our technique of periurethral retropub...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2009.06.007
更新日期:2009-09-01 00:00:00
abstract:UNLABELLED:Clinical lymphadenopathy (cN+) from prostate cancer (PCa) identified on imaging remains a contraindication to radical prostatectomy (RP) according to guidelines. We tested the hypothesis that there would be no difference in survival between patients with and without cN+ on preoperative imaging who underwent ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2015.07.047
更新日期:2016-02-01 00:00:00
abstract::Sensory input has an important influence on the integrity of neural circuitry. Central nervous system circuitry is programmed and reinforced by everyday experience. Even the simplest of behaviors participate in this process. A balance between inhibition and facilitation must be maintained for the CNS to function norma...
journal_title:European urology
pub_type: 杂志文章,评审
doi:10.1159/000052271
更新日期:1998-01-01 00:00:00
abstract:CONTEXT:In 2005, fusions between the androgen-regulated transmembrane protease serine 2 gene, TMPRSS2, and E twenty-six (ETS) transcription factors were discovered in prostate cancer. OBJECTIVE:To review advances in our understanding of ETS gene fusions, focusing on challenges affecting translation to clinical applica...
journal_title:European urology
pub_type: 杂志文章,评审
doi:10.1016/j.eururo.2009.04.036
更新日期:2009-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the association of smoking with urgency in older people. METHODS:A population-based survey involving 1,059 people aged 60-89 years. A stratified sampling method was used and data were collected by interviews. The response rate was 82%. The indicators were urgency, former and current smoking, alco...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000049774
更新日期:2001-08-01 00:00:00
abstract::Rats fed with 2% oxamide diet were considered as a model for the patient with a tendency to stone formation. Polyglycolic acid (Dexon) sary stream caused formation of oxamide deposits in a percentage as high as that observed with silk sutures. A high degree of toxicity was observed with the chosen concentration of oxa...
journal_title:European urology
pub_type: 杂志文章
doi:
更新日期:1975-01-01 00:00:00
abstract:CONTEXT:Clinical data supporting the use of targeted agents for the treatment of metastatic renal cell carcinoma (RCC) are based predominantly on patients with clear cell histology. Little is known about the efficacy of these drugs in non-clear cell variants. OBJECTIVE:To evaluate the efficacy of different clear cell ...
journal_title:European urology
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.eururo.2014.05.010
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:The aim of this prospective study was to compare the diagnostic accuracy of detrusor wall thickness (DWT), free uroflowmetry, postvoid residual urine, and prostate volume (index tests) with pressure-flow studies (reference standard) to detect bladder outlet obstruction (BOO) in men. METHODS:During a 2-yr pe...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2006.12.023
更新日期:2007-09-01 00:00:00
abstract::Mucosal biopsies were obtained for histological and electron microscopical studies from 20 patients with ileal urinary conduits. Special interest was focused on problems of urinary tract infections and their possible role in the pathogenesis of these changes. Chronic inflammation with mild to total villous atrophy was...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000472616
更新日期:1986-01-01 00:00:00
abstract:AIMS:It is the aim of these studies to derive a numerically defined progression index for prostatic intraepithelial neoplasia (PIN) lesions. METHODS:Histometric and karyometric features were automatically extracted from images of histopathologic sections by a machine vision system. RESULTS:Both histometric and karyom...
journal_title:European urology
pub_type: 杂志文章,评审
doi:10.1159/000019884
更新日期:1999-01-01 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::In some renal calculi whose structure was studied in thin sections, we have found large numbers of rods of the size and shape of bacteria, included in a material consisting of defective apatite calcium phosphates and organic matter. Electron transmission microscopy showed patterns of partially calcified bacteria. With...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000472067
更新日期:1977-01-01 00:00:00
abstract:PURPOSE:Based on the experience of 1000 cases of laparoscopic radical prostatectomy, we compared the operative parameters of transperitoneal and extraperitoneal approaches in match-paired patient groups. PATIENTS AND METHODS:We reviewed the charts of 53 consecutive patients who underwent selectively extraperitoneal la...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2004.05.004
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVES:Our technique of laparoscopic adrenalectomy as well as the results of this method are presented. METHODS:Transperitoneal laparoscopic adrenalectomy was performed in 18 consecutive patients (10 right side, 8 left side) for Conn's disease (7 patients), pheochromocytoma (6 patients), Cushing's syndrome (1 pati...
journal_title:European urology
pub_type: 临床试验,杂志文章
doi:10.1159/000474218
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVES:We performed two randomized prospective studies with the silver-coated Bardex IC catheter in order to evaluate the incidence of bacteriuria during short- and medium-term catheterization after urological procedures. METHODS:During catheterization only consecutive suprapubic urine samples were taken and cultu...
journal_title:European urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1159/000068005
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVES:To evaluate the long-term efficacy and safety of intracavernosal alprostadil (CAVERJECT((R))) in diabetic patients with erectile dysfunction (ED). PATIENTS AND METHODS:This study included 31 diabetic men (aged 44-75 years) with ED of >/=4 months duration. All patients were initially instructed in the self-i...
journal_title:European urology
pub_type: 临床试验,杂志文章
doi:10.1159/000020277
更新日期:2000-08-01 00:00:00
abstract::Corporeal veno-occlusive dysfunction is an important cause of organic impotence and is characterized by increased flow rates to create and to maintain erection during artificial erection produced by intracavernous saline infusion. Sixty-seven patients with this erectile insufficiency underwent penile ligature-resectio...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000474815
更新日期:1992-01-01 00:00:00
abstract:BACKGROUND:Wide variation exists in prevalence estimates of overactive bladder (OAB) syndrome. OBJECTIVE:To determine how the frequency of urinary urgency or urgency urinary incontinence (UUI)--the cornerstone symptoms of OAB--affects symptom-related bother, health-related quality of life (HRQL), and ultimately clinic...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2011.01.031
更新日期:2011-04-01 00:00:00