当前位置： SCI文献检索 > UROLOGY期刊下所有文献 > High- vs low-power holmium laser lithotripsy: a prospective, randomized study in patients undergoing multitract minipercutaneous nephrolithotomy.

High- vs low-power holmium laser lithotripsy: a prospective, randomized study in patients undergoing multitract minipercutaneous nephrolithotomy.

Abstract：

OBJECTIVE:To determine the efficacy and safety of high-power holmium: yttrium aluminum-garnet (Ho:YAG) laser lithotripsy for multitract modified minimally invasive percutaneous nephrolithotomy (MPCNL) in the treatment of patients with large staghorn renal calculi. METHODS:A randomized, prospective study was conducted. Two-hundred seventy-three consecutive patients (291 renal units) with large staghorn renal calculi were randomized to undergo multitract MPCNL with 30-W low-power or 70-W high-power Ho:YAG laser lithotripsy. Both groups were compared in terms of perioperative findings and postoperative outcomes, including procedure time, stone-free rate, length of hospital stay, transfusion rates, renal function recovery, and other complications. RESULTS:The average patient age was 49.2 years (range 22-73) and mean stone size was 5.54±0.7 cm. The 2 groups had some comparable perioperative findings and outcome, including tracts required per operated renal unit (n), blood loss, postoperative fever, postoperative hospital stay, stone-free rate, and improvement of operated renal function. The operation time in the high-power group was significantly shorter than that in the low-power group (129.20±17.2 vs 105.18±14.2, P<.01). CONCLUSION:A combination of multitract MPCNL and high-power Ho:YAG laser lithotripsy can greatly decrease the operative time without increasing the intraoperative complications or delaying postoperative renal function recovery when compared with low-power Ho:YAG laser lithotripsy.

journal_name

Urology

journal_title

Urology

authors

Chen S,Zhu L,Yang S,Wu W,Liao L,Tan J

doi

10.1016/j.urology.2011.08.036

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

293-7

issue

2

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(11)02303-X

journal_volume

79

pub_type

杂志文章,随机对照试验

相关文献

UROLOGY文献大全
  • Rho-kinase levels in testicular ischemia-reperfusion injury and effects of its inhibitor, Y-27632, on oxidative stress, spermatogenesis, and apoptosis.

    abstract：OBJECTIVE:To investigate testicular Rho-kinase levels and the effects of its inhibitor, Y-27632, on oxidative stress, spermatogenesis, and apoptosis in testicular ischemia-reperfusion rat model. METHODS:The study included 29 adult Wistar-Albino male rats weighing 150-200 g. The rats were divided into 3 groups. Group 1...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2013.11.032

    authors： Çayan S,Saylam B,Tiftik N,Ünal ND,Apa DD,Efesoy O,Çimen B,Bozlu M,Akbay E,Büyükafşar K

    更新日期：2014-03-01 00:00:00

  • Weak correlation between bladder outlet obstruction and probability to void to completion.

    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

    authors： Kranse R,van Mastrigt R

    更新日期：2003-10-01 00:00:00

  • Priapism and multiple myeloma. Successful treatment with plasmapheresis.

    abstract：:Priapism was associated with multiple myeloma and hyperviscosity in a sixty-year-old black male. Plasmapheresis treatment of the hyperviscosity corrected his priapism, and chemotherapy for the underlying multiple myeloma prevented the recurrence of priapism after a chronic intermittent history of seventeen years. ...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(78)90334-5

    authors： Rosenbaum EH,Thompson HE,Glassberg AB

    更新日期：1978-08-01 00:00:00

  • Extraperitoneal ureterocystoplasty with transureteroureterostomy.

    abstract：:Ureterocystoplasty enables the bladder to be reliably enlarged and the resultant neobladder to be lined by urothelium. Many techniques have been described for the operative management of the lower ureter, and a number of alternatives have been suggested for reconstruction of the upper renal tract and bladder. This rep...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/s0090-4295(98)00363-x

    authors： Dewan PA,Condron SK

    更新日期：1999-03-01 00:00:00

  • Ten-year biochemical disease control for patients with prostate cancer treated with cryosurgery as primary therapy.

    abstract：OBJECTIVES:Prostate cryosurgery has been increasingly used for the management of localized prostate cancer since its introduction in a minimally invasive form in the early 1990s. We performed a retrospective study of the largest and most mature patient group treated with cryosurgery reported thus far. METHODS:We retro...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2007.09.059

    authors： Cohen JK,Miller RJ Jr,Ahmed S,Lotz MJ,Baust J

    更新日期：2008-03-01 00:00:00

  • Computer-assisted image analysis-derived intermediate endpoints.

