Radical cystectomy for bladder cancer in the 70+ population: a nation-wide registry analysis of 845 patients.

Abstract:

AIM:To analyze demographics, perioperative mortality and overall survival of radical cystectomy (RC) in patients aged 70+ years in Austria in a nation-wide registry cohort. PATIENTS AND METHODS:All patients >69 years who underwent RC in public hospitals (covering >95% of all surgical procedures) in Austria between 1992 and 2004 were analyzed. Data were provided by the Austrian Health Institute (ÖBIG). RESULTS:A total of 845 patients aged 70-89 years (mean 74) entered the analysis. The annual number of cystectomies in this age group increased from 27 in 1992 to 79 (+292%) in 2004. The mean length of hospital stay declined from 37.1 days (in 1992) to 27.1 days (in 2004). The 60-day mortality of the entire cohort was 1.5% and increased to 5.2% in patients aged 80+ years. Almost 50% of patients had to be rehospitalized within 30 days. The 5-year overall survival declined from 62% in those aged 70-74 years to 61% in those aged 75-79 years to 46% in the oldest age group (80+ years). CONCLUSIONS:The annual number of cystectomies in patients aged 70+ years increased substantially during the study period. These nation-wide registry data provide insights into the current status of RC in the elderly in Austria and demonstrate that cystectomy in this age cohort can be done with an acceptable perioperative mortality and overall survival.

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Madersbacher S,Bauer W,Willinger M,Wehrberger C,Berger I,Brössner C

doi

10.1159/000316100

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

287-90

issue

3

eissn

0042-1138

issn

1423-0399

pii

000316100

journal_volume

85

pub_type

杂志文章
  • Cystic nephroma, cystic partially differentiated nephroblastoma and cystic Wilms' tumor in children: a spectrum with therapeutic dilemmas.

    abstract:BACKGROUND:Cystic renal tumors are a diagnostic and therapeutic challenge. Cystic nephroma (CN), cystic partially differentiated nephroblastoma (CPDN) and cystic Wilms' tumor (CWT) are a spectrum with CN at the benign end, CWT at the malignant end and CPDN in the intermediate position. CN and stage 1 CPDN are often tre...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000176028

    authors: van den Hoek J,de Krijger R,van de Ven K,Lequin M,van den Heuvel-Eibrink MM

    更新日期:2009-01-01 00:00:00

  • Aurora-A/STK-15 is differentially expressed in the micropapillary variant of bladder cancer.

    abstract:INTRODUCTION:Micropapillary carcinoma (MPC) of the bladder is a rare and aggressive histologic variant of urothelial carcinoma (UC). At the time of presentation, most MPC are muscle invasive with frequent vascular invasion (VI). Our series explores protein expression of markers known to be indicators of poor clinical o...

    journal_title:Urologia internationalis

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000209364

    authors: Compérat E,Roupret M,Conort P,Chartier-Kastler E,Bitker MO,Richard F,Capron F,Haertig A,Cussenot O,Camparo P

    更新日期:2009-01-01 00:00:00

  • Body weight, diet and water intake in preventing stone disease.

    abstract::Nutrition plays a major role in the pathogenesis of the most widespread forms of nephrolithiasis, i.e. calcium (calcium oxalate and phosphate) and uric acid stone disease. For this reason, dietary measures are the first level of intervention in primary prevention, as well as in secondary prevention of recurrences. An ...

    journal_title:Urologia internationalis

    pub_type: 杂志文章,评审

    doi:10.1159/000076588

    authors: Meschi T,Schianchi T,Ridolo E,Adorni G,Allegri F,Guerra A,Novarini A,Borghi L

    更新日期:2004-01-01 00:00:00

  • Clinical and demographic characteristics of children with urolithiasis: single-center experience from eastern Turkey.

