Abstract:
OBJECTIVES:To evaluate the long-term outcomes of endoscopic bladder neck incision (BNI) for functional bladder neck obstruction. Functional and/or mechanical obstruction of the bladder neck in men causes lower urinary tract symptoms. Although alpha-blockers are the initial treatment, they often fail to alleviate the symptoms. METHODS:The records of 45 men with obstructive voiding symptoms treated between 1988 and 1996 were reviewed. The symptom score, renal parameters, urine routine microscopy, urine culture and sensitivity, uroflowmetry, voiding cystourethrography, and videourodynamic results were reviewed. Patients with a peak flow rate of less than 10 mL/s, inadequate funneling of the bladder neck, more than 40 cm H2O opening pressure with a relaxed external sphincter, a postvoid residual urine volume greater than 100 mL, no neurologic defect, and a normal urethral caliber were included. They were treated with clean intermittent catheterization and alpha-blockers. Clean intermittent catheterization was stopped when the postvoid residual urine volume was less than 50 mL. BNI was performed in patients with a poor response, noncompliance, or side effects from the alpha-blockers. Postoperatively, patients were assessed by symptom score, uroflowmetry, and postvoid residual urine volume. RESULTS:Of the 45 men, 22 responded to alpha-blockers, 5 chose clean intermittent catheterization, and 18 underwent BNI. The mean patient age was 33.42 +/- 6.56 years. The mean follow-up was 96 months (range 46 to 140). After BNI, all patients showed improvement, with the symptom score improving from 26.9 to 3.6 (P < 0.001). The peak flow rate improved from 8.5 to 19.6 mL/s (P < 0.001). This improvement persisted in more than 80% of the 18 patients. Two required a second BNI and were also doing well at the last follow-up visit. CONCLUSIONS:BNI is an effective treatment for functional bladder neck obstruction refractory to alpha-blockers and provides durable results.
journal_name
Urologyjournal_title
Urologyauthors
Suri A,Srivastava A,Singh KJ,Dubey D,Mandhani A,Kapoor R,Kumar Adoi
10.1016/j.urology.2005.03.041subject
Has Abstractpub_date
2005-08-01 00:00:00pages
323-6issue
2eissn
0090-4295issn
1527-9995pii
S0090-4295(05)00352-3journal_volume
66pub_type
杂志文章,评审相关文献
UROLOGY文献大全abstract::Urinary stones are a well-established complication of lower urinary tract reconstruction in children and can be managed through an open, percutaneous, or transurethral endoscopic approach for their surgical removal. For children with no urethral access, it is not generally advised to pursue an endoscopic approach thro...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2014.02.012
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVE:To investigate the feasibility of radical retropubic prostatectomy (RRP) in renal transplant recipients with clinically localized prostate cancer. METHODS:A prospective protocol was established between August 2004 and November 2007. In that period, 8 patients diagnosed with localized prostate cancer were sub...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2008.03.041
更新日期:2008-12-01 00:00:00
abstract::In patients who have undergone complex genitourinary reconstruction, additional abdominal surgery is often required. We report 2 cases in which the blood supply to an existing Mitrofanoff channel was divided. In both cases, the conduits appeared to remain well perfused, presumably based on collateral blood supply. Bot...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.03.013
更新日期:2005-09-01 00:00:00
abstract::Wilms tumor is the most common malignant renal tumor in childhood, but it is rarely associated with a vascular tumor thrombus. We present a case of Wilms tumor with renal vein tumor thrombus treated with only a 3-port retroperitoneal laparoscopic technique in a 10-year-old girl. The patient was alive at the 12-month f...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2013.01.023
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVES:To determine the factors that may influence the risk of injury to the bladder neck in patients sustaining a pelvic fracture urethral injury and report our experience in the management of an open bladder neck at the time of delayed repair. METHODS:We identified 21 patients with an open bladder neck on cystog...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.11.043
