Abstract：
OBJECTIVES:To assess the safety and efficacy of holmium laser resection for primary, clinically nonmuscle-invasive, bladder cancer (HoLRBT) compared with standard transurethral resection of bladder tumor (TURBT). METHODS:The data from a total of 212 consecutive patients with primary nonmuscle-invasive bladder cancer were collected in this study. These patients were treated by holmium laser resection (HoLRBT group) or transurethral electroresection (TURBT group) and were divided into 2 groups. The patients in each group were stratified into 3 risk subgroups (low, intermediate, and high risk) according to the prognostic factors for recurrence using the European Association of Urology guidelines. The intraoperative complications and postoperative characteristics of the HoLRBT and TURBT groups were compared. Efficacy, indicated by the recurrence-free survival in the overall group and stratified subgroups, was analyzed and compared using the Kaplan-Meier technique and the log-rank test. RESULTS:The patient demographics and tumor characteristics in the 2 groups were comparable. HoLRBT was superior to TURBT in terms of intraoperative complications and postoperative catheterization time (P < .001). Recurrence-free survival after HoLRBT was similar to that after TURBT (P = .283). CONCLUSIONS:Our results have indicated that HoLRBT is a feasible, safe, and effective alternative for the management of primary, clinically nonmuscle-invasive, bladder cancer compared with TURBT, with similar recurrence-free survival and fewer perioperative complications. It also can provide sufficient material for the pathologic evaluation.
journal_name
Urologyjournal_title
Urologyauthors
Zhu Y,Jiang X,Zhang J,Chen W,Shi B,Xu Zdoi
10.1016/j.urology.2008.05.028subject
Has Abstractpub_date
2008-09-01 00:00:00pages
608-12issue
3eissn
0090-4295issn
1527-9995pii
S0090-4295(08)00706-1journal_volume
72pub_type
杂志文章相关文献
UROLOGY文献大全abstract：OBJECTIVES:To determine whether an association exists between C-reactive protein (CRP) levels and lower urinary tract symptoms (LUTS) as assessed by the American Urological Association Symptom Index (AUA-SI) among both men and women, and to determine the association of CRP levels with the individual urologic symptoms c...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.12.012
更新日期：2009-05-01 00:00:00
abstract：OBJECTIVES:To identify the rates of decline in health-related quality of life during the year before death in men with prostate cancer. METHODS:We studied men in a subset analysis within a longitudinal, observational cohort of patients with metastatic prostate cancer at the University of California, Los Angeles, Cente...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(01)01457-1
更新日期：2002-01-01 00:00:00
abstract：:Our entire clinical experience with the use of carbon dioxide (CO2) laser in the treatment of 67 patients with diverse external genital lesions is presented. Successful eradication was accomplished in 61 patients with wide distribution of condylomatous lesions, with 88 per cent responding to a single laser treatment. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(85)90278-x
更新日期：1985-06-01 00:00:00
abstract：OBJECTIVES:To compare surgical and functional results of both surgical approaches to endoscopic partial nephrectomy. It is currently performed either by the transperitoneal (t) or the retroperitoneal (r) approach. METHODS:This was a retrospective, matched-pair comparison of 105 patients who underwent either transperit...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2010.02.057
更新日期：2011-01-01 00:00:00
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
更新日期：2020-04-01 00:00:00
abstract：OBJECTIVES:To describe a retrospective review of a single-institution, single-surgeon (M.G.) experience with 44 simplified Indiana pouch with multiple teniamyotomies without detubularization and reconfiguration. METHODS:From April 1999 to May 2003, 44 patients underwent radical cystectomy and continent urinary diversi...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.07.054
更新日期：2006-01-01 00:00:00
abstract：OBJECTIVE:To determine if intradetrusor injection of onabotulinumtoxin-A (BTX-A) would reduce postoperative narcotic and anticholinergic requirements in children undergoing open continent bladder reconstruction. MATERIALS AND METHODS:After institutional review board approval, we retrospectively reviewed all bladder re...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2018.04.006
更新日期：2018-08-01 00:00:00
abstract：OBJECTIVES:To evaluate an alternative to clean intermittent catheterization (CIC) for individuals with neurogenic bladder for its effects on independence, privacy, and convenience. This prospective cohort study provides an initial assessment of quality of life, safety, and efficacy of closed diurnal indwelling catheter...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.04.033
