Abstract：
OBJECTIVES:Viscoat is a nonpyrogenic, sterile, viscoelastic solution used to protect the endothelium and enhance visualization during cataract and corneal surgery. Commonly used in ophthalmic surgery, we evaluated whether it could improve the optics during urologic microsurgery without adversely affecting outcomes. METHODS:We retrospectively compared consecutive vasovasostomies performed by a single surgeon with (n = 23) and without (n = 50) the bilateral use of Viscoat. The examined parameters included patient age, vasectomy duration, intraoperative sperm characteristics, patency (ejaculation of motile sperm), time to patency, and postoperative semen characteristics. The comparisons of the sample mean values and proportions were assessed with analysis of variance, Wilcoxon, and chi(2) tests. RESULTS:Subjectively, Viscoat improved visualization of the vasal lumen and suture placement and aided in resident and fellow instruction. The vasovasostomy cases performed with and without the use of Viscoat were similar with regard to the patient and intraoperative characteristics. The overall patency rates were similar between the two groups (91% vs 92%, P = .92) with a median follow-up of 7 months. In addition, the best total motile sperm count and the durability of the patency achieved were similar between the two groups. CONCLUSIONS:Viscoat is a dispersive agent that does not adversely affect surgical patency after vasovasostomy. Subjectively, it helped with visualizing the lumen of the vas deferens during urologic microsurgery.
journal_name
Urologyjournal_title
Urologyauthors
Eisenberg ML,Walsh TJ,Turek PJdoi
10.1016/j.urology.2008.03.006subject
Has Abstractpub_date
2009-01-01 00:00:00pages
134-6issue
1eissn
0090-4295issn
1527-9995pii
S0090-4295(08)00337-3journal_volume
73pub_type
杂志文章相关文献
UROLOGY文献大全abstract：:Urethral atresia is a rare and usually fatal cause of prenatal bladder outlet obstruction. We present a case of urethral atresia with urinary ascites to highlight the difficulties in making the diagnosis in the absence of hydronephrosis. We also discuss possible reasons why this patient maintained normal renal and pul...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.03.068
更新日期：2005-08-01 00:00:00
abstract：OBJECTIVE:To investigate the differences on clinical efficacy, complications, and safety profile between transurethral resection of the prostate (TURP) and bipolar plasmakinetic resection of the prostate (PKRP) for benign prostatic hyperplasia (BPH). PATIENTS AND METHODS:Six hundred ninety patients of BPH were recruit...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.02.006
更新日期：2017-05-01 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：INTRODUCTION:This article reports outcomes of 2 patients who received a single-stage renal transplantation and concomitant urinary-diversion procedure. TECHNICAL CONSIDERATIONS:We followed the clinical diagnosis and outcome of 2 patients who underwent renal transplantation and urinary diversion as a single-stage proce...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2014.03.030
更新日期：2014-07-01 00:00:00
abstract：OBJECTIVE:To test the hypothesis that transurethral prostate procedures (TUPPs) eliminating tissue result in greater medication discontinuation and lower de novo initiation rates than procedures inducing tissue necrosis. METHODS:Retrospective review of all men undergoing first time TUPPs at a large tertiary center fro...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2019.07.039
更新日期：2019-12-01 00:00:00
abstract：OBJECTIVE:To provide insights into the role of multiparametric magnetic resonance imaging (mpMRI) in predicting oncological control following 2 focal ablation (FA) templates for selective cases of prostate cancer. MATERIALS AND METHODS:A total of 59 radical prostatectomies were performed between 2012 and 2016 on cases...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.10.014
更新日期：2018-02-01 00:00:00
abstract：OBJECTIVE:To evaluate the evolving role of gender in invited authorship and editorial positions in the Journal of Pediatric Urology. MATERIALS AND METHODS:We recorded editorial board members and first and senior authors for all editorials and invited commentaries for all issues of the Journal of Pediatric Urology from...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.05.097
更新日期：2020-11-01 00:00:00
abstract：OBJECTIVES:To better understand the outcomes and management of patients when there is a failure to visualize kidneys on prenatal ultrasound. METHODS:Nine thousand five hundred twelve prenatal ultrasound studies performed on 4900 patients were reviewed retrospectively for the findings of a failure to visualize kidneys....
