Abstract:
OBJECTIVES:In many institutions, cystography is obtained routinely after radical retropubic prostatectomy to assess the integrity of the vesicourethral anastomosis before the removal of the catheter. This study presents the Indiana experience with cystograms performed following radical retropubic prostatectomy. METHODS:The experience with 260 cystograms performed in 245 consecutive patients following radical retropubic prostatectomy was reviewed retrospectively, with a special reference to the clinical implications of abnormal findings. RESULTS:After a standard catheterization period of 14 to 21 days (mean, 19.2), 94.3% of the catheters were removed safely without adverse clinical consequences. The presence of a minimal contained contrast extravasation did not affect outcome after the removal of the catheter. The overall incidence of clinically significant extravasation was found to be 5.7% and was further reduced to 2.4% if extravasation was not suggested clinically in the postoperative course. CONCLUSIONS:Based on the current literature, significant extravasation is a common finding during the first 5 to 8 postoperative days. Therefore, management strategies advocating early urethral catheter removal should include routine cystographic studies. Otherwise, cystographic confirmation of anastomotic integrity before the removal of the catheter following 14 to 21 days of catheterization is not indicated in the routine postradical prostatectomy patient.
journal_name
Urologyjournal_title
Urologyauthors
Leibovitch I,Rowland RG,Little JS Jr,Foster RS,Bihrle R,Donohue JPdoi
10.1016/S0090-4295(99)80163-0subject
Has Abstractpub_date
1995-07-01 00:00:00pages
78-80issue
1eissn
0090-4295issn
1527-9995pii
S0090-4295(99)80163-0journal_volume
46pub_type
杂志文章相关文献
UROLOGY文献大全abstract:OBJECTIVE:To evaluate the efficacy and safety of elocalcitol in the treatment of women with overactive bladder and idiopathic detrusor overactivity. METHODS:The study was a multicenter, double-blind, randomized, placebo-controlled, parallel-group trial of women with overactive bladder symptoms recruited from 48 Europe...
journal_title:Urology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.urology.2012.03.035
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVE:To report on results from a new tele-urology pathway for managing hematuria consults, including a survey of patient attitudes and satisfaction with such a program. Recent guideline changes have relaxed the definition of microscopic hematuria and may have significantly increased the number of hematuria evaluat...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.04.066
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVES:Numerous techniques have been described for supporting the vaginal vault after enterocele repair and hysterectomy. We describe a transvaginal culdosuspension that obliterates the cul-de-sac and supports the vaginal cuff high on the levator plate. The normal vaginal axis is restored, and adequate vaginal dept...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(99)00266-6
更新日期:1999-11-01 00:00:00
abstract:OBJECTIVES:Frequently, statistically significant prognostic factors are reported in published studies with suggestions that disease management should be modified. However, the clinical relevance of such factors is rarely quantified. We evaluated the accuracy of predicting the need for invasive treatment among patients ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.11.049
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVES:Subepithelial hydroxyapatite calcification of renal papilla is thought to be involved in the formation of calcium oxalate monohydrate (COM) papillary calculi. To assess the mechanism of formation, we sought to correlate the fine structure of papillary renal calculi with specific pathophysiologic conditions a...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.02.022
更新日期:2010-12-01 00:00:00
abstract::Minimally invasive laparoscopic techniques have been applied to the staging and treatment of testicular cancer during the performance of retroperitoneal lymph node dissection. The da Vinci Surgical System potentially improves the safety and accuracy of this approach. We present what we believe to be the first publishe...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.07.022
更新日期:2006-01-01 00:00:00
abstract:OBJECTIVES:Demographic information on patients presenting for the diagnosis and treatment of male factor infertility has been limited in the past by the paucity of subspecialty trained providers and concentrated sequential patient information. Previously reported studies looking at the characteristics of patients being...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(01)01400-5
更新日期:2001-12-01 00:00:00
abstract:OBJECTIVES:To assess the feasibility of telerobotic assisted surgery. METHODS:In a laboratory model, a cholecystectomy, splenectomy, and nephrectomy were performed by an inexperienced surgeon who was being mentored by an experienced surgeon stationed at a remote site. The remote surgeon controlled the laparoscopic cam...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(94)80003-0
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVES:Establishing realistic health-related quality-of-life (HRQOL) expectations before the choice of cancer treatment is made is an important goal of patient counseling. We prospectively studied the pretreatment expectations of prostate cancer-specific HRQOL with an adapted Expanded Prostate Cancer Index Composit...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2006.08.1092
