Abstract:
OBJECTIVE:To evaluate the association of male lower urinary tract symptoms (LUTS) with metabolic syndrome (MetS) and androgenetic alopecia in a Latin American population. METHODS:We enrolled 907 patients for prospective evaluation at a single institution. LUTS were evaluated with the International Prostate Symptom Score (IPSS). Subjects were evaluated with respect to hypertension, diabetes, dyslipidemia, previous cardiovascular events, body mass index (BMI), waist and hip circumference, and a laboratorial investigation including prostate-specific antigen (PSA), C-reactive protein (CRP), and gonadal steroids. Alopecia was classified according to the Norwood-Hamilton scale. RESULTS:Mean patient age was 61.0 years; 57.5% of subjects had moderate/severe LUTS; MetS was present in 17.2% of subjects and 53.9% were classified as bald. Age, hypertension, diabetes, dyslipidemia, alopecia, previous cardiovascular event, and elevated waist-to-hip ratio (WHR) were associated with moderate/severe LUTS and with storage symptoms (P <.05). On multivariable analysis, age (odds ratio [OR] 2.30, 95% confidence interval [CI] 1.63-3.25), cardiovascular events (OR 1.73, 95% CI 1.07-2.78), and WHR (OR 1.65, 95% CI 1.13-2.40) were independent predictors for LUTS. For storage symptoms, age (OR 1.80, 95% CI 1.28-2.54), cardiovascular event (OR 2.07, 95% CI 1.27-3.39), WHR (OR 1.54, 95% CI 1.06-2.25), and MetS (OR 1.70, 95% CI 1.01-2.86) were independent risk factors. Age and cardiovascular event were the only independent predictors for voiding symptoms. CONCLUSION:Components of the MetS were strongly associated with moderate and severe LUTS. WHR and cardiovascular events were independent predictors of voiding and storage symptoms, and MetS was an independent predictor of storage symptoms. Alopecia was not an independent predictor of LUTS.
journal_name
Urologyjournal_title
Urologyauthors
Barbosa JA,Muracca E,Nakano E,Paranhos M,Natalino R,Cordeiro P,Srougi M,Antunes AAdoi
10.1016/j.urology.2013.03.001subject
Has Abstractpub_date
2013-07-01 00:00:00pages
182-8issue
1eissn
0090-4295issn
1527-9995pii
S0090-4295(13)00303-8journal_volume
82pub_type
杂志文章相关文献
UROLOGY文献大全abstract::Since December 1985, we have treated 65 patients with urinary stress incontinence due to intrinsic sphincter dysfunction with the vaginal wall sling procedure. Of the 54 patients who were available for follow-up, intrinsic sphincter dysfunction was related to multiple prior bladder neck suspension procedures in 48 pat...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(92)90238-r
更新日期:1992-05-01 00:00:00
abstract::Treatment of a series of 194 patients with T3 (B2/C) tumors by radical radiotherapy, 5,000 to 5,500 rad in four weeks, produced a five-year survival of 40 per cent. Patients whose tumor completely disappeared after treatment (N = 97) had a five-year survival of 69 per cent. These results raise doubts about the necessi...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(84)90199-7
更新日期:1984-10-01 00:00:00
abstract:OBJECTIVES:Quantitative cytology (Quanticyt) provides an objective reproducible alternative for routine cytology. To increase the sensitivity of cytology, we studied the application of consecutive cytology in patients in follow-up for superficial bladder cancer. METHODS:Between 1991 and 1998, a set of five or more bla...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(00)00726-3
更新日期:2000-10-01 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 investigate the relationship of lower urinary tract symptoms (LUTS) to urinary tract infection, prostatitis, sexually transmitted infection, lifetime sexual partner count, and recreational drug use in a population of men who have sex with men. LUTS in men are a source of considerable morbidity, distress, a...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.07.1412
更新日期:2012-01-01 00:00:00
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
更新日期:1979-11-01 00:00:00
abstract:OBJECTIVE:To determine anatomical variations between the prone, supine, and supine oblique positions that are likely to affect percutaneous renal access. MATERIAL AND METHODS:Twenty patients underwent computed tomography urograms in the supine and prone positions. Twenty patients underwent supine oblique and prone sca...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.06.019
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:Six random systematic core biopsies (SRSCB) of the prostate is considered by many to represent the standard method of detecting prostate cancer. We sought to evaluate the sensitivity of the transrectal ultrasound (TRU)S-guided needle biopsies in 89 consecutive patients with a history of biopsy-proven prostat...