    abstract:OBJECTIVE:To evaluate the clinical and demographic findings of children with urolithiasis in eastern Turkey. METHODS:We retrospectively reviewed the medical records of 67 children with urolithiasis for clinical and laboratory data. RESULTS:Mean age at the time of diagnosis was 39.1 +/- 41.2 months. Complaints at admi...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000230027

    authors: Tabel Y,Akin IM,Tekin S

    更新日期:2009-01-01 00:00:00

  • Male stress incontinence. Diagnostic work-up and therapteutic considerations.

    abstract::Urinary incontinence in 80 men was classifed by combined radiological and urodynamic techniques. 28 cases of pure stress incontinence were evaluated for grading of sphincteric loss. Clinical and sphincterometric data were correlated. Functional urethral length, urethral closure pressure at rest and with voluntary sphi...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000280348

    authors: Thüroff JW,Petri E,Jonas U

    更新日期:1980-01-01 00:00:00

  • Prognostic factors for upper urinary tract urothelial carcinoma after nephroureterectomy.

    abstract:INTRODUCTION:The purpose of this study was to evaluate prognostic factors for patients with upper urinary tract urothelial carcinoma (UUT-UC) after nephroureterectomy and to seek a better way of finding more favorable clinical results for these patients. PATIENTS AND METHODS:We retrospectively reviewed the medical rec...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000335274

    authors: Kuroda K,Asakuma J,Horiguchi A,Tasaki S,Yoshii H,Sato A,Ito K,Seguchi K,Sumitomo M,Asano T

    更新日期:2012-01-01 00:00:00

  • Emphysematous cystitis following brain contusion.

    abstract::Emphysematous cystitis is a rare disorder most commonly seen in patients with urinary tract infection and diabetes mellitus. We present a nondiabetic case of a 46-year-old woman with this entity following brain contusion. ...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000030520

    authors: Mimata H,Tasaki Y,Nomura Y

    更新日期:2000-01-01 00:00:00

  • Age-related changes in contractile force of rabbit detrusor muscle to prostaglandin E1, E2 and F2 alpha.

    abstract::Contractile responses of urinary bladder muscle strips to prostaglandin (PG) E1, E2 and F2 alpha were compared in young and old rabbits. All PGs tested caused an increase in contractile force of urinary bladder muscle strips from young (3 weeks) and old (greater than 2 years) rabbits. The contractile response was most...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000281848

    authors: Morita T,Wheeler MA,Weiss RM

    更新日期:1987-01-01 00:00:00

  • A study of the bacterial flora before and after antiseptic skin preparation of the perineum in male urology patients.

    abstract:OBJECTIVE:To establish the bacterial flora of the perineum before and after antiseptic preparation in male urology patients. PATIENTS/METHODS:Adult male patients undergoing cystoscopic procedures were studied. Three sets of swab specimens, labelled A, B and C, were taken from the perineum in the theatre. Specimen A wa...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000167837

    authors: Kehinde EO,Ali Y,Khodakhast F,Jamal WY,Seshah M,Rotimi VO

    更新日期:2008-01-01 00:00:00

  • The impact of prior TURP on radical prostatectomy surgical margins: a multicenter analysis.

    abstract:OBJECTIVE:To analyze positive surgical margins (PSM) after radical prostatectomy (RP) in the overall population and in patients previously treated with transurethral resection of the prostate (TURP). MATERIALS AND METHODS:2,408 patients treated with RP for clinically localized prostate cancer (PCa) were consecutively ...

    journal_title:Urologia internationalis

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000346748

    authors: Gacci M,Simonato A,Lanciotti M,Ennas M,Varca V,Maffezzini M,Imbimbo C,Gontero P,Schiavina R,Carini M,Martorana G,Nicita G,Mirone V,Carmignani G

    更新日期:2013-01-01 00:00:00

  • Effects of pumpkin seed in men with lower urinary tract symptoms due to benign prostatic hyperplasia in the one-year, randomized, placebo-controlled GRANU study.

    abstract:INTRODUCTION:The German Research Activities on Natural Urologicals (GRANU) study was a randomized, partially blinded, placebo-controlled, parallel-group trial that investigated the efficacy of pumpkin seed in men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia (BPH/LUTS). SUBJECTS AND METH...