    abstract：:The development of prostatic lesions undergoes a slow progression. To establish efficacy of chemopreventive intervention it is therefore necessary to define surrogate endpoint biomarkers. Such biomarkers should be sensitive in their ability to indicate response. They should be objective, ie, the result of measurement,...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/s0090-4295(00)00956-0

    authors： Boone CW,Lieberman R,Mairinger T,Palcic B,Bacus J,Bartels P

    更新日期：2001-04-01 00:00:00

  • Bone Saw for Calcified Peyronie's Disease Plaques.

    abstract：OBJECTIVES:To determine the incidence of calcified Peyronie's disease plaque that cannot be cut with a blade in a 100-case series and to describe the use of a soft tissue-protecting bone saw for plaque incision. METHODS:Chart reviews were done of all surgically treated Peyronie's disease patients at our center between...

    journal_title：Urology

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.urology.2015.04.027

    authors： Ostrowski KA,Dugi DD 3rd,Hedges JC,Barry JM

    更新日期：2015-08-01 00:00:00

  • Fibroepithelial Vaginal Polyps in a Newborn Female.

    abstract：:Discussion, diagnosis, and management of fibroepithelial polyps in a newborn female. ...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2019.06.026

    authors： Smart VA,Roger EI,Ricca RL,Spitzer TL,Fox JA

    更新日期：2019-10-01 00:00:00

  • Ureteropelvic junction obstruction in a thoracic kidney treated by dismembered pyeloplasty.

    abstract：:Ectopic positioning of the kidney is a relatively common event, with the thoracic location of the ectopic kidney the most unusual. At least 140 cases of thoracic kidney have been described, with no consistent anomalies reported in association with the superior location. The vast majority of patients with thoracic kidn...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/s0090-4295(02)01665-5

    authors： Hampton LJ,Borden TA

    更新日期：2002-07-01 00:00:00

  • Prostate Health Index (PHI) Predicts High-stage Pathology in African American Men.

    abstract：OBJECTIVE:To evaluate the association between the Prostate Health Index (PHI) and adverse pathology in a cohort of African American (AA) men undergoing radical prostatectomy. MATERIALS AND METHODS:Eighty AA men with prostate-specific antigen (PSA) of 2-10 ng/mL underwent measurement of PSA, free PSA (fPSA), and p2PSA ...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2015.12.004

    authors： Schwen ZR,Tosoian JJ,Sokoll LJ,Mangold L,Humphreys E,Schaeffer EM,Partin AW,Ross AE

    更新日期：2016-04-01 00:00:00

  • Microsurgical two-layer vasovasostomy: word of caution.

    abstract：:Microsurgical technique, with separate mucosal and muscular layer anastomosis, recently has been advocated as the most successful method of vasovasostomy. Unexpected difficulties may be encountered using this method; moreover, considerable practice in the microsurgical laboratory is mandatory before actual performance...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(78)90015-8

    authors： Belker AM,Acland RD,Juhala CA

    更新日期：1978-06-01 00:00:00

  • XRCC1 genetic polymorphisms and bladder cancer susceptibility: a meta-analysis.

    abstract：OBJECTIVES:To examine the association between three x-ray repair cross-complementing group 1 (XRCC1) genetic polymorphisms (Arg(194)Trp, Arg(280)His, and Arg(399)Gln) and bladder cancer susceptibility. METHODS:A comprehensive search was conducted to identify all case-control studies of XRCC1 polymorphisms and bladder ...

    journal_title：Urology

    pub_type： 杂志文章,meta分析

    doi：10.1016/j.urology.2007.12.059

    authors： Wang C,Sun Y,Han R

    更新日期：2008-10-01 00:00:00

  • Factors That Influence Selectionof Urinary Diversion Among Bladder Cancer Patients in 3 Community-based Integrated Health Care Systems.

    abstract：OBJECTIVE:To assess the relative contributions of patient and surgeon factors for predicting selection of ileal conduit (IC), neobladder (NB), or continent pouch (CP) urinary diversions (UD) for patients diagnosed with muscle-invasive/high-risk nonmuscle invasive bladder cancer. This information is needed to enhance re...

    journal_title：Urology

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.urology.2018.09.037

    authors： Kwan ML,Leo MC,Danforth KN,Weinmann S,Lee VS,Munneke JR,Bulkley JE,Rosetti MO,Yi DK,Banegas MP,Wagner MD,Williams SG,Aaronson DS,Grant M,Krouse RS,Gilbert SM,McMullen CK

    更新日期：2019-03-01 00:00:00

  • Risk factors for male lower urinary tract symptoms: the role of metabolic syndrome and androgenetic alopecia in a Latin American population.

