Abstract：
OBJECTIVES:To retrospectively compare the long-term functional outcomes of ileal and sigmoid orthotopic bladder replacements after radical cystectomy. METHODS:From 1990 to 2004, 123 male patients underwent orthotopic neobladder reconstruction after cystectomy; 75 underwent ileal neobladder (IN) and 48 sigmoid neobladder (SN) procedures. The observation period was 12.3 to 151.6 months (median 61.1). The voiding function of each patient was evaluated at three different observation periods: time 1, less than 5 years; time 2, 5 to 10 years; and time 3, more than 10 years after surgery. RESULTS:Almost every SN patient could void without assistance throughout the observation period. In contrast, the rate of spontaneous voiders was significantly low for the IN patients. Daytime continence was significantly worse in the SN than in the IN patients at time 2 (P <0.01), and the difference in nighttime continence between the two groups was even larger during the first 10 years after surgery (P <0.01). The postvoid residual urinary volume at time 2 was significantly larger in the IN than in the SN patients (P <0.01). No significant change in neobladder capacity was observed for either procedure throughout the observation period. The mean serum creatinine level was stable for both groups throughout the follow-up period. CONCLUSIONS:The IN and SN procedures result in different outcomes. The rate of spontaneous voiders was better in the SN group than in the IN group. The IN tends to provide better continence than the SN. In choosing a neobladder procedure, a proper understanding of the prospects of voiding functions is required.
journal_name
Urologyjournal_title
Urologyauthors
Kato M,Takeda A,Saito S,Terai A,Taki Y,Kato S,Okada Y,Ogawa O,Arai Y,Tohoku-Kyoto Urinary Reconstruction Study Group.doi
10.1016/j.urology.2006.09.023subject
Has Abstractpub_date
2007-01-01 00:00:00pages
74-7issue
1eissn
0090-4295issn
1527-9995pii
S0090-4295(06)02147-9journal_volume
69pub_type
杂志文章相关文献
UROLOGY文献大全abstract：OBJECTIVE:To evaluate the statistical association between routine home health use after prostatectomy, short-term surgical outcomes, and payments. METHODS:We identified all men who underwent a robotic radical prostatectomy from April 1, 2014, to October 31, 2015, in the Michigan Urological Surgery Improvement Collabor...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.11.004
更新日期：2018-02-01 00:00:00
abstract：:We present a case of ecthyma gangrenosum involving the penis in an IV drug abuser probably resulting from direct arterial septic embolization from a femoral injection site. An increased awareness of this condition is essential because misdiagnosis has been reported in up to 100 percent of cases. Prompt diagnosis is es...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(89)90176-3
更新日期：1989-08-01 00:00:00
abstract：:Sacral neuromodulation (SNM) has been used off-label in the United States for over a decade in the pediatric population. Many published studies have demonstrated efficacy with SNM in this population; however, a significant number of children with refractory bowel bladder dysfunction (BBD) also have underlying comorbid...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.03.006
更新日期：2016-08-01 00:00:00
abstract：:We report a case of paraneoplastic limbic encephalitis related to a testicular neoplasm. The syndrome is characterized by progressive amnesia and psychiatric disturbances resulting from an inflammatory reaction probably related to an immune response to the neuronal proteins expressed by tumors. It is usually associate...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(01)00952-9
更新日期：2001-07-01 00:00:00
abstract：OBJECTIVES:To evaluate the efficacy of sildenafil for the treatment of erectile dysfunction after radical prostatectomy and to determine whether age, preservation of the neurovascular bundles (NVBs), or the interval between surgery and the initiation of sildenafil therapy influences the response to sildenafil. METHODS...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)00659-2
更新日期：2000-10-01 00:00:00
abstract：OBJECTIVE:Although a number of pretransplant urologic evaluations have been recommended in the literature, their efficacy has not been validated. This study was undertaken to evaluate a standardized urologic diagnostic protocol for potential adult transplant recipients. METHODS:One hundred consecutive adult transplant...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(94)90038-8
更新日期：1994-02-01 00:00:00