    journal_title:Urologia internationalis

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1159/000362903

    authors: Vahlensieck W,Theurer C,Pfitzer E,Patz B,Banik N,Engelmann U

    更新日期:2015-01-01 00:00:00

  • Testicular biopsy during orchidopexy procedure: does it have an adverse effect on fertility?

    abstract:INTRODUCTION:The aim of this study is to evaluate the effect of the gonadal biopsy procedure on fertility and histology of the experimentally created undescended testis. MATERIALS AND METHODS:Thirty Wistar-Albino rat litters were divided into three groups. In the first two groups, undescended testes were obtained by d...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000087799

    authors: Iskit SH,Tuğtepe H,Tugay M,Kiyan G,Kotiloğlu E,Dağli TE

    更新日期:2005-01-01 00:00:00

  • Combination therapy of imipramine with oxybutynin in children with enuresis nocturna.

    abstract:PURPOSE:The treatment approach for enuresis is controversial due to the lack of consensus as to the exact causes of nocturnal enuresis. Despite various treatment modalities, pharmacotherapy still appears to be the common choice. The aim of this prospective study was the evaluation of the efficacy of combination therapy...

    journal_title:Urologia internationalis

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1159/000064858

    authors: Tahmaz L,Kibar Y,Yildirim I,Ceylan S,Dayanç M

    更新日期:2000-01-01 00:00:00

  • Simultaneous occurrence of urothelial bladder carcinoma and primary retroperitoneal leiomyosarcoma.

    abstract::A case of primary carcinoma of the urinary bladder associated with a primary retroperitoneal leiomyosarcoma is presented. Due to the lack of early symptoms, diagnosis of the retroperitoneal leiomyosarcoma was late and therefore the prognosis was poor. Twelve months after diagnosis the patient died not of the bladder t...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000282996

    authors: Herrmann U,Hernandez A,Hofmockel G,Frohmüller HG

    更新日期:1997-01-01 00:00:00

  • Splenectomy for ABO-Incompatible Kidney Transplantation and Very Late-Onset Cytomegalovirus Disease.

    abstract:INTRODUCTION:Splenectomy had been previously performed in ABO-incompatible kidney transplantation to reduce the B cell pool. However, studies have shown that patients undergoing splenectomy may have a lifelong susceptibility to infection and mortality. Splenectomy may affect the incidence of cytomegalovirus (CMV) disea...

    journal_title:Urologia internationalis

    pub_type:

    doi:10.1159/000504862

    authors: Iwai T,Uchida J,Kosoku A,Kabei K,Nishide S,Naganuma T,Maeda K,Yoshikawa Y,Kumada N,Takemoto Y,Nakatani T

    更新日期:2020-01-01 00:00:00

  • Laparoscopic Decortication of Simple Renal Cysts: A Systematic Review and Meta-Analysis to Determine Efficacy and Safety of this Procedure.

    abstract:OBJECTIVES:To determine the efficacy and safety of laparoscopic deroofing of symptomatic simple renal cysts. METHODS:A Cochrane style systematic review was conducted on published literature from 1990 to 2017, to include case series and randomised controlled trials. A pooled meta-analysis was conducted. RESULTS:A tota...

    journal_title:Urologia internationalis

    pub_type: meta分析

    doi:10.1159/000497313

    authors: Nalagatla S,Manson R,McLennan R,Somani B,Aboumarzouk OM

    更新日期:2019-01-01 00:00:00

  • A case of polycystic kidney disease with nephrotic syndrome.

    abstract::Nephrotic syndrome developed in a patient with autosomal-dominant polycystic kidney disease. Renal biopsy revealed minor glomerular abnormalities. This type of nephrotic syndrome complication in an autosomal-dominant polycystic kidney disease has only rarely been reported. ...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000281782

    authors: Nakahama H,Inoue T,Kakihara M,Takama T,Mikami H,Orita Y,Kamada T

    更新日期:1991-01-01 00:00:00

  • Synergism of Fas-mediated apoptosis and tumor necrosis factor on adriamycin cytotoxicity to transitional cell carcinoma.