    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 Sco...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2013.03.001

    authors： Barbosa JA,Muracca E,Nakano E,Paranhos M,Natalino R,Cordeiro P,Srougi M,Antunes AA

    更新日期：2013-07-01 00:00:00

  • Does the number and size of veins ligated at left-sided microsurgical subinguinal varicocelectomy affect semen analysis outcomes?

    abstract：OBJECTIVES:To determine whether the preoperative and intraoperative findings at unilateral microsurgical subinguinal varicocelectomy are predictive of semen analysis changes postoperatively. METHODS:We identified 42 men who had undergone left-sided microsurgical subinguinal varicocelectomy at our institution and had a...

    journal_title：Urology

    pub_type： 临床试验,杂志文章

    doi：10.1016/j.urology.2007.01.086

    authors： Shindel AW,Yan Y,Naughton CK

    更新日期：2007-06-01 00:00:00

  • Iodine 125 seed implants for prostatic carcinoma. Five- and ten-year follow-up.

    abstract：:Between 1975 and 1985 132 patients underwent bilateral pelvic lymphadenectomy and insertion of Iodine 125 seeds for biopsy-proved localized carcinoma of the prostate. Surgical stages were A2 9 percent, B 64 percent, C 9 percent, and D1 18 percent. Operative mortality was zero. Short and long-term complications were le...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(93)90160-c

    authors： Weyrich TP,Kandzari SJ,Jain PR

    更新日期：1993-02-01 00:00:00

  • Urinary incontinence after continent urinary diversion using cecal wrap or plicated ileum: a patient questionnaire review.

    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

    authors： Shukla AR,Pow-Sang JM,Helal MA,Seigne J,Ordorica R,Lockhart JL

    更新日期：2003-02-01 00:00:00

  • Excision and Reconstruction for Urachal Adenocarcinoma: A Case Report With an Emphasis on Cosmesis.

    abstract：OBJECTIVE:We report a urachal adenocarcinoma case managed surgically with two incisions and an emphasis on cosmesis while maintaining oncologic principles. INTRODUCTION:Depending upon the cancer, excision of the urachal remnant and umbilectomy may require abdominal wall reconstruction and potentially could leave the p...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2020.02.011

    authors： Belay RE,Maldonado J,Hu B

    更新日期：2020-05-01 00:00:00

  • Bladder calculi in augmentation cystoplasty in children.

    abstract：OBJECTIVES:To determine the best preventive strategies for bladder calculi in children with an augmented bladder, the risk factors and prevention strategies for urolithiasis were evaluated. METHODS:The records of 89 patients following augmentation cystoplasty were reviewed to assess the results of augmentation cystopl...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/s0090-4295(00)00663-4

    authors： Mathoera RB,Kok DJ,Nijman RJ

    更新日期：2000-09-01 00:00:00

  • Decreased interstitial cells of Cajal-like cells, possible cause of congenital refluxing megaureters: Histopathologic differences in refluxing and obstructive megaureters.

    abstract：OBJECTIVES:To evaluate the location of interstitial cells of Cajal-like cells and the ureteral aspect using histopathologic studies of obstructive and refluxing megaureters to reveal the different pathogenesis of megaureters in the human urinary tract. The underlying pathophysiology of obstructive megaureter and reflux...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2009.02.062

    authors： Kang HJ,Lee HY,Jin MH,Jeong HJ,Han SW

    更新日期：2009-08-01 00:00:00

  • Transcatheter renal artery embolization in treatment of ureterocutaneous fistula.

    abstract：:We report a case of a critically ill patient who had a ureterocutaneous fistula develop after placement of a Dacron bypass graft from the aorta to the right popliteal artery and the left femoral artery. We describe a successful nonsurgical method to terminate renal function in this patient, who was a poor operative ri...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(79)90295-4

    authors： Williams JD,Maddison FE,Imray TJ,Lawson RK

    更新日期：1979-02-01 00:00:00

  • Evaluation of Vasectomy Trends in the United States.

    abstract：OBJECTIVE:To use the Truven Health MarketScan database to better approximate the annual rate of vasectomies performed in the US population, to determine changes over time, regional differences, providers performing this, and to know if there is any monthly variation in vasectomy rates. MATERIALS AND METHODS:Claims dat...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2018.03.016

    authors： Ostrowski KA,Holt SK,Haynes B,Davies BJ,Fuchs EF,Walsh TJ

    更新日期：2018-08-01 00:00:00

  • Fine needle aspiration biopsy of the penis: transitional cell carcinoma of the urinary bladder with mucinous differentiation.

