当前位置： SCI文献检索 > UROLOGY期刊下所有文献 > Outcomes of Pyeloplasty in Very Poorly Functioning Kidneys: Examining the Myths.

Outcomes of Pyeloplasty in Very Poorly Functioning Kidneys: Examining the Myths.

Abstract：

OBJECTIVE:To assess the perioperative complications and functional midterm outcomes after pyeloplasty for poorly functioning kidneys due to ureteropelvic junction obstruction. PATIENTS AND METHODS:We retrospectively analyzed patients who underwent pyeloplasty for primary ureteropelvic junction obstruction in very poorly functioning kidneys in terms of split renal function of ≤20% or estimated glomerular filteration rate of ≤20 mL/minute. Perioperative complications and postoperative outcomes in terms of symptomatic improvement and functional stabilization or recovery were assessed. RESULTS:A total of 32 patients with estimated glomerular filteration rate ≤20 mL/minute or split function ≤20% underwent pyeloplasty since January 2010. All patients were followed for a mean period of 26.8 months and none required reintervention for obstructive drainage, deteriorating function, or intractable pain. One patient had persistent pain requiring analgesics and overall success rate (defined as nonobstructive pattern, no deterioration in split function, and no persistent symptoms) was 93.7%. Thirteen patients (40.6%) showed significant improvement in renal function (>5% over preoperative), and in all except 1 (3.1%) case there was no further deterioration of function. CONCLUSION:Pyeloplasty provides high rates of morphological and functional success even in very poorly functioning renal units. There is a possibility of functional recovery in one-third of patients, and in most of the rest, there is no further deterioration.

journal_name

Urology

journal_title

Urology

authors

Nayyar R,Yadav S,Singh P,Kumar R,Seth A,Dogra PN

doi

10.1016/j.urology.2016.02.045

subject

Has Abstract

pub_date

2016-06-01 00:00:00

pages

132-5

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(16)00275-2

journal_volume

92

pub_type

杂志文章

相关文献

UROLOGY文献大全
  • S100A3 suppression inhibits in vitro and in vivo tumor growth and invasion of human castration-resistant prostate cancer cells.

    abstract：OBJECTIVE:To investigate the role of S100A3 and the effect of S100A3 inhibition on human castration-resistant prostate cancer (CRPC) cells by using in vitro and in vivo functional assays. MATERIALS AND METHODS:Using human CRPC cells (PC3 and DU145), S100A3 expression levels were assessed by reverse transcription-polym...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2014.09.018

    authors： Kang M,Lee HS,Lee YJ,Choi WS,Park YH,Jeong CW,Ku JH,Kim HH,Kwak C

    更新日期：2015-01-01 00:00:00

  • Transperitoneal versus extraperitoneal robotic-assisted radical prostatectomy: is one better than the other?

    abstract：OBJECTIVES:To evaluate the differences, if any, in outcomes with transperitoneal (TP) versus extraperitoneal (EP) approaches during robotic-assisted radical prostatectomy (RARP). METHODS:We reviewed the data from 40 consecutive patients who underwent EP-RARP at our institution by the same surgical team. The outcomes w...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2006.07.008

    authors： Atug F,Castle EP,Woods M,Srivastav SK,Thomas R,Davis R

    更新日期：2006-11-01 00:00:00

  • In Vivo Evaluation of a Novel Pigtail Suture Stent.

    abstract：OBJECTIVE:To compare pressure, dilation, and histology in a porcine model after stenting with a pigtail suture stent (PSS)-where the ureteral and bladder component consists of a suture and a double J (DJ) stent. METHODS:Twelve pigs were studied with a PSS (4.8F/MiniJFil®) and DJ stent (4.8F/RocaJJ Soft) inserted in bo...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2020.11.031

    authors： Majdalany SE,Aldoukhi AH,Jung H,Mehra R,Roberts WW,Ghani KR

    更新日期：2020-11-27 00:00:00

  • Posterior urethral valves presenting as venous obstruction.

    abstract：:A patient with posterior urethral valves presented with unilateral lower leg ecchymosis and edema. He initially had significant renal function impairment. The ecchymosis and edema resolved after appropriate therapy, and his renal function returned to normal. ...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(91)80015-y

    authors： Bauchner H,Cranley W,Vinci R

    更新日期：1991-07-01 00:00:00

  • Contemporary evaluation of the D'amico risk classification of prostate cancer.

