Abstract：
OBJECTIVE:To determine if there is an association between patient body habitus as measured by body mass index (BMI), body surface area (BSA), preoperative prostate volume, postoperative specimen weight, and open conversion with cystotomy or perineal urethrotomy (PU) during holmium laser enucleation of the prostate (HoLEP). We attempt to provide meaningful criteria to assist in preoperative patient counseling. MATERIALS AND METHODS:Three hundred consecutive patients underwent HoLEP between August 3, 2018 and February 20, 2020 by a single surgeon. Patient metrics were recorded in a database including age, height, weight, preoperative prostate volume, postoperative specimen weight, catheter dependence, and transfusion requirement. Nine patients were identified who had cystotomy (8) or PU (1) performed during HoLEP secondary to inability to complete the procedure using standard endoscopic technique. Univariate and multivariate statistical analysis was performed. RESULT:Younger age, higher BMI, higher BSA, and higher estimated prostate volume were associated with increased risk of open conversion during HoLEP. No patient with a BMI under 30 required open conversion. CONCLUSION:Men with BMI >30 kg/m2 or preoperative prostate volume >125 mL should be counseled on the possibility of open conversion with cystotomy or PU. Although the overall risk of conversion is low (3%), the risk may be as high as 10% for patients in the highest quartile of BMI (>30.5 kg/m2) and BSA (>2.2m2).
journal_name
Urologyjournal_title
Urologyauthors
Juvet T,Parikh KA,Ball CT,Dora CDdoi
10.1016/j.urology.2020.08.017subject
Has Abstractpub_date
2020-11-01 00:00:00pages
258-261eissn
0090-4295issn
1527-9995pii
S0090-4295(20)31005-0journal_volume
145pub_type
杂志文章相关文献
UROLOGY文献大全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：OBJECTIVES:To examine the expressions of transient receptor potential (TRP) channel A1 and TRPM8 in the human urogenital organs (urinary bladder and prostate) and how these expressions change in association with bladder outlet obstruction (BOO) or benign prostatic hyperplasia (BPH). In addition to TRPM8, a cool recepto...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.11.127
更新日期：2008-08-01 00:00:00
abstract：OBJECTIVE:To confirm the role of cathelicidin (LL-37) in the internalization of bacille Calmette-Guérin (BCG) into bladder cancer cells. METHODS:Enzyme-linked immunosorbent assay and reverse transcription polymerase chain reaction analysis evaluated the changes in protein and messenger ribonucleic acid (RNA) expressio...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2014.12.028
更新日期：2015-04-01 00:00:00
abstract：:A family in which transitional cell carcinoma (TCC) of the renal pelvis and upper ureter developed in three siblings is presented. A description of these patients and their relatives together with a survey of the literature is presented. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(86)90400-0
更新日期：1986-05-01 00:00:00
abstract：:In a patient with undiagnosed right renal tuberculosis miliary spread to both lungs developed following ureteral catheterization. Mycobacteremia with miliary metastatic foci should be considered as a complication of urinary tract instrumentation in the presence of renal tuberculosis. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(80)90084-9
更新日期：1980-08-01 00:00:00
abstract：:Transcaval ureter is a rare congenital anomaly characterized by an inferior cava vein duplication producing a vascular ring around the right ureter, usually determining hydroureteronephrosis. The knowledge of this vascular anomaly on imaging examinations permits to avoid erroneous diagnosis of retroperitoneal masses o...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2015.03.029
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVE:To evaluate the role of intravesical prostatic protrusion (IPP) as a predictive factor for adverse clinical outcomes in patients treated with dutasteride for lower urinary tract symptoms secondary to benign prostatic enlargement (BPE). METHODS:In total, 111 patients treated with dutasteride for symptomatic B...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.01.009
更新日期：2016-05-01 00:00:00
abstract：OBJECTIVES:To determine the effect of the combination of intranasal desmopressin spray and diclofenac sodium suppository on acute renal colic and compare it with diclofenac sodium suppository alone. METHODS:A total of 150 patients aged 15-65 years referred to our hospital with acute renal colic were included in a doub...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.05.053
更新日期：2010-03-01 00:00:00
abstract：:We describe a case of an unusual variation of the double retroaortic left renal vein discovered during routine donor examination of the abdomen by multidetector computed tomography. A 53-year-old man underwent evaluation in our department as a potential renal donor for his brother who had end-stage renal failure. Mult...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2009.01.050
更新日期：2009-07-01 00:00:00
abstract：:Angiomyolipoma is a benign renal tumor that tends to grow with time and can be associated with complications, such as hemorrhage and pain, requiring active intervention. Nephron-sparing surgery for sporadic renal angiomyolipomas offers preservation of renal function and is associated with acceptable complication and r...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2009.02.051
更新日期：2009-08-01 00:00:00
abstract：OBJECTIVES:To compare the difference in abdominal leak point pressures (ALPPs) between patients with large cystoceles and severe vaginal vault prolapse and to assess the frequency of occult stress urinary incontinence (SUI) in these groups. METHODS:A total of 24 adult female patients with pelvic prolapse underwent pro...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)00856-6
更新日期：2001-01-01 00:00:00
abstract：OBJECTIVE:To present the results of a new technique for abdominoplasty in patients with the Prune Belly syndrome (PBS). METHODS:Since 1985, 46 children with PBS underwent surgical treatment that included urinary tract reconstruction (UTR), orchidopexy, and abdominoplasty. In 41 patients, we performed the abdominoplast...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.09.031
更新日期：2014-02-01 00:00:00
abstract：:Since December 1985, we have treated 65 patients with urinary stress incontinence due to intrinsic sphincter dysfunction with the vaginal wall sling procedure. Of the 54 patients who were available for follow-up, intrinsic sphincter dysfunction was related to multiple prior bladder neck suspension procedures in 48 pat...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(92)90238-r