    abstract：:We report a case of transitional cell carcinoma of the urinary bladder metastatic to the penis. The diagnosis was established by fine needle aspiration biopsy (FNAB). Malignant cells showed mucinous differentiation. Ancillary studies carried out in the FNA material as well as in the primary bladder carcinoma suggested...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/s0090-4295(98)00031-4

    authors： Guo M,Lemos LB,Baliga M,Fowler JE Jr

    更新日期：1998-06-01 00:00:00

  • Prospective determination of the hormonal response after cessation of luteinizing hormone-releasing hormone agonist treatment in patients with prostate cancer.

    abstract：OBJECTIVES:To determine the hormonal (luteinizing hormone [LH] and testosterone) and biochemical (serum prostate-specific antigen [PSA]) response to withdrawal of luteinizing hormone-releasing hormone (LHRH) agonists in patients who received more than 2 years of LHRH therapy for advanced prostate cancer. METHODS:Fourt...

    journal_title：Urology

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0090-4295(99)00061-8

    authors： Hall MC,Fritzsch RJ,Sagalowsky AI,Ahrens A,Petty B,Roehrborn CG

    更新日期：1999-05-01 00:00:00

  • Do the current subclassifications of stage T3 adenocarcinoma of the prostate have clinical relevance?

    abstract：OBJECTIVES:To compare the outcome of patients with T3a and T3c adenocarcinoma of the prostate and determine the utility of these substages as defined in the current American Joint Committee on Cancer and the International Union Against Cancer (AJCC/UICC) staging system. METHODS:An analysis was performed of patients wi...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/s0090-4295(99)80020-x

    authors： Corn BW,Hanks GE,Lee WR,Schultheiss T

    更新日期：1995-03-01 00:00:00

  • Determining Clinically Based Factors Associated With Reclassification in the Pre-MRI Era using a Large Prospective Active Surveillance Cohort.

    abstract：OBJECTIVE:To report biopsy-related and oncologic outcomes in a large prospective active surveillance cohort that was initiated in the premagnetic resonance imaging era and to additionally identify clinical factors associated with disease reclassification in order to inform future studies designed to improve enrollment ...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2019.11.041

    authors： Gregg JR,Davis JW,Reichard C,Wang X,Achim M,Chapin BF,Pisters L,Pettaway C,Ward JF,Choi S,Nguyen QN,Kuban D,Babaian R,Troncoso P,Madsen LT,Logothetis C,Kim J

    更新日期：2020-04-01 00:00:00

  • Unexpected response of hormone-refractory prostate cancer to treatment with an antileukemic chemotherapy regimen.

    abstract：:Our patient was a 61-year-old man with hormone-refractory prostate cancer and a rapidly rising serum prostate-specific antigen level. During the course of therapy for prostate cancer, abnormal blood counts and subsequent bone marrow biopsy led to a diagnosis of acute lymphoblastic leukemia. He was treated with a chemo...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2004.05.042

    authors： Gandhok N,Sartor O

    更新日期：2004-10-01 00:00:00

  • Endarterectomy and patchgraft angioplasty in treatment of atherosclerotic renovascular hypertension.

    abstract：:From 1962 to 1978, 56 patients underwent transrenal endarterectomy as surgical treatment for renovascular hypertension. Over-all results were 39 per cent cured, 36 per cent improved, and 25 per cent failed. Criteria for selecting patients with atherosclerotic renal artery disease for surgical treatment are reviewed. T...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(79)90181-x

    authors： Pechan BW,Novick AC,Stewart BH,Straffon RA

    更新日期：1979-11-01 00:00:00

  • Establishment and characterization of a new human extragonadal germ cell line, SEM-1, and its comparison with TCam-2 and JKT-1.

    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

    authors： Russell SM,Lechner MG,Mokashi A,Megiel C,Jang JK,Taylor CR,Looijenga LH,French CA,Epstein AL

    更新日期：2013-02-01 00:00:00

  • Analysis of the mechanism of discrepant nuclear morphometric results comparing preoperative biopsy and prostatectomy specimens.

    abstract：OBJECTIVES:To explore the mechanism for the differing nuclear morphometric results between needle biopsy and surgical specimens of the prostate. METHODS:In experiment 1, a comparison of mean nuclear area (MNA), volume-weighted mean nuclear volume (MNV), and form factor (FF) for prostatic epithelial cells was performed...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/s0090-4295(00)00583-5

    authors： Kanamaru H,Zhang YH,Takahashi M,Nakamura N,Ishida H,Akino H,Muranaka K,Okada K

    更新日期：2000-08-01 00:00:00