Abstract：
OBJECTIVE:To find clinical or radiographic factors that are associated with angioembolization failure after high-grade renal trauma. MATERIAL AND METHODS:Patients were selected from the Multi-institutional Genito-Urinary Trauma Study. Included were patients who initially received renal angioembolization after high-grade renal trauma (AAST grades III-V). This cohort was dichotomized into successful or failed angioembolization. Angioembolization was considered a failure if angioembolization was followed by repeat angiography and/or an exploratory laparotomy. RESULTS:A total of 67 patients underwent management initially with angioembolization, with failure in 18 (27%) patients. Those with failed angioembolization had a larger proportion ofgrade IV (72% vs 53%) and grade V (22% vs 12%) renal injuries. A total of 53 patients underwent renal angioembolization and had initial radiographic data for review, with failure in 13 cases. The failed renal angioembolization group had larger perirenal hematoma sizes on the initial trauma scan. CONCLUSION:Angioembolization after high-grade renal trauma failed in 27% of patients. Failed angioembolization was associated with higher injury grade and a larger perirenal hematoma. Likely these characteristics are associated with high-grade renal trauma that may be less amenable to successful treatment after a single renal angioembolization.
journal_name
Urologyjournal_title
Urologyauthors
Armas-Phan M,Keihani S,Agochukwu-Mmonu N,Cohen AJ,Rogers DM,Wang SS,Gross JA,Joyce RP,Hagedorn JC,Voelzke B,Moses RA,Sensenig RL,Selph JP,Gupta S,Baradaran N,Erickson BA,Schwartz I,Elliott SP,Mukherjee K,Smith BP,doi
10.1016/j.urology.2020.10.027subject
Has Abstractpub_date
2020-10-28 00:00:00eissn
0090-4295issn
1527-9995pii
S0090-4295(20)31298-Xpub_type
杂志文章相关文献
UROLOGY文献大全abstract：:Ninety-one children with nocturnal enuresis or enuresis plus daytime urgency incontinence were studied by cystometry. Seventy-two per cent of the girls and 62 per cent of the boys had evidence of bladder instability. Sixty-eight children in whom abnormalities were found on preliminary voiding urodynamics or voiding cy...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(77)90264-3
更新日期：1977-05-01 00:00:00
abstract：OBJECTIVES:To compare the effects of doxazosin on blood pressure when used for the treatment of benign prostatic hyperplasia (BPH) in men who are either physiologically or pharmacologically normotensive. METHODS:Sixty-three men with BPH were enrolled in two open-label, parallel, randomized studies. Thirty-one were phy...
journal_title：Urology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0090-4295(99)80264-7
更新日期：1995-10-01 00:00:00
abstract：:We report a case of human penile ossification with roentgenologic and histologic confirmation. The English literature is reviewed, and the pathogenesis of such a rare lesion is presented. Penile ossification appears to be an acquired metaplastic process occurring in an area of fibrosis. ...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/0090-4295(90)80163-h
更新日期：1990-04-01 00:00:00
abstract：OBJECTIVES:Prostate-specific antigen (PSA) is a widely used serum marker for human prostate cancer (PCa). The majority of PSA in serum is present as a complex with alpha-1-antichymotrypsin (ACT). In recent years, the ratio of free (uncomplexed) to total PSA has shown improved discrimination of PCa from benign prostatic...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/S0090-4295(97)00449-4
更新日期：1997-11-01 00:00:00
abstract：OBJECTIVE:To determine if use of the hematuria risk index can reduce testing and cost, while maintaining equivalent lesion detection in patients with asymptomatic microscopic hematuria. MATERIALS AND METHODS:Retrospective cohort study of 1049 patients at single institution. Hematuria risk index score was calculated ba...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.03.045
更新日期：2020-07-01 00:00:00
abstract：OBJECTIVE:We report a urachal adenocarcinoma case managed surgically with two incisions and an emphasis on cosmesis while maintaining oncologic principles. INTRODUCTION:Depending upon the cancer, excision of the urachal remnant and umbilectomy may require abdominal wall reconstruction and potentially could leave the p...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.02.011
更新日期：2020-05-01 00:00:00
abstract：OBJECTIVE:To develop an evidence-based approach to the diagnostic workup of suspicious upper urinary tract lesions. METHODS:The PubMed database was searched using the following terms with a filter for English language: "upper tract urothelial carcinoma" and "upper tract transitional cell carcinoma," along with the fol...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/j.urology.2015.08.046
更新日期：2016-02-01 00:00:00
abstract：:A retrospective study was made of 200 patients undergoing transurethral prostatectomy. Half of these patients received bilateral vasectomies. The vasectomized patients had a 5-percent incidence of epididymitis as compared with a 2-percent incidence in the nonvasectomized patients. Vasectomy failed to provide adequate ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(79)90281-4
更新日期：1979-02-01 00:00:00
abstract：OBJECTIVES:To investigate protein expression and genetic aberrations of p53 and HER-2 in renal cell carcinoma (RCC) as well as possible association of p53 and HER-2 abnormalities with the tumor behavior of RCC. METHODS:Formalin-fixed and paraffin-embedded tissue blocks from 70 patients with RCC were studied. Protein e...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/S0090-4295(97)00258-6
更新日期：1997-10-01 00:00:00
abstract：OBJECTIVES:To better understand the outcomes and management of patients when there is a failure to visualize kidneys on prenatal ultrasound. METHODS:Nine thousand five hundred twelve prenatal ultrasound studies performed on 4900 patients were reviewed retrospectively for the findings of a failure to visualize kidneys....