    abstract:OBJECTIVE:To explore the accurate Fas antigenic expression in transitional cell carcinoma (TCC) cells and and compare its synergistic modulation on adriamycin cytotoxicity with alpha-tumor necrosis factor (TNF-alpha). METHODS:The expression of Fas antigen in normal urothelium and TCC cell lines was measured by flow cy...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000068772

    authors: Yu DS,Hsieh DS,Chen HI,Chang SY

    更新日期:2003-01-01 00:00:00

  • The Relationship between Benign Prostatic Hyperplasia/Lower Urinary Tract Symptoms and Mean Platelet Volume: The Role of Metabolic Syndrome.

    abstract:OBJECTIVE:The aim of the present study was to investigate the relationship among serum mean platelet volume (MPV) levels, benign prostatic hyperplasia (BPH)/lower urinary tract symptoms (LUTS) and metabolic syndrome (MetS), and study the potential role of serum MPV levels in BPH/LUTS progression in an indirect manner. ...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000443313

    authors: Zhao S,Tang J,Shao S,Yan Y

    更新日期:2016-01-01 00:00:00

  • Finasteride: a long-term follow-up in the treatment of recurrent hematuria associated with benign prostatic hyperplasia.

    abstract:OBJECTIVES:To assess the effectiveness and long-term results after finasteride treatment of recurrent hematuria associated with benign prostatic hyperplasia (BPH). MATERIALS AND METHODS:The study comprised 80 patients, aged 62-86 (mean 74) years, of whom 50 received finasteride 5 mg once daily for 4 years and 30 were ...

    journal_title:Urologia internationalis

    pub_type: 临床试验,杂志文章

    doi:10.1159/000050948

    authors: Delakas D,Lianos E,Karyotis I,Cranidis A

    更新日期:2001-01-01 00:00:00

  • Idiopathic partial thrombosis of the corpus cavernosum.

    abstract::A case of spontaneous, partial, unilateral thrombosis of the corpus cavernosum is described. A 35-year-old white male presented with a painful mass in the perineum without priapism. Diagnostic evaluation with sonography and magnetic resonance imaging revealed a thrombosis in the left posterior corporal body. Treatment...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000030246

    authors: Thiel R,Kahn T,Vögeli TA

    更新日期:1998-01-01 00:00:00

  • Spoilt for Choice: A Survey of Current Practices of Surgical Urinary Stone Treatment and Adherence to Evidence-Based Guidelines among Swiss Urologists.

    abstract:INTRODUCTION:Urologists have to master a variety of techniques to be able to offer the most appropriate surgical stone treatment for each individual patient. Therefore, we performed a survey among board-certified Swiss urologists to assess the availability of the different surgical methods, the current practices of sur...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000502806

    authors: Betschart P,Zumstein V,Jichlinski P,Herrmann TRW,Knoll T,Engeler DS,Müllhaupt G,Schmid HP,Abt D

    更新日期:2019-01-01 00:00:00

  • Botulinum Toxin A in Clinical Practice, the Technical Aspects and What Urologists Want to Know about It.

    abstract:OBJECTIVES:To give an overview of the literature concerning the clinical practice of Botulinum toxin A (BTA) treatment to meet the needs and knowledge of urologists. METHODS:A literature search was performed to BTA treatment, together with a survey among Dutch urologist. RESULTS:The registration trials used strict in...

    journal_title:Urologia internationalis

    pub_type: 杂志文章,评审

    doi:10.1159/000381881

    authors: van Breda HM,Heesakkers JP

    更新日期:2015-01-01 00:00:00

  • A case of Klinefelter's syndrome with bilateral absence of the vas deferens.

