Abstract：
OBJECTIVE:To present our results for repair of unilateral vesicoureteral reflux in 76 children using a modified technique of detrusorrhaphy. METHODS:A retrospective chart review was performed for 76 children who underwent repair of unilateral vesicoureteral reflux by a modified technique of detrusorrhaphy. Of the 76 refluxing ureters, 12 were associated with historically refluxing contralateral ureters. In addition, 72/76 were grades II to IV; 4/76 grade V; three had a paraureteral diverticulum; four completely duplicated collecting systems; and two had associated ureteroceles. The surgical technique was modified to preserve both the obliterated umbilical artery and superior vesical pedicle and to minimize trigonal distortion through dissection lateral to the trigone in a direct path to the bladder neck. RESULTS:Seventy-five of 76 ureters were successfully repaired (99%). The remaining ureter showed initial improvement to grade I reflux and spontaneous resolution by 1 year. Obstruction did not occur. Three episodes of "new onset" contralateral vesicoureteral reflux were noted postoperatively. This represents a substantial decrease in incidence (3.9%) when compared with previously reported series (18%). CONCLUSION:Detrusorrhaphy is a reasonable treatment of unilateral vesicoureteral reflux with utility in the full range of anatomic associations. This approach is also associated with a lower incidence of new onset, contralateral reflux when compared with intravesical surgery.
journal_name
Urologyjournal_title
Urologyauthors
Mevorach RA,Merguerian PA,Balcolm AHdoi
10.1016/s0090-4295(98)00072-7subject
Has Abstractpub_date
1998-05-01 00:00:00pages
12-4issue
5A Suppleissn
0090-4295issn
1527-9995pii
S0090-4295(98)00072-7journal_volume
51pub_type
杂志文章相关文献
UROLOGY文献大全abstract：OBJECTIVE:To describe the associations between elevated urinary ammonium and clinical characteristics of kidney stone formers. A 24-hour urine test is recommended in high-risk patients to identify urinary abnormalities and select interventions to reduce the recurrence risk. While elevations in urine ammonium may be see...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.05.063
更新日期：2020-10-01 00:00:00
abstract：OBJECTIVES:The American Urological Association Symptom Index (AUASI) has been reported to be nonspecific for benign prostatic hyperplasia. Comparable scores occur in patients with lower urinary tract symptoms of varying etiology, and even among women. The purpose of this study was to determine the association between t...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(97)00505-0
更新日期：1998-02-01 00:00:00
abstract：:The anterior bladder wall and actin- and myosin-like immunoreactivities within the detrusor muscles in patients with chronic obstruction of the lower urinary tract were examined by means of a MOP Videoplan image-processing system, electronmicroscopy, and light microscopic immunohistochemistry. The image-processing sys...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(91)80333-3
更新日期：1991-06-01 00:00:00
abstract：OBJECTIVE:To evaluate the feasibility of narrow-band imaging (NBI) system in microdissection testicular sperm extraction (micro-TESE). MATERIALS AND METHODS:Firstly, we investigated angiogenic potential in human testicular specimens obtained from 48 patients who underwent micro-TESE. We then created a testicular injur...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2015.08.021
更新日期：2015-11-01 00:00:00
abstract：OBJECTIVE:To assess the association between Prostate Imaging Reporting and Data System version 2 (PI-RADSv2) score, the Decipher score, and histologic grade of carcinoma in biopsy tissue among low- to intermediate-risk prostate cancer patients. METHODS:MRI-ultrasound targeted biopsy of regions of interest and concurre...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2018.12.001
更新日期：2019-03-01 00:00:00
abstract：OBJECTIVE:To increase the diagnostic sensitivity of standard MAG3 diuretic renal scans for ureteropelvic junction obstruction (UPJO) by exploring the utility of an alternative measurement P40, the percentage of maximal tracer counts present at 40 minutes. MATERIALS AND METHODS:Patients with strong clinical and anatomi...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.11.049
更新日期：2017-05-01 00:00:00
abstract：OBJECTIVE:To determine 30-day complications, risk of readmission, and reoperation for midurethral slings (MUS). METHODS:The National Surgical Quality Improvement Program database from 2006 to 2013 was queried for MUS alone by excluding concurrent reconstructive, urologic, or gynecologic procedures. We assessed baselin...