journal_title:Urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0090-4295(97)00178-7
更新日期:1997-03-01 00:00:00
abstract::Seventy women with stress urinary incontinence underwent simultaneous voiding-urethrocystometry using microtip transducers and an 8-channel recorder, before and three to twelve months after either the modified Burch (48/70) or the modified Pereyra (22/70) retropubic urethropexy. Increase in urethral resistance (p less...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(89)90372-5
更新日期:1989-10-01 00:00:00
abstract:OBJECTIVE:Up to 10% of patients who have undergone the Bricker ileal conduit urinary diversion may develop ureteroileal anastomotic complications that are more frequently associated with the left side ureter. We have therefore modified the standard Bricker ileal conduit technique to minimize the anastomotic complicatio...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.07.001
更新日期:2011-11-01 00:00:00
abstract::Twenty-two prepubertal patients with cryptorchid testes after having previous inguinal surgery were referred. These included 17 patients in whom orchidopexy had been unsuccessful. Five patients had prior surgery for hernia and/or hydrocele resulting in surgical entrapment of the testis. Five patients had bilateral dis...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(93)90379-o
更新日期:1993-10-01 00:00:00
abstract:OBJECTIVE:To investigate the effect of hyperglycemia on the expression of the aquaporin (AQP) isoforms in the diabetic rat vagina. METHODS:Female Sprague-Dawley rats (230-240 g, n = 45) were divided into control (n = 10) and experimental (n = 35) groups. Diabetes in the experimental group was induced by intraperitonea...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.03.026
更新日期:2012-09-01 00:00:00
abstract::We evaluated the role of lymphadenectomy (LND) in the prevention of local recurrence following radical nephrectomy for renal cell carcinoma (RCC) by two retrospective studies. In one, the relative importance of various tumor characteristics to the subsequent development of local recurrence was investigated in 37 patie...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(93)90234-2
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVES:To investigate the effects of terazosin and melatonin on isolated rabbit bladder strips after partial bladder outlet obstruction and determine responses to agonist-induced contractility and changes in oxidant-antioxidant system. METHODS:We created partial bladder outlet obstruction in 5 groups of rabbits, e...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2008.02.053
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:To evaluate a model of elective postoperative clinic appointments after a minor urological procedure and to compare it to the traditional practice of routine appointments. METHODS:A total of 104 consecutive patients undergoing adult circumcision under local anesthesia were divided into 2 groups; group A (n =...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.12.071
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVES:Detrusor hyperreflexia with elevated storage pressures presents a major risk factor for renal damage in patients with neurogenic lower urinary tract dysfunction. If standard anticholinergic treatment is unsuccessful, surgical treatment must be considered. We evaluated the effects of intravesical oxybutynin t...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(99)00540-3
更新日期:2000-03-01 00:00:00
abstract:OBJECTIVES:To evaluate the long-term outcomes of endoscopic bladder neck incision (BNI) for functional bladder neck obstruction. Functional and/or mechanical obstruction of the bladder neck in men causes lower urinary tract symptoms. Although alpha-blockers are the initial treatment, they often fail to alleviate the sy...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2005.03.041
更新日期:2005-08-01 00:00:00
abstract::A case of acute onset of anuria secondary to bilateral ureteropelvic obstruction by fungus balls is presented. Contributing factors, clinical features, and approaches to treatment are discussed. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(80)90411-2
更新日期:1980-02-01 00:00:00
abstract:OBJECTIVE:To present our technique of ureteral replacement with an appendicovesicostomy for the treatment of extended ureteral stricture after kidney transplantation. Ureteral stricture represents a urologic complication that may cause progressive function impairment and graft loss. Symptomatic ureteral stenosis is gen...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.06.010