abstract：OBJECTIVE:To compare our initial robotic-assisted nephroureterectomy (RAN) experience with a well-established practice of performing laparoscopic nephroureterectomy (LN) to treat upper tract urothelial carcinoma (UTUC). METHODS:We reviewed our prospectively maintained minimally invasive surgery database. Patients who ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.07.079
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVES:To compare the prevalence, symptoms, and pathologic changes related to chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) with significant prostatitis-like symptoms between 2 altitude areas in northwest China. METHODS:From October 2009 to March 2010 community male residents at 3000 m (Delingha) and ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2011.04.066
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVES:To examine the relationship between body mass index and 24-hour urine constituents in a population of stone-forming patients. METHODS:A total of 880 patients who presented to a metabolic stone clinic for initial evaluation were analyzed. Patients were stratified by gender and divided into quartiles of body ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2009.09.024
更新日期：2010-06-01 00:00:00
abstract：OBJECTIVES:To examine the expressions of transient receptor potential (TRP) channel A1 and TRPM8 in the human urogenital organs (urinary bladder and prostate) and how these expressions change in association with bladder outlet obstruction (BOO) or benign prostatic hyperplasia (BPH). In addition to TRPM8, a cool recepto...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.11.127
更新日期：2008-08-01 00:00:00
abstract：OBJECTIVE:To present a novel method to increase injection force of medication into very fibrotic and sometimes calcified plaques in patients with Peyronie's disease and try to improve infiltration of the drug inside the plaque. METHODS:We adapted a simple commercial inflation device, commonly used in other surgical fi...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.07.011
更新日期：2013-11-01 00:00:00
abstract：OBJECTIVE:To evaluate a model of elective postoperative clinic appointments after a minor urological procedure and to compare it to the traditional practice of routine appointments. METHODS:A total of 104 consecutive patients undergoing adult circumcision under local anesthesia were divided into 2 groups; group A (n =...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2012.12.071
更新日期：2013-06-01 00:00:00
abstract：OBJECTIVES:To determine the effect of drainage on rabbit bladder blood flow after 4 weeks of partial outlet obstruction. Previous studies have shown that catheterization and drainage of the urinary bladder in control rabbits resulted in a significant nitric oxide-induced increase of blood flow to the bladder. It was al...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(01)01142-6
更新日期：2001-08-01 00:00:00
abstract：OBJECTIVE:To evaluate the efficacy of the Memokath stent in managing recurrent bulbar urethral strictures. MATERIALS AND METHODS:This is an investigative pilot stage 2A study in patients with a recurrent bulbar urethral stricture who underwent a Memokath stent implant from January 2014 to January 2016 in a single high...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.04.039
更新日期：2017-09-01 00:00:00
abstract：OBJECTIVES:To determine patient satisfaction with testicular prostheses (TP) for testicular cancer. Reconstruction represents an important part of surgical oncology, yet placement of TP following orchiectomy is infrequently performed. Improved data on patient satisfaction with TP would help in counseling patients with ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.12.006
更新日期：2018-04-01 00:00:00
abstract：:A 36-year-old Caucasian British woman presented with a classic case of right renal colic. Initial plain abdominal radiography and intravenous urography identified an 8 x 5 mm calculus apparently lying within a right lower pole calyx. Following failed extracorporeal lithotripsy and flexible ureterorenoscopy, cross-sect...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2009.09.044
更新日期：2010-08-01 00:00:00
abstract：OBJECTIVE:To evaluate the role of intravesical prostatic protrusion (IPP) as a predictive factor for adverse clinical outcomes in patients treated with dutasteride for lower urinary tract symptoms secondary to benign prostatic enlargement (BPE). METHODS:In total, 111 patients treated with dutasteride for symptomatic B...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.01.009
