Abstract:
OBJECTIVES:We studied 485 patients treated by extracorporeal shock-wave lithotripsy (ESWL) using an ultrasound electrohydraulic apparatus in an effort to define radiographic criteria for better patient selection for ESWL. METHODS:Results were assessed according to plain x-ray nephrotomography and ultrasound. The criteria for measuring success (stone free [SF]) excluded all residual fragments. After per-criteria analysis of the results, a multivariate analysis as well as an analysis of stone composition by infrared spectroscopy were performed. RESULTS:The SF rate was 57.5% (279 of 485). Calculi that were smooth, denser than bone, located in the lower calyx, and larger than 15 mm had less satisfactory results despite a greater number of impulses. A correlation was established between the radiographic appearance of the calculus, its composition, and ESWL results. Rough, less dense calcium oxalate dihydrate yielded satisfactory results (65%), whereas smooth, dense calcium oxalate monohydrate led to less conclusive results (41%). Multivariate analysis demonstrated the predominant influence of radiographic calculus profile on the results: rough, less dense calculi yielded a 79.4% SF rate, whereas smooth, dense calculi yielded a 33.6% SF rate. CONCLUSIONS:We propose that patients with dense, smooth calculi located in the lower calyx and larger than 15 mm be treated by other techniques, such as percutaneous nephrolithotomy. This would not only increase the ESWL effectiveness rate, but would also reduce the cost of treating kidney stones.
journal_name
Urologyjournal_title
Urologyauthors
Bon D,Dore B,Irani J,Marroncle M,Aubert Jdoi
10.1016/s0090-4295(96)00251-8subject
Has Abstractpub_date
1996-10-01 00:00:00pages
556-60; discussion 560-1issue
4eissn
0090-4295issn
1527-9995pii
S0090429596002518journal_volume
48pub_type
杂志文章相关文献
UROLOGY文献大全abstract:OBJECTIVES:Androgen ablation with luteinizing hormone-releasing hormone (LHRH) agonists, orchiectomy, or oral estrogens has significant untoward sexual side effects. We evaluated a combination of finasteride and flutamide as potency-sparing androgen ablative therapy (AAT) for advanced adenocarcinoma of the prostate. In...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(97)00091-5
更新日期:1997-06-01 00:00:00
abstract::Extramedullary plasmacytoma arising in the kidney is rare. Only 8 cases have been reported. Recently, we noted the ninth case, the second case seen at the Mayo Clinic. Clinically, the tumor mimics a renal cell carcinoma or a transitional cell carcinoma of the renal pelvis. ...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/0090-4295(91)80274-b
更新日期:1991-04-01 00:00:00
abstract:OBJECTIVE:To assess the efficacy of exchanging the pressure regulating balloon (PRB) to 71-80 cm H2O in patients with persistent or recurrent stress urinary incontinence (SUI) following artificial urinary sphincter (AUS) placement. METHODS:Patients with SUI following AUS placement who underwent PRB replacement between...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2018.07.052
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To compare renal functional outcomes in robotic partial nephrectomy (RPN) with selective arterial clamping guided by near-infrared fluorescence (NIRF) imaging to a matched cohort of patients who underwent RPN without selective arterial clamping and NIRF imaging. METHODS:From April 2011 to December 2012, NIRF...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2014.02.044
更新日期:2014-08-01 00:00:00
abstract::The diagnosis of metastatic testicular carcinoma in a thirty-three-year-old man and his nineteen-year-old brother is reported. Histologically, the tumor of the older brother consisted predominantly of embryonal carcinoma with minor components of seminoma and adult teratoma; the tumor of the younger brother consisted e...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(88)90233-6
更新日期:1988-10-01 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::A case of upper ureteral obstruction caused by methylmethacrylate cement after fixation of an L2-L3 vertebral fracture is reported. The probable mechanism, radiographic findings, and management of this complication are reviewed. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(86)90414-0
更新日期:1986-05-01 00:00:00
abstract:OBJECTIVE:To compare the frequency and severity of erectile dysfunction (ED) among pelvic fracture patients with and without urethral injuries and to identify potential risk factors for ED in the setting of pelvic fracture injury. MATERIALS AND METHODS:A retrospective review was conducted of male patients treated for ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2018.01.035
