Abstract：
OBJECTIVES:To perform a prospective evaluation of the long-term effects of hysterectomy on symptoms of urinary incontinence. METHODS:A prospective observational cohort study was performed. Preoperatively, 120 consecutive patients undergoing hysterectomy for benign conditions answered a questionnaire on symptoms associated with urge and stress urinary incontinence. Of the 120 patients, 44 underwent vaginal and 76 abdominal hysterectomy. Follow-up questionnaires were administered at 1 and 3 years postoperatively. RESULTS:Postoperatively, the questionnaire was answered by 115 (96%) of 120 patients after 1 year and by 107 (89%) after 3 years of follow-up. At surgery, the mean patient age was 49.5 years (range 32 to 78). In the abdominal hysterectomy cohort, a tendency was found for decreased episodes of urinary incontinence, although the difference was not significant. No significant changes were noted in micturition frequency. In the vaginal hysterectomy cohort, no significant changes were detectable in the symptoms associated with urge or stress incontinence, and no significant changes were noted in micturition frequency. For the entire hysterectomy group, a significant decrease occurred in stress urinary incontinence symptoms (P = 0.03). Subgroup analysis did not identify any particular risk factors for the development of urinary incontinence after hysterectomy. CONCLUSIONS:In contrast to the results of several studies, the results of our 3-year prospective study showed that total hysterectomy, independent of route, was not associated with an increase in urge or stress urinary incontinence symptoms.
journal_name
Urologyjournal_title
Urologyauthors
Gustafsson C,Ekström A,Brismar S,Altman Ddoi
10.1016/j.urology.2006.04.001subject
Has Abstractpub_date
2006-10-01 00:00:00pages
769-74issue
4eissn
0090-4295issn
1527-9995pii
S0090-4295(06)00507-3journal_volume
68pub_type
杂志文章相关文献
UROLOGY文献大全abstract：OBJECTIVES:To investigate the frequency and clinicopathologic correlates of ErbB1, ErbB2, and ErbB3 receptor expression in patients with upper urothelial carcinoma. METHODS:Immunohistochemical staining for ErbB1, ErbB2, and ErbB3 was done with serial sections from archival specimens of 94 patients who underwent nephro...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.06.117
更新日期：2005-12-01 00:00:00
abstract：OBJECTIVE:To present management challenges, surgical technique, and outcome associated with penoscrotal reconstruction in patients with giant scrotal lymphedema in sub-Saharan Africa. METHODS:A prospective study of all patients who had penoscrotal reconstruction for giant scrotal lymphedema at our university teaching ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.09.064
更新日期：2018-02-01 00:00:00
abstract：OBJECTIVES:A critical pathway was developed to determine whether open pyeloplasty could be performed in preadolescent and adolescent children with ureteropelvic junction (UPJ) obstruction with patients safely discharged after a 1-day hospitalization. METHODS:Twenty-six consecutive children who underwent open dismember...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.07.044
更新日期：2006-01-01 00:00:00
abstract：OBJECTIVES:To determine if there are measurable quantities of transforming growth factor-beta 1 (TGF-beta 1) in the urine of children with either normal or pathologic conditions of the urinary tract, specifically vesicoureteral reflux (VUR) and ureteropelvic junction obstruction (UPJO). We also sought to determine if t...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/S0090-4295(97)00331-2
更新日期：1997-11-01 00:00:00
abstract：:Urinary incontinence occurring during orgasm in women is an infrequently volunteered symptom. We studied 3 such patients to understand the mechanism behind such leakage. Urodynamic studies were performed prior to and during orgasm. It was found that during orgasm, there was involuntary bladder contraction with simulta...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(88)90160-4
更新日期：1988-03-01 00:00:00
abstract：:To determine whether serum beta 2 microglobulin could be useful as a tumor marker in patients with testicular cancers, sera stored in our serum bank from 23 patients were assayed by radioimmunoassay for beta 2 microglobulin levels. Sera were selected from 12 preorchiectomy patients, 8 patients who had undergone orchie...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(80)90614-7
更新日期：1980-11-01 00:00:00
abstract：OBJECTIVE:To describe the prevalence and risk factors for incomplete bladder emptying after midurethral slings (MUS) in a large multicenter trial. METHODS:Five hundred ninety-seven women were randomized to retropubic (RMUS) or transobturator midurethral slings as part of the Trial of MidUrethral Slings study. Demograp...