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(98)00190-3
更新日期：1998-08-01 00:00:00
abstract：OBJECTIVES:To report the initial experience with incorporation of needlescopic (2 mm) instruments and optics in various therapeutic minimally invasive urologic procedures. METHODS:Needlescopic techniques were used to successfully perform a variety of urologic surgeries including adrenalectomy, nephrectomy, renal cyst ...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/s0090-4295(98)00234-9
更新日期：1998-08-01 00:00:00
abstract：:A growing number of studies have described an apparent synergy between systemic chemotherapy administration and the intratumoral injection of dendritic cells (DCs) in the successful treatment of murine tumors. A review of several of these studies is undertaken here and possible combinations of DC therapy and conventio...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/j.urology.2007.06.1127
更新日期：2007-12-01 00:00:00
abstract：:A rare case of a fifty-six-year-old female with neuroblastoma is presented. Possible implications as to etiology are discussed, and the radiographic similarities between renal cell carcinoma and neuroblastoma are presented. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(75)90774-8
更新日期：1975-09-01 00:00:00
abstract：OBJECTIVES:The combined use of total prostate-specific antigen (PSA), clinical stage, and Gleason score accurately predicts final pathologic stage for men with clinically localized prostate cancer. Recently, the free/ total PSA ratio has been proposed as an adjunct for early detection of prostate cancer. We examined th...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/s0090-4295(96)00610-3
更新日期：1996-12-01 00:00:00
abstract：OBJECTIVES:To assess the influence of intravesical instillation of epirubicin or bacille Calmette-Guérin (BCG) in patients with bladder cancer on the clinical performance of the uCyt+ test, which traces the three monoclonal antibodies M344, LDQ 10, and 19A211 in urothelial cells. METHODS:A total of 267 patients with a...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2003.12.023
更新日期：2004-05-01 00:00:00
abstract：INTRODUCTION:To describe the technique of injecting Lipiodol in the submucosa of the urinary bladder wall as a novel modality to improve localization of muscle-invasive bladder tumors before image-guided radiation therapy. TECHNICAL CONSIDERATIONS:Eight patients underwent submucosal Lipiodol injections at transurethra...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.09.058
更新日期：2014-04-01 00:00:00
abstract：OBJECTIVES:To explore the prevalence of recurrent urinary tract infection and elimination difficulties experienced in childhood and adolescence in adult women with interstitial cystitis/painful bladder syndrome (IC/PBS) and community controls. The relationship between dysfunctional voiding and bowel symptoms in early l...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.09.014
更新日期：2009-02-01 00:00:00
abstract：OBJECTIVES:To correlate the clinical outcomes of 148 patients with clear cell renal carcinoma treated at a single institution with a variety of other factors. METHODS:Cases were derived from a consecutive series of nephrectomy specimens obtained from 1980 to 1994. A retrospective review of clinical records was perform...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(99)00408-2
更新日期：2000-01-01 00:00:00
abstract：OBJECTIVES:There are large interindividual differences in response to medical therapy for men with benign prostatic hyperplasia. Selection of patients for alpha-blocker versus hormonal treatment is often based more on assumptions than on well-documented knowledge. A more scientifically based decision of therapy has a p...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)00629-4
更新日期：2000-08-01 00:00:00
abstract：:A myelolipoma of the adrenal gland is reported. Diagnostic features include (1) hyperlucent mass on intravenous pyelography with renal displacement, (2) an avascular mass on arteriography and venography, (3) solid tissue mass on B-mode ultrasonography, and (4) no clinical or chemical evidence of adrenal hyperfunction....
