Abstract:
BACKGROUND AND PURPOSE:Benign prostatic hyperplasia (BPH) affects more than 50% of men by the age of 60 and 90% by age 85. Many of these men are not candidates for surgical procedures such as transurethral resection of the prostate (TURP), stimulating the development of less-invasive forms of therapy. We studied the utilization of these newer therapies by urologists practicing in Minnesota. MATERIALS AND METHODS:An anonymous questionnaire was sent to 174 members of the Minnesota Urological Society, of which 58 were available for analysis. A case scenario was presented of a patient with BPH refractory to medical therapy. The options were traditional and minimally invasive therapies. The physician was asked to select whether he or she would offer each option and perform the procedure or refer the patient within or outside the practice. Statistical analysis was performed using chi-square and two-sample t-tests on Minitab software. The results were considered significant at P < 0.05. RESULTS:While 59% of the respondents would offer both minimally invasive and traditional alternatives, 10% would offer only minimally invasive therapy, while 29% would offer only traditional therapy (P = 0.01). The most common minimally invasive therapies offered were transurethral microwave thermotherapy and (55%) and transurethral needle ablation (33%). If they offered a form of minimally invasive therapy, the majority of respondents would perform the procedure themselves. Rural urologists were less likely to offer minimally invasive therapy (43%) than metro physicians (81%; P = 0.035). There was no significant difference in the use of minimally invasive therapies by rural and urban urologists (P = 0.409) or urban and metropolitan urologists (P = 0.119). Urologists completing their training between 1960 and 1980 were less likely to offer minimally invasive therapy. There was no significant difference in the likelihood of offering traditional versus minimally invasive alternatives according to the percent of managed care in the practice. CONCLUSIONS:Urologists closer to the completion of their residency training are more likely to include a minimally invasive technique in their treatment plan, while urologists practicing in rural Minnesota are less likely to offer minimally invasive procedures. Further emphasis should be placed on increasing the availability of minimally invasive techniques in rural settings.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Ercole B,Lee C,Best S,Fallon E,Skenazy J,Monga Mdoi
10.1089/end.2005.19.159subject
Has Abstractpub_date
2005-03-01 00:00:00pages
159-62issue
2eissn
0892-7790issn
1557-900Xjournal_volume
19pub_type
杂志文章abstract::The results of 10 years' experience of treating pelviureteric junction (PUJ) obstruction by balloon dilatation are reviewed, and recommendations about the suitability of the technique for individual patients are made based on the patient's history and a preoperative DTPA renogram. Of 76 patients, 32 (42%) had no furth...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.239
更新日期:1997-08-01 00:00:00
abstract:PURPOSE:To assess the safety and effectiveness of laparoscopic retroperitoneal surgery and attempt to define its role in the management of urolithiasis. PATIENTS AND METHODS:Laparoscopic retroperitoneal surgery (LRS) was undertaken in 72 male and 42 female patients with calculous disease from March 1994 to April 2000 ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/08927790152596271
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVE:We investigated the surgical efficiency and cutoff criteria to determine whether retrograde intrarenal surgery (RIRS) or supine miniaturized percutaneous nephrolithotomy (MPCNL) is appropriate for managing renal stones with a mean size >10 mm. MATERIALS AND METHODS:Data of a single session RIRS or supine MPC...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0244
更新日期:2017-10-01 00:00:00
abstract::To determine the effectiveness of a radiation awareness program in reducing the radiation exposure to patients treated by a Medstone lithotripter, the exposure was calculated at the end of each extracorporeal shockwave (SWL) treatment using a table of measurements of the estimated entrance exposure rates 70 cm from th...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.223
更新日期:1998-06-01 00:00:00
abstract:PURPOSE:The purpose of this study was to assess the extent of the increased intracranial pressure (ICP) resulting from CO2 pneumoperitoneum and steep Trendelenburg positioning using ultrasonographic measurement of optic nerve sheath diameter (ONSD) in patients undergoing robot-assisted laparoscopic radical prostatectom...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0019
更新日期:2014-07-01 00:00:00
abstract:INTRODUCTION:Cystoscopy is a basic urologic skill necessary for the endoscopic evaluation of the urethra and bladder. Presented is a step-by-step guide for flexible cystoscopy of the male and female patient. MATERIALS/METHODS:Routine flexible cystoscopy was performed on a male patient with a history of upper tract uro...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0706
