Abstract:
OBJECTIVES:To examine whether radical prostatectomy (RP) conducted before 4 or 6 weeks after prostate biopsy is associated with surgical difficulty or efficacy. Many urologists recommend an interval of at least 4 to 6 weeks between prostate biopsy and RP. METHODS:Using our surgical database, we identified 2996 men undergoing open RP and compared the outcomes after surgery stratified by the interval from biopsy, analyzed as a dichotomous variable with cutpoints of either 4 or 6 weeks. The estimated blood loss and operating room time were considered surrogates for surgical difficulty, and surgical margin status and postoperative urinary and erectile function surrogates for surgical efficacy. We used regression models to assess whether the time to RP affected these surgical outcomes after controlling for the surgeon, surgeon experience, and various clinical and pathologic disease features. RESULTS:The interval between biopsy and RP was 4 weeks or less for 168 men (6%) and 6 weeks or less for 416 men (14%). Using an interval of 4 weeks or less or 6 weeks or less, multivariate mixed effects regression analyses did not show a significant association between early surgery and operating room time, estimated blood loss, surgical margin status, urinary continence, or erectile function (all P > or = 0.18). Our results were sufficiently precise to exclude an important effect of early surgery. CONCLUSIONS:The results of our study have shown that performing radical prostatectomy shortly after prostate biopsy, within 4 to 6 weeks, does not adversely influence surgical difficulty or efficacy.
journal_name
Urologyjournal_title
Urologyauthors
Eggener SE,Yossepowitch O,Serio AM,Vickers AJ,Scardino PT,Eastham JAdoi
10.1016/j.urology.2007.01.089subject
Has Abstractpub_date
2007-06-01 00:00:00pages
1128-33issue
6eissn
0090-4295issn
1527-9995pii
S0090-4295(07)00163-Xjournal_volume
69pub_type
杂志文章相关文献
UROLOGY文献大全abstract:OBJECTIVES:To investigate the protective effect of epigallocatechin gallate (EGCG), a green tea extract, on partial bladder outlet obstruction (pBOO)-induced bladder injury in a rat model. METHODS:The female Sprague-Dawley rats underwent sham or BOO procedures, and were divided into several groups (sham with saline in...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.12.020
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:To evaluate efficacy and safety of superior hypogastric plexus neurolysis (SHN) for treatment of interstitial cystitis (IC)-bladder pain syndrome (BPS) in comparison with bladder hydrodistention (HD). MATERIALS AND METHODS:In a prospective study, 24 female patients were randomly allocated to receive either S...
journal_title:Urology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.urology.2015.01.018
更新日期:2015-05-01 00:00:00
abstract::Using an occlusion balloon catheter during percutaneous removal of renal calculi can increase the success of obtaining a nephrostomy as well as enhance the removal of stone fragments. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(86)90333-x
更新日期:1986-06-01 00:00:00
abstract::Pseudoaneurysms are rare in urology and typically have a delayed presention with intermittent episodes of bleeding. We report a patient who presented with delayed and recurent hemoperitoneum following robotic assisted laparoscopic salvage radical prostatectomy and was found to have a pseudoaneurysm in the corona morti...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.04.017
更新日期:2020-07-01 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: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
更新日期:2013-02-01 00:00:00
abstract:OBJECTIVES:To determine the factors contributing to unsuccessful results after posterior urethroplasty and to establish some guidelines for its prevention. METHODS:From 1977 through 2000, 130 patients (3 to 58 years old) underwent 145 anastomotic urethroplasty procedures for post-traumatic posterior urethral distracti...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/s0090-4295(03)00573-9
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:To assess the benefits and safety of noncatheterization during robot-assisted partial nephrectomy within an enhanced recovery protocol. MATERIALS AND METHODS:A single-center retrospective comparative study was carried out of consecutive patients who underwent a robot-assisted partial nephrectomy between Febr...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2018.09.028
更新日期:2019-02-01 00:00:00
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 w...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2008.05.028
更新日期:2008-09-01 00:00:00
abstract::We report the case of Kock pouch incontinence resulting from perforation of the efferent nipple valve by an unsuccessful catheterization attempt in a patient with a spinal cord injury. Continence was reestablished by surgical revision. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.03.066
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:To compare the efficacy and safety of mirabegron and onabotulinumtoxinA in the management of treatment-experienced patients with overactive bladder. METHODS:The network meta-analysis was based on evidence from a systematic literature review of randomized controlled trials and a post-hoc analysis of treatment...