更新日期：2020-08-01 00:00:00
abstract：OBJECTIVES:To evaluate the clinical parameters associated with the recovery of ejaculation after nerve-sparing postchemotherapy retroperitoneal lymph node dissection (PC-RPLND) for nonseminomatous germ cell tumor. METHODS:We queried our institutional database for all patients who had undergone nerve-sparing PC-RPLND f...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.08.501
更新日期：2009-02-01 00:00:00
abstract：OBJECTIVES:The increasing interest in exploring the use of intermittent androgen deprivation in prostate cancer has prompted a retrospective review of patients who elected to stop treatment. METHODS:Case records were reviewed. RESULTS:Twenty patients after 3 to 48 months (median 12) of endocrine therapy elected to st...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/S0090-4295(96)00373-1
更新日期：1997-01-01 00:00:00
abstract：OBJECTIVE:To validate the Advanced Scope Trainer (AST; Mediskills, Northampton, UK). The AST is a currently unvalidated simulator, developed for flexible ureterorenoscopy (fURS) training. This study aims to assess the face, content, construct, and concurrent validity to assess the level of transferability of skills to ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.07.047
更新日期：2017-12-01 00:00:00
abstract：OBJECTIVES:To report the initial experience with incorporation of needlescopic (2 mm) instruments and optics in various therapeutic minimally invasive urologic procedures. METHODS:Needlescopic techniques were used to successfully perform a variety of urologic surgeries including adrenalectomy, nephrectomy, renal cyst ...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/s0090-4295(98)00234-9
更新日期：1998-08-01 00:00:00
abstract：:Intracavernosal injection therapy with vasoactive agents for treatment of erectile dysfunction has been around for more than 3 decades since its advent in the early 1980s. Common complications include ecchymosis and hematoma at the site of injection, priapism, and fibrosis. We describe a rare but potentially dangerous...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.06.040
更新日期：2016-11-01 00:00:00
abstract：INTRODUCTION:We present our technique for clipless antegrade neurovascular bundle preservation during robotic laparoscopic radical prostatectomy, along with short-term follow-up of our patients' sexual function. TECHNICAL CONSIDERATIONS:Using the da Vinci three-arm robotic system, we performed robotic laparoscopic rad...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.03.015
更新日期：2005-08-01 00:00:00
abstract：:In Wegener's granulomatosis, necrotizing lesions are typically located in the upper and lower respiratory tract and kidneys, and ureteral involvement is uncommon. We report 2 cases in which intrinsic ureteral stenosis was the sole manifestation of this small-vessel vasculitis. Excisional surgery evidenced characterist...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(03)00368-6
更新日期：2003-08-01 00:00:00
abstract：:This report presents the results of 40 salvage cystectomies performed after failure of radiation therapy to control the disease in patients with bladder cancer. All patients had failure or recurrence after 7,000 rad. The time between end of radiation therapy and cystectomy was three to six months in 11 patients, seven...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(83)90227-3
更新日期：1983-11-01 00:00:00
abstract：OBJECTIVE:To demonstrate our technique for glans sparing transurethral excision and circumferential buccal graft for severe strictures of the meatus and fossa navicularis. MATERIALS AND METHODS:Key steps of the procedure are use of a fixed retractor and stay sutures to retract the glans skin laterally, preplacing uret...
journal_title：Urology
pub_type：
doi：10.1016/j.urology.2020.09.008
更新日期：2020-12-01 00:00:00
abstract：:As with other drugs, new drug applications for marketing approval of chemopreventive drugs must include data from adequate and well-controlled clinical trials that demonstrate effectiveness and safety for the intended use. This article summarizes the regulatory requirements for traditional marketing approval, as well ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)00977-8
更新日期：2001-04-01 00:00:00
abstract：OBJECTIVES:In this pilot study, the effect of dosing schedule on the efficacy and safety of the long-acting alpha 1-adrenergic blocker doxazosin (DOX) was evaluated in 48 consecutive, normotensive men (mean age, 61.2 years) with symptoms of prostatism. METHODS:In this titration to fixed dose study, patients were rando...
