Abstract：
OBJECTIVES:To evaluate the efficacy and safety of targeted high-energy transurethral microwave thermotherapy (HE-TUMT) in the treatment of acute urinary retention (AUR) due to benign prostatic hyperplasia (BPH). METHODS:In this prospective cohort study, 31 patients with painful AUR due to BPH underwent HE-TUMT. Patient evaluation before treatment and during a 12-week follow-up interval included determination of International Prostate Symptom Score (IPSS), quality of life (QOL) score, peak flow rate (Qmax) by uroflowmetry, and postvoid residual urine. Patients also underwent urodynamic evaluation before treatment and at 16 weeks. RESULTS:By 4 weeks after HE-TUMT, 29 (94%) of 31 patients had regained the ability to void spontaneously. The actuarial median time for restoration of spontaneous voiding was 3.0 weeks (95% confidence interval [CI] 2.2 to 3.8). At 12 weeks, the mean IPSS (9.4; 95% CI 8.3 to 10.5) was 50% below (P <0.0005) that before retention (18.9; 95% CI 18.2 to 19.6). Improvements in the mean QOL score were similar in pattern and relative magnitude to those in the mean IPSS. A 69% increase in mean Qmax (P <0.0005) determined by uroflowmetry was observed by 12 weeks versus 1 week after HE-TUMT. Complications were infrequent. CONCLUSIONS:This study provides preliminary evidence that HE-TUMT may potentially afford a novel and useful option for the patient with AUR who is not a suitable candidate for surgery.
journal_name
Urologyjournal_title
Urologyauthors
Djavan B,Seitz C,Ghawidel K,Basharkhah A,Bursa B,Hruby S,Marberger Mdoi
10.1016/s0090-4295(99)00143-0subject
Has Abstractpub_date
1999-07-01 00:00:00pages
18-22issue
1eissn
0090-4295issn
1527-9995pii
S0090-4295(99)00143-0journal_volume
54pub_type
临床试验,杂志文章相关文献
UROLOGY文献大全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：OBJECTIVES:To report the first application of preemptive local hypothermia during robotic-assisted laparoscopic prostatectomy (hRLP) to attenuate inflammation. Surgical excision of the prostate during radical prostatectomy causes inflammatory damage to the surrounding neuromuscular tissues that could affect urinary con...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.09.085
更新日期：2009-04-01 00:00:00
abstract：:Mesoblastic nephroma is the most common solid renal neoplasm in the first few months of life. It has been recognized only recently as a distinct entity, having been classified previously as Wilms tumor. There are relatively few ultrasonic descriptions of this entity in the literature. We present an additional case fea...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(82)90590-8
更新日期：1982-02-01 00:00:00
abstract：OBJECTIVE:To describe pelvic bone osteomyelitis in the prostate cancer survivor, to report on clinical presentation and treatment, and to suggest an algorithmic approach to managing this syndrome complex. MATERIALS AND METHODS:A retrospective chart review from January 2011 to June 2014 was performed to identify prosta...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2014.11.020
更新日期：2015-03-01 00:00:00
abstract：OBJECTIVES:To determine the prevalence of hydronephrosis in a cohort of women who had undergone surgery for pelvic organ prolapse (POP). METHODS:This observational, retrospective survey was conducted from January 2000 to December 2007 on 257 consecutive candidates for vaginal or abdominal surgical repair of POP (grade...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.08.480
更新日期：2009-02-01 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 evaluate the trends in the American diet over the last 40 years (1974-2010), during which time the National Health and Nutrition Examination Survey data set has documented an increase in stone prevalence from 3.8% to 8.8%. MATERIALS AND METHODS:We used the National Health and Nutrition Examination Survey ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2014.06.037
更新日期：2014-11-01 00:00:00
abstract：OBJECTIVE:To assess the outcome of cystectomy and cystourethrectomy in patients with intractable interstitial cystitis or bladder pain syndrome, and to identify whether urethrectomy is necessary. METHODS AND MATERIALS:During 2007-2014, 18 women were eligible and elected for surgical treatment after conservative treatm...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.07.003
更新日期：2016-11-01 00:00:00
abstract：:Behavioral interventions have been used for decades to treat urge incontinence and other symptoