Long-term metabolic and nutritional effects of urinary diversion.

Abstract:

OBJECTIVES:To evaluate the long-term metabolic and nutritional consequences of interposing intestinal segments in the urinary tract. METHODS:Comprehensive analyses of blood and urine were performed in 20 patients with conduit urinary diversion and in 19 with continent cecal reservoir for urine, all with normal or near-normal renal function. The mean follow-up time was 15 years in the conduit group and 9 years in the reservoir group. RESULTS:In both patient groups, arterial blood gas analysis revealed a tendency to metabolic acidosis with respiratory compensation. Although no hyperchloremia was found in either group, the mean value of serum chloride was significantly higher (P < 0.05) in the reservoir group than in the conduit group. The calciotropic factors, plasma lipids, lipoproteins, and liver function values were normal in both groups. Serum vitamin B12 levels were subnormal in 3 conduit and 2 reservoir patients, but other studied variables of intestinal absorption were within normal limits. Conduits utilizing colonic segments showed calcium excretion on the same level as in reservoirs, which was significantly higher than in conduits made from ileal segments. CONCLUSIONS:Except for increased risk of vitamin B12 deficiency, no major adverse metabolic or nutritional effects of conduit or continent urinary diversion were found at long-term observation in patients with well-preserved renal function. Lifelong surveillance of vitamin B12 levels is necessary in these patients.

journal_name

Urology

journal_title

Urology

authors

Davidsson T,Lindergård B,Månsson W

doi

10.1016/s0090-4295(99)80348-3

subject

Has Abstract

pub_date

1995-12-01 00:00:00

pages

804-9

issue

6

eissn

0090-4295

issn

1527-9995

pii

S0090429599803483

journal_volume

46

pub_type

杂志文章

相关文献

UROLOGY文献大全
  • Apoptosis profiles in benign prostatic hyperplasia: close associations of cell kinetics with percent area density of histologic composition.

    abstract:OBJECTIVES:To investigate the possible correlations of apoptosis and apoptosis-associated factors, including the apoptotic index (AI), proliferation index (PI), and expression of Bcl-2 and caspase 3, with the percent area density of epithelium and stroma in benign prostatic hyperplasia (BPH). METHODS:A total of 60 pat...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2006.05.013

    authors: Zhang X,Zhang Q,Zhang Z,Na Y,Guo Y

    更新日期:2006-10-01 00:00:00

  • Ureteropelvic junction obstruction secondary to vesicoureteral reflux. Later complication after successful vesicoureteral reimplant.

    abstract::Five cases of post-ureteroneocystostomy with ureteropelvic obstruction are presented. The importance of a careful uroradiologic evaluation before surgery for vesicoureteral reflux is discussed in order to avoid failure to recognize ureteropelvic obstruction that may also require surgery. ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(81)90443-x

    authors: Jiménez-Mariscal JL,Flah LM

    更新日期:1981-08-01 00:00:00

  • Robotic-assisted Laparoscopic Radical Prostatectomy From a Single Chinese Center: A Learning Curve Analysis.

    abstract:OBJECTIVE:To investigate the learning curve of robotic-assisted laparoscopic radical prostatectomy (RALP) and analyze whether a surgeon's prior surgical experience has effects on the surgery. PATIENTS AND METHODS:From April 2012 to August 2015, 3 surgeons performed RALP on 355 consecutive patients with prostate cancer...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2016.03.036

    authors: Chang Y,Qu M,Wang L,Yang B,Chen R,Zhu F,Wang H,Wang Y,Lu X,Ma C,Shi Z,Dong Z,Chen H,Xu C,Sun Y,Gao X

    更新日期:2016-07-01 00:00:00

  • Determining Clinically Based Factors Associated With Reclassification in the Pre-MRI Era using a Large Prospective Active Surveillance Cohort.

    abstract:OBJECTIVE:To report biopsy-related and oncologic outcomes in a large prospective active surveillance cohort that was initiated in the premagnetic resonance imaging era and to additionally identify clinical factors associated with disease reclassification in order to inform future studies designed to improve enrollment ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2019.11.041

    authors: Gregg JR,Davis JW,Reichard C,Wang X,Achim M,Chapin BF,Pisters L,Pettaway C,Ward JF,Choi S,Nguyen QN,Kuban D,Babaian R,Troncoso P,Madsen LT,Logothetis C,Kim J

    更新日期:2020-04-01 00:00:00

  • Perforating colonic duplication as rare cause of renal abscess in children.