更新日期：2016-05-01 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：OBJECTIVE:To study the effect of testicular vessel division on testicular volume during laparoscopic staged Fowler Stephens orchiopexy (LSFSO). METHODS:Testicular dimensions were prospectively measured intraoperatively at both first (S1) and second stages (S2) of LSFSO, and with scrotal ultrasound 3-12 months postoper...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2019.01.030
更新日期：2019-05-01 00:00:00
abstract：OBJECTIVES:To compare the results of retroperitoneal laparoscopic versus open nephrectomy for benign renal diseases in children. METHODS:From January 1999 to February 2003, retroperitoneal nephrectomy or nephroureterectomy was performed in 23 consecutive children (7 girls and 16 boys). The median patient age was 4 yea...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2003.11.040
更新日期：2004-03-01 00:00:00
abstract：OBJECTIVE:To evaluate the California Cancer Registry in order to define nonclear cell renal cell cancer (RCC) clinical features and outcomes, identify prognostic variables, and generate hypotheses for further study. METHODS:Patients with invasive RCC tumors in the California Cancer Registry from 1998 to 2009 (n = 38,2...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.07.020
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVES:To examine the effects of vitamin C (VC) on androgen receptor (AR)-mediated functions in a human prostate cancer cell line, Los Angeles prostate cancer (LAPC-4). VC is an essential dietary substance in the maintenance and preservation of vital functions in humans. However, the role of VC in prostate cancer r...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(03)00136-5
更新日期：2003-07-01 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：OBJECTIVES:To compare the risk of bladder rupture of bladder augmentation using ileocystoplasty versus that of autoaugmentation with myomyotomy in a rat model. METHODS:Bladder rupture pressure and volume of three groups of female Sprague-Dawley rats were determined by cystometry. The first group of 11 rats had undergo...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(96)00096-9
更新日期：1996-07-01 00:00:00
abstract：OBJECTIVE:To investigate the cognitive and physical workload experienced by each operating room team member for different types of urologic procedures. METHODS:Surgeons, anesthesiologists, surgical fellows, bedside assistants, circulating nurses, and scrub nurses completed the National Aeronautics and Space Administra...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.05.012
更新日期：2017-09-01 00:00:00
abstract：:We report a case of bilateral testicular masses in a 25-year-old man with von Hippel-Lindau disease presenting with cushingoid symptoms. His medical history was significant for bilateral adrenalectomies secondary to pheochromocytomas, and he began steroid therapy at that time. After exhaustive endocrinologic, radiogra...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2004.01.023
更新日期：2004-05-01 00:00:00
abstract：:We believe this is the first reported case of symptomatic contralateral retroperitoneal hematoma secondary to percutaneous ultrasonic lithotripsy. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(87)90105-1
更新日期：1987-06-01 00:00:00
abstract：OBJECTIVES:Detrusor hyperreflexia with elevated storage pressures presents a major risk factor for renal damage in patients with neurogenic lower urinary tract dysfunction. If standard anticholinergic treatment is unsuccessful, surgical treatment must be considered. We evaluated the effects of intravesical oxybutynin t...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/s0090-4295(99)00540-3
更新日期：2000-03-01 00:00:00
abstract：:To determine which form of urinary diversion is most effective for each type of hypospadias, we polled all full-time practicing pediatric urologists in the United States and Canada. Each was asked to complete a questionnaire, specifying the method of urinary diversion used, based on the severity of the hypospadias. Ni...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(87)90041-0
更新日期：1987-05-01 00:00:00
abstract：OBJECTIVES:Robotic-assisted surgery using the da Vinci Surgical System is gaining popularity among urologists. However, training residents to use this system presents new challenges for surgical educators. We describe a method for training residents to perform robotic-assisted radical prostatectomy. METHODS:Residents ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2006.01.057
更新日期：2006-07-01 00:00:00