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(75)90093-x
更新日期：1975-04-01 00:00:00
abstract：:Late relapses of nonseminomatous germ cell tumors of the testicle are unusual. In such cases, chemotherapy is reported to have only modest success and surgery may be the preferred treatment modality. We report a patient who experienced relapse 11 years after the initial diagnosis of advanced testicular cancer and who ...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/S0090-4295(96)00495-5
更新日期：1997-03-01 00:00:00
abstract：:CD20-negative diffuse large B-cell lymphoma (DLBCL) is a very uncommon neoplasm, and very rare unclassifiable cases that did not meet the criteria for well-established subtypes of CD20-negative DLBCLs have been reported. CD20-negative DLBCLs often present an aggressive clinical course with important chemoresistance an...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2018.04.019
更新日期：2018-07-01 00:00:00
abstract：:Evidence relating to the perception and view of patients and physicians on natural orifice transluminal endoscopic surgery (NOTES) and laparoendoscopic single-site surgery (LESS) was scrutinized. A comprehensive literature search was performed through PubMed. A total of 18 studies were included in the analysis. Patien...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/j.urology.2012.04.002
更新日期：2012-09-01 00:00:00
abstract：OBJECTIVE:To examine artificial urinary sphincter (AUS) cuff erosion intraoperative management methods: Foley catheter placement, abbreviated urethroplasty (AU), or mobilization with primary urethral anastomosis (PA). We reviewed these options to compare postoperative complications and probability of AUS reimplantation...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2015.11.040
更新日期：2016-04-01 00:00:00
abstract：OBJECTIVES:To examine the usefulness of pretreatment testicular sperm extraction because some patients have tumor-induced azoospermia. In view of the high cure rates for testicular germ cell tumors and malignant lymphomas, increasing clinical importance is attached to protecting fertility. High-dose cytostatic therapy ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(02)02264-1
更新日期：2003-02-01 00:00:00
abstract：OBJECTIVE:To determine whether Charlson comorbidity index (CCI) predicts the postoperative complications after percutaneous nephrolithotomy (PCNL) and could be a plausible option to avoid surgery and its potential risks in elderly patients with significant comorbidites. METHODS:The data from 283 elderly patients (age ...
journal_title：Urology
pub_type： 杂志文章,多中心研究
doi：10.1016/j.urology.2011.10.060
更新日期：2012-05-01 00:00:00
abstract：OBJECTIVES:The present study was designed to determine the relationship between serum prostate-specific antigen (PSA) levels and prostatic epithelial volumes. METHODS:Forty-two men between the ages of 50 and 79 years of age with either an abnormal digital rectal examination (DRE) or a serum PSA level > 4 ng/dL underwe...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(94)80131-2
更新日期：1994-08-01 00:00:00
abstract：OBJECTIVES:To compare extracorporeal shock-wave lithotripsy (ESWL) with endoscopic lithotripsy to establish the more efficacious and cost-effective treatment for ureteral calculi. METHODS:The records of 112 patients with primary ureteral calculi treated at one center with either ESWL or endoscopic lithotripsy were ret...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/S0090-4295(99)80003-X
更新日期：1995-03-01 00:00:00
abstract：:In 1981, the National Prostatic Cancer Treatment Group began an open survey of available A1, B1 prostatic adenocarcinomas to determine outcome and clinical characteristics. Their report as of September, 1985, summarizes the outcome and important features of the survey. The majority of A1 cases had a low tumor grade I ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(87)90065-3
更新日期：1987-03-01 00:00:00
abstract：:We examined the records of 82 patients with clinical Stage I nonseminomatous germ cell tumors of the testis who, after radical orchiectomy, were treated by surveillance at M.D. Anderson Cancer Center between October, 1981, and March, 1987. Our purpose was to determine whether or not patients with a low risk of relapse...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(89)90436-6
更新日期：1989-12-01 00:00:00
