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. MATERIALS AND METHODS:Medical records of patients treated for AUS cuff erosion from 2005 to 2015 were retrospectively reviewed. We divided patients into 3 groups based on intraoperative management of the urethra: Foley only, AU, or PA. Patient characteristics, operative times, outcomes, complications, and reimplantation factors were recorded and analyzed. RESULTS:Seventy-five patients with a median age of 77 years (72-83) were treated for AUS cuff erosion. Fifty-two underwent Foley placement, 8 AU, and 15 PA. Mean follow-up was 13 months (0-106). Severe erosions were more common in the PA group than Foley or AU (100% vs 37%, 100% vs 38%, P <.001, P <.001, respectively). Severe erosions treated with Foley were more likely to develop strictures than mild erosions (38% vs 5%, P = .009). Tandem cuff patients treated with Foley were more likely to develop diverticuli than single cuff patients (33% vs 4%, P = .016). There was no difference in probability of reimplantation between PA and Foley or AU (63% vs 69%, 63% vs 33%, P = .748, P = .438, respectively). CONCLUSIONS:Foley catheter placement alone may represent suboptimal management for severe or tandem cuff erosions due to increased risk of urethral complications. Urethral defect management should be determined at the time of explantation by individual patient characteristics and surgeon experience.
journal_name
Urologyjournal_title
Urologyauthors
Chertack N,Chaparala H,Angermeier KW,Montague DK,Wood HMdoi
10.1016/j.urology.2015.11.040subject
Has Abstractpub_date
2016-04-01 00:00:00pages
173-8eissn
0090-4295issn
1527-9995pii
S0090-4295(15)01187-5journal_volume
90pub_type
杂志文章相关文献
UROLOGY文献大全abstract:OBJECTIVES:To evaluate the relationship between low prostate-specific antigen (PSA) levels that are considered normal and the long-term risk of prostate cancer. METHODS:The relative risk of, and cumulative probability of freedom from, prostate cancer by PSA level and age decade was evaluated in male participants of a ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(01)01304-8
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVES:To perform a biologic characterization of the urothelial neoplasms of patients in the intermediate-risk group using multicolor-fluorescence in situ hybridization (FISH). A general consensus has not been reached with regard to the optimal therapy and follow-up of patients with urothelial neoplasms at intermed...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2003.10.020
更新日期:2004-03-01 00:00:00
abstract::One of the primary antibacterial defense mechanisms of the bladder is the action of the luminal mucopolysaccharide layer against adsorption of inoculated bacteria. Previous studies have shown that local instillation of the mucopolysaccharide heparin can prevent bacterial adsorption on the bladder mucosa denuded of thi...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(81)90362-9
更新日期:1981-09-01 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:OBJECTIVE:To provide an update on SpaceOAR System, a Food and Drug Administration-approved hydrogel indicated to create distance between the prostate and the rectum which has been studied in phase 2 and 3 clinical trials. Here, we review and summarize these clinical results including the safety of prostate-rectum space...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2017.11.016
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVES:To determine the incidence of upper tract abnormalities on renal ultrasonography in patients with multiple sclerosis (MS) referred for urologic evaluation, as well as to identify any risk factors present on the basis of the historical information and urodynamic findings. METHODS:Data were derived from all p...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.11.038
更新日期:2005-05-01 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:OBJECTIVE:To evaluate the feasibility of pure robotic natural orifice translumenal endoscopic surgery (R-NOTES) nephrectomy. METHODS:Two R-NOTES nephrectomy approaches were attempted in 3 female cadavers. A single-port device was inserted through an incision in the posterior vaginal fornix. In the first approach, the ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.11.083
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:To determine the longitudinal changes of benign prostate-specific antigen (BPSA) and [-2]proPSA and how these changes relate to the outcomes. These markers have been shown to be predictive of prostate cancer (CaP) and benign prostatic hyperplasia treatment; however, little is known about longitudinal changes ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.09.056
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVES:To report our experience in the management of vaginal extrusion after the tension-free vaginal tape (TVT) procedure for urodynamic stress incontinence. METHODS:Five patients diagnosed with vaginal extrusion after a TVT procedure performed at our institution were identified. We reviewed the patients' records...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.02.009
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVE:To determine the time-to-targeted therapy (TTT) in patients with not completely resected low-volume oligometastatic disease who were observed following debulking cytoreductive nephrectomy (CN) for metastatic renal cell carcinoma (mRCC). METHODS:Patients with synchronous mRCC with not completely resected low-...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.06.048
更新日期:2017-11-01 00:00:00
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
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:To evaluate a selected population of 50 consecutive patients with primary T1, G3 bladder transitional cell carcinoma in the absence of carcinoma in situ (Tis) treated with a bladder-sparing approach. METHODS:Between January 1983 and December 1992, all patients were treated by transurethral resection (TUR) p...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(96)00007-6