journal_title：Urology
pub_type： 杂志文章,多中心研究
doi：10.1016/j.urology.2016.04.043
更新日期：2016-09-01 00:00:00
abstract：:Penile prostheses are a well-established form of therapy for erectile dysfunction. We report our experience with 333 cases using the Mentor Alpha I inflatable penile prosthesis. With a follow-up period of 15.4 months, there were 25 (7.5%) complications with 15 (4.5%) major complications that required reoperation. We a...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(93)90620-p
更新日期：1993-09-01 00:00:00
abstract：:Alpha-blockers and antimuscarinics combination therapy has been commonly used for treatment of male lower urinary tract symptoms (LUTS). We conducted a meta-analysis aimed to access the relative efficacy and safety of combination therapy. We systematically searched Medline, Cochrane, and Embase for eligible studies. F...
journal_title：Urology
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.urology.2013.04.045
更新日期：2013-08-01 00:00:00
abstract：OBJECTIVES:To evaluate comparatively fluorescence in situ hybridization (FISH) and cytology performed on exfoliated urothelial cells obtained from voided urine and bladder washings as a method of diagnosis and follow-up in patients with transitional cell carcinoma (TCC) of the bladder. METHODS:Thirty patients with con...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2003.08.026
更新日期：2004-02-01 00:00:00
abstract：OBJECTIVE:To evaluate the effects of different degrees of intratesticular hematoma (ITH), a major consequence of blunt testis trauma, on testis microstructure and function. We determined a cutoff point for significant vs nonsignificant ITH. METHODS:Seventy male rats were divided into 7 equal groups. The control group ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2018.05.005
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVES:The identification of reliable prognostic factors to guide the selection of patients at high risk of harboring subclinical metastases in penile cancer is important. We evaluated traditional pathologic variables and deoxyribonucleic acid (DNA) flow cytometry to determine the prognostic significance of these v...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(98)00137-x
更新日期：1998-07-01 00:00:00
abstract：OBJECTIVES:To investigate the association between parity and exophytic bladder cancer growth in the UPII-SV40T transgenic mouse model of bladder cancer. METHODS:The UPII-SV40T transgenic mice express the simian virus 40 large T antigen specifically in the urothelium (driven by uroplakin II promoter) and reliably devel...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.04.028
更新日期：2008-09-01 00:00:00
abstract：OBJECTIVE:To assess clinical safety (primary) and efficacy (secondary) of histotripsy for treatment of symptomatic benign prostatic enlargement in a first-in human study. METHODS:Twenty-five male subjects with moderate to severe lower urinary tract symptoms, prostate size between 30 and 80 g, and no evidence of prosta...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.12.033
更新日期：2018-04-01 00:00:00
abstract：OBJECTIVES:In this pilot study, the effect of dosing schedule on the efficacy and safety of the long-acting alpha 1-adrenergic blocker doxazosin (DOX) was evaluated in 48 consecutive, normotensive men (mean age, 61.2 years) with symptoms of prostatism. METHODS:In this titration to fixed dose study, patients were rando...
journal_title：Urology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0090-4295(94)80092-8
更新日期：1994-09-01 00:00:00
abstract：:Between March, 1978, and July, 1981, 86 patients with polychronotopic superficial papillary bladder tumors and concurrent carcinoma in situ were randomized to receive either transurethral resection alone (43) or TUR plus BCG (43). The results indicate that BCG is not only active in preventing recurrences of new tumors...
