Abstract：
OBJECTIVE:To report a comparative analysis of laparoscopic simple prostatectomy (LSP) vs robot-assisted simple prostatectomy (RASP). PATIENTS AND METHODS:Consecutive cases of LSP and RASP done between 2003 and 2014 at 3 participating institutions were included in this retrospective analysis. The effectiveness of the two procedures was determined by performing a paired analysis of main functional and surgical outcomes. A multivariate analysis was also conducted to determine the factors predictive of "trifecta" outcome (combination of International Prostate Symptom Score <8, Qmax > 15 mL/second, and no perioperative complications). RESULTS:A total of 319 patients underwent minimally invasive simple prostatectomy at the participating institutions over the study period. Total prostate volume was larger in the RASP group (median 118.5 mL vs 109 mL, P = .02). Median estimated blood loss tended to be higher for LSP (300 mL vs 350 mL, P = .07). There was no difference in terms of catheterization time (P = .3) and hospital stay (P = .42). A higher rate of overall postoperative complications was recorded in the RASP group (17.7% vs 5.3%), but rate of major complications was not significantly different between the two techniques (2.3 vs 2.1, P = .6). Subjective and objective parameters significantly improved for both LSP and RASP. On multivariable analysis, only two factors were associated with likelihood of obtaining a favorable (trifecta) outcome: age (odds ratio: 0.94; P = .03) and body mass index (odds ratio: 0.84; P = .03). CONCLUSION:Both LSP and RASP can be regarded as safe and effective minimally invasive surgical treatments for bladder outlet obstruction due to large prostate glands.
journal_name
Urologyjournal_title
Urologyauthors
Pavan N,Zargar H,Sanchez-Salas R,Castillo O,Celia A,Gallo G,Sivaraman A,Cathelineau X,Autorino Rdoi
10.1016/j.urology.2016.02.032subject
Has Abstractpub_date
2016-05-01 00:00:00pages
104-10eissn
0090-4295issn
1527-9995pii
S0090-4295(16)00220-Xjournal_volume
91pub_type
杂志文章,多中心研究相关文献
UROLOGY文献大全abstract：:Ulcerative lesions of the penis have many possible etiologies, including infectious, neoplastic, traumatic, drug-induced, and autoimmune. Although the most frequent neoplasm presenting as an ulcerative penile lesion is squamous cell carcinoma, it may rarely be a manifestation of other malignancies, including those of ...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/s0090-4295(00)00735-4
更新日期：2000-10-01 00:00:00
abstract：OBJECTIVE:To summarize the discussion that took place at a public workshop, co-sponsored by the U.S. Food and Drug Administration, the American Urological Association, and Society of Urologic Oncology reviewing the current state of the art for partial gland ablation (PGA) for the management of patients with prostate ca...
journal_title：Urology
pub_type：
doi：10.1016/j.urology.2015.11.018
更新日期：2016-02-01 00:00:00
abstract：:A case is presented of vesical endometriosis treated surgically in a thirty-one-year-old woman who presented with hypogastric pain and a pelvic mass. Echography showed an intravesical tumor, and cystoscopy led to a presumptive diagnosis of bladder endometriosis. The clinical features, diagnosis, and management are dis...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(84)90358-3
更新日期：1984-09-01 00:00:00
abstract：OBJECTIVE:To assess the association between Prostate Imaging Reporting and Data System version 2 (PI-RADSv2) score, the Decipher score, and histologic grade of carcinoma in biopsy tissue among low- to intermediate-risk prostate cancer patients. METHODS:MRI-ultrasound targeted biopsy of regions of interest and concurre...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2018.12.001
更新日期：2019-03-01 00:00:00
abstract：:At the University of Pennsylvania and its affiliates, 292 patients with bladder carcinoma treated with a variety of definitive regimens were observed for the incidence of secondary malignancies. The cumulative incidence at fifty-four months, including synchronous primary neoplasms, was 24 percent. Hazard function anal...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(92)90289-9
更新日期：1992-03-01 00:00:00
abstract：OBJECTIVE:To report a novel surgical approach for single-stage repair of exstrophy-epispadias, with the specific aim of innervation, preserving sphincteroplasty corporal detachment for penile lengthening and ischio-pubic ramotomy for Linia-alba approximation. MATERIAL AND METHODS:Twenty-five classic exstrophy with com...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2010.12.086
更新日期：2011-09-01 00:00:00
abstract：:Recently published studies suggest a benefit for androgen deprivation therapy (ADT) delivered early in the course of prostate cancer. However, the use of ADT specifically in patients with clinically localized disease or biochemical-disease recurrence after local therapy is not well defined. Potential candidates for pr...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/s0090-4295(01)01243-2