更新日期:2010-08-01 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:OBJECTIVES:Recent evidence indicates that ischemia and reperfusion (free radical generation) are major etiologic factors in the rabbit bladder subjected to partial outlet obstruction. The current investigation was designed to determine the time course of damage caused by reactive oxygen species (ROS) and reactive nitro...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.09.047
更新日期:2007-12-01 00:00:00
abstract:OBJECTIVES:To present data from all patients with adrenal involvement after prolonged follow-up and to revise our advice given in 1999. In 1999, we published our results for a large series of patients with adrenal metastasis from renal cell carcinoma. METHODS:The charts of 617 patients who had undergone radical nephre...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2008.09.037
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the association of preoperative noncontrast computed tomography stone characteristics, laser settings, and stone composition with cumulative holmium:yttrium-aluminum-garnet (Ho:YAG) laser time/energy. MATERIALS AND METHODS:We retrospectively reviewed patients who underwent semirigid/flexible uret...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2013.11.017
更新日期:2014-04-01 00:00:00
abstract::West Nile Virus (WNV) has received much recent attention due to multiple outbreaks in North America, its insidious onset in many patients, and a wide variety of neurologic manifestations. A 45-year-old man who exhibited urinary retention as a presenting symptom of WNV infection is presented herein. We believe this to ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(03)00119-5
更新日期:2003-06-01 00:00:00
abstract:OBJECTIVE:To report our experience in applying the Lich-Gregoir extravesical ureteral reimplantation (EVR) approach to complex cases (megaureter, duplex systems) through a small inguinal incision, with the goal of minimizing invasiveness. MATERIALS AND METHODS:We reviewed the records of all patients who underwent comm...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.04.034
更新日期:2017-08-01 00:00:00
abstract::Retrograde pyelography to demonstrate the renal pelvis and ureters is a common urologic procedure. Newer contrast materials and better radiographic techniques have obviated many of the previous indications for retrograde studies were independently reviewed by two urologists and a radiologist to determine if the studie...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(79)90196-1
更新日期:1979-11-01 00:00:00
abstract:OBJECTIVES:To determine the incidence of contralateral patent processus vaginalis discovered at laparoscopy in patients presenting with a unilateral nonpalpable testis. METHODS:From August 1997 through February 2006, 159 boys underwent laparoscopic exploration for a unilateral nonpalpable testis. The data were retrosp...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.11.157
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVES:To prospectively evaluate the efficacy of endoscopic injection in the adult population with vesicoureteral reflux (VUR). The search for VUR is a part of the standard workup of children with febrile urinary tract infections. However, VUR can present later in life and should be investigated in the case of recu...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.12.080
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVES:Prior investigations evaluating the presence of human papillomavirus (HPV) in prostatic tissue by polymerase chain reaction (PCR) technology have yielded detection rates of 0% to 100%. Contamination by viral DNA from prostatic urethral colonization or less than optimal laboratory conditions have been suggest...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(97)00126-X
更新日期:1997-07-01 00:00:00
abstract::A ureteroscopy for stone removal resulted in a tear of the ureter and extensive necrosis requiring ureteroneocystostomy. Urologists are urged to report complications of upper tract endoscopy and to apprise patients of the inherent dangers. ...