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:To investigate the perioperative complication rates for paraplegic-quadriplegic patients (PQPs) undergoing percutaneous nephrolithotomy (PCNL) as compared with non-PQPs using a standardized method of complication reporting via the Clavien system. METHODS:Two hundred thirteen consecutive PCNLs performed by a ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2014.11.057
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVE:To investigate whether fluorochrome-conjugated phalloidin can delineate cavernous smooth muscle (CSM) cells and whether it can be combined with immunofluorescence (IF) staining to quantify erectile dysfunction (ED)-associated changes. METHODS:ED was induced by cavernous nerve crush in rats. Penile tissues of...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.06.021
更新日期:2011-10-01 00:00:00
abstract::We describe a case of renovascular hypertension with renal artery stenosis concealed by aneurysms. Arteriography demonstrated no apparent renal artery stenosis, but did reveal aneurysms on the left renal artery. Captopril-loaded renoscintigraphy could not detect disturbed renal perfusion. High basal and exaggerated pl...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.09.045
更新日期:2005-03-01 00:00:00
abstract:OBJECTIVES:To review our experience regarding the overall efficacy and safety of an artificial urinary sphincter (AUS) in men with stress urinary incontinence (SUI) after cystoprostatectomy with an orthotopic ileal neobladder. METHODS:We performed a retrospective review of 5 men who underwent placement of an AUS (AMS ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(01)01655-7
更新日期:2002-04-01 00:00:00
abstract:OBJECTIVES:To evaluate the effectiveness and morbidity of salvage brachytherapy for locally recurrent or persistent prostate cancer after radiotherapy failure. METHODS:In this retrospective study, 49 patients of median age 73.3 years (range 52.9 to 86.9) with biopsy-proven localized prostate cancer underwent interacti...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(98)00492-0
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVES:To estimate the rates of rectal bleeding after dose-escalated three-dimensional conformal radiation therapy (3D-CRT) on a prospective, Phase II study in which a modified intrarectal balloon was used for prostate gland localization and immobilization. METHODS:The study cohort comprised 100 men with biopsy-pr...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.10.008
更新日期:2006-04-01 00:00:00
abstract:OBJECTIVES:To determine whether nadir prostate-specific antigen (PSA) levels within 12 months (nadir PSA12) after completion of radiotherapy (RT) can be used as an early marker of recurrence risk. METHODS:A total of 4839 patients were treated with RT and without hormonal therapy from 1986 to 1995 for Stage T1-T2 prost...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2006.08.1056
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:To assess the outcome of cystectomy and cystourethrectomy in patients with intractable interstitial cystitis or bladder pain syndrome, and to identify whether urethrectomy is necessary. METHODS AND MATERIALS:During 2007-2014, 18 women were eligible and elected for surgical treatment after conservative treatm...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.07.003
更新日期:2016-11-01 00:00:00
abstract::We report a case of congenital intrathoracic kidney, a rare developmental anomaly, which may present as an asymptomatic posterior mediastinal mass. The evaluation of such lesions can be performed expeditiously with computed tomography and obviate the need for any further clinical studies or operation. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(83)90359-x
更新日期:1983-07-01 00:00:00
abstract:OBJECTIVE:To identify and validate novel prognostic marker genes in clear cell renal cell carcinoma (RCC) that are increasingly expressed during tumor progression. METHODS:Total RNA was isolated from normal renal tissue, primary G1 and G3 tumors, 14 samples each, and 32 metastases from RCC patients. Expression profile...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.12.050
更新日期:2017-04-01 00:00:00
abstract::For clinical practice and research of overactive bladder syndrome, it is essential to evaluate urgency symptoms in daily life. We have developed a portable patient-activated device to record bladder sensations. This electronic device is pocket-size and light, with five grading buttons and another button for cancellati...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.01.036
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVE:To use the tuberous sclerosis complex (TSC) Natural History Database to describe monitoring and treatment patterns among patients with TSC-related angiomyolipomas (AMLs). METHODS:This study used the TSC Natural History Database, which contains demographics, affected areas, diagnosis, and treatments for more ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.02.036
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVES:To compare the effectiveness of periprostatic nerve blockade versus intrarectal lidocaine during transrectal ultrasound-guided biopsies. METHODS:A prospective randomized study was performed on 150 men requiring biopsy of the prostate. Patients were assigned to three groups: group 1 received no anesthetic, g...