    abstract：OBJECTIVES:In 1998, D'Amico et al. suggested a model stratifying patients with prostate cancer into those with low, intermediate, or high-risk of biochemical recurrence after surgery according to the clinical TNM stage, biopsy Gleason score, and preoperative prostate-specific antigen level. We studied the performance a...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2007.08.055

    authors： Hernandez DJ,Nielsen ME,Han M,Partin AW

    更新日期：2007-11-01 00:00:00

  • Postoperative prostate-specific antigen as a prognostic indicator in patients with margin-positive prostate cancer, undergoing adjuvant radiotherapy after radical prostatectomy.

    abstract：OBJECTIVES:To identify a population of patients within the group with positive surgical margins after radical prostatectomy who would benefit in terms of improved local control of disease by the administration of adjuvant radiation therapy to the prostate bed. METHODS:Postoperative prostate-specific antigen (PSA) valu...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/s0090-4295(99)80422-1

    authors： Coetzee LJ,Hars V,Paulson DF

    更新日期：1996-02-01 00:00:00

  • Activated Akt prevents antitumor activity of gefitinib in renal cancer cells.

    abstract：OBJECTIVES:To investigate the mechanism of gefitinib resistance in renal cell carcinoma (RCC) cells. Although epidermal growth factor receptor (EGFR) is frequently overexpressed in RCC, gefitinib, a tyrosine kinase inhibitor of EGFR, has only a limited antitumor effect on RCC. METHODS:The effects of gefitinib on the a...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2008.12.058

    authors： Kuroda K,Horiguchi A,Sumitomo M,Asano T,Ito K,Hayakawa M,Asano T

    更新日期：2009-07-01 00:00:00

  • Plasmakinetic enucleation of the prostate vs plasmakinetic resection of the prostate for benign prostatic hyperplasia: comparison of outcomes according to prostate size in 310 patients.

    abstract：OBJECTIVE:To compare the safety and efficiency of plasmakinetic enucleation of the prostate (PKEP) with that of plasmakinetic resection of the prostate (PKRP) in the treatment of benign prostatic hyperplasia (BPH). MATERIALS AND METHODS:Three hundred ten patients diagnosed to have BPH were randomized to undergo either...

    journal_title：Urology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.urology.2014.06.025

    authors： Luo YH,Shen JH,Guan RY,Li H,Wang J

    更新日期：2014-10-01 00:00:00

  • Prediction of outcome after radical prostatectomy in men with organ-confined Gleason score 8 to 10 adenocarcinoma.

    abstract：OBJECTIVES:Most adenocarcinomas of the prostate with a Gleason score greater than 8 at radical prostatectomy have extraprostatic extension and a high risk of progression. With prostate-specific antigen screening, we have seen some cases of earlier detected, organ-confined, high-grade adenocarcinoma. Few data are availa...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/s0090-4295(02)01816-2

    authors： Rioux-Leclercq NC,Chan DY,Epstein JI

    更新日期：2002-10-01 00:00:00

  • Can we avoid percutaneous nephrolithotomy in high-risk elderly patients using the Charlson comorbidity index?

    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

    authors： Resorlu B,Diri A,Atmaca AF,Tuygun C,Oztuna D,Bozkurt OF,Unsal A

    更新日期：2012-05-01 00:00:00

  • Flushing of distal vas during vasectomy: current status and review of literature.

    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

    authors： Mumford SD,Davis JE

    更新日期：1979-11-01 00:00:00

  • Prostate-specific Antigen Parameters and Prostate Health Index Enhance Prostate Cancer Prediction With the In-bore 3-T Magnetic Resonance Imaging-guided Transrectal Targeted Prostate Biopsy After Negative 12-Core Biopsy.

    abstract：OBJECTIVE:To assess prostate cancer (PCa) detection and prediction by combining the in-bore magnetic resonance imaging-guided transrectal targeted prostate biopsy (MRGB) with prostate-specific antigen (PSA) parameters and the Prostate Health Index (PHI) in case of negative 12-core standard biopsy. MATERIALS AND METHOD...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2017.08.019

    authors： Friedl A,Stangl K,Bauer W,Kivaranovic D,Schneeweiss J,Susani M,Hruby S,Lusuardi L,Lomoschitz F,Eisenhuber-Stadler E,Schima W,Brössner C

    更新日期：2017-12-01 00:00:00

  • Wound infiltration with bupivacaine and intramuscular diclofenac reduces postoperative tramadol consumption in patients undergoing radical retropubic prostatectomy: a prospective, double-blind, placebo-controlled, randomized study.