    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

    authors: Fechner G,Franke I,Willinek WA,Müller SC

    更新日期:2005-10-01 00:00:00

  • Nephrogenic adenoma in urethral diverticulum.

    abstract::A nephrogenic adenoma located within a urethral diverticulum of a female was found incidental to a diverticulectomy. Cases of this apparently benign lesion have been reported previously, but the lesions were located in the bladder, particularly in older males with a history of chronic cystitis. ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(78)90109-7

    authors: Peterson LJ,Matsumoto LM

    更新日期:1978-02-01 00:00:00

  • Postoperative adjuvant and salvage radiotherapy for prostate cancer: impact on freedom from biochemical relapse and survival.

    abstract:OBJECTIVES:To determine the therapeutic outcomes in patients with high-risk prostate cancer treated with adjuvant or salvage radiotherapy (RT) after radical prostatectomy. METHODS:Between 1982 and 2000, 163 patients were treated with RT after radical prostatectomy. Adjuvant therapy was administered to 107 consecutive ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2004.06.020

    authors: Pacholke HD,Wajsman Z,Algood CB,Neulander EZ,Morris CG,Zlotecki RA

    更新日期:2004-11-01 00:00:00

  • Hybrid transvaginal nephrectomy: development of our technique.

    abstract:OBJECTIVE:To evaluate the development of natural orifice transluminal endoscopic surgery (NOTES) transvaginal nephrectomy and present the initial experience. METHODS:Thirty-eight female patients were submitted to hybrid NOTES transvaginal nephrectomy for tumor (n=23) and nonfunctioning renal unit (n=15) in 2 academic ...

    journal_title:Urology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.urology.2014.01.055

    authors: Georgiopoulos I,Kallidonis P,Kyriazis I,Adonakis G,Stolzenburg JU,Schwentner C,Liatsikos E

    更新日期:2014-07-01 00:00:00

  • Contemporary Review of Treatment Options for Peyronie's Disease.

    abstract::Peyronie's disease (PD) is a penile wound-healing disorder resulting in fibrotic plaque in the tunica albuginea, likely resulting from micro trauma. Due to variable disease presentations, a myriad of proposed treatment options, physician misconceptions about the disorder, and severe psychological distress in afflicted...

    journal_title:Urology

    pub_type: 杂志文章,评审

    doi:10.1016/j.urology.2016.02.009

    authors: Sherer BA,Levine LA

    更新日期:2016-09-01 00:00:00

  • Comparative Study of Percutaneous Tic Technique Vs Standard Percutaneous Nephrolithotomy.

    abstract:OBJECTIVE:To compare the PERC-tic technique, described as placement of dual wires under fluoroscopic guidance adjacent to the stone within the obstructed calyx, to standard percutaneous nephrolithotomy (PCNL) with working wires secured down the ureter. MATERIALS AND METHODS:This is a retrospective cohort study of pati...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2019.12.040

    authors: Krishnan N,Large T,Valadon C,Krambeck A

    更新日期:2020-06-01 00:00:00

  • Diagnosis of renal tumor by gamma-glutamyltranspeptidase (EC 2.3.2.2).

    abstract::A urinary enzyme pattern and kidney tissue pattern were investigated simultaneously in 117 urologic patients. In contrast to all other renal disorders only the sixteen malignant tumors of the kidney showed a significant drop of gamma-GT in tumor tissue and urine. So far urinary enzymology has been used only as screeni...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(76)90553-7

    authors: Hautmann R,Kisters R,Lutzeyer W

    更新日期:1976-01-01 00:00:00

  • Intracranial metastases as the first manifestation of prostate cancer.

    abstract::We report on 2 patients with neurologic symptoms secondary to intracranial metastases from carcinoma of the prostate. In one of these patients, the intracranial lesion was the only clinically detectable metastasis. We have found only three other such cases reported in the English-language literature. ...

    journal_title:Urology

    pub_type: 杂志文章,评审

    doi:10.1016/S0090-4295(96)00238-5

    authors: Sutton MA,Watkins HL,Green LK,Kadmon D

    更新日期:1996-11-01 00:00:00

  • An unusual complication of hydronephrosis due to acute pancreatitis after endoscopic retrograde cholangiopancreatography.

    abstract::A 65-year-old woman was admitted to our hospital for endoscopic retrograde cholangiopancreatographic removal of a common bile duct stone. Fever and epigastralgia developed after the procedure. Computed tomography revealed acute cholecystitis and acute pancreatitis at the pancreatic head region. Her symptoms subsided a...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2010.03.034

    authors: Yang CT,Huang KH,Chang CC,Liu KL

    更新日期:2011-02-01 00:00:00

  • Transurethral resection of prostatic abscess under sonographic guidance.