    abstract::A 33-year-old male presented to the Chiba University Hospital with the main complaint of right flank pain. Bilateral vas deferens were not palpable. Hormonal examination revealed hypergonadotropic hypogonadism and cytogenetic studies a 47,XXY karyotype. The significance of the association of this karyotype with the ab...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000281703

    authors: Fuse H,Shiseki Y,Shimazaki J,Katayama T

    更新日期:1990-01-01 00:00:00

  • Metabolic risk factors in pediatric and adult calcium oxalate urinary stone formers: is there any difference?

    abstract:OBJECTIVES:Urolithiasis in children is recognized with an increasing frequency, while exact etiological factors remain to be determined. The aim of this study is to compare the metabolic risk factors and saturation of urine in pediatric and adult calcium oxalate (Ca-Ox) stone formers. METHODS:A total of 33 pediatric (...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000070134

    authors: Tefekli A,Esen T,Ziylan O,Erol B,Armagan A,Ander H,Akinci M

    更新日期:2003-01-01 00:00:00

  • Significance of cavernosography in standardized cavernosometry.

    abstract::Ninety-five patients with erectile dysfunction underwent standardized cavernosometry and cavernosography. In a first stage, the investigation was performed in each patient without and in a second stage with 60 mg papaverine injected intracavernously. A pathological maintenance flow rate between 20 and 120 ml/min decre...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000282389

    authors: Fehr JL,Alund G,Mühlebach P,Egli U,Sulser T,Kreienbühl B,Hauri D

    更新日期:1992-01-01 00:00:00

  • Prediction of Intraoperative Urinary Collecting System Entry in Patients with Peripheral Renal Tumors Undergoing Partial Nephrectomy: Usefulness of Tumor-Centered Multiplanar Reconstruction.

    abstract:OBJECTIVE:To assess the usefulness of tumor-centered multiplanar reconstruction (TC-MPR) for predicting intraoperative urinary collecting system (UCS) entry in patients with peripheral renal tumors undergoing partial nephrectomy (PN). METHODS:Dynamic computed tomography images of 50 peripheral cT1 renal tumors treated...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000484254

    authors: Uehara S,Yoshida S,Tanaka H,Yasuda Y,Tanaka H,Kijima T,Yokoyama M,Ishioka J,Matsuoka Y,Saito K,Fujii Y

    更新日期:2018-01-01 00:00:00

  • Pathological changes of traumatic dislocated testis.

    abstract::We present a 17-year-old patient with a right testicular dislocation. In this case, dislocated testis had been considered as hematoma and therefore remained untreated for 4 months. The patient underwent right orchiopexy 4 months after the injury. Intraoperative testicular biopsy revealed impaired spermatogenesis and e...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000282830

    authors: Hayami S,Ishigooka M,Suzuki Y,Sasagawa I,Nakada T,Mitobe K

    更新日期:1996-01-01 00:00:00

  • [Progress in urolithiasis research. Report and comments on the Urolithiasis Symposium 1981, Bonn (author's transl)].

    abstract:EPIDEMIOLOGY:The annual incidence of urolithiasis in the population is at least 0.1%. In rural areas, there are remarkably less actual stone formers than in urban districts, and also vegetarians show less stone diseases. Calcium carbonate as a urinary calculus compound is not in the strict sense impossible, but often a...

    journal_title:Urologia internationalis

    pub_type: 杂志文章

    doi:10.1159/000280781

    authors: Asper R

    更新日期:1981-01-01 00:00:00

  • Percutaneous-based management of Staghorn calculi in solitary kidney: combined mini percutaneous nephrolithotomy versus retrograde intrarenal surgery.

    abstract:INTRODUCTION:Mini percutaneous nephrolithotomy (mini-PCNL) and retrograde intrarenal surgery (RIRS) are well-established techniques with little morbidity. The combined use of standard PCNL and the mini-PCNL or the RIRS technique was evaluated and compared to investigate their own role in the management of staghorn calc...

    journal_title:Urologia internationalis

    pub_type: 杂志文章,随机对照试验

    doi:10.1159/000360708

    authors: Zhong W,Zhao Z,Wang L,Swami S,Zeng G

    更新日期:2015-01-01 00:00:00