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(98)00190-3
更新日期：1998-08-01 00:00:00
abstract：:Congenital pelvic arteriovenous malformations are rare entities, especially in males. Presenting symptoms, if any at all, are commonly a mass, thrill, bruit, or pain. Treatment options include surgical extirpation, embolization, or a combination of both. This case provides support for the last option in a patient pres...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(98)00352-5
更新日期：1999-02-01 00:00:00
abstract：OBJECTIVES:To examine the correlation of biopsy Gleason scores with radical prostatectomy specimens from a laboratory that uses protocols designed to minimize observer variability. This protocol mandates consensus case review of all nonbenign cases. METHODS:Between August 24, 1993 and June 26, 1997, 106 patients who u...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/s0090-4295(98)00002-8
更新日期：1998-04-01 00:00:00
abstract：OBJECTIVES:As the prevalence of obesity increases in the United States, it has become more important to assess its impact on surgical outcomes. We evaluated the significance of obesity on laparoscopic radical nephrectomy (LRN) and laparoscopic partial nephrectomy (LPN). METHODS:This was a prospective database study ev...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2006.09.020
更新日期：2007-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the effect of 3-dimensionally (3D) printed physical renal models with enhancing masses on medical trainee characterization, localization, and understanding of renal malignancy. METHODS:Proprietary software was used to import standard computed tomography (CT) cross-sectional imaging into 3D printe...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2015.02.053
更新日期：2015-06-01 00:00:00
abstract：OBJECTIVES:To investigate the pathophysiology of interstitial cystitis (IC), we examined urinary levels and urothelial expression of human orthologue of pancreatitis-associated protein (PAP) III, namely, hepatocarcinoma-intestine-pancreas (HIP)/PAP, in patients with IC. We have previously shown that PAP III is expresse...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2009.05.044
更新日期：2010-04-01 00:00:00
abstract：:Metastasis of gastric carcinoma to the ureter is very rare. In most published cases, the diagnosis is only made at postmortem examination or when gross metastasis is present. This report presents a case in which the metastasis occluded the ureteral lumen from inside, and the diagnosis was made by histopathologic exami...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(99)00169-7
更新日期：1999-09-01 00:00:00
abstract：:Angiomyolipoma is a benign renal tumor that tends to grow with time and can be associated with complications, such as hemorrhage and pain, requiring active intervention. Nephron-sparing surgery for sporadic renal angiomyolipomas offers preservation of renal function and is associated with acceptable complication and r...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2009.02.051
更新日期：2009-08-01 00:00:00
abstract：OBJECTIVES:To assess the feasibility and patient impact of using standardized video presentations concerning alternative treatments for managing localized prostate cancer. METHODS:One hundred eleven men with newly diagnosed localized prostate cancer were shown a video tape concerning the risks and benefits of four tre...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(97)00494-9
更新日期：1998-01-01 00:00:00
abstract：OBJECTIVE:To determine pediatric urologists' antibiotic prophylaxis prescribing practices for children with vesicoureteral reflux (VUR) and other congenital anomalies of the kidney and urinary tract (CAKUT). METHODS:Web-based survey of pediatric urologists about their practice of antibiotic prophylaxis in children wit...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2019.11.013
更新日期：2020-02-01 00:00:00
abstract：OBJECTIVES:To use a human factors approach to conduct a needs assessment of patient preparedness, education, device usability, and satisfaction regarding all stages of sacral neuromodulation therapy and identify opportunities for improvement. Sacral neuromodulation, though minimally invasive, involves an initial testin...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.04.092
更新日期：2020-05-08 00:00:00
abstract：OBJECTIVES:To review the experience of 40 consecutive patients who underwent radical retropubic prostatectomy and to determine if and how the procedure could be performed safely on an ambulatory basis. METHODS:Between June 20, 1994 and November 26, 1996, 40 consecutive men with clinically localized prostate carcinoma ...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/s0090-4295(97)00716-4