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVES:The pediatric application of ureteroscopy was initially hindered by the size of the instruments and the fear of damaging the urethra and ureterovesical junction during endoscopic maneuvers. This review of our experience is focused on the usefulness of thin and ultrathin ureteroscopes such as the 7 F Gautier ...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/S0090-4295(99)80358-6
更新日期:1995-12-01 00:00:00
abstract::The Cavitron Ultrasonic Surgical Aspirator is a unique modality for precise tissue removal which results in increased visibility, reduced bleeding, and shorter operating time when dealing with vascular lesions or organs. Herein, we present our experience in a dog laboratory as well as in a clinical setting with this n...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(84)80004-7
更新日期:1984-05-01 00:00:00
abstract:OBJECTIVE:To evaluate variation in neoadjuvant chemotherapy (NAC) use among patients with ≥ clinical T2 (cT2) bladder cancer and determine changes in staging at radical cystectomy (RC) associated with therapy. METHODS:Using the National Cancer Database (NCDB), we identified all patients diagnosed with organ-confined, ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2013.07.072
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:To provide the anatomy of the puboprostatic ligament and related structures to save urogenital competence after prostatectomy. MATERIALS AND METHODS:Pelvic areas of 31 adult cadavers were dissected to figure out the shape, number, and location of the puboprostatic ligaments. RESULTS:The puboprostatic ligame...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2019.10.015
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVE:To prospectively investigate the natural history of asymptomatic pseudoaneurysm after robotic-assisted partial nephrectomy. METHODS:Robotic-assisted partial nephrectomy was undertaken for 67 patients between July 2014 and July 2018. Patients who could not undergo enhanced CT were excluded, so 60 patients wer...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.09.053
更新日期:2020-11-25 00:00:00
abstract:OBJECTIVE:To describe the diagnostic criteria and outcome of fetal megacystis according to the gestational age at diagnosis. METHODS:A 7-year retrospective study was carried out from 2004 to 2011, including cases of megacystis referred to 2 prenatal fetal medicine units. The following data were collected and analyzed:...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2014.02.018
更新日期:2014-07-01 00:00:00
abstract::The significance of CT-scan-detected seminal vesicle enlargement was investigated by correlating preoperative CT scans and pathologic findings for 25 patients undergoing radical prostatectomy. Seminal vesicle size was found to be a poor predictor of pathologic involvement when compared with tumor differentiation and o...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(93)90569-v
更新日期:1993-03-01 00:00:00
abstract:OBJECTIVES:Photodynamic diagnosis (PDD) using 5-aminolevulinic acid has proved to be a procedure with an outstanding sensitivity for the detection of transitional cell carcinoma of the bladder, in particular in the detection of flat urothelial lesions. We report on our clinical results with 875 patients (1713 PDD proce...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2006.10.015
更新日期:2007-02-01 00:00:00
abstract::A surgical method for reconstruction of the umbilicus in patients with bladder exstrophy is described. The technique is based on the surgical principle of eventual tubularization of a skin strip buried in the subcutaneous space. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(84)90201-2
更新日期:1984-10-01 00:00:00
abstract::Giant hydronephrosis is the term designating the presence of more than 1,000 ml. of fluid in the collecting system. Of 4 cases of congenital hydronephrosis found over a three-year period at the Ochsner Medical Institutions, 2 were associated with unsuspected carcinomas. Hydronephrosis may first be detected as a mass p...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(77)90126-1
更新日期:1977-11-01 00:00:00
abstract:OBJECTIVES:To evaluate the safety and efficacy of 1.9 µm Vela laser in treatment of primary non-muscle-invasive bladder cancer. METHODS:The data of the patients with non-muscle-invasive bladder cancer treated by either en bloc transurethral resection with 1.9 µm Vela laser (n = 26) or conventional transurethral resect...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.11.030
