Abstract:
OBJECTIVE:The objective was to provide urologists with a simple basis for optimizing the number of prostate biopsy cores that should be taken. METHODS:The records of 1024 patients who had undergone transrectal ultrasound-guided biopsies were reviewed. The prostate volume was divided by the number of biopsies to obtain the volume/biopsy ratio (VBR). Univariate and multivariate analyses were performed to determine the best predictors for positive biopsies. RESULTS:The analysis included 939 patients who had prostatic-specific antigen <20 ng/mL. The significant independent variables for positive biopsies were age, prostatic-specific antigen, and prostate volume and VBR (p < 0.001). VBR had the strongest correlation coefficient out of all significant variables. Stepwise analysis showed a consistent increase in cancer detection rates as VBR was decreased. The detection rates for VBRs of 2, 3, and 4 were 59%, 53%, and 50%, respectively. The detection rates dropped sharply to 42% and 30% for VBRs of 5 and 6, respectively. Cancers diagnosed with low VBRs were similar to those diagnosed with high VBRs in regard to Gleason scores and percentages of cancer in the prostatectomy specimens. CONCLUSION:Using VBR of 4 maintains high cancer detection rates without taking an excessive number of biopsy specimens. This is a simple and easy-to-remember method.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Jiang J,Colli J,El-Galley Rdoi
10.1089/end.2009.0285subject
Has Abstractpub_date
2010-01-01 00:00:00pages
143-7issue
1eissn
0892-7790issn
1557-900Xjournal_volume
24pub_type
杂志文章abstract:INTRODUCTION AND OBJECTIVES:To examine the association of glycemic control, including strict glycemic control, with 24-hour urine risk factors for uric acid and calcium calculi. MATERIALS AND METHODS:With institutional review board (IRB) approval, we identified 183 stone formers (SFs) with 459 twenty-four-hour urine c...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0376
更新日期:2018-08-01 00:00:00
abstract:PURPOSE:To assess the effectiveness of periurethral microballoon implantation for management of female urinary incontinence. PATIENTS AND METHODS:A total of 45 women with urinary incontinence (age range 47-88 years) were treated between May 2000 and June 2001. Microballoons were placed in the proximal periurethral tis...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.901
更新日期:2004-11-01 00:00:00
abstract:PURPOSE:To evaluate the use of virtual endoscopy (VE) for the investigation of the pelvicaliceal unit and the depiction of its anatomic deformities. PATIENTS AND METHODS:Two study groups were prospectively enrolled in our protocol: ten patients with nonurologic pathologies, and thus without any known deformity of the ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.37
更新日期:2005-01-01 00:00:00
abstract:INTRODUCTION:Traditional techniques for obtaining percutaneous renal access utilize continuous fluoroscopy. In an attempt to minimize radiation exposure, we describe a novel laser direct alignment radiation reduction technique (DARRT) for percutaneous access and test it in a bench-top model. METHODS:In this randomized...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2016.0170
更新日期:2016-11-01 00:00:00
abstract:PURPOSE:To assess the feasibility and report early outcomes of robot-assisted anatrophic nephrolithotomy (RAN) as a treatment modality for patients with complex staghorn calculi. PATIENTS AND METHODS:In this single-center prospective study, seven consecutive patients underwent RAN for complex staghorn calculi. After d...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0597
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVES:To determine predictors of fluoroscopy time (FT) during percutaneous nephrolithotomy (PCNL) and assess the impact of urology postgraduate trainees (PGTs) and S.T.O.N.E. nephrolithometry score. METHODS:A retrospective review of patients undergoing PCNL between 2010 and 2013 at a tertiary healthcare center wa...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0800
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND:It is well accepted that identification and control of the adrenal vein is a critical step in laparoscopic adrenalectomy. The surgical and anatomic literature propagates the notion of a dominant or multiple dominant adrenal arteries that should likewise be controlled during surgical extirpation. MATERIALS A...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.793
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Ascertaining the optimal depth of dilator progression is a crucial factor during tract dilation in percutaneous nephrolithotomy. Dilation is generally guided under fluoroscopy, ultrasonography, or combination of both techniques, and it is still difficult to prevent overdilation causing perforatio...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0710
更新日期:2013-07-01 00:00:00
abstract:AIM:To evaluate whether the overall safety and efficacy profile of percutaneous surgery for urinary stone disease in older (>70 years) patients might influence the decision for the procedure in the elderly. MATERIALS AND METHODS:A large database was created from our patients (n = 1058) who underwent percutaneous surge...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0432
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVES:To evaluate the ex vivo accuracy of an MRI-TRUS fusion device for guiding targeted prostate biopsies, to identify the origin of errors, and to evaluate the likelihood that lesions can be accurately targeted. MATERIALS AND METHODS:Three prostate phantoms were used to perform 27 biopsies using transperineal M...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0864
更新日期:2016-06-01 00:00:00
abstract::Using high-speed photography and acoustic emission measurements, we studied the dynamics of a transient cavitation bubble near a stone surface and the concomitant shockwaves generated during electrohydraulic lithotripsy (EHL). At each spark discharge, a vapor plasma and subsequently a cavitation bubble oscillating aro...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.55
更新日期:1997-02-01 00:00:00
abstract:PURPOSE:To assess the degree of postoperative storage symptoms after GreenLight™ laser photoselective vaporization of the prostate (PVP) and Holmium laser enucleation of the prostate (HoLEP) for management of benign prostatic hyperplasia (BPH) and its predictors. METHODS:A retrospective review was performed for patien...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0202
