Abstract:
OBJECTIVE:To examine whether it would be safe to use adult criteria for imaging in pediatric blunt renal trauma and hematuria. MATERIAL AND METHODS:From 1999 to 2007, 46 consecutive children were admitted for renal trauma and hematuria. All had abdominal computed tomography (CT) scan. Patients were divided into 2 groups: microhematuria and macrohematuria. Outcomes analyzed were presence of renal injury per CT, grade of renal injury, and indication for and details of surgical intervention. RESULTS:Twenty-seven patients (59%) had microhematuria. Nineteen (41%) had macrohematuria. On abdominal CT scan, no injury was found in 18 patients with microhematuria (67%) and 3 (16%) with macrohematuria. Two microhematuria patients required surgical intervention. In both cases, no actual renal intervention was performed during surgery. Three macrohematuria patients required surgical intervention; all had renal relevant procedures. The performance of the macro-microhematuria distinction in the prediction of renal injury on CT scan is relatively poor: sensitivity 59%, specificity 14%, positive predictive value (PPV) 84%, and negative predictive value (NPV) 62%, whereas the performance of macrohematuria criteria in the prediction of renal-relevant injury is sensitivity 100%, specificity 61%, PPV 18%, and NPV 93%. CONCLUSIONS:The yield of abdominal CT in pediatric renal trauma is low in patients presenting with microhematuria. Our data suggest that it may be possible that adult criteria for renal imaging are sufficient for children with abdominal blunt trauma and microhematuria. Adopting such strategy will result in substantial reduction in exposure to radiation, supposedly without increasing the patient's risk.
journal_name
Urologyjournal_title
Urologyauthors
Raz O,Haifler M,Copel L,Lang E,Abu-Kishk I,Eshel G,Klin B,Lindner A,Zisman Adoi
10.1016/j.urology.2010.05.014subject
Has Abstractpub_date
2011-01-01 00:00:00pages
187-90issue
1eissn
0090-4295issn
1527-9995pii
S0090-4295(10)00673-4journal_volume
77pub_type
杂志文章相关文献
UROLOGY文献大全abstract:OBJECTIVES:To determine the value of mid-infrared spectroscopy (MIRS) of ureteral stent encrustations in predicting urinary stone composition. METHODS:A retrospective study analyzed the composition of stent encrustations and urinary stones by MIRS in patients who had had a stent for ureteral obstruction between 2001 a...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.03.054
更新日期:2005-08-01 00:00:00
abstract::We present an unusual case of a fragmented, long forgotten double-J stent with incontinence as a result of partial extrusion of the lower fragment across the urinary sphincters. After reviewing the published data, incontinence as a presenting complaint, to the best of our knowledge, has not been reported for this cond...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.05.011
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVES:To obtain accurate spatial information on cancer distribution with a novel prostate biopsy regimen. METHODS:From 2003 to 2005, 265 patients underwent a three fan-shaped biopsy (3FSB) technique of 12 to 14 cores and sextant biopsy (SB) simultaneously. When both techniques had positive findings, and radical p...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2006.08.1065
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVE:To determine whether the ratio of dietary calcium and oxalate consumption at mealtime affects gastrointestinal oxalate absorption and urinary oxalate excretion. METHODS:A study was conducted with 10 non-stone-forming adults placed on controlled diets with daily calcium and oxalate contents of 1000 and 750 mg...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/j.urology.2012.01.053
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVES:To report our experience with pediatric renal adenocarcinoma. METHODS:We conducted a retrospective review of renal adenocarcinoma cases from 1971 to 2006. RESULTS:We treated 154 patients with renal tumor, 4 (2.6%) of whom had adenocarcinoma. The mean age of presentation was 8.5 years (range, 2-15 years). T...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2008.03.030
更新日期:2008-10-01 00:00:00
abstract::A Cowper's Duct syringocele is a rare diagnosis and currently there exists no clinical guidelines for evaluation and management. This clinical challenge illustrates the case presentation, evaluation, diagnosis, and treatment options for of a newly diagnosed Cowper's Duct syringocele. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.10.032
更新日期:2020-11-04 00:00:00
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:Intestinal metaplasia often coexists with adenocarcinoma of the urinary bladder, suggesting to some investigators that it is premalignant. However, the natural history and long-term outcome of intestinal metaplasia in isolation are unknown. We report 53 cases of intestinal metaplasia of the urinary bladder f...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/S0090-4295(97)00294-X
更新日期:1997-09-01 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 measure the renal parenchymal volume (RPV) before and after unilateral nephrectomy and investigate the relationship between the RPV and single kidney glomerular filtration rate (GFR). METHODS:From November 2003 to August 2009, 183 patients who had undergone unilateral nephrectomy were enrolled in the pre...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.03.063
更新日期:2011-06-01 00:00:00
abstract::We reviewed the clinical course and pathologic findings of 17 patients with adenocarcinoma of the urinary bladder at Massachusetts General Hospital between 1962 and 1978. The 12 men and 5 women were between thirty-eight and eighty-six years old (mean, sixty years). Five patients had urachal adenocarcinoma, 8 had pure ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(83)90117-6
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVES:To analyze the feasibility of neurovascular bundle (NVB) preservation and peripheral nerve grafting during salvage radical prostatectomy (RP) for radiorecurrent prostate cancer and analyze their effect on the recovery of potency. METHODS:Of 100 patients who underwent salvage RP with curative intent from 198...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.04.002
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:To present a novel surgical concept using preoperative imaging to estimate length needed for ileal segment. This enables robotic ileal interposition to be completed with only 1 position change during surgery. MATERIALS AND METHODS:The index patient is a 69-year-old woman with a history of stage IIIB cervical...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.02.033
