Abstract:
OBJECTIVE:To evaluate efficacy and safety of superior hypogastric plexus neurolysis (SHN) for treatment of interstitial cystitis (IC)-bladder pain syndrome (BPS) in comparison with bladder hydrodistention (HD). MATERIALS AND METHODS:In a prospective study, 24 female patients were randomly allocated to receive either SHN or HD. Patients were evaluated by recording the O'Leary-Sant IC symptom indices, IC problem indices, pain visual analog scale (VAS), number of daytime frequency, and nocturia. Pressure flow study was conducted for all patients. Intraoperative and postoperative changes and adverse events were recorded. RESULTS:Basal IC symptom indices, IC problem indices, and VAS scores were comparable between both groups (P = .31, .63, and .94, respectively). There was no statistically significant difference between both groups with respect to urodynamic parameters. Only pain VAS at first week was improved in SHN in comparison with HD (P = .012). Thereafter, all parameters were significantly improved in favor of the HD group at 2- and 4-week visits. Adverse events in both groups were ranked as Grade 1 Clavien-Dindo classification including transient hematuria in the HD group and transient back ache in the SHN group. CONCLUSION:Despite effective pain control in cases with IC-BPS after SHN, it lacks durability. It seems that SHN in its current form is not to be a suitable line of treatment for IC-BPS. Multimodality treatment would be needed for proper control of patients' symptoms.
journal_name
Urologyjournal_title
Urologyauthors
El-Hefnawy AS,Makharita MY,Abed A,Amr YM,Salah El-Badry M,Shaaban AAdoi
10.1016/j.urology.2015.01.018subject
Has Abstractpub_date
2015-05-01 00:00:00pages
1039-1044issue
5eissn
0090-4295issn
1527-9995pii
S0090-4295(15)00044-8journal_volume
85pub_type
杂志文章,随机对照试验相关文献
UROLOGY文献大全abstract::In patients who have undergone complex genitourinary reconstruction, additional abdominal surgery is often required. We report 2 cases in which the blood supply to an existing Mitrofanoff channel was divided. In both cases, the conduits appeared to remain well perfused, presumably based on collateral blood supply. Bot...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.03.013
更新日期:2005-09-01 00:00:00
abstract::Advanced laser beam technology has made endoscopic destruction of urinary bladder tumors possible. The neodymium: YAG laser is more suited for this purpose than the other available laser systems because of the higher penetration power into biological tissue. Small superficial tumors are particularly suitable for this ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(85)90279-1
更新日期:1985-06-01 00:00:00
abstract::Minimally invasive laparoscopic techniques have been applied to the staging and treatment of testicular cancer during the performance of retroperitoneal lymph node dissection. The da Vinci Surgical System potentially improves the safety and accuracy of this approach. We present what we believe to be the first publishe...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.07.022
更新日期:2006-01-01 00:00:00
abstract::Human semen containing normal number of sperm was exposed to concentrations of Escherichia coli varying from 500 to 10-8 colonies per cubic centimeter. A significant decrease in motility was abserved at 10-6 colonies per cubic centimeter. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(75)90116-8
更新日期:1975-05-01 00:00:00
abstract:OBJECTIVES:To evaluate our experience with primary carcinomas of the male urethra and to analyze the impact of tumor variables and treatment on overall, disease-specific, local recurrence-free, and metastasis-free survival. METHODS:Between 1958 and 1996, we identified 46 men with primary carcinoma of the bulbar and an...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(98)00659-1
更新日期:1999-06-01 00:00:00
abstract:OBJECTIVES:To investigate the protective effect of epigallocatechin gallate (EGCG), a green tea extract, on partial bladder outlet obstruction (pBOO)-induced bladder injury in a rat model. METHODS:The female Sprague-Dawley rats underwent sham or BOO procedures, and were divided into several groups (sham with saline in...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.12.020
更新日期:2016-05-01 00:00:00
abstract::We report a case of a single system solitary ectopic ureter to the rectum with bladder agenesis in a viable newborn male. Only 2 cases of ectopic ureter to the rectum and 18 cases of bladder agenesis have been reported in viable newborns. To our knowledge, this case constitutes the first reported combination of these ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2006.09.048
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVES:To evaluate acute and long-term urinary morbidity after permanent prostate brachytherapy at a single tertiary care center. To minimize the risk of long-term urinary morbidity, it is important for clinicians to be able to distinguish acute urinary side effects after prostate brachytherapy from longer-term tre...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.04.060
更新日期:2009-09-01 00:00:00
abstract::Sacral neuromodulation (SNM) has been used off-label in the United States for over a decade in the pediatric population. Many published studies have demonstrated efficacy with SNM in this population; however, a significant number of children with refractory bowel bladder dysfunction (BBD) also have underlying comorbid...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.03.006
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVE:To describe the establishment and characterization of a human cell line, SEM-1, from a patient diagnosed with a mediastinal seminoma. METHODS:A small percentage of germ cell tumors develop as primary lesions in extragonadal sites, and the etiology of these tumors is poorly understood. Currently, only 2 cell ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.09.029
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVE:To determine the outcomes of pregnancy and cesarean delivery (CD) in women with neuropathic bladder (NB) and pediatric lower urinary tract reconstruction (LUTR) as these women often have normal fertility and may become pregnant. METHODS:We reviewed consecutive patients with NB due to spinal dysraphism who un...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.11.052