更新日期:1996-05-01 00:00:00
abstract::Urethral pressure profiles have been a useful adjunct in the study of continence. Caffeine, a known smooth muscle inhibitor and skeletal muscle stimulator, is shown to decrease the urethral pressure profile in anesthetized dogs. This would lead one to believe that the smooth muscle component of urethral tonus is the d...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(77)90159-5
更新日期:1977-10-01 00:00:00
abstract::The inflammatory myofibroblastic tumor (IMT) is a rare benign tumor, known by several names and found in several locations throughout the body, including the lungs and genitourinary system (mostly the bladder). We report a case of a paratesticular IMT in a 17-year-old boy. Although the initial clinical diagnosis was r...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2010.09.027
更新日期:2011-07-01 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:OBJECTIVES:To investigate, by real-time quantitative reverse transcriptase-polymerase chain reaction, the expression of MUC3 and vascular endothelial growth factor (VEGF) to correlate them with histologic parameters and with prognosis. Human mucins are large O-glycoproteins expressed in epithelial tissues. Deregulation...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(03)00560-0
更新日期:2003-10-01 00:00:00
abstract::Renal cell carcinoma with tumor thrombus extension into the inferior vena cava (IVC) remains a difficult operative challenge. Placement of a suprarenal "temporary" IVC filter, with its ease of insertion and removal, makes it the ideal treatment to prevent pulmonary embolism in these difficult cases. We report the firs...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2003.10.010
更新日期:2004-02-01 00:00:00
abstract::We describe the use of a short, rigid ureteroscope to place a Foley catheter into the bladder under direct vision. The Circon ACMI MICRO-6 short ureteroscope was passed through a 22F Foley catheter modified with a catheter punch device. The catheter was placed rapidly and without difficulty in 2 patients with signific...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(98)00012-0
更新日期:1998-05-01 00:00:00
abstract::Extensive hemangioma of the prostate and the bladder is rare. In most cases, patients present for hematuria, hematospermia, or lower urinary tract symptoms. Confined lesions treatable with transurethral resection are most common but large hemangiomas requiring partial cystectomy are reported as well. Endoscopic or ope...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2014.07.037
更新日期:2014-11-01 00:00:00
abstract::Lymphoepithelioma-like carcinoma is an undifferentiated epithelial tumor with a prominent lymphocytic infiltrate and is rarely seen in the upper urinary tract. Only 3 and 2 cases involving the ureter and renal pelvis, respectively, have been reported. We report the fourth documented case of lymphoepithelioma-like carc...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2005.05.038
更新日期:2005-11-01 00:00:00
abstract::Acute renal failure and a syndrome characteristic of acute renal vein thrombosis developed in a patient with sickle trait and gram-negative bacteremia. It is suggested that intrarenal vaso-occlusion by sickled erythrocytes produced signs and symptoms typical of renal vein thrombosis and contributed to the severity of ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(75)90716-5
更新日期:1975-08-01 00:00:00
abstract::A case report of a plasma cell granuloma presenting as a solitary avascular intrarenal mass lesion is presented with angiographic and ultrasonic findings. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(76)90066-2
更新日期:1976-07-01 00:00:00
abstract::A man interested in active surveillance of low-risk prostate cancer sought a second opinion after having undergone an inappropriate metastatic evaluation that demonstrated multiple enhancing liver masses. Because of his history of splenectomy for trauma, hepatic splenosis was suspected. Despite reassurance, the patien...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.09.041
更新日期:2012-05-01 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:OBJECTIVES:To estimate the declining benefits of screening for prostate cancer as patient age at screening increases. The benefits of prostate cancer screening decline with age because of the long natural history of prostate cancer and competing causes of death among older men. METHODS:We used a previously described M...
journal_title:Urology
pub_type: 历史文章,杂志文章
doi:10.1016/j.urology.2005.05.030
更新日期:2005-11-01 00:00:00
abstract:OBJECTIVES:Unusually high incidences of upper urinary tract urothelial carcinoma (UUT-UC) have been reported from the endemic area for "blackfoot disease" of southern Taiwan, and the arsenic-contaminated water was considered to be the reason for this prevalence. In this study, we determined the ratio of UC in different...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(02)01529-7
更新日期:2002-05-01 00:00:00
abstract::We investigated the effect of two diets containing equal amounts of the carcinogen FANFT on the incidence and induction time of murine bladder carcinoma in mice. At each time interval, the tumor incidence in the mice ingesting a purified, high-calorie diet, was equal or greater than the tumor incidence in the animals ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(81)90297-1
更新日期:1981-11-01 00:00:00
abstract:OBJECTIVES:An acute animal model for hyperactive bladder in rats was developed using intravesical infusion of protamine sulfate (PS), an agent thought to break down urothelial barrier function, and physiologic concentrations of potassium chloride (KCl). METHODS:Continuous cystometrograms (CMGs) were performed in ureth...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(02)02280-x
更新日期:2003-03-01 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