journal_title:Urology
pub_type: 杂志文章,meta分析
doi:10.1016/j.urology.2019.02.005
更新日期:2019-05-01 00:00:00
abstract::Iatrogenic diaphragmatic injury during laparoscopy has necessitated intracorporeal suturing and occasionally thoracostomy tube placement. We describe a technique to repair the diaphragm quickly using a novel gelatin thrombin matrix. The matrix can be administered through a trocar or hand-assist device and can rapidly ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(02)01771-5
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVES:Transformation of normal epithelium into cancer cells involves epigenetic and genetic changes and modifications in nuclear structure and tissue architecture. To evaluate nuclear morphometric alterations and clinicopathologic features for organ- vs nonorgan-confined prostate carcinoma (PCa) prediction. METHO...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2008.09.060
更新日期:2009-05-01 00:00:00
abstract::Cutaneous horns of the penis are hyperkeratotic lesions of the skin which arise secondary to chronic irritation. Treatment is local excision with removal of a broad base. Examination of the base is important to rule out carcinoma as the underlying cause of the lesion. A case report is presented and the literature revi...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(87)90184-1
更新日期:1987-08-01 00:00:00
abstract::Controlled continuous flow is a new method for performing transurethral resection. Pumps are guided by an intravesical solid state transducer designed into the instrument. There is computer control of pump balance with electronic shut-off at maximum pressure limits which are determined by the surgeon. This method was ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(83)90006-7
更新日期:1983-02-01 00:00:00
abstract:OBJECTIVE:To systematically review prospective trials aimed at the role of restaging transurethral resection (reTUR) to define the group of patients with bladder cancer who would benefit. MATERIALS AND METHODS:A systematic review of the literature in accordance with the Preferred Reporting Items for Systematic Reviews...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2014.06.005
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVES:The metallothioneins (MTs) are a family of small molecular weight trace metal and free radical scavenging proteins well established to play a role in the resistance to chemotherapy and radiotherapy in human cancers. MT gene expression is upregulated in response to the presence of metal ions such as zinc. Bec...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.12.032
更新日期:2006-06-01 00:00:00
abstract::Bleeding disorders are generally considered absolute contraindications to laparoscopic surgery. We believe laparoscopic/retroperitoneoscopic renal surgery is an optimal choice in patients with hemophilia, because it minimizes tissue trauma. We present a case of successful retroperitoneoscopic renal surgery in a patien...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2003.08.032
更新日期:2004-01-01 00:00:00
abstract:OBJECTIVE:To report the long-term follow-up results of patients with Hinman-Allen syndrome (HAS) at our institution. METHODS:The data from 22 children with HAS were retrospectively analyzed. The patients were followed up every 3-6 months with serial physical examinations, voiding charts, urine culture, postvoid residu...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.08.018
更新日期:2011-12-01 00:00:00
abstract::A variety of suture materials are available for use in urologic surgery. Urologists have relied on absorbable suture materials which provide transient strength in anticipation that healing will occur before the suture is absorbed. Absorbable sutures thus decrease the chance of stone formation, known to occur on suture...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(87)90303-7
更新日期:1987-10-01 00:00:00
abstract:OBJECTIVES:Cancer control outcomes after partial cystectomy (PC) are not well studied. We compared the population-based rates of overall (OS) and cause-specific survival (CSS) in patients with urothelial carcinoma of the urinary bladder (UCB) treated with PC or radical cystectomy (RC). METHODS:Within the Surveillance ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.03.052
更新日期:2009-10-01 00:00:00
abstract:OBJECTIVE:To assess the efficacy of dietary management for the treatment of idiopathic hyperoxaluria in a large tertiary care center and examine the influence of patient factors, compliance, and follow-up on oxalate reduction, which has not been previously investigated. METHODS:Retrospectively, 149 patients with kidne...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2013.08.002
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVES:To analyze the self-learning curve of a single surgeon with holmium laser enucleation of the prostate and to evaluate the safety, effectiveness, and outcome of the procedure after 2 years of experience. METHODS:The data from the first 125 patients who underwent holmium laser enucleation of the prostate were...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2008.12.052
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:To evaluate the relationship of the glomerular filtration rate (GFR) and lower urinary tract symptoms (LUTS)/benign prostatic hyperplasia measures in middle-aged men. METHODS:A total of 1400 male police officers with moderate and severe LUTS (international prostate symptoms score [IPSS] >7) and aged 40-59 ye...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2013.07.049
更新日期:2013-12-01 00:00:00
abstract::Thirty-two patients with primary carcinoma of the ureter were treated at our institution from 1961 to 1968 using various modes of therapy. Sixteen of these patients underwent segmental resections, with a five-year survival of 71.4 per cent and a ureteral recurrence rate of 6 per cent. Twelve other patients received a ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(83)90150-4
更新日期:1983-04-01 00:00:00
abstract:OBJECTIVE:To test the effect of obesity (body mass index ≥30 kg/m2) on perioperative outcomes and total hospital charges at robot-assisted vs open radical prostatectomy (RARP vs ORP). METHODS:Within the National Inpatient Sample database (2008-2015), we identified obese vs nonobese RARP and ORP patients. Estimated ann...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2019.05.053
更新日期:2019-11-01 00:00:00
abstract::Thirty-one men participated in a clinical trial of a simplified vacuum erection device (Catalyst) in which the pump and penile cylinder have been combined to facilitate the pumping required to induce a vacuum. Of the 28 men who completed the three-month trial, 26 (93%) reported overall satisfaction with the device and...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/0090-4295(92)90008-k
更新日期:1992-06-01 00:00:00
abstract::Described herein are renal transplant techniques which have been successfully applied to general urology patients. These include surface and core cooling of the kidney, autotransplantation, renal vein translocation, the use of a transcutaneous stent for upper urinary tract repairs, and an unstented, parallel incision,...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(89)90006-x
更新日期:1989-02-01 00:00:00
abstract::Laparoscopic retroperitoneal lymph node dissection has been used to stage germ cell testicular cancer. Since its initial description, this minimally invasive procedure has evolved into a therapeutic operation that adheres to established strict oncologic principles. A modified template dissection that fully duplicates ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.12.004
更新日期:2005-03-01 00:00:00
abstract::Secondary pyelo-pyelic anastomosis has been a successful method of management of the renal transplant patient in whom a ureteral slough or stenosis developed. We herin report our experience with 3 cases. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(90)80224-b
更新日期:1990-08-01 00:00:00