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:We have developed novel iron-based microparticles (Fe-MP) that bind to calcium oxalate stone fragments, rendering them paramagnetic. Previously, we demonstrated enhanced efficiency of stone extraction in an inanimate model using magnetic instrumentation. Before in vivo stone extraction studies, w...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0419
更新日期:2011-07-01 00:00:00
abstract::Small renal lesions often confer relatively low oncologic risk and, as such, dictate for treatment strategies with low morbidity. Minimally invasive ablative techniques have been developed and can deliver good outcomes where used judiciously. The potential risks of treatment relate to the method of ablation, the route...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0542
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Whereas ureteroscopic lithotripsy is more efficacious than SWL in treating lower-ureteral stones, the same has not been universally said of its ability to treat proximal ureteral stones. Because failed proximal lithotripsy is often attributable to the complications associated with stone migration...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.862
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:There have been several reports of rhabdomyolysis occurring after prolonged laparoscopic procedures in the flank position. Accordingly, we evaluated interface pressures between the skin and three commonly used operating room table surfaces. The aim of our study was to determine if pressure change...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0047
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Bleeding is a major concern during percutaneous nephrolithotomy (PCNL), especially with the use of multiple tracts. This prospective study aimed to identify factors affecting blood loss during PCNL. PATIENTS AND METHODS:Data were collected prospectively from 236 patients undergoing 301 PCNL proc...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.715
更新日期:2004-10-01 00:00:00
abstract:PURPOSE:To report our experience with en bloc stapling of the renal hilum during laparoscopic nephrectomy (LN) and nephroureterectomy and to compare it with separate stapling performed during the same period at the same institution. PATIENTS AND METHODS:We conducted a retrospective review of 125 laparoscopic nephrecto...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0528
更新日期:2009-04-01 00:00:00
abstract::Using ureterorenoscopes with unidirectional flow, the urologist faces a conflict between a good view on one hand and high pressure in the ureter and the pelvic collecting system of the kidney on the other hand. The ureterorenoscope designed by Gelet, which has continuous (bidirectional) flow and separate irrigation an...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.337
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:New-generation flexible ureteroscopes allow the management of proximal ureteral and intrarenal pathology with high success rates, including complete removal of ureteral and renal calculi. One problem is that the irrigation pressures generated within the collecting system can be significantly elev...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277904322836631
更新日期:2004-02-01 00:00:00
abstract::Myelomeningocele (MMC) is characterized by paraplegia and incontinence, often necessitating surgery. Current models of MMC in sheep and primates create a spinal defect long after anomalous neural tube closure ordinarily occurs. An ideal model of MMC would allow creation of the defect at the earliest age in a low-cost ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.199
更新日期:1998-04-01 00:00:00
abstract:PURPOSE:To compare blind access and totally tubeless percutaneous antegrade removal and pneumatic transurethral ureterolithotripsy for the management of impacted upper-ureteral calculi >1 cm. PATIENTS AND METHODS:Seventy patients (41 male, 29 female) with impacted upper-ureteral calculi >1 cm were selected in randomiz...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.20.616
更新日期:2006-09-01 00:00:00
abstract:INTRODUCTION:To assess the clinical features, outcomes, complications, and cost-effectiveness of shockwave lithotripsy (SWL), flexible ureterorenoscopy (FURS), and percutaneous nephrolithotomy (PCNL) in the treatment of lower pole (LP) stones (10-20 mm) in a large tertiary referral center. PATIENTS AND METHODS:Consecu...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0825
更新日期:2017-05-01 00:00:00
abstract:: Introduction: A number of clinical and radiological predictors of either stone impaction or ureteral stone passage (SP) have been proposed. We aimed at identifying the key predictors of successful SP by using readily available CT-based tools/measurements. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0645