更新日期:2017-06-01 00:00:00
abstract::The ultrasonographic characteristics of an epidermoid cyst of the testicle are presented. Since these findings are similar to other published case reports, preoperative sonographic diagnosis of this lesion may be possible. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(90)80104-u
更新日期:1990-06-01 00:00:00
abstract::An improved technique for vasovasostomy in the rat is presented. To eliminate the suture crowds that could cause obstruction of the vasal lumen, one deep raw suture technique had been employed using polyglycolic acid (Dexon) microsuture. A total of 62 vasal anastomoses in 48 male Lewis rats was performed, and follow-u...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(82)90469-1
更新日期:1982-10-01 00:00:00
abstract:OBJECTIVES:The specific goal of this study was to establish a simple histochemical technique by which the glycosaminoglycan (GAG) lining in the rabbit bladder can be routinely identified. METHODS:Rabbit bladder tissues were fixed in zinc formal, 10% neutral buffered formalin (NBF), 20% NBF, 40% NBF, 2% calcium acetate...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/s0090-4295(94)80005-7
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVES:To evaluate the long-term metabolic and nutritional consequences of interposing intestinal segments in the urinary tract. METHODS:Comprehensive analyses of blood and urine were performed in 20 patients with conduit urinary diversion and in 19 with continent cecal reservoir for urine, all with normal or near...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(99)80348-3
更新日期:1995-12-01 00:00:00
abstract:OBJECTIVE:To determine whether a size difference between a left testis involved with a varicocele and the contralateral normal testis is sufficient in its size assessment. METHODS:We reviewed all pediatric scrotal ultrasounds at Helen DeVos Children's Hospital between 2001 and 2008. Sonographic testicular measurements...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.05.020
更新日期:2011-11-01 00:00:00
abstract::We initiated a prospective, partially randomized trial of the effects of perioperative prophylactic mini-dose heparin on the incidence of clinically evident pulmonary emboli, intraoperative blood loss, blood transfusions, duration of postoperative pelvic drainage, and lymphocele formation in 68 consecutive patients un...
journal_title:Urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0090-4295(92)90203-9
更新日期:1992-04-01 00:00:00
abstract::A 30-year-old man presented with intermittent leak of straw-colored fluid from his left lateral thigh, which on evaluation was diagnosed as prostatocutaneous fistula. Exploration and revision anastomotic urethroplasty was done and the patient remains asymptomatic in follow-up. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2013.04.023
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVE:To examine the relative costs of prone percutaneous nephrostolithotomy (PCNL) versus PCNL performed with the patient in the Galdakao-modified supine Valdivia (GMSV) position to determine whether a cost differential exists. METHODS:We compared prone PCNL with PCNL using GMSV positioning. Cost data were obtain...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.06.038
更新日期:2012-10-01 00:00:00
abstract::A case of testicular torsion is described in a sixty-four-year-old man. Although unusual in this age group, the diagnosis of testicular torsion should be considered in older patients presenting with unilateral testicular pain. Early recognition and surgical intervention may reverse testicular ischemia and avert unnece...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(86)90314-6
更新日期:1986-04-01 00:00:00
abstract:OBJECTIVE:To describe a novel technique for localizing small testicular mass during testicular-sparing surgery (TSS). METHODS AND RESULTS:A 20-year-old man presented with bilateral testicular masses. Both alpha-fetoprotein (AFP) and beta-human chorionic gonadotropin (BHCG) levels were raised. Clinical and imaging stud...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.10.077
更新日期:2013-04-01 00:00:00
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
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVE:To compare the PERC-tic technique, described as placement of dual wires under fluoroscopic guidance adjacent to the stone within the obstructed calyx, to standard percutaneous nephrolithotomy (PCNL) with working wires secured down the ureter. MATERIALS AND METHODS:This is a retrospective cohort study of pati...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2019.12.040
更新日期:2020-06-01 00:00:00
abstract::We report a case of testicular teratocarcinoma involving the inferior vena cava with extension to the right atrium and metastases to the tricuspid valve. We believe this to be the first such reported case. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(92)90392-a
更新日期:1992-10-01 00:00:00
abstract:OBJECTIVES:To evaluate the financial implications of how the costs of new minimally invasive surgery such as laparoscopic robotic prostatectomy (LRP) and cryosurgical ablation of the prostate (CAP) technologies compare with those of conventional surgery. METHODS:From January 2002 to July 2005, 452 consecutive patients...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2006.10.025
更新日期:2007-02-01 00:00:00
abstract::Several articles describing the natural history of Peyronie disease have shown that untreated patients seem to have spontaneous improvement. It has been suggested that this could be the reason for the success of so many different methods. A review of the literature and of our previous experience has been done, trying ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(80)90320-9
更新日期:1980-07-01 00:00:00
abstract::We examined the records of 82 patients with clinical Stage I nonseminomatous germ cell tumors of the testis who, after radical orchiectomy, were treated by surveillance at M.D. Anderson Cancer Center between October, 1981, and March, 1987. Our purpose was to determine whether or not patients with a low risk of relapse...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(89)90436-6
更新日期:1989-12-01 00:00:00
abstract::Complete eversion and prolapse of the urinary bladder is rare. We report a case occurring in an eighty-two-year-old female. We believe only 3 previous cases have been reported, and only 1 of these occurred in an adult. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(83)90310-2
更新日期:1983-12-01 00:00:00