更新日期：2001-08-01 00:00:00
abstract：OBJECTIVES:To investigate the long-term outcome of an organ-saving approach for renal cell carcinoma (RCC) with a normal opposite kidney (elective indication). METHODS:Since 1979, 180 patients have undergone nephron-sparing surgery at our institution for RCC in the presence of a normal contralateral kidney. The mean a...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)00656-7
更新日期：2000-09-01 00:00:00
abstract：OBJECTIVES:To examine the effect of a patient's educational level on treatment selection for patients with newly diagnosed prostate cancer. A patient's educational level may impact a patient's understanding and perception of the risks and benefits of the treatment options for prostate cancer. METHODS:We examined 3484 ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(03)00778-7
更新日期：2003-12-01 00:00:00
abstract：OBJECTIVES:To evaluate different study designs and the general utility of phase II trials on prostate cancer. METHODS:Extensive literature studies and correspondance within the working group during 1 year were summarized in a preliminary manuscript. The manuscript was finalized at a 1 day meeting and is presented here...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(97)00160-x
更新日期：1997-04-01 00:00:00
abstract：:High-pressure chronic retention (HPCR) is a well-recognized common urological emergency which requires prompt treatment. It usually presents with nocturnal enuresis, a tense and palpable bladder, and symptoms of uraemia from renal failure George et al 1983.1 There have been isolated cases in the literature of HPCR pre...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.04.038
更新日期：2020-07-01 00:00:00
abstract：OBJECTIVES:We examined the use of laser tissue soldering (LTS) as an adjunct to suturing of, as well as a primary means of, tissue closure in urethral reconstruction. METHODS:Since June 1994, 26 boys ranging in age from 3 months to 14 years (mean 3.0 years) underwent hypospadias repair using LTS techniques. The classi...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/S0090-4295(96)00243-9
更新日期：1996-10-01 00:00:00
abstract：OBJECTIVE:To provide data on physical activity among those with and without overactive bladder (OAB) in a large, ethnically diverse U.S. sample. METHODS:A cross-sectional survey was conducted via the Internet among 10,000 men and women aged 18-70 (2000 African Americans, 2000 Hispanics, and 6000 whites) using the lowe...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.05.035
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVE:To evaluate the efficacy of the Memokath stent in managing recurrent bulbar urethral strictures. MATERIALS AND METHODS:This is an investigative pilot stage 2A study in patients with a recurrent bulbar urethral stricture who underwent a Memokath stent implant from January 2014 to January 2016 in a single high...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.04.039
更新日期：2017-09-01 00:00:00
abstract：OBJECTIVES:To evaluate the process of soft-tissue electrovaporization and to study variables that affect tissue clearance rates in a laboratory setting, in order to identify parameters that can optimize transurethral electrovaporization of the prostate. METHODS:Fresh bovine skeletal muscle, equivalent in impedance and...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(97)00092-7
更新日期：1997-06-01 00:00:00
abstract：OBJECTIVE:To determine whether occult megarectum remains a commonly unrecognized cause of enuresis and whether treating it will cure enuresis in most children. A landmark study proved constipation was a commonly unrecognized cause of enuresis in 1986 in which constipation was defined as abnormal rectal distension. Howe...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2011.10.015
更新日期：2012-02-01 00:00:00
abstract：:Urethral atresia is a rare and usually fatal cause of prenatal bladder outlet obstruction. We present a case of urethral atresia with urinary ascites to highlight the difficulties in making the diagnosis in the absence of hydronephrosis. We also discuss possible reasons why this patient maintained normal renal and pul...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.03.068
更新日期：2005-08-01 00:00:00
abstract：OBJECTIVES:To assess short-term response rate and local tissue destructive capabilities of cryosurgical ablation of the prostate (CSAP) in patients with clinical Stage C adenocarcinoma of the prostate. METHODS:A retrospective chart review of 62 patients (mean age, 66 years; range, 49 to 79 years) treated on an institu...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(94)80122-3
更新日期：1994-08-01 00:00:00