更新日期：1992-05-01 00:00:00
abstract：:A 42-year-old man presented with a progressively painful mass of the penile shaft that clinically resembled superficial penile vein thrombosis. The patient's symptoms were refractory to conservative therapy, and surgical excision revealed multifocal penile epithelioid hemangioendothelioma. He had no evidence of metast...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/j.urology.2006.03.051
更新日期：2006-09-01 00:00:00
abstract：:Recently, a flexible, self-expanding, permanent endoprosthesis has been developed to maintain patency of stenotic arteries after balloon angioplasty. This device, known as the UroLume Wallstent, is now under active investigation in both Europe and the United States as a treatment for: (1) recurrent bulbar urethral str...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/0090-4295(93)90189-h
更新日期：1993-01-01 00:00:00
abstract：:We report a case of bilateral testicular masses in a 25-year-old man with von Hippel-Lindau disease presenting with cushingoid symptoms. His medical history was significant for bilateral adrenalectomies secondary to pheochromocytomas, and he began steroid therapy at that time. After exhaustive endocrinologic, radiogra...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2004.01.023
更新日期：2004-05-01 00:00:00
abstract：OBJECTIVES:To investigate the importance of the site of tumor implantation on the treatment response to laser-induced hyperthermia (LIH) of rat prostate cancer (PCa), because interventional manipulations of PCa have been reported to increase metastatic dissemination. METHODS:Seven to nine days after either subcutaneou...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)00553-7
更新日期：2000-07-01 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：:Chemoprevention of cancer can be accomplished using primary, secondary, or tertiary strategies. Tertiary chemoprevention has been the predominant approach for bladder cancer and addresses the need for preventing the occurrence of second primary cancers in patients who have previously been treated for cancer. Because n...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/j.urology.2006.01.015
更新日期：2006-03-01 00:00:00
abstract：OBJECTIVES:To evaluate three urine markers, BTA stat, cytology, and urinary survivin levels, in the spinal cord injury (SCI) population. The incidence of bladder cancer in patients with SCI is up to 20 times greater than in the general population. However, bladder cancer biomarkers have not been assessed in this popula...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.05.022
更新日期：2005-10-01 00:00:00
abstract：:Transabdominal ultrasonography of the bladder was performed in 25 examinations on 20 patients being treated for bladder carcinoma. The presence or absence of tumor was accurately gauged in all 20 patients. As compared to cystoscopy, tumor staging was less accurate. Eleven of 15 patients with tumor present were accurat...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(87)90526-7
更新日期：1987-04-01 00:00:00
abstract：:A 64-year-old woman had been diagnosed with uterine prolapse (UP), with a postvoid residual urine volume 4 years previously. In addition, she had had moderate renal dysfunction diagnosed 2 years before presentation. Her serum creatinine was 10.1 mg/dL, and she underwent right double-J stenting and insertion of an intr...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.09.025
更新日期：2006-03-01 00:00:00
abstract：OBJECTIVES:To estimate the relationship between serum prostate-specific antigen (PSA) and prostatic epithelial volume, a new simple method for measuring epithelial volume was developed and its efficacy evaluated in patients with benign prostatic hyperplasia. METHODS:Between March 1998 and June 2001, 122 patients witho...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(02)02159-3
更新日期：2003-02-01 00:00:00
abstract：:In this case report we describe a case of persistant Müllerian duct syndrome together with transverse testicular ectopia. These 2 entities are discussed to assess the relationship between them and the lack of necessity for magnetic resonance imaging in cases of undescended testes, and relevant literature is reviewed. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2010.03.043
更新日期：2010-12-01 00:00:00
abstract：OBJECTIVES:To evaluate the relationship between bedwetting and development in infancy. METHODS:Questionnaires concerning micturition habits and development at 3 and 5 years of age were completed by the parents of 157 children who had had their health checked by pediatricians at a group checkup at 3 years of age. RESU...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(01)01391-7
更新日期：2001-11-01 00:00:00
abstract：OBJECTIVE:To correlate sperm mitochondrial respiratory efficiency with variations in sperm motility and with sperm morphologic anomalies. METHODS:Sperm mitochondrial respiratory activity was evaluated with a polarographic assay of oxygen consumption carried out in hypotonically-treated sperm cells. A possible relation...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2011.12.042
更新日期：2012-04-01 00:00:00
abstract：:We report on a new endoscopic approach to the removal of a migrated urethral stent following hypospadias repair. A flexible balloon-tipped guide wire allows the effective cystoscopic retrieval of a urethral stent, suggesting potential applications to the removal of other foreign bodies in the urinary tract. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/S0090-4295(96)00052-0
更新日期：1996-06-01 00:00:00
abstract：:Vas irrigation during vasectomy, to effect immediate sterility or to shorten the interval between vasectomy and sterility, has received increasing attention in recent years. A review of the literature on vas irrigation is presented. Topics discussed include the effectiveness of various irrigants and irrigation methods...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/0090-4295(79)90173-0
更新日期：1979-11-01 00:00:00
abstract：:Turner syndrome is a chromosomal disorder that occurs in an estimated 1 in 2500 female live births. It is estimated that 6%-12% of all Turner syndrome patients will be a mosaic with Y-chromosomal elements putting them at risk for gonadoblastoma and subsequent dysgerminoma. While 30%-50% of this population demonstrate ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.01.031
更新日期：2020-05-01 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