journal_title：Urology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0090-4295(85)90525-4
更新日期：1985-02-01 00:00:00
abstract：OBJECTIVES:Long-term follow-up studies have demonstrated that effective local tumor control and long-term tumor-free progression rates can be achieved by nephron-sparing surgery. However, hemostasis is a major issue, and the lack of effective means of hemostasis has limited the wider use of the laparoscopic approach to...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(02)02143-x
更新日期：2003-01-01 00:00:00
abstract：:A new operation, very simple to perform under local anesthesia, is described for urinary incontinence caused by operations on the prostate gland or the bladder neck; satisfactory results have been obtained, with no complications to date. The surgical procedure consists essentially of plication of the external urethral...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(75)90026-6
更新日期：1975-02-01 00:00:00
abstract：:Transrectal ultrasound may establish the diagnosis of prostatic abscess in an ambiguous clinical setting. Transurethral resection (deroofing) is the treatment preferred by many clinicians, yet intraoperative complete abscess obliteration may be difficult to confirm endoscopically. We report on a patient with a complex...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(91)80117-p
更新日期：1991-05-01 00:00:00
abstract：OBJECTIVES:To investigate the effect of a bacteriostatic urethral lubricant on the clinical efficacy of intravesical bacillus Calmette-Guérin (BCG) therapy. METHODS:Between July 1987 and August 1999, 389 patients with superficial urothelial carcinoma of the bladder (pTa [multilocular, size greater than 2 cm, recurrent...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(01)00903-7
更新日期：2001-05-01 00:00:00
abstract：OBJECTIVES:To identify a population of patients within the group with positive surgical margins after radical prostatectomy who would benefit in terms of improved local control of disease by the administration of adjuvant radiation therapy to the prostate bed. METHODS:Postoperative prostate-specific antigen (PSA) valu...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(99)80422-1
更新日期：1996-02-01 00:00:00
abstract：:Laparoscopic identification of the ureters is complicated by decreased tactile sensation and magnified video imaging. We report our experience in placing a ureteral illuminator to aid in ureteral identification prior to six laparoscopic urologic procedures. The ureteral illuminator facilitated laparoscopic ureteral id...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(93)90387-p
更新日期：1993-10-01 00:00:00
abstract：:The relation between tumor kinetics and disease progression in patients with hormone-refractory prostate cancer (HRPC) has not been well described. Biochemical recurrence of prostate cancer is characterized by detectable prostate-specific antigen (PSA) levels after treatment and occurs in approximately 30% of patients...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/j.urology.2003.10.026
更新日期：2003-12-29 00:00:00
abstract：OBJECTIVES:To investigate an alternative technique using an onlay patch of porcine small intestine submucosa (SIS) allograft to bridge a ureteral defect. For ureteral strictures that fail endourologic management, few options are available for minimally invasive repair or reconstruction. Although laparoscopic interposit...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(02)01890-3
更新日期：2002-11-01 00:00:00
abstract：OBJECTIVES:To determine the prevalence rates of erectile and ejaculatory dysfunction, associated bother, and their relation to sexual activity in a population-based sample of elderly men.Methods. Data were collected from 1688 men by way of self-administered questionnaires (including the International Continence Society...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)01091-8
更新日期：2001-04-01 00:00:00
abstract：OBJECTIVES:To describe our experience of the etiology, presentation, management and outcomes of male urethral diverticula, which are uncommon, with few reports of large series published. METHODS:Twenty-one patients with male urethral diverticula were treated at a single institution during a 7-year period. Their case n...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.06.1111
更新日期：2007-10-01 00:00:00
abstract：:Inflammatory pseudotumor of the bladder is a rare benign lesion of unknown etiology. We present a new case of pseudotumor of the urachus in a 16-year-old boy with no significant urologic history. This benign condition mimics invasive malignant tumors of the urinary bladder, and aggressive surgery is the basic treatmen...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.09.044
更新日期：2006-03-01 00:00:00
abstract：:A rare example of a congenital cyst of the ureter is described and the embryologic development of the abnormality discussed. The world literature relevant to the case is reviewed. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(78)90435-1
更新日期：1978-12-01 00:00:00
abstract：:Horseshoe kidney and retrocaval ureter are two uncommon congenital anomalies of the genitourinary system that have rarely been reported to occur in the same patient. In each case previously reported, the isthmus of the horseshoe was positioned posterior to the inferior vena cava and anterior to the aorta. In no case w...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/S0090-4295(96)00383-4
更新日期：1997-01-01 00:00:00
abstract：:In Wegener's granulomatosis, necrotizing lesions are typically located in the upper and lower respiratory tract and kidneys, and ureteral involvement is uncommon. We report 2 cases in which intrinsic ureteral stenosis was the sole manifestation of this small-vessel vasculitis. Excisional surgery evidenced characterist...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(03)00368-6
更新日期：2003-08-01 00:00:00