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVES:To evaluate the association of serum micronutrients with lower urinary tract symptoms (LUTS). METHODS:We included 2497 men, 60 years old and older, who participated in the Third National Health and Nutrition Examination Survey from 1988 to 1994 and for whom serum concentrations of vitamins A, C, and E, caro...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.04.012
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVE:To assess the feasibility of a prehabilitation program for cystectomy patients and to determine the effectiveness of the program in improving strength and functional capacity in the peri-operative period. MATERIALS AND METHODS:This phase I/II study accrued patients ≥60 years old from January 2013 to October ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.05.104
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVE:To assess prescribing and refilling trends of narcotics in postoperative urology patients at our institution. Although the opioid epidemic remains a public health threat, no series has assessed prescribing patterns across urologic surgery disciplines following discharge. METHODS:All urologic surgeries were r...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.11.070
更新日期:2021-01-23 00:00:00
abstract:OBJECTIVE:To evaluate whether the addition of a single dose of an aminoglycoside to a fluoroquinolone-based prophylaxis regime would decrease septic complications associated with transrectal prostate biopsy. METHODS:A retrospective survey of all patients undergoing transrectal ultrasound guided prostate biopsy (TRUS-P...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2013.01.074
更新日期:2013-11-01 00:00:00
abstract::Renal abscess is uncommon in children. In a few cases, ascending infection and/or hematogenous spread have been outlined as pathophysiologic mechanisms in published studies. We report on a 7-month-old female infant who was hospitalized with a high fever. Ultrasonography revealed a hypoechogenic mass in the left kidney...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.04.026
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVE:It has been suggested that prostatic neuroendocrine (NE) cells play an important role in the growth and differentiation of the prostate by secreting various neuropeptides and serotonin. However, the mechanism by which NE cells themselves are regulated is virtually unknown. In the present study we evaluated th...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(94)90146-5
更新日期:1994-06-01 00:00:00
abstract:OBJECTIVES:To evaluate whether tamsulosin, as an alpha(1)-blocker, was effective for the treatment of steinstrasse in the lower ureter after shock wave lithotripsy. METHODS:A total of 67 patients (43 men and 24 women) with steinstrasse in the lower portion of the ureters were randomly divided into two groups. Only hyd...
journal_title:Urology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.urology.2005.05.029
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVES:To determine the hormonal (luteinizing hormone [LH] and testosterone) and biochemical (serum prostate-specific antigen [PSA]) response to withdrawal of luteinizing hormone-releasing hormone (LHRH) agonists in patients who received more than 2 years of LHRH therapy for advanced prostate cancer. METHODS:Fourt...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(99)00061-8
更新日期:1999-05-01 00:00:00
abstract:OBJECTIVES:With the widespread use of prostate-specific antigen (PSA)-based screening, there is now concern about the overdiagnosis and overtreatment of men with low-risk prostate cancer (PCa). One of the most difficult aspects of PCa management is a balance of the often-competing goals of cancer control with functiona...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.12.016
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVES:To compare the stone-free rate and complications between horseshoe and normal kidneys. METHODS:Between December 1997 and June 2008, a total of 2401 patients with 2618 renal units underwent percutaneous nephrolithotomy (PCNL). During this period, we retrospectively reviewed the data of 46 patients with 50 (1...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.08.054
更新日期:2010-05-01 00:00:00
abstract::We report a case of an "extra-renal" calculus and associated perinephric abscess treated by endourologic techniques. The calculus could have fallen into the perinephric tissues at the time of open renal surgery. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(89)90391-9
更新日期:1989-03-01 00:00:00