    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

    authors: Kinahan TJ,Goldenberg SL,Ajzen SA,Cooperberg PL,English RA

    更新日期:1991-05-01 00:00:00

  • Systematic sextant biopsies in the prediction of extracapsular extension at radical prostatectomy.

    abstract:OBJECTIVES:To evaluate the clinical utility of transrectal ultrasound-guided systematic sextant needle biopsies in the prediction of extracapsular extension (ECE) at radical prostatectomy. METHODS:A retrospective analysis of 104 men who underwent systematic biopsy and radical prostatectomy at our institution was perfo...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/S0090-4295(97)00240-9

    authors: Borirakchanyavat S,Bhargava V,Shinohara K,Toke A,Carroll PR,Presti JC Jr

    更新日期:1997-09-01 00:00:00

  • Physical activity and sexual functioning after radiotherapy for prostate cancer: beneficial effects for patients undergoing external beam radiotherapy.

    abstract:OBJECTIVES:To evaluate, in a cross-sectional study, the relationships among physical activity, sexual functioning, and treatment type for 111 men who had undergone radiotherapy for localized prostate cancer within the past 18 months. Physical activity preserves the sexual functioning capacity of older men. However, lit...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2004.11.029

    authors: Dahn JR,Penedo FJ,Molton I,Lopez L,Schneiderman N,Antoni MH

    更新日期:2005-05-01 00:00:00

  • Corona Mortis Artery Pseudoaneurysm Causing Delayed Intermittent Hemoperitoneum After Robotic Radical Prostatectomy.

    abstract::Pseudoaneurysms are rare in urology and typically have a delayed presention with intermittent episodes of bleeding. We report a patient who presented with delayed and recurent hemoperitoneum following robotic assisted laparoscopic salvage radical prostatectomy and was found to have a pseudoaneurysm in the corona morti...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2020.04.017

    authors: Han J,Shah M,Djaladat H,Aron M

    更新日期:2020-07-01 00:00:00

  • Identification of Spermatogenically Active Regions in Rat Testes by Using Narrow-band Imaging System.

    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

    authors: Enatsu N,Miyake H,Chiba K,Fujisawa M

    更新日期:2015-11-01 00:00:00

  • Laparoscopic treatment of intrinsic endometriosis of the urinary tract and proposal of a treatment scheme for ureteral endometriosis.

    abstract:OBJECTIVE:To discuss the contemporary management of urinary tract endometriosis and report our experience concerning laparoscopic treatment of intrinsic urinary tract endometriosis. METHODS:We performed a retrospective, multicenter study of data collected from March 2006 to March 2011. Ten women were referred from gyn...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2012.07.036

    authors: Lusuardi L,Hager M,Sieberer M,Schätz T,Kloss B,Hruby S,Jeschke S,Janetschek G

    更新日期:2012-11-01 00:00:00

  • Impact of comorbidity on health-related quality of life in men undergoing radical prostatectomy: data from CaPSURE.

    abstract:OBJECTIVES:Comorbidity is one of many factors that may affect health-related quality of life (HRQOL) in men with prostate cancer. We hypothesized that the number and type of comorbidities negatively affect HRQOL in men undergoing radical prostatectomy. METHODS:We reviewed HRQOL outcomes before and up to 2 years after ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2005.09.006

    authors: Arredondo SA,Elkin EP,Marr PL,Latini DM,DuChane J,Litwin MS,Carroll PR,CaPSURE Investigators.

    更新日期:2006-03-01 00:00:00

  • Bicalutamide demonstrates biologic effectiveness in prostate cancer cell lines and tumor primary cultures irrespective of Her2/neu expression levels.

    abstract:OBJECTIVES:To evaluate the role of Her2/neu as a molecular marker predictive of the treatment response to bicalutamide in prostate cancer (PCa). METHODS:Four PCa cell lines with graded Her2/neu expression levels and 63 primary tumor cultures derived from men with PCa and selected according to Her2/neu tumor levels wer...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2009.01.018

    authors: Gravina GL,Festuccia C,Millimaggi D,Tombolini V,Dolo V,Vicentini C,Bologna M

    更新日期:2009-08-01 00:00:00

  • Prostate volume and pathologic prostate cancer outcomes after radical prostatectomy.

    abstract:OBJECTIVES:To more clearly elucidate the relationship between prostate volume (PV) and prostate cancer parameters. METHODS:The Urologic Oncology Database was reviewed. A total of 3460 patients had undergone radical prostatectomy from 1988 to 2006. Of these, 2600 with complete data were included in the study and were s...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2007.05.022

    authors: Pierorazio PM,Kinnaman MD,Wosnitzer MS,Benson MC,McKiernan JM,Goluboff ET