更新日期:2015-10-01 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:To assess sexual dysfunction in sexually active men after radical cystectomy (RC) and to determine whether sildenafil citrate can improve erectile dysfunction after surgery. METHODS:The baseline and follow-up data from 49 sexually active male patients (mean age 57.8 +/- 9.1 years) undergoing RC (1995 to 200...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.05.056
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVE:To compare the clinical outcomes of transumbilical multiport laparoscopic orchiopexy (TMLO) vs standard laparoscopic orchiopexy (SLO) for 1-stage management of impalpable testes in children. MATERIALS AND METHODS:A total of 30 patients underwent primary TMLO from January 2010 to December 2011. An additional ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.07.076
更新日期:2012-12-01 00:00:00
abstract:OBJECTIVE:To describe pelvic bone osteomyelitis in the prostate cancer survivor, to report on clinical presentation and treatment, and to suggest an algorithmic approach to managing this syndrome complex. MATERIALS AND METHODS:A retrospective chart review from January 2011 to June 2014 was performed to identify prosta...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2014.11.020
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVES:Using an athermal technique for nerve preservation we noted that approximately 40% are potent compared with approximately 60% who are not at 3 months after robot-assisted laparoscopic prostatectomy (RLP). In an attempt to understand this difference, we examine factors potentially influencing potency at 3 mon...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2008.05.055
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVES:To evaluate the clinical and urodynamic results of a tapered-cecal wrap (TCW) versus a tapered-plicated ileal (TPI) anti-incontinence mechanism. METHODS:Of 54 consecutive patients who had undergone continent urinary diversions, 33 (17 with TCW and 16 with TPI) were evaluated. The primary disease that prompt...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(02)02261-6
更新日期:2003-02-01 00:00:00
abstract:OBJECTIVE:To determine trends in management and factors associated with men receiving either chemotherapy or radiation therapy post orchiectomy for clinical stage I (CSI) seminoma in a contemporary setting. PATIENTS AND METHODS:The National Cancer Data Base was queried for all patients with CSI seminoma from 1998 to 2...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2016.07.037
更新日期:2016-12-01 00:00:00
abstract::Transurethral resection of the prostate (TURP) is necessary in a significant proportion of men with a diagnosis of carcinoma of the prostate. Often, "channel" TURP (resection of visually obstructing tissue without extension to the prostatic capsule in a patient with metastatic or locally advanced disease to improve vo...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(91)80170-c
更新日期:1991-12-01 00:00:00
abstract::Our clinical experience in renal surgery utilizing the CO2 laser is presented. The inherent characteristics of precision and hemostasis of this modality were found to be useful in the performance of three anatrophic nephrolithotomies and three partial nephrectomies. Operative time ranged between 110 and 120 minutes, w...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(85)90524-2
更新日期:1985-02-01 00:00:00
abstract:OBJECTIVES:Tissue-specific expression is of key importance in gene therapy and can be achieved by using tissue-specific promoters to drive therapeutic gene expression. The uroplakin (UP) promoter is a powerful tool for bladder cancer gene therapy, but the role of UP protein in the bladder remains unknown. This study ai...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.11.128
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:To prospectively investigate the natural history of asymptomatic pseudoaneurysm after robotic-assisted partial nephrectomy. METHODS:Robotic-assisted partial nephrectomy was undertaken for 67 patients between July 2014 and July 2018. Patients who could not undergo enhanced CT were excluded, so 60 patients wer...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.09.053
更新日期:2020-11-25 00:00:00