journal_title：Urology
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.urology.2013.05.060
更新日期：2013-11-01 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：OBJECTIVES:Numerous studies have shown bacille Calmette-Guérin (BCG) to be an effective prophylactic and therapeutic agent for superficial transitional cell carcinoma of the bladder. The high-grade T1 lesion treated by transurethral resection alone is reported to progress to muscle invasion in 30% to 50% of the patient...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/s0090-4295(99)80115-0
更新日期：1995-06-01 00:00:00
abstract：OBJECTIVE:To conduct a prospective study to examine whether there are pretreatment and post-treatment disparities in urinary, sexual, and bowel quality of life (QOL) by race or ethnicity, education, or income in men with clinically localized prostate cancer (PCa.) METHODS: Participants (N = 1508; 81% white; 12% black; ...
journal_title：Urology
pub_type： 杂志文章,多中心研究
doi：10.1016/j.urology.2017.08.014
更新日期：2018-02-01 00:00:00
abstract：OBJECTIVES:To investigate the effectiveness and durability of transurethral needle ablation (TUNA) in the treatment of symptoms of chronic pelvic pain syndrome (CPPS) in a randomized, single-blind, sham-controlled study. METHODS:Thirty-three patients with moderate-to-severe symptoms of CPPS were randomized to either T...
journal_title：Urology
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/s0090-4295(02)01704-1
更新日期：2002-08-01 00:00:00
abstract：OBJECTIVE:To provide an anatomical atlas made of serially sectioned images of a female cadaver that clearly demonstrated the pudendal nerve. MATERIALS AND METHODS:The courses of the pudendal nerve, internal pudendal artery, and internal pudendal vein were observed on the sectioned images of a female cadaver. The spati...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.05.007
更新日期：2020-08-01 00:00:00
abstract：OBJECTIVES:To evaluate and study the factors for progression after radical prostatectomy with seminal vesicle invasion in a cohort of European and American patients. METHODS:The data of 137 patients with isolated seminal vesicle invasion who underwent radical retropubic prostatectomy between 1988 and 2001 were analyze...
journal_title：Urology
pub_type： 杂志文章,多中心研究
doi：10.1016/s0090-4295(03)00373-x
更新日期：2003-08-01 00:00:00
abstract：OBJECTIVE:To evaluate kidney function preservation or regeneration and pathological changes post-irreversible electroporation (IRE) in comparison with partial nephrectomy and radiofrequency ablation (RFA) in a solitary kidney porcine model. Tissue ablation using IRE has been reported to spare critical anatomic structur...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.04.035
更新日期：2016-08-01 00:00:00
abstract：:Four patients with protracted benign hematuria underwent silver nitrate instillation of the upper collecting system. The doses varied from 10 ml. of 0.25 per cent silver nitrate to 14 ml. of 1 per cent silver nitrate. In all 4 cases the hematuria resolved within four days without significant complications. At follow-u...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(81)90384-8
更新日期：1981-10-01 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 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：:We examined the records of 82 patients with clinical Stage I nonseminomatous germ cell tumors of the testis who, after radical orchiectomy, were treated by surveillance at M.D. Anderson Cancer Center between October, 1981, and March, 1987. Our purpose was to determine whether or not patients with a low risk of relapse...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(89)90436-6
更新日期：1989-12-01 00:00:00
abstract：OBJECTIVES:To assess the capacity of several clinical and needle biopsy pathologic parameters to predict insignificant and advanced prostate carcinoma (CaP) in radical prostatectomy tissue from men enrolled in a prostate-specific antigen screening program. METHODS:We captured multiple clinical variables and measures o...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2004.04.008
更新日期：2004-09-01 00:00:00
abstract：:The charts of all patients receiving radical surgery and radiation therapy for cancer localized to the prostate in the years 1950 to 1977 in the State of Connecticut were reviewed. Long-term survival rates at ten and fifteen years were considerably better in those patients treated with radical surgery. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(85)90483-2
更新日期：1985-04-01 00:00:00
abstract：OBJECTIVES:Epididymovasostomy is commonly performed at the most distal site of the epididymis where whole sperm are present within the lumen, regardless of their motility status. Although more fresh and motile sperm can be found more proximally within the epididymis, it is believed that the outcome of epididymovasostom...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/s0090-4295(97)80001-5
更新日期：1997-04-01 00:00:00
abstract：OBJECTIVES:To examine the safety, efficacy, and tolerability of tolterodine in four randomized, double-blind, parallel, multicenter, 12-week studies of patients with overactive bladder. METHODS:Two of the four studies compared tolterodine (2 mg twice daily) to oxybutynin (5 mg three times daily) and placebo, one study...