更新日期:2020-10-27 00:00:00
abstract:PURPOSE:To evaluate the efficacy of transvesical obturator nerve block (ONB) in the prevention of obturator nerve reflex and leg jerking during transurethral resection of bladder tumors (TURBT). PATIENTS AND METHODS:A total of 60 patients were studied, in whom the transurethral resection of tumors on the posterolatera...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2009.0659
更新日期:2010-10-01 00:00:00
abstract:INTRODUCTION:Kidney stone disease (KSD) affects millions of people worldwide and has an increasing incidence. Social media (SoMe) and search engines are both gaining in usage, while also being used by patients to research their conditions and aid in managing them. With this in mind, many authors have expressed the beli...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0319
更新日期:2018-08-01 00:00:00
abstract::Eighteen male patients underwent endoscopic management of urethral obliterations and severe strictures of the subprostatic urethra. Thirteen patients who performed clean urethral self-dilatation after endoscopic repair had a lower incidence of recurrent strictures (P = 0.03) and required fewer visual internal urethrot...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1996.10.385
更新日期:1996-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Laparoscopic pyeloplasty (LP) for the repair of ureteropelvic junction (UPJ) obstruction provides results similar to those of open pyeloplasty with less morbidity, but its use has been limited, as it requires advanced laparoscopic skills. Robotic computer-assisted pyeloplasty (RAP) has the potent...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.813
更新日期:2006-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:During laparoscopic surgery, scissors are used to cut a variety of tissue, including fibrotic or calcified tissue, sutures, and occasionally tissue containing staples. Disposable scissors may become dull and ineffective. The purpose of this study is to compare the durability and ergonomics of thr...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0654
更新日期:2009-08-01 00:00:00
abstract:PURPOSE:The impact of drainage type after percutaneous nephrolithotomy (PCNL) on the health-related quality of life (HRQoL) has been rarely studied. We conducted a prospective randomized study to evaluate the differences in HRQoL among patients who received different drainage types. METHODS:A total of 90 patients who ...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2017.0444
更新日期:2017-11-01 00:00:00
abstract:: Purpose: We assessed the ability of enhanced cystoscopy with CHROMA image enhancement (Karl Storz SE & Co. KG, Tuttlingen, Germany) to improve cancer detection during transurethral resection of bladder tumors (TURBT) in patients with known or suspected nonmuscle invasive b...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0821
更新日期:2020-12-04 00:00:00
abstract:PURPOSE:To evaluate prospectively the actual bladder perforation incidence during transurethral resection of bladder tumor (TURB) performed by residents and to identify possible predisposing factors to such condition. PATIENTS AND METHODS:Thirty-four patients with bladder tumor were submitted to TURB in our academic i...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2008.0406
更新日期:2009-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:During laparoscopic nephrectomy (LPN), a stapling device is often used for vascular control, especially of the renal vein. Herein, we report our experience using a polymer clip (Hem-o-lok) for routine control of the vessels during LPN in the animal and clinical setting. PATIENTS AND METHODS:Fift...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277904322836730
更新日期:2004-02-01 00:00:00
abstract:PURPOSE:Standard laparoscopy has undergone many recent advances with the advent of three-dimensional visual systems and robotic surgical systems. In evaluating the usefulness of these new systems, it is difficult to objectively measure their advantages in the operating room. Therefore, we designed a trial using three d...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0241
更新日期:2008-03-01 00:00:00
abstract::In cases of advanced urologic malignancies with impairment of renal function secondary to tumor infiltration in high-risk patients, the possibility of performing a laparoscopic instead of an open cutaneous ureterostomy should be considered. We performed laparoscopic cutaneous ureterostomy in three male patients, two w...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.425
更新日期:1994-12-01 00:00:00
abstract:OBJECTIVES:Vesicovaginal fistula (VVF) is a common condition that physically and mentally debilitates the patient. In the developing countries such as India, it results mainly due to neglected obstetric care. Options for surgical repair of VVF consist of transvaginal, transvesical, laparoscopic repair. Endoscopic manag...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0557
更新日期:2010-10-01 00:00:00