    更新日期:2007-10-01 00:00:00

  • Use of scrotal skin to cover cutaneous defects resulting from palliative lymph node dissections in groin and suprapubic area.

    abstract::Scrotal skin was employed to cover skin defects resulting from palliative groin and suprapubic dissections designed to remove large masses of tumor which had eroded the skin. This technique provides a simple and effective alternative to more complex procedures using rotational skin and myocutaneous flaps to achieve pr...

    journal_title:Urology

    pub_type: 杂志文章

    doi:

    authors: Schulze KA,Merrill DC

    更新日期:1984-03-01 00:00:00

  • Outcomes after resection of postchemotherapy residual neck mass in patients with germ cell tumors--an update.

    abstract:OBJECTIVE:To examine histologic findings and clinical outcomes of patients who underwent neck dissection for residual neck masses. METHODS:From 1987 to 2008, 968 postchemotherapy retroperitoneal lymph node dissections (RPLND) were performed at our institution. We identified 41 of these patients who underwent a postche...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2010.10.002

    authors: Gupta A,Feifer AH,Gotto GT,Kraus D,Motzer R,Bosl GJ,Bajorin D,Feldman DR,Carver B,Sheinfeld J

    更新日期:2011-03-01 00:00:00

  • Percutaneous nephrostolithotomy: an assessment of costs for prone and Galdakao-modified supine Valdivia positioning.

    abstract:OBJECTIVE:To examine the relative costs of prone percutaneous nephrostolithotomy (PCNL) versus PCNL performed with the patient in the Galdakao-modified supine Valdivia (GMSV) position to determine whether a cost differential exists. METHODS:We compared prone PCNL with PCNL using GMSV positioning. Cost data were obtain...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2012.06.038

    authors: Friedlander JI,Duty BD,Smith AD,Okeke Z

    更新日期:2012-10-01 00:00:00

  • Sonographic characteristics of epidermoid cyst of testicle.

    abstract::The ultrasonographic characteristics of an epidermoid cyst of the testicle are presented. Since these findings are similar to other published case reports, preoperative sonographic diagnosis of this lesion may be possible. ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(90)80104-u

    authors: Bahnson RR,Slasky BS,Ernstoff MS,Banner BF

    更新日期:1990-06-01 00:00:00

  • Minidose heparin in transurethral prostatectomy.

    abstract::A double-blind prospective study was performed on 34 patients undergoing transurethral resection of the prostate (TURP). Seventeen patients, selected at random by computer, were given 5,000 units of subcutaneous heparin three hours preoperatively and every twelve hours thereafter for forty-eight hours. The other 17 re...

    journal_title:Urology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0090-4295(83)80007-7

    authors: Bejjani BB,Chen DC,Nolan NG,Edson M

    更新日期:1983-09-01 00:00:00

  • Active surveillance for low-risk prostate cancer in African American men: a multi-institutional experience.

    abstract:OBJECTIVE:To compare the outcomes of active surveillance (AS) series between African American men (AAM) and non-AAM diagnosed with low-risk prostate cancer at 3 medical centers. METHODS:Between 2005 and 2012, 214 men accepted AS on the basis of favorable clinical features and parameters after initial and repeat biopsy...

    journal_title:Urology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.urology.2013.09.038

    authors: Odom BD,Mir MC,Hughes S,Senechal C,Santy A,Eyraud R,Stephenson AJ,Ylitalo K,Miocinovic R

    更新日期:2014-02-01 00:00:00

  • Development and Validity of a Silicone Renal Tumor Model for Robotic Partial Nephrectomy Training.

    abstract:OBJECTIVE:To provide a training tool to address the technical challenges of robot-assisted laparoscopic partial nephrectomy, we created silicone renal tumor models using 3-dimensional printed molds of a patient's kidney with a mass. In this study, we assessed the face, content, and construct validity of these models. ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2018.01.030

    authors: Monda SM,Weese JR,Anderson BG,Vetter JM,Venkatesh R,Du K,Andriole GL,Figenshau RS

    更新日期:2018-04-01 00:00:00

  • Seminal oxidative stress in patients with chronic prostatitis.

    abstract:OBJECTIVES:An association between prostatitis and male infertility has been suspected, yet is poorly understood. Prostatitis is often associated with granulocytes in the prostatic fluid that generate reactive oxygen species (ROS), known to impair male fertility. We compared ROS, the total antioxidant capacity (TAC), an...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/s0090-4295(99)00613-5

    authors: Pasqualotto FF,Sharma RK,Potts JM,Nelson DR,Thomas AJ,Agarwal A

    更新日期:2000-06-01 00:00:00