journal_title：Urology
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
doi：10.1016/s0090-4295(97)00599-2
更新日期：1997-12-01 00:00:00
abstract：OBJECTIVES:To evaluate, in a screening population, the impact of tumor volume and prostate volume on prostate-specific antigen (PSA) velocity (PSAV) and to find predictors of biochemical failure after radical prostatectomy. Longitudinal PSA changes in men with prostate cancer have been reported to be significantly diff...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2006.06.020
更新日期：2006-11-01 00:00:00
abstract：:During a ten-year period, 35 children presenting with vesicoureteral reflux, ureteropelvic junction obstruction, or a "small kidney" were found to be hypertensive. Of these, 15 subsequently underwent surgical procedures for relief of hypertension. Seven were "cured," six were "improved," and two were "unchanged." The ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(88)90390-1
更新日期：1988-09-01 00:00:00
abstract：:Nocturnal polyuria (NP), characterized by overproduction of urine at night (greater than 20%-33% of total 24-hour urine volume depending on age), is a major contributing factor in most nocturia cases. Nocturia can be caused by intake, urological, nephrological, hormonal, sleep, and cardiovascular factors. It is theref...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/j.urology.2019.09.022
更新日期：2019-11-01 00:00:00
abstract：OBJECTIVE:To investigate the effect of extracorporeal magnetic stimulation (EMS) on symptoms of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) in men who did not respond to pharmacotherapy. METHODS:Patients with chronic pelvic pain and/or voiding symptoms in the absence of urinary tract infection for at le...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/j.urology.2013.06.032
更新日期：2013-10-01 00:00:00
abstract：OBJECTIVE:To evaluate the safety and short-term efficacy of complete sacrocolpopexy mesh excision with concomitant autologous fascia sacrocolpopexy. METHODS:A retrospective cohort study of patients undergoing complete sacrocolpopexy mesh excision and concomitant autologous fascia sacrocolpopexy from March 2013 to Sept...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.04.040
更新日期：2017-08-01 00:00:00
abstract：:The excretory urograms of 184 consecutive patients admitted to hospital with a diagnosis of benign prostatic hyperplasia who subsequently underwent prostatectomy were reviewed to determine the usefulness of preoperative urography. Of 184 urograms reviewed, 10 were normal, 136 showed changes consistent with benign pros...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(79)90507-7
更新日期：1979-09-01 00:00:00
abstract：OBJECTIVE:To determine whether measurement of telomere DNA content (TC) in prostate biopsy tissue predicts prostate-specific antigen (PSA) recurrence in men after undergoing radical prostatectomy for prostate cancer. METHODS:Slot blot titration assay was used to quantitate TC in archived diagnostic prostate needle bio...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2009.04.032
更新日期：2010-03-01 00:00:00
abstract：OBJECTIVE:To summarize the discussion that took place at a public workshop, co-sponsored by the U.S. Food and Drug Administration, the American Urological Association, and Society of Urologic Oncology reviewing the current state of the art for partial gland ablation (PGA) for the management of patients with prostate ca...
journal_title：Urology
pub_type：
doi：10.1016/j.urology.2015.11.018
更新日期：2016-02-01 00:00:00