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:A unilateral paravertebral (PVB) block with catheter can provide extendable analgesia without physiological changes. The objective of this study was to assess the efficacy of PVB bupivacaine for providing perioperative pain relief in adults undergoing percutaneous nephrolithotomy (PCNL) under gen...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2014.0179
更新日期:2014-09-01 00:00:00
abstract:: Purpose: Several case series have demonstrated the safety and feasibility of outpatient robot-assisted radical prostatectomy (RARP) in well-selected patients; however, the patient perspective of this practice has not been well explored. In this study, we explored patients'...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0796
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Nephrostomy tract dilation is one of the important steps in percutaneous renal surgery. We present our experiences with using Amplatz and metal telescopic dilators (Alken) to create a percutaneous tract and compare the advantages and risk factors of both procedures. PATIENTS AND METHODS:We retro...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0291
更新日期:2012-06-01 00:00:00
abstract:: Aims: To investigate whether spinal anesthesia with an obturator nerve block (SA+ONB) can be effectively used for transurethral resection of bladder tumor (TURBT) during the coronavirus disease 2019 (COVID-19) pandemic to improve patient outcomes while also avoiding aeroso...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.1054
更新日期:2020-12-22 00:00:00
abstract::Inability to remove a urethral catheter after radical retropubic prostatectomy is an uncommon complication. We describe removal of a urethral catheter entrapped in vesicourethral anastomotic sutures, which was safely performed endoscopically using a holmium laser. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.83
更新日期:2005-01-01 00:00:00
abstract:PURPOSE:To determine whether on-clamp partial nephrectomy (ON-PN) has any significant impact on long-term renal function in a two kidney model. PATIENTS AND METHODS:From November 1999 to July 2013, 607 patients underwent PN at our institution. After excluding patients with solitary kidneys, multiple renal masses, and ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0476
更新日期:2015-04-01 00:00:00
abstract:BACKGROUND:Benign ureteral strictures are a potentially difficult problem that typically has been solved by open surgery. However, minimally invasive methods would be preferable. PATIENTS AND METHODS:Three patients with benign ureteral strictures were treated with endoscopic placement of self-expanding permanent indwe...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/08927790050152186
更新日期:2000-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:To assess the feasibility and efficacy of percutaneous nephrolithotomy (PCNL) in patients with spinal deformities. PATIENTS AND METHODS:Between 1999 and 2008, eight patients (nine renal units) with spinal deformities underwent 10 PCNLs. Mean stone burden was 372 mm(2) (160-840 mm(2)). Preoperati...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0095
更新日期:2010-07-01 00:00:00
abstract:PURPOSE:To determine whether day-case surgery (DS) laparoscopic pyeloplasty (LP) is feasible and safe. PATIENTS AND METHODS:Thirty-two consecutive patients, planned for DS LP between March 2006 and January 2010 at a single urologic center, were enrolled in this retrospective observational study. Every patient underwen...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0486
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Analgesic abuse is a potential cause of end-stage renal disease. Such patients bear an elevated risk of developing malignancies, predominantly transitional-cell carcinoma. We report our experience with laparoscopic nephroureterectomy carried out in patients with analgesic nephropathy to exclude u...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277901753205807
更新日期:2001-10-01 00:00:00
abstract:OBJECTIVE:The aim of our study was to evaluate if there is any advantage of three-dimensional helical computed tomography (3D-HCT) over intravenous urogram (IVU) in the morphometric and morphological analysis of lower pole spatial anatomy of the kidney. PATIENTS AND METHODS:We analyzed 52 renal collecting systems in 3...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2009.0262
更新日期:2009-12-01 00:00:00
abstract:PURPOSE:To construct, train, and apply an artificial neural network (ANN) system for prediction of different outcome variables of percutaneous nephrolithotomy (PCNL). We calculated predictive accuracy, sensitivity, and precision for each outcome variable. METHODS:During the study period, all adult patients who underwe...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0791
更新日期:2017-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Holmium:YAG lithotripsy of uric acid calculi produces cyanide. The laser and stone parameters required to produce cyanide are poorly defined. In this study, we tested the hypotheses that cyanide production: (1) varies with holmium:YAG power settings; (2) varies among holmium:YAG, pulsed-dye, and ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.169
更新日期:2000-03-01 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:To investigate prospectively the benefits of three-dimensional stereolithographic biomodeling produced from CT data as an aid to achieving optimal access for percutaneous nephrolithotripsy (PCNL). PATIENTS AND METHODS:Eight patients with complex urinary calculi were selected. Multislice CT scans of the kidney ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.92
更新日期:2006-02-01 00:00:00
abstract::Ureteral obstruction secondary to extrinsic compression is uncommon. Extrinsic compression results from both benign and malignant conditions of the retroperitoneum. In certain patients, laparoscopic ureterolysis is a minimally invasive alternative to the open approach. To date, the largest numbers of patients have und...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2005.19.710
更新日期:2005-07-01 00:00:00
abstract:PURPOSE:The LithoClast Trilogy is a novel single probe, dual-energy lithotripter with ultrasonic (US) vibration and electromagnetic impact forces. ShockPulse and LithoClast Select are existing lithotripters that also use a combination of US and mechanical impact energies. We compared the efficacy and tip motion of thes...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0143
更新日期:2018-06-01 00:00:00
abstract:PURPOSE:To demonstrate the safety and efficacy of percutaneous nephrolithotomy (PCNL) for management of large renal stones between single-functioning kidney and double-kidney patients. PATIENTS AND METHODS:Thirty single-functioning kidneys and 30 double-kidney patients with a mean age of 38.5 (±15.6) years in the sing...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0083
更新日期:2012-03-01 00:00:00