更新日期：1998-03-01 00:00:00
abstract：OBJECTIVES:Contemporary audits and reviews of outcome after transurethral resection of the prostate (TURP) make little reference to failure to void following catheter removal after this operation. There have been few reports of the likelihood of a successful trial without a catheter after TURP related to mode of presen...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(98)00515-9
更新日期：1999-02-01 00:00:00
abstract：INTRODUCTION:When men present for vasectomy, incidental varicoceles may be discovered. After varicocelectomy, the deferential veins become the only avenue for testicular venous return and could be compromised during nonmicroscopic vasectomy. We discuss the indications and technique required to safely perform simultaneo...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.02.027
更新日期：2007-08-01 00:00:00
abstract：:Seventy-nine cases of transitional cell carcinoma of the bladder in the age group under thirty years have been reviewed. The diagnosis and treatment are the same as in the older age group. The tumors are usually of low grade and low stage, but they can become more aggressive and more malignant. Contrary to previously ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(79)90453-9
更新日期：1979-05-01 00:00:00
abstract：OBJECTIVES:To examine the potential for renal protection through incomplete renal artery (RA) occlusion with both assessments of creatinine changes and the use of hyperspectral imaging to monitor tissue oxygenation. Renal ischemia during partial nephrectomy can have adverse consequences on renal function. METHODS:Four...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2011.06.029
更新日期：2011-10-01 00:00:00
abstract：OBJECTIVES:To evaluate the oncologic outcomes of hand-assisted retroperitoneoscopic nephroureterectomy (HARNU) for upper urinary tract urothelial carcinoma and compare them with the data from conventional open surgery. METHODS:We collected the data from 25 patients who underwent HARNU at our institution from January 1...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/j.urology.2007.01.088
更新日期：2007-06-01 00:00:00
abstract：:We report a case of postoperative pediatric priapism in a boy without a hematologic disorder after a propofol-based general anesthetic. Our case underscores the importance of the early diagnosis and treatment to lessen the risk of complications. Given the wide use of propofol for sedation and anesthesia, clinicians sh...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.12.066
更新日期：2009-07-01 00:00:00
abstract：OBJECTIVES:To describe our experience of the etiology, presentation, management and outcomes of male urethral diverticula, which are uncommon, with few reports of large series published. METHODS:Twenty-one patients with male urethral diverticula were treated at a single institution during a 7-year period. Their case n...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.06.1111
更新日期：2007-10-01 00:00:00
abstract：:Twenty-one patients with high-stage transitional cell carcinoma (TCC) of the bladder were treated with a combination of methotrexate, vinblastine, doxorubicin (Adriamycin), and cisplatin (M-VAC). There was a minimum follow-up of thirty-six months (range 36-45) in all patients. Patients were divided into three groups: ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(89)90440-8
更新日期：1989-12-01 00:00:00
abstract：:Nonoperative ablation of the testicular artery has been described in animals using the Burdizzo clamp, but not in humans. We report a case of incisionless castration performed using local anesthesia, in a transsexual who wished to avoid the pain, expense, and scar associated with the open procedure. The Burdizzo clamp...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(02)01608-4
更新日期：2002-06-01 00:00:00
abstract：OBJECTIVE:Ischemia is a potential contributor to decline of function after partial nephrectomy (PN), although loss of parenchymal mass related to excision and reconstruction appears to be a more significant factor. However, loss of parenchymal mass could also be due to global effects of ischemia leading to parenchymal ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2015.02.040
更新日期：2015-06-01 00:00:00
abstract：OBJECTIVE:To evaluate frequency distribution of adenosine deaminase 1 (ADA1) G22 A alleles and genotypes in fertile and infertile men. METHODS:In this study we evaluate frequency distribution of ADA1 G22 A alleles and genotypes in 200 fertile and 200 infertile men. The polymerase chain reaction-restriction fragment le...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2015.06.034
更新日期：2015-10-01 00:00:00