    abstract：OBJECTIVES:To assess the impact of wound infiltration with bupivacaine and i.m. diclofenac administration on patient-controlled analgesia (PCA) tramadol consumptions and postoperative pain in patients who underwent radical retropubic prostatectomy (RRP) under general anesthesia. Previous studies have found only limited...

    journal_title：Urology

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.urology.2011.07.1428

    authors： Bilgin TE,Bozlu M,Atici S,Cayan S,Tasdelen B

    更新日期：2011-12-01 00:00:00

  • Should function and bother be measured and reported separately for prostate cancer quality-of-life domains?

    abstract：OBJECTIVES:To evaluate the psychometric properties of the three domains bowel, urinary, and sexual function as they were measured in the Prostate Cancer Outcomes Study and examine their use in different research and practice settings. Leading prostate cancer health-related quality-of-life questionnaires include questio...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2006.03.037

    authors： Reeve BB,Potosky AL,Willis GB

    更新日期：2006-09-01 00:00:00

  • Increasing Body Mass Index Steepens the Learning Curve for Ultrasound-guided Percutaneous Nephrolithotomy.

    abstract：OBJECTIVE:To define how the learning curve for success in ultrasound-guided percutaneous nephrolithotomy (PCNL) is impacted by body mass index (BMI). Previous research has shown ultrasound-guided PCNL to be an effective method of nephrolithiasis treatment comparable to fluoroscopy-guided PCNL. A common concern for the ...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2018.07.033

    authors： Bayne DB,Usawachintachit M,Tzou D,Taguchi K,Shindel A,Chi TL

    更新日期：2018-10-01 00:00:00

  • The Prostate in Female? Clear Cell Adenocarcinoma in a Female Urethral Diverticulum.

    abstract：:Urethral diverticular clear cell adenocarcinoma in a female patient is extremely rare. This tumor sometimes displays a characteristic image on magnetic resonance imaging, surrounding the urethra like the prostate does in men. We report a patient with this tumor who underwent cystourethrectomy and ileal conduit diversi...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2016.10.021

    authors： Sadahira T,Maruyama Y,Araki M,Kobayashi Y,Watanabe T,Nasu Y

    更新日期：2017-01-01 00:00:00

  • Prostato-cutaneous fistula: a rare clinical entity.

    abstract：:A 30-year-old man presented with intermittent leak of straw-colored fluid from his left lateral thigh, which on evaluation was diagnosed as prostatocutaneous fistula. Exploration and revision anastomotic urethroplasty was done and the patient remains asymptomatic in follow-up. ...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2013.04.023

    authors： Kumar N,Vasudeva P,Kumar A,Raheja P

    更新日期：2013-08-01 00:00:00

  • Retroperitoneoscopic nephrectomy for pyonephrotic nonfunctioning kidney.

    abstract：OBJECTIVES:To review the feasibility and outcome of retroperitoneoscopic nephrectomy (RPN) for pyonephrotic nonfunctioning kidneys. METHODS:RPN for pyonephrotic nonfunctioning kidneys was used in 52 patients from July 2001 to May 2007. Percutaneous nephrostomy drainage was instituted in 46 patients because of sepsis b...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2008.07.054

    authors： Hemal AK,Mishra S

    更新日期：2010-03-01 00:00:00

  • Vesical gigantism or congenital megacystis.

    abstract：:We report on a child who was born with a large unobstructed bladder with normal trigone and normal ureteral insertions. The differences between vesical gigantism and the congenital megacystis-megaureter syndrome are discussed. In our patient, reduction cystoplasty was efficacious in alleviating the child's symptoms an...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(84)90111-0

    authors： Inamdar S,Mallouh C,Ganguly R

    更新日期：1984-12-01 00:00:00

  • Clinical Anatomy of the Puboprostatic Ligament for the Safe Guidance for the Prostate Surgery.

    abstract：OBJECTIVE:To provide the anatomy of the puboprostatic ligament and related structures to save urogenital competence after prostatectomy. MATERIALS AND METHODS:Pelvic areas of 31 adult cadavers were dissected to figure out the shape, number, and location of the puboprostatic ligaments. RESULTS:The puboprostatic ligame...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2019.10.015

    authors： Choi HM,Jung SY,Kim SJ,Yang HJ,Kim JH,Kim YT,Shin JC,Lee HY

    更新日期：2020-02-01 00:00:00

  • Transverse corporeal plication for persistent chordee.