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVES:The pediatric application of ureteroscopy was initially hindered by the size of the instruments and the fear of damaging the urethra and ureterovesical junction during endoscopic maneuvers. This review of our experience is focused on the usefulness of thin and ultrathin ureteroscopes such as the 7 F Gautier ...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/S0090-4295(99)80358-6
更新日期:1995-12-01 00:00:00
abstract:OBJECTIVE:To classify defects in the penoscrotal region according to their specific anatomic sites. METHODS:From January 2002 to December 2012, 20 male patients underwent reconstruction for penoscrotal defects. The causative factors were Fournier's gangrene in 12 patients, extramammary Paget's disease in 4, skin tumor...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2014.06.023
更新日期:2014-11-01 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::In the past only large symptomatic varicoceles were treated surgically, but this has changed now that they are believed to be a cause for infertility. Ten patients have been studied using the Doppler flowmeter and phlebography to compare varicoceles and varicose veins in the legs and to decide whether or not the same ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(86)90045-2
更新日期:1986-09-01 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::Primary adenocarcinoma of the bladder accounts for less than 2% of all bladder cancers. There is no report of such a case in a defunctionalized bladder. All reported cases of carcinoma in defunctionalized bladders were either squamous cell, signet ring cell, or transitional cell carcinoma, detected within an average o...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(99)80173-3
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the safety of a novel ureteral occlusion device and compare its performance with that of other devices and guidewires. METHODS:The XenX (Xenolith Medical) was tested in an ex vivo porcine model to determine the percentage of denuded urothelium because of manipulation within the ureter, the capaci...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.03.018
更新日期:2012-07-01 00:00:00
abstract:OBJECTIVES:Endoscopic injection of non-animal-stabilized hyaluronic acid/dextranomer gel is an increasingly recognized treatment option for vesicoureteral reflux. The procedure is minor compared with open surgery and, when successful, avoids the need for long-term antibiotic prophylaxis. We present data from 3 years of...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.10.034
更新日期:2010-07-01 00:00:00
abstract::To our knowledge, diffuse involvement of renal parenchyma by multiple minute foci of clear cell proliferations has not been previously reported. We report such a case, found incidentally, in an 86-year-old woman who had undergone right ureteronephrectomy for pyeloureteral urothelial carcinoma. Macroscopy of the kidney...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2008.02.046
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness of cystoscopic lithotripsy, we performed Amplatz sheath technique using Ho: YAG laser. Maheshwari first reported the use of an Amplatz sheath in the female urethra in 1998, and Okeke et al reported the use of an Amplatz sheath for male patients during cystolithotripsy in 2004. Th...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.07.046
更新日期:2012-11-01 00:00:00
abstract::Transrectal ultrasound may establish the diagnosis of prostatic abscess in an ambiguous clinical setting. Transurethral resection (deroofing) is the treatment preferred by many clinicians, yet intraoperative complete abscess obliteration may be difficult to confirm endoscopically. We report on a patient with a complex...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(91)80117-p
更新日期:1991-05-01 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 correlate endocrine parameters in elderly men with lower urinary tract symptoms (LUTS) to patient age and clinical parameters such as prostate volume, prostate-specific antigen (PSA) levels, and uroflowmetry and to compare the clinical and endocrinologic parameters in men with or without hypogonadism. ME...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(99)00473-2
更新日期:2000-03-01 00:00:00
abstract::A surgical method for reconstruction of the umbilicus in patients with bladder exstrophy is described. The technique is based on the surgical principle of eventual tubularization of a skin strip buried in the subcutaneous space. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(84)90201-2
更新日期:1984-10-01 00:00:00
abstract::Extramedullary plasmacytoma arising in the kidney is rare. Only 8 cases have been reported. Recently, we noted the ninth case, the second case seen at the Mayo Clinic. Clinically, the tumor mimics a renal cell carcinoma or a transitional cell carcinoma of the renal pelvis. ...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/0090-4295(91)80274-b
更新日期:1991-04-01 00:00:00
abstract::A case of prostatic adenocarcinoma associated with extensive cutaneous metastases and malignant acanthosis nigricans is reported. Pertinent literature is reviewed. The pathogenesis of the possible mechanism of the development of cutaneous metastases in this as well as other related cases is discussed. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(78)90244-3
更新日期:1978-04-01 00:00:00
abstract:OBJECTIVES:To determine whether the antiandrogen withdrawal syndrome occurs with the steroidal antiandrogen cyproterone acetate. METHODS:Cyproterone acetate was withheld in 12 patients with progressing androgen-independent metastatic prostate cancer. Eight patients had been receiving cyproterone acetate concomitant wi...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(98)00354-9
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVES:To examine the contributions of fear of recurrence and the more commonly examined treatment-related symptoms to the health-related quality of life (HRQOL) of men treated for localized prostate cancer. METHODS:A total of 730 men with localized disease were identified from the Cancer of the Prostate Strategic...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.12.084
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVES:To investigate the impact of health status on androgen levels in men and to assess the age-related changes in androgen levels. METHODS:Sera were obtained from 526 men (age 20 to 89 years) participating in a health screening project and 35 men selected according to the SENIEUR protocol, which excludes those ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(02)02252-5
更新日期:2003-03-01 00:00:00