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 TUNA (n = 25) or urethrocystoscopy as a sham treatment (n = 8). The response to therapy was evaluated 3, 6, and 12 months after treatment using the Prostatitis Symptom Severity Index (PSSI), the International Prostate Symptom Score (IPSS), a visual analogue scale, and prostate volume, prostate-specific antigen, urinary flow, and residual urine volume measurements. RESULTS:The PSSI decreased in both groups (TUNA group, P <0.001; sham group, P not significant), but no statistically significant difference was detected between them. Similarly, the IPSS decreased in the two groups (TUNA group, P = 0.002; sham group, P = 0.05), but no difference was found between those treated with TUNA and those who underwent sham treatment. Also the quality of life (IPSS-8) was significantly better at 12 months in both groups, but no difference was detected between them. Changes in pain score (visual analogue scale) were not statistically significant. Peak urinary flow rate, residual urine volume, prostate-specific antigen, and prostate volume were not altered in either group. CONCLUSIONS:The efficacy of TUNA in CPPS is comparable to sham treatment, and so cannot be recommended as routine treatment of CPPS.
journal_name
Urologyjournal_title
Urologyauthors
Leskinen MJ,Kilponen A,Lukkarinen O,Tammela TLdoi
10.1016/s0090-4295(02)01704-1subject
Has Abstractpub_date
2002-08-01 00:00:00pages
300-4issue
2eissn
0090-4295issn
1527-9995pii
S0090429502017041journal_volume
60pub_type
临床试验,杂志文章,多中心研究,随机对照试验相关文献
UROLOGY文献大全abstract:OBJECTIVES:This study examined the effects of testosterone replacement using a nonscrotal testosterone transdermal (TTD) system on prostate size and prostate-specific antigen (PSA) levels in hypogonadal men. METHODS:As part of an open-label, multicenter study, prostate volume as measured by transrectal ultrasound and ...
journal_title:Urology
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/s0090-4295(96)00445-1
更新日期:1997-02-01 00:00:00
abstract:OBJECTIVE:To present a novel surgical concept using preoperative imaging to estimate length needed for ileal segment. This enables robotic ileal interposition to be completed with only 1 position change during surgery. MATERIALS AND METHODS:The index patient is a 69-year-old woman with a history of stage IIIB cervical...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.02.033
更新日期:2017-06-01 00:00:00
abstract:OBJECTIVE:To describe the different ultrasound (US) findings of mature testicular hamartomas in children. MATERIALS AND METHODS:This is a retrospective study from January 2000 to July 2012 that reviewed the clinical, laboratory, and US findings of 7 children with a pathologic diagnosis of mature teratoma of the testis...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2013.07.046
更新日期:2014-01-01 00:00:00
abstract::Transurethral resection of the prostate (TURP) is necessary in a significant proportion of men with a diagnosis of carcinoma of the prostate. Often, "channel" TURP (resection of visually obstructing tissue without extension to the prostatic capsule in a patient with metastatic or locally advanced disease to improve vo...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(91)80170-c
更新日期:1991-12-01 00:00:00
abstract:OBJECTIVES:To update continence results and present fluorourodynamic data in 17 female patients undergoing orthotopic lower urinary tract reconstruction with the Kock ileal urethrostomy following cystectomy. METHODS:Continence results, voiding pattern, and overall patient satisfaction were evaluated by means of patien...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/S0090-4295(96)00165-3
更新日期:1996-09-01 00:00:00
abstract::Bilateral cervical autotransplantation of canine kidneys is described for comparative study of renal preservation techniques. Data are obtained from kidneys preserved by (1) initial intravascular flushing with modified Collins' C3 solution (Ursol) followed by cold storage, and (2) pulsatile perfusion (MOX 100). Prehar...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(76)90512-4
更新日期:1976-12-01 00:00:00
abstract:OBJECTIVE:To identify patient and component specific factors that predispose patients to device-related complications when undergoing pressure-regulating balloon (PRB) exchange in men with an artificial urinary sphincter (AUS). METHOD:From 2009 to 2018, 55 patients underwent AUS revision with placement of a higher pre...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2019.09.026
更新日期:2020-01-01 00:00:00
abstract::Between 1980 and 1989, 186 patients with testicular tumors were seen at Roswell Park Memorial Institute. Of these, 66.6 percent (124/186) were diagnosed to have nonseminomatous germ cell tumors (NSGT) and 22 percent (41/186) were clinically determined to have Stage I disease. Patients with clinical Stage I NSGT either...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(91)80007-t
更新日期:1991-07-01 00:00:00
abstract::A case of cavernous hemangioma of the bladder is presented and its endoscopic appearance is illustrated. A scan utilizing technetium-99-labeled albumin has been found valuable in determining the extent of the lesion. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(79)90425-4
更新日期:1979-03-01 00:00:00
abstract:OBJECTIVES:To compare the resistance to caudally directed force at different fixation points used in female anti-incontinence surgery. METHODS:Sutures were placed in Cooper's ligament, rectus fascia, and in bone anchors on the pubic symphysis in 6 fresh, unembalmed cadavers and transposed vaginally with a ligature car...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(98)00427-0
更新日期:1998-12-01 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:OBJECTIVES:To study the role of urethral sonography and color Doppler imaging in the evaluation of patients with urethral strictures and associated abnormalities. METHODS:We reviewed our experience with 41 urethral sonographic studies in 35 patients and compared them to 33 retrograde urethrograms. For 6 recent cases, ...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(99)80391-4
更新日期:1996-01-01 00:00:00
abstract::Eighteen sentinel lymph node biopsies were performed in 10 patients with invasive squamous carcinoma of the penis. Five of 15 biopsies associated with inguinal lymphadenopathy and 2 of 3 biopsies associated with palpably normal inguinal nodes were positive. Among 7 ipsilateral regional lymphadenectomies undertaken bec...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(84)90138-9