journal_title：Urology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0090-4295(94)80092-8
更新日期：1994-09-01 00:00:00
abstract：OBJECTIVES:Dual kidney transplantation (DKT) of marginal kidneys could offer transplant candidates a very satisfactory kidney transplantation in terms of renal function. However, DKT might be considered a major surgical procedure and, in older recipients, has a potentially greater risk of surgical complications compare...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2010.02.024
更新日期：2011-01-01 00:00:00
abstract：:Eosinophilic cystitis is a rare and poorly understood disorder. We report the first case of an acute flare of eosinophilic cystitis in a 51-year-old woman after bladder instillation with dimethyl sulfoxide (DMSO) for presumed interstitial cystitis. The patient presented with severe bladder pain, fever, and eosinophili...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2004.01.020
更新日期：2004-06-01 00:00:00
abstract：OBJECTIVES:The presence of metastatic lesions is the only acceptable fact to confirm malignant pheochromocytoma. Patients with malignant pheochromocytomas, however, have a very poor survival rate. The aim of our study was to postulate predictive values for malignant pheochromocytomas. METHODS:We evaluated symptoms, di...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(98)00612-8
更新日期：1999-04-01 00:00:00
abstract：OBJECTIVES:To review our initial experience with transvesicoscopic ureteral reimplantation (TVUR) in children with vesicoureteral reflux and to evaluate the learning curve for the feasibility and reproducibility of TVUR. METHODS:TVUR was performed in 28 consecutive patients with a mean age of 6.0 years. Cohen's classi...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2010.11.023
更新日期：2011-06-01 00:00:00
abstract：:Nifedipine, a calcium channel blocker, was tested for its in vivo effect on the ureter and kidney during acute obstruction. There was no discernible effect on peristalsis but glomerular filtration rate was improved. Thus, nifedipine would not be expected to decrease renal colic from obstruction. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(93)90516-d
更新日期：1993-05-01 00:00:00
abstract：OBJECTIVE:To compare follow-up outcomes of ureteroscopy (URS) and shockwave lithotripsy (SWL) for ureter calculi in the setting of asymptomatic renal calculi <15 mm. METHODS:This study included 789 patients who underwent URS (n = 301) or SWL (n = 488) as primary treatment for ureter calculi and who had ipsilateral ren...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.10.041
更新日期：2021-01-01 00:00:00
abstract：OBJECTIVE:To assess the feasibility of a prehabilitation program for cystectomy patients and to determine the effectiveness of the program in improving strength and functional capacity in the peri-operative period. MATERIALS AND METHODS:This phase I/II study accrued patients ≥60 years old from January 2013 to October ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.05.104
更新日期：2020-11-01 00:00:00
abstract：OBJECTIVES:To validate the use in Spain of a linguistically harmonized Spanish version of the International Prostate Symptom Score (IPSS Sp), and to compare it with the original American scale (IPSS Am). METHODS:Validity and reliability were studied in 59 patients with benign prostatic hyperplasia (BPH) (age >50 years...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(98)00204-0
更新日期：1998-10-01 00:00:00
abstract：OBJECTIVES:To evaluate the effect of the fibrin sealant, Evicel, on the neuroregulatory control of penile erections in an experimental rat model. METHODS:Two groups of rats were used: sham-operated rats with exposure of the bilateral cavernous nerves (CNs) and application of saline vehicle (500 microL), and rats treat...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.03.046
更新日期：2008-11-01 00:00:00
abstract：OBJECTIVES:To evaluate the association of serum micronutrients with lower urinary tract symptoms (LUTS). METHODS:We included 2497 men, 60 years old and older, who participated in the Third National Health and Nutrition Examination Survey from 1988 to 1994 and for whom serum concentrations of vitamins A, C, and E, caro...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2004.04.012
更新日期：2004-09-01 00:00:00
abstract：OBJECTIVES:To analyze the relationships among socioeconomic status (SES), race, and the clinical parameters of patients undergoing radical prostatectomy (RP) in an equal access health care system. METHODS:The Department of Defense Center for Prostate Disease Research longitudinal prostate cancer database from multiple...
journal_title：Urology
pub_type： 杂志文章,多中心研究
doi：10.1016/s0090-4295(00)00808-6
更新日期：2000-12-20 00:00:00