    abstract：:A technique is described wherein chordee which persists after resection of all evident fibrous tissue may be corrected. This technique involves a ventral midline incision and transverse dorsal plicating sutures which rotate the corporeal bodies to allow a straight erection. ...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(89)90442-1

    authors： Snow BW

    更新日期：1989-12-01 00:00:00

  • Biopsy-proved prostate cancer in 100 consecutive men with benign digital rectal examination and elevated serum prostate-specific antigen level. Prevalence and pathologic characteristics.

    abstract：:To determine whether a significant percentage of patients with a benign digital rectal examination (DRE) and an elevated serum prostate-specific antigen (PSA) level harbor a prostatic malignancy, 100 consecutive patients underwent transrectal ultrasound (TRUS)-guided biopsy of the prostate. The biopsy results were cor...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(93)90638-q

    authors： Guthman DA,Wilson TM,Blute ML,Bergstralh EJ,Zincke H,Oesterling JE

    更新日期：1993-08-01 00:00:00

  • Lower urinary tract dysfunction and ultrasound assessment of bladder wall thickness in children with cerebral palsy.

    abstract：OBJECTIVES:To evaluate lower urinary tract dysfunction (LUTD) based on questionnaire symptom scoring and ultrasound assessment of bladder wall thickness (BWT) in children with cerebral palsy (CP). METHODS:A total of 97 children with CP were enrolled in the study. The patients were either symptomatic or asymptomatic wi...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2010.04.005

    authors： Silva JA,Gonsalves Mde C,Saverio AP,Oliveira IC,Carrerette FB,Damião R

    更新日期：2010-10-01 00:00:00

  • Intravesical therapy in superficial bladder cancer.

    abstract：OBJECTIVE:To identify the appropriate characteristics of superficial bladder cancer that allow the physician to predict tumor behavior. METHODS:We analyzed 1,745 patients with primary superficial bladder cancer with regard to disease and patient characteristics. RESULTS:With the characteristics we found, the populati...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(94)90211-9

    authors： Witjes JA,Mulders PF,Debruyne FM

    更新日期：1994-02-01 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

  • 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

  • Association between serum concentrations of micronutrients and lower urinary tract symptoms in older men in the Third National Health and Nutrition Examination Survey.

    abstract：OBJECTIVES:To evaluate the association of serum micronutrients with lower urinary tract symptoms (LUTS). METHODS:We included 2497 men, 60 years old and older, who participated in the Third National Health and Nutrition Examination Survey from 1988 to 1994 and for whom serum concentrations of vitamins A, C, and E, caro...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2004.04.012

    authors： Rohrmann S,Smit E,Giovannucci E,Platz EA,Third National Health and Nutrition Examination Survey.

    更新日期：2004-09-01 00:00:00

  • Ureterocalicostomy: a contemporary experience.

    abstract：OBJECTIVES:To report our contemporary experience with ureterocalicostomy to determine whether the indications or results have changed in modern practice. Ureterocalicostomy is a well-established treatment for patients with complicated ureteropelvic junction (UPJ) obstruction and other forms of proximal ureteral obstruc...

    journal_title：Urology

    pub_type： 杂志文章,评审

    doi：10.1016/j.urology.2004.08.024

    authors： Matlaga BR,Shah OD,Singh D,Streem SB,Assimos DG

    更新日期：2005-01-01 00:00:00

  • An endoscopic study of the lacuna magna and reappraisal of its clinical significance in contemporary urological practice.

    abstract：OBJECTIVE:To endoscopically study the Lacuna Magna (LM) and attempt to explain some of the anatomical, clinical and embryological issues pertaining to it. The LM, stated to be present in 30 to 50 percent of males and linked to congenital distal urethral obstructions, post-void bloody-spotting and dysuria in young boys,...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2011.05.013

    authors： Shenoy SP,Marla PK,Venugopal P,Adappa KK,Tantry TP,Shankar M,Rai GD

    更新日期：2011-11-01 00:00:00

  • Ambulatory radical retropubic prostatectomy.

    abstract：OBJECTIVES:To review the experience of 40 consecutive patients who underwent radical retropubic prostatectomy and to determine if and how the procedure could be performed safely on an ambulatory basis. METHODS:Between June 20, 1994 and November 26, 1996, 40 consecutive men with clinically localized prostate carcinoma ...

    journal_title：Urology

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0090-4295(97)00716-4

    authors： Hajjar JH,Budd HA,Wachtel Z,Howhannesian A

    更新日期：1998-03-01 00:00:00