abstract：:Two patients presented with synchronous Hodgkin's disease and testicular germ cell neoplasms. Both patients are in complete remission following treatment with multidrug chemotherapy and radiation therapy. Despite epidemiologic similarities between Hodgkin's disease and testicular cancer, only 13 cases of their associa...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/0090-4295(91)80208-o
更新日期：1991-02-01 00:00:00
abstract：:Transureteroureterostomy in 6 dogs with the ureter transposed to cross the arterial notch between the caudal (inferior) mesenteric artery and aorta did not result in vascular induced ureteral obstruction. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(77)90342-9
更新日期：1977-03-01 00:00:00
abstract：:Malignant epithelial tumors of the penis often present aspects which make difficult an accurate clinical and pathologic diagnosis. Frequently, repeated biopsies yield a benign diagnosis while the tumor continues to progress and sections through it indicate malignant components. It is suggested that epithelial tumors o...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(77)90292-8
更新日期：1977-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the efficacy of intermittent percutaneous tibial nerve stimulation (PTNS) as a treatment modality for patients with refractory interstitial cystitis/bladder pain syndrome (IC/BPS). PATIENTS AND METHODS:Twenty female patients with IC/BPS (mean symptom duration of 4.5 ± 2.4 years) each had a 30-min...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2015.06.041
更新日期：2015-10-01 00:00:00
abstract：OBJECTIVE:To assess the feasibility of laparoscopic nephrectomy with vaginal extraction in an ambulatory setting. METHODS:Two patients underwent a laparoscopic (1 was robot assisted) nephrectomy with vaginal extraction for a nonfunctioning kidney in an ambulatory setting. Both interventions were performed by the same ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2014.06.084
更新日期：2014-12-01 00:00:00
abstract：:A 20-year-old man with Stage II nonseminomatous germ cell tumor underwent chemotherapy and multiple surgical resections of recurrent abdominal and supradiaphragmatic mature teratomas. Evaluation of a new heart murmur led to the diagnosis of tricuspid valve teratoma, which required complete valve excision and replaceme...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/s0090-4295(00)00578-1
更新日期：2000-08-01 00:00:00
abstract：OBJECTIVES:Shorter CAG repeat lengths in exon 1 of the androgen receptor (AR) gene are associated with a stronger transcriptional activity of the AR and with a higher risk of prostate cancer. Because benign prostatic hyperplasia (BPH) is an androgen-dependent condition, we examined the hypothesis that men with shorter ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(98)00468-3
更新日期：1999-01-01 00:00:00
abstract：OBJECTIVES:To review our experience to better define pediatric renal cell carcinoma (RCC). Pediatric RCC is rare, and recent data suggest it may be a unique disease. METHODS:A retrospective review was conducted of hospital and pathology records from 1965 to 2003. Patients with RCC were identified, and the clinical and...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.06.104
更新日期：2005-12-01 00:00:00
abstract：OBJECTIVES:To investigate the weak correlation between bladder outlet obstruction (BOO), as diagnosed using the provisional International Continence Society nomogram for the definition of BOO in men, and postvoid residual urine volume. METHODS:The relationship between voiding to completion and several indexes for blad...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(03)00575-2
更新日期：2003-10-01 00:00:00
abstract：OBJECTIVES:Visual laser ablation of the prostate (VLAP) is a relatively new option for relief of urinary outlet obstruction secondary to benign prostatic hyperplasia. There is currently no consensus regarding the optimum use of antibiotic prophylaxis in VLAP. This study was designed to evaluate two dosage regimens of a...
journal_title：Urology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0090-4295(94)80189-4
更新日期：1994-12-01 00:00:00
abstract：OBJECTIVES:To compare aspiration and sclerotherapy using sodium tetradecylsulfate (STDS) with open hydrocelectomy in the treatment of hydroceles with regard to safety, efficacy, and cost-effectiveness. METHODS:Patients with symptomatic hydroceles were prospectively enrolled in an aspiration and sclerotherapy protocol ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(02)02430-5
更新日期：2003-04-01 00:00:00
abstract：:A case of malakoplakia in a patient with generalized sarcoidosis is reported. A discussion of the histologic and clinical characteristics is presented. This is the sixth case in the literature of concemitant malakoplakia and sarcoidosis. The suggestion is made that the two disorders may be related. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(75)90727-x
更新日期：1975-08-01 00:00:00