更新日期:1984-04-01 00:00:00
abstract:INTRODUCTION:Remote robotic telemanipulators have been recently used in performing laparoscopic urologic procedures, both in the laboratory and in clinical practice. We present, to our knowledge, the initial 2 cases of robotic-assisted laparoscopic adrenalectomy in humans. TECHNICAL CONSIDERATIONS:Robotic-assisted lap...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(02)02011-3
更新日期:2002-12-01 00:00:00
abstract::Hematuria and proteinuria have been noted in athletes after heavy exercise. Evaluation of 383 marathoners after a 26-mile, 385-yard run revealed hematuria in 17 per cent and proteinuria in 30 per cent. These abnormalities were not related to sex. The condition is transient and appears to be benign. A diagnostic approa...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(80)90007-2
更新日期:1980-05-01 00:00:00
abstract::Distal ureterectomy with direct ureteroneocystostomy facilitated by the psoas bladder hitch procedure has been used in 6 patients for management of low-grade, noninvasive primary ureteral carcinoma. All patients are alive, two to ninety-six months postoperatively. Recurrent ipsilateral urothelial malignant disease has...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(79)90331-5
更新日期:1979-04-01 00:00:00
abstract::The relation between tumor kinetics and disease progression in patients with hormone-refractory prostate cancer (HRPC) has not been well described. Biochemical recurrence of prostate cancer is characterized by detectable prostate-specific antigen (PSA) levels after treatment and occurs in approximately 30% of patients...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2003.10.026
更新日期:2003-12-29 00:00:00
abstract:OBJECTIVES:To assess, in our contemporary radical cystectomy (RC) series, female sexual dysfunction and whether the type of diversion affected the occurrence of sexual dysfunction. Outcome data after RC with and without orthotopic diversion has focused primarily on cure, urethral recurrence, and continence. METHODS:Th...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/j.urology.2003.12.034
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVE:To quantify the effective radiation dose associated with the evaluation and follow-up of patients with urolithiasis. METHODS:Retrospective review was performed for consecutive patients presenting to a tertiary stone clinic with acute stone episodes between November 2007 and December 2008, and had at least 2 ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2011.07.1387
更新日期:2012-01-01 00:00:00
abstract::A pseudoaneurysm of a primary branch of the renal artery with massive hemorrhage developed in a patient who underwent percutaneous needle renal biopsy. He was treated successfully by embolization of the artery with gelatin sponge (Gelfoam). ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(79)90508-9
更新日期:1979-09-01 00:00:00
abstract:OBJECTIVES:To review the feasibility and outcome of retroperitoneoscopic nephrectomy (RPN) for pyonephrotic nonfunctioning kidneys. METHODS:RPN for pyonephrotic nonfunctioning kidneys was used in 52 patients from July 2001 to May 2007. Percutaneous nephrostomy drainage was instituted in 46 patients because of sepsis b...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2008.07.054
更新日期:2010-03-01 00:00:00
abstract::A case is reported of complete obstruction of a solitary kidney induced by epsilon-aminocaproic acid used to treat significant idiopathic bleeding. The pharmacology and complications of epsilon-aminocaproic acid are also reviewed. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(84)90390-x
更新日期:1984-07-01 00:00:00
abstract::Primary adenocarcinoma of the bladder accounts for less than 2% of all bladder cancers. There is no report of such a case in a defunctionalized bladder. All reported cases of carcinoma in defunctionalized bladders were either squamous cell, signet ring cell, or transitional cell carcinoma, detected within an average o...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(99)80173-3
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVES:To describe my experience of vaginal mesh extrusion using the monofilament polypropylene transobturator sling, the Mentor ObTape. The Mentor ObTape was the first transobturator sling developed as an alternative to the retropubic commercially available suburethral slings for providing mid-urethral support as ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.05.015
更新日期:2005-11-01 00:00:00
abstract::We review the literature about the impact of shock wave lithotripsy (SWL) on male reproduction. Studies investigating the in vitro effect of shock waves on semen samples indicate that spermatozoa are vulnerable to SWL. According to animal studies, intratesticular bleeding is common, but pregnancy rates are not affecte...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2011.12.003
更新日期:2012-03-01 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::Percutaneous ureteral splinting using a modified catheter technique is described, and experience in treating 5 patients (4 with postoperative fistulas and 1 with stricture) is reported. The method offers an effective alternative to surgery in achieving ureteral splinting and renal drainage. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(77)90022-x
更新日期:1977-08-01 00:00:00
abstract::The effect of radiation combined with heat on three human prostatic carcinoma cell lines growing in vitro was investigated. Cells were exposed to different radiation doses followed by heat treatment at 43 degrees C for one hour. Heat treatment, given ten minutes after radiation, significantly enhanced the radiation re...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(91)80025-3
更新日期:1991-07-01 00:00:00
abstract:OBJECTIVES:To assess the variability of membranous folds in the posterior urethra and their relationship to urethral obstruction. METHODS:Endoscopic video recordings of 19 boys with a membranous lesion in the posterior urethra were obtained over a 2.5-year period. Six had an endoscopy after a prenatal diagnosis of obs...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(99)80024-7
更新日期:1995-03-01 00:00:00
abstract::A Cowper's Duct syringocele is a rare diagnosis and currently there exists no clinical guidelines for evaluation and management. This clinical challenge illustrates the case presentation, evaluation, diagnosis, and treatment options for of a newly diagnosed Cowper's Duct syringocele. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.10.032
更新日期:2020-11-04 00:00:00