Abstract：
OBJECTIVES:Xanthogranulomatous pyelonephritis (XGP) is an atypical form of chronic renal infection. The treatment of choice is open nephrectomy, which is challenging, given the extent of the disease and the not uncommon involvement of the renal hilum and contiguous structures. We compared our experience with laparoscopic nephrectomy for histologically confirmed XGP with the open approach. METHODS:Review of all nephrectomy specimens at Washington University School of Medicine from July 1990 to March 1998 disclosed 9 patients with a pathologic diagnosis of unilateral XGP, of whom 5 patients underwent laparoscopic nephrectomy and 4 underwent open nephrectomy. XGP was suspected preoperatively in 56% of the patients. RESULTS:For the laparoscopic group, the average operating room time was 360 minutes, average blood loss was 260 mL, and complications occurred in 60% of patients (1 conversion to open, 1 ileus, 1 pulmonary embolus). For the open group, the average operating room time was 154 minutes, average blood loss was 438 mL, and there were no complications. Both groups were similar regarding time to oral intake, analgesia requirement, hospital stay, and time to complete recovery. CONCLUSIONS:Our early experience demonstrates that the benefits of laparoscopic nephrectomy, at present, do not extend to patients with XGP. Conventional open surgery is quicker, associated with fewer complications, and results in a similar use of analgesics, hospital stay, and recovery time.
journal_name
Urologyjournal_title
Urologyauthors
Bercowsky E,Shalhav AL,Portis A,Elbahnasy AM,McDougall EM,Clayman RVdoi
10.1016/s0090-4295(99)00261-7subject
Has Abstractpub_date
1999-09-01 00:00:00pages
437-42; discussion 442-3issue
3eissn
0090-4295issn
1527-9995pii
S0090-4295(99)00261-7journal_volume
54pub_type
临床试验,杂志文章相关文献
UROLOGY文献大全abstract：:Three cases of severe involvement of the kidney with calculi in patients with the Lesch-Nyhan syndrome are presented. Two patients have radiolucent uric acid calculi. The biochemistry and pathology of the Lesch-Nyhan syndrome is discussed. Mechanisms in one family is traced over five generations. Although this syndrom...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(82)90124-8
更新日期：1982-11-01 00:00:00
abstract：OBJECTIVE:To assess the current indications for cutaneous ureterostomy in children. METHOD:A total of 32 children underwent cutaneous ureterostomy at Texas Children's Hospital from 1975 to 1990. Medical records were reviewed to determine the urologic diagnosis, the indication for urinary diversion, the type of uretero...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(94)80274-2
更新日期：1994-01-01 00:00:00
abstract：OBJECTIVE:To present the results of a new technique for abdominoplasty in patients with the Prune Belly syndrome (PBS). METHODS:Since 1985, 46 children with PBS underwent surgical treatment that included urinary tract reconstruction (UTR), orchidopexy, and abdominoplasty. In 41 patients, we performed the abdominoplast...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.09.031
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVES:To evaluate the anticancer effects of a lipophilic macromolecular anticancer agent, poly(styrene-co-maleic acid)-conjugated neocarzinostatin (SMANCS), dissolved in a lipid contrast medium (Lipiodol) given via the renal artery to patients with renal cell carcinoma. METHODS:Among 467 patients with renal cell ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(99)00537-3
更新日期：2000-04-01 00:00:00
abstract：:Autologous blood predeposit is a widely used transfusion practice that has become a standard of care for elective surgery. Despite the support for this practice there are unanswered questions in the usage and efficacy of autologous blood programs. This study is a prospective analysis of 52 consecutively audited urolog...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(92)90474-b
更新日期：1992-09-01 00:00:00
abstract：:The management of 10 cases of penile gunshot wounds treated at Henry Ford Hospital from 1982 to 1986 is reviewed. All patients were assaulted by low velocity weapons (handguns). Eight patients had associated injuries, predominantly to the genital region (thigh, pubis, and scrotum). There were 5 urethral injuries; 4 we...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(90)80237-h
更新日期：1990-10-01 00:00:00
abstract：:Significant number of patients with cloacal exstrophy variants present with poorly developed scrotum. Widely divergent hypoplastic scrotal sacs pose a technical challenge for scrotal reconstruction. We describe a technique of bilateral Z-plasty for the creation of single scrotal sac in a patient with widely divergent,...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2015.04.053
更新日期：2015-10-01 00:00:00
abstract：OBJECTIVES:Contemporary audits and reviews of outcome after transurethral resection of the prostate (TURP) make little reference to failure to void following catheter removal after this operation. There have been few reports of the likelihood of a successful trial without a catheter after TURP related to mode of presen...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(98)00515-9
更新日期：1999-02-01 00:00:00
abstract：:Penile tourniquet syndrome (PTS) or acquired constriction ring syndrome (ACRS) is a rare emergency that can lead to a wide range of vascular and soft tissue injuries in the penis. We are presenting a case of penile tourniquet syndrome in an 8-year-old child who had tied a thread around his penis due to primary nocturn...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2012.11.012
更新日期：2013-03-01 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：:Adoption of robotic technology in urology has been widely popularized as it provides considerable advantages over standard techniques, including improved instrument dexterity, three-dimensional high-definition optics, and enhanced ergonomics. As a result, these features have facilitated the adaptation of robotics for ...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/j.urology.2016.05.013
更新日期：2016-09-01 00:00:00
abstract：:For buccal mucosal graft urethroplasty, nasal or oral endotracheal intubation anesthesia is used for harvesting the graft from the oral cavity. A technique of graft harvesting under local anesthesia using 2% lidocaine solution with adrenaline (1:200,000) is described. This method requires a cooperative patient but sav...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.04.047
更新日期：2008-09-01 00:00:00
