Abstract:
OBJECTIVE:To compare single-stage laparoscopic orchiopexy (SSLO) and staged Fowler-Stephens (SFS) procedures in the management of intra-abdominal undescended testes, and to analyze postoperative atrophy and malpositioning as end points. MATERIALS AND METHODS:A retrospective chart review identified laparoscopic orchiopexy patients with intra-abdominal testes between November 2006 and November 2014. Of 167 patients who had laparoscopic orchiopexy, 73 (85 testes) were identified as having laparoscopic orchiopexy. Baseline characteristics, as well as testicular scrotal position and size at follow-up, were recorded. Regression analysis was performed to compare outcomes between patients who underwent SFS and SSLO. RESULTS:Of the 85 laparoscopic orchiopexies, 35 underwent SFS and 50 had SSLO. Patient demographics were comparable in both groups. The median age at surgery was 12 months (5-151 months), and the average follow-up was 17.3 months. On follow-up, there were 0 recorded cases of SFS patients with abnormally positioned testes postoperatively, whereas there were 10 (20.0%) SSLO patients who had abnormally positioned testes (odds ratio: 0.05, 95% confidence interval: 0.01-0.44). Differences in atrophy rates were not significant. CONCLUSION:These results suggest that there may be no difference between the 2 approaches in terms of postoperative atrophy. However, the SFS appears to be more successful in securing a favorable scrotal position. Atrophy does not seem to be associated with other patient factors. Prospective, randomized studies are indicated to further explore outcome differences between the 2 approaches.
journal_name
Urologyjournal_title
Urologyauthors
Alam A,Delto JC,Blachman-Braun R,Wayne G,Mittal AG,Castellan M,Kozakowski K,Labbie A,Gosalbez Rdoi
10.1016/j.urology.2016.09.060subject
Has Abstractpub_date
2017-03-01 00:00:00pages
104-110eissn
0090-4295issn
1527-9995pii
S0090-4295(16)30816-0journal_volume
101pub_type
杂志文章相关文献
UROLOGY文献大全abstract:OBJECTIVE:To assess patients' perceived causes of prostate cancer (PCa) and relation to treatment satisfaction, an Internet-based survey study was designed. PCa is a profoundly personal disease, considering the location and common sequelae of treatment. Deeply held patient self-perceptions regarding the etiology of a p...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2016.09.046
更新日期:2017-01-01 00:00:00
abstract::A case is presented of squamous cell carcinoma of the cervix with an isolated metastasis to an ileal loop six years after diversion and seven years after definitive treatment of the primary lesion with irradiation. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(85)90366-8
更新日期:1985-12-01 00:00:00
abstract:OBJECTIVES:Bladder cancer pathologic features are a continuous spectrum from benign to invasive lesions, causing diagnostic difficulties. Review pathology might be an answer, but appears to be of limited value. We studied the effect of patients' risk profile on the value of review pathology. METHODS:We used three Phas...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.10.028
更新日期:2006-04-01 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 assess the long-term oncological efficacy of radiofrequency ablation (RFA) for treatment of renal cell carcinoma (RCC). METHODS:In this institutional review board-approved, retrospective study, the records and imaging studies for all RCC patients treated with percutaneous RFA before 2005 were reviewed an...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.12.077
更新日期:2011-06-01 00:00:00
abstract::Closed suprapubic cystostomy is an expeditious procedure for a variety of clinical conditions requiring urinary drainage. Its benignity is reflected by a low complication rate of 1.6 per cent and no deaths in this series of 244 consecutive patients. Nevertheless, major complications can occur if proper technique is no...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(78)90197-8
更新日期:1978-01-01 00:00:00
abstract::A 23-year-old woman was evaluated for right flank pain of one year duration. Magnetic resonance imaging (MRI) revealed a 6 cm defect in the right hemidiaphragm with herniation of the right kidney, adrenal gland, and posterior right hepatic lobe consistent with a congenital right Bochdalek hernia. Computed tomography (...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2008.05.012
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:To investigate the differences on clinical efficacy, complications, and safety profile between transurethral resection of the prostate (TURP) and bipolar plasmakinetic resection of the prostate (PKRP) for benign prostatic hyperplasia (BPH). PATIENTS AND METHODS:Six hundred ninety patients of BPH were recruit...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.02.006
更新日期:2017-05-01 00:00:00
abstract::The 5-year follow-up of the implantation of a UroLume double urethral stent in 2 patients with recurrent, post-traumatic urethral strictures is presented. The double implantation for each patient was done by the long extension of the urethral lesion. Only 1 patient presented a single phosphatic concretion in the impla...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(97)00246-X
更新日期:1997-09-01 00:00:00
abstract::In bladder cancer, variations in clinical course and treatment outcomes support the concept that the condition may comprise a compendium of different types of tumor diathesis with unique, albeit interrelated, pathways of development. This concept and the schema of developmental pathways of bladder cancer derived from ...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2005.06.128
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVES:To evaluate the efficacy and complications of ileovesicostomy in patients with neurogenic bladder dysfunction. METHODS:Fifteen consecutive neurologically impaired patients (8 from multiple sclerosis, 4 from spinal cord injury, 3 from other causes) with complications of previous bladder management underwent ...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(99)00192-2
更新日期:1999-10-01 00:00:00
abstract::Dog ureters were anastomosed end to end using either chromic catgut, polyglycolic acid (PGA), polyglactin-910, or polypropylene sutures. Analysis of luminal diameters, fibrosis, scar vascularity, and inflammatory reaction four and seven months later indicated that in ureters of the uninfected dog the best results were...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(83)90087-0
更新日期:1983-03-01 00:00:00
abstract::A rare case of renal xanthine stone in association with the Lesch-Nyhan syndrome is presented. The xanthine stone is thought to be a complication of allopurinol therapy. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(85)90256-0
更新日期:1985-07-01 00:00:00
abstract::Thirteen patients were examined for grade, stage, and extent of their prostatic cancer, utilizing nuclear magnetic resonance imaging (MRI) and clinical workup for metastases. Of these 13 patients, 12 had known prostatic cancer proved by needle biopsy or by pathologic examination of transurethral prostatectomy tissue. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(88)90050-7
更新日期:1988-02-01 00:00:00
abstract:OBJECTIVES:To estimate the differences in symptoms, prostate volume, and urodynamic variables of symptom-free elderly volunteers, volunteers with lower urinary tract symptoms (LUTS), and urologic patients with LUTS suggestive of benign prostatic hyperplasia. METHODS:The study included 14 male volunteers without LUTS, ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(01)01413-3
更新日期:2001-12-01 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:OBJECTIVE:To describe and compare the management of WT and oncologic outcomes by patient age using a large national database. METHODS:The National Cancer Database was queried for patients with WT diagnosis from 2004 to 2013. Patients were grouped by age and compared: pediatric (<16 years), young adults (16-35 years) a...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2019.10.007
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVES:A critical pathway was developed to determine whether open pyeloplasty could be performed in preadolescent and adolescent children with ureteropelvic junction (UPJ) obstruction with patients safely discharged after a 1-day hospitalization. METHODS:Twenty-six consecutive children who underwent open dismember...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.07.044
更新日期:2006-01-01 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::Studies to detect ultrastructural changes in testicular tissues after a fifteen-minute exposure to ultrasonic waves were done in 10 men undergoing bilateral orchiectomies for prostatic carcinoma. Examination of Sertoli cells and germ cells in different stages of differentiation failed to reveal significant differences...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(87)90232-9
更新日期:1987-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy and safety of wideband Doppler ultrasound-guided mini-endoscopic combined intrarenal surgery (mini-ECIRS) for large renal stones. MATERIALS AND METHODS:This study included 41 patients with large renal stones (>30 mm) treated by mini-ECIRS using a retrograde flexible ureteroscope and ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.05.038
更新日期:2016-09-01 00:00:00
abstract:OBJECTIVES:To evaluate the effect of vascular endothelial growth factor (VEGF) on regeneration of the bladder acellular matrix graft (BAMG). METHODS:A total of 40 female rats were divided into two groups. In the experimental group (VEGF+), the BAMG was incubated in VEGF and VEGF was injected into the host bladder. In ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.01.054
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVES:To clarify the age prevalence of female sexual dysfunction and the factors that contribute to the varying frequency of sexual intercourse and satisfaction with sexual life in Japanese women. METHODS:Of 8956 participants (median age 57 years, range 17 to 88) in a Japanese female cohort study, 5042 (56.3%) re...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.08.003
更新日期:2005-01-01 00:00:00
abstract::Nuclear DNA content of paraffin-embedded tissue from 19 clinically benign adrenal pheochromocytomas and 18 control adrenal glands was analyzed using flow cytometry. All control adrenal glands and 6 pheochromocytomas were diploid. Four tumors were tetraploid. Nine were aneuploid with relative DNA indices in the near di...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(87)90171-3
更新日期:1987-08-01 00:00:00
abstract::Hemangiomas of the genitalia are extremely rare. A hemangioma is self-limited and usually resolves spontaneously, therefore conservative treatment is generally recommended. However, genital hemangiomas may require surgical treatment if they become symptomatic. Herein we report a case of hemangioma of the penis and scr...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(93)90649-u
更新日期:1993-08-01 00:00:00
abstract::Testicular torsion in children is not uncommon emergency problem which occur due to twist in the spermatic cord leading to ischemia or infarction to testicle. Hemorrhagic infarction can occur following testicular torsion is globally; however, in extremely rare situation, such infarction can be segmental. Segmental tes...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.07.056
更新日期:2020-08-10 00:00:00
abstract::Serial carcinoembryonic antigen (CEA) assays were conducted in patients with endocrine-unresponsive prostatic adenocarcinoma who were being treated with multidrug chemotherapy. Changes in CEA correlated with the clinical status of the patient in 70 per cent of the determinations and were more accurate than acid phosph...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(76)90517-3
更新日期:1976-12-01 00:00:00
abstract:OBJECTIVES:Cryptorchidism is associated with infertility, even in those patients with unilateral undescended testes. The mechanism for this infertility is not understood. We demonstrated recently that in mice, a stable nuclear matrix, a structural component of the nucleus that organizes DNA, is necessary for proper emb...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(00)00788-3
更新日期:2000-12-20 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:OBJECTIVES:To assess the prevalence and pathologic features of men with unilateral prostate cancer at radical prostatectomy (RP), because it has recently been proposed that men with small-volume, well-differentiated, unilateral prostate cancer can be treated with focal therapy. METHODS:The records of 1467 consecutive ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2008.08.504
更新日期:2009-02-01 00:00:00