journal_title:Urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0090-4295(02)01671-0
更新日期:2002-07-01 00:00:00
abstract:OBJECTIVES:To investigate the association between the length of time-to-ejaculation and semen parameters. METHODS:Ejaculates from 142 men under infertility assessment were analyzed according to the World Health Organization guidelines. Seminal neutral alpha-glucosidase (NAG), prostate-specific antigen (PSA), zinc, and...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.12.009
更新日期:2008-05-01 00:00:00
abstract:OBJECTIVE:To determine the effect of tamsulosin hydrochloride on blood flow in the submucosal capillaries of the bladder (SCB) in a rat model of bladder outlet obstruction (BOO) using a pencil lens charge-coupled device microscopy system. MATERIALS AND METHODS:BOO was established in rats by partial ligature of the pro...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.09.008
更新日期:2013-01-01 00:00:00
abstract::Urethral adenocarcinoma of males is a rare disease with limited prospective data to define optimal treatment. Surgical excision remains the primary treatment for early-stage disease. Multimodality therapy with a combination of chemotherapy, radiation, or surgery has been explored in patients with locally advanced dise...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.11.033
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVES:Prostate-specific antigen (PSA) levels, transrectal ultrasound, and systematic sextant biopsies have each shown limited ability to predict prostate cancer volume. In combination, these studies may allow more accurate estimation of volume and prognosis. METHODS:One hundred twenty-four patients were evaluated...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(95)96858-x
更新日期:1995-01-01 00:00:00
abstract:OBJECTIVES:To assess the effects of finasteride on angiogenetic and hypoxia markers in benign prostatic hyperplasia. METHODS:A total of 178 patients aged 51 to 85 years (mean 68.7) with benign prostatic hyperplasia and awaiting transurethral prostate resection were prospectively randomized into a group of patients rec...
journal_title:Urology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.urology.2006.03.038
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVES:To evaluate the long-term outcomes of endoscopic bladder neck incision (BNI) for functional bladder neck obstruction. Functional and/or mechanical obstruction of the bladder neck in men causes lower urinary tract symptoms. Although alpha-blockers are the initial treatment, they often fail to alleviate the sy...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2005.03.041
更新日期:2005-08-01 00:00:00
abstract:OBJECTIVES:To review our experience to better define pediatric renal cell carcinoma (RCC). Pediatric RCC is rare, and recent data suggest it may be a unique disease. METHODS:A retrospective review was conducted of hospital and pathology records from 1965 to 2003. Patients with RCC were identified, and the clinical and...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.06.104
更新日期:2005-12-01 00:00:00
abstract::During a fifteen-month period, 15 patients with progressive adenocarcinoma of the prostate (CaP) were treated with transrectal microwave hyperthermia (TRHT). There were 5 Stage T4 and 11 Stage T3 patients including 6 patients with skeletal metastases. Nine of the patients had severe and 6 had moderately severe signs a...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(93)90102-g
更新日期:1993-06-01 00:00:00