journal_title:Urology
pub_type: 杂志文章
doi:
更新日期:1984-03-01 00:00:00
abstract::Very rarely, dissemination of intravesical bacille Calmette-Guérin for superficial bladder cancer treatment can lead to a complication in the upper urinary tract. Two mechanisms for dissemination have been proposed: vesicoureteral reflux and hematogenous spread. We report a case of "BCGosis" with the clinical appearan...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2008.02.037
更新日期:2009-02-01 00:00:00
abstract:OBJECTIVES:To determine how the implementation of prostate-specific antigen (PSA) testing has affected disease-specific survival and other characteristics of prostate cancer. METHODS:Data were collected on all patients with prostate cancer diagnosed between 1988 and 1998 and registered in the Center for Prostate Disea...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(02)01960-x
更新日期:2002-11-01 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:OBJECTIVES:To identify differentially expressed genes in tumor cells of patients with prostate cancer by means of tissue microdissection and targeted differential display. METHODS:RNA was recovered from pure populations of microdissected normal epithelium and invasive tumor from frozen tissue sections of a radical pro...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(97)00194-5
更新日期:1997-08-01 00:00:00
abstract:OBJECTIVES:To examine the effect of 5-aza-2'-deoxycytidine (DAC), a DNA methyltransferase inhibitor, on the growth of renal cell carcinoma (RCC) and examine the synergistic growth suppression by DAC and chemotherapeutic agents. METHODS:The synergy of DAC and chemotherapeutic agents against RCC cell lines was analyzed ...
journal_title:Urology
pub_type: 历史文章,杂志文章
doi:10.1016/j.urology.2007.02.026
更新日期:2007-05-01 00:00:00
abstract::Immunoglobulin A (IgA) levels in semen and in prostatic fluid of 48 patients with benign and malignant diseases of the prostate were estimated. It is speculated from this small study that the IgA levels rise in benign prostatic hyperplasia; in early adenocarcinoma of the prostate (Stages A and B) the rise if furthered...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(76)90384-8
更新日期:1976-09-01 00:00:00
abstract::Renal fungus balls are rare in the adult population. A case of asymptomatic renal pelvic fungus balls is presented, and several approaches to treatment are discussed. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(93)90244-5
更新日期:1993-01-01 00:00:00
abstract::The fifth reported case of a rare variant of transitional papillary tumor of the bladder termed inverted papilloma is reported with a brief review of the literature. This tumor is likely to be confused with invasive malignant papillary carcinoma although it has adistinct histologic pattern, and it is for this reason ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(75)90134-x
更新日期:1975-05-01 00:00:00
abstract::The incidence and etiology of horseshoe kidneys and their structural abnormalities are discussed. Previously, patients with horseshoe kidneys have been considered undesirable donors for renal transplantation. Two cases of horseshoe kidney transplantation are presented, apparently, the first reported utilization of suc...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(75)90767-0
更新日期:1975-09-01 00:00:00
abstract::Urethral dilatation has long been the standard treatment for patients with urethral stricture. However, in many patients such dilatations may be difficult, painful, or have to be done at frequent intervals. The alternative techniques of direct vision urethrotomy or urethroplasty have been considered in 101 patients ov...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(81)90461-1
更新日期:1981-12-01 00:00:00
abstract:OBJECTIVES:To evaluate whether the time to return to the baseline prostate-specific antigen (PSA) level (PSA response duration) is significantly associated with the time to death after randomization for men with hormone-refractory metastatic prostate cancer. METHODS:The study (n = 213) and validation (n = 281) cohorts...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.03.083
更新日期:2005-09-01 00:00:00
abstract::incidental bilateral adrenal calcification was detected in a man during evaluation for low back pain. He had been born a double footling breech at home, and probably had bilateral adrenal hemorrhage. He now has normal adrenal function. This case is discussed, and the literature is reviewed. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(83)90324-2
更新日期:1983-12-01 00:00:00
abstract:OBJECTIVES:To compare postoperative morbidity and mortality in a concurrent and contemporary series of patients who underwent radical cystectomy with ileal conduit versus orthotopic neobladder. METHODS:The data of 198 patients were reviewed, 117 with orthotopic reconstruction and 81 with ileal conduit during a 5-year ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(99)00619-6
更新日期:2000-06-01 00:00:00
abstract:OBJECTIVE:To describe and compare the management of WT and oncologic outcomes by patient age using a large national database. METHODS:The National Cancer Database was queried for patients with WT diagnosis from 2004 to 2013. Patients were grouped by age and compared: pediatric (<16 years), young adults (16-35 years) a...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2019.10.007
更新日期:2020-01-01 00:00:00