abstract：:Two cases of Kaposi sarcoma are presented. In each case the lesion had a bluish discoloration and was painless. Excision of lesions with wider margins was adequate therapy. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(85)90055-x
更新日期：1985-08-01 00:00:00
abstract：OBJECTIVE:To study the expression profiles of 5 microRNAs in tissue and serum of patients with clear cell renal cell cancer (ccRCC) and evaluate their diagnostic and prognostic potential. MATERIALS AND METHODS:We prospectively analyzed 30 patients of histologically proven ccRCC and collected 3 mL of serum preoperative...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2017.03.013
更新日期：2017-06-01 00:00:00
abstract：OBJECTIVES:The presence of metastatic lesions is the only acceptable fact to confirm malignant pheochromocytoma. Patients with malignant pheochromocytomas, however, have a very poor survival rate. The aim of our study was to postulate predictive values for malignant pheochromocytomas. METHODS:We evaluated symptoms, di...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(98)00612-8
更新日期：1999-04-01 00:00:00
abstract：:Laparoscopic nephrectomy in a giant hydronephrotic nonfunctioning kidney occupying the most of the abdomen is challenging task. To overcome the difficulty in laparoscopic dissection of such kidneys we described a technique "Pneumorenum," wherein the kidney is decompressed by suction through a 5 mm trocar inserted dire...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.11.044
更新日期：2020-12-06 00:00:00
abstract：:Calcifications of the kidney may be located free within the collecting system, attached to a papilla, trapped beneath the urothelium, or sequestered in the renal parenchyma. Extracorporeal shock wave lithotripsy has failed to render patients who presented with nephrocalcinosis stone free because of the submucosal loca...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)00675-0
更新日期：2000-09-01 00:00:00
abstract：OBJECTIVES:To assess the clinical efficacy of neodymium:yttrium-aluminum-garnet (YAG) laser coagulation prostatectomy using a broad-angle, divergent-beam, side-firing fiber. METHODS:Eighty adult men with voiding symptoms caused by benign prostatic hyperplasia were enrolled in a prospective multicenter study of free-be...
journal_title：Urology
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1016/S0090-4295(97)00117-9
更新日期：1997-07-01 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：:Human semen containing normal number of sperm was exposed to concentrations of Escherichia coli varying from 500 to 10-8 colonies per cubic centimeter. A significant decrease in motility was abserved at 10-6 colonies per cubic centimeter. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(75)90116-8
更新日期：1975-05-01 00:00:00
abstract：OBJECTIVE:To analyze the vasectomy reversal (VR) outcomes specifically among patients with vasal obstructive intervals (VOIs) of >10 years. The VOI has been shown to be a significant predictor of outcome after VR. Although no strict cutoff exists, couples have frequently been discouraged from considering a VR strictly ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.09.016
更新日期：2014-02-01 00:00:00
abstract：OBJECTIVES:Patients experiencing erectile dysfunction who fail intracavernous injection (ICI) therapy are commonly believed to have exhausted pharmacologic options. We evaluated the efficacy and safety of transurethral alprostadil (MUSE) in patients experiencing erectile dysfunction who underwent prior ICI therapy (alp...
journal_title：Urology
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1016/s0090-4295(98)00093-4
更新日期：1998-05-01 00:00:00
abstract：:A case of Torulopsis glabrata fungemia with persistent funguria and pyelonephritis secondary to colonization of renal calculus is presented. The importance of secondary colonization of renal calculi in persistent infection and septicemia is discussed. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(78)90300-x
更新日期：1978-10-01 00:00:00
abstract：:Smooth muscle tone in the enlarged prostate is directly related to stimulation of the alpha-adrenergic receptors present in prostatic tissue. Variations in tone produce corresponding alterations in the degree of prostatic obstruction. Such variations can explain the spontaneous symptomatic variations seen clinically i...
journal_title：Urology
pub_type： 杂志文章,评审
doi：
更新日期：1988-12-01 00:00:00
abstract：OBJECTIVE:To determine factors associated with performance and quality of lymph node dissection during radical nephrectomy. MATERIALS AND METHODS:Using an International Data Registry, we performed multilevel logistic regression to determine the association of surgical approach (open surgery vs minimally invasive surge...
journal_title：Urology
pub_type： 杂志文章,多中心研究
doi：10.1016/j.urology.2019.01.068
更新日期：2019-07-01 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：OBJECTIVES:To estimate the acceptance rate on peer-reviewed journals, describe the time-course of subsequent full publication, and identify those with characteristics associated with publication from the abstracts presented at the Societè Internationale d'Urologie (SIU) meeting. METHODS:All abstracts accepted for pres...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.11.028
更新日期：2008-03-01 00:00:00
abstract：OBJECTIVES:With the widespread use of prostate-specific antigen (PSA)-based screening, there is now concern about the overdiagnosis and overtreatment of men with low-risk prostate cancer (PCa). One of the most difficult aspects of PCa management is a balance of the often-competing goals of cancer control with functiona...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.12.016
更新日期：2008-10-01 00:00:00
abstract：:We report an unusual case of primary extrarenal nephroblastomatosis present along the tunica albuginea of a testis found incidentally during routine inguinal orchiopexy. The worldwide published data and embryologic implications of extrarenal nephroblastomatosis and Wilms tumor are discussed. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2006.10.005
更新日期：2007-01-01 00:00:00
abstract：OBJECTIVE:To describe a novel technique for localizing small testicular mass during testicular-sparing surgery (TSS). METHODS AND RESULTS:A 20-year-old man presented with bilateral testicular masses. Both alpha-fetoprotein (AFP) and beta-human chorionic gonadotropin (BHCG) levels were raised. Clinical and imaging stud...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2012.10.077
更新日期：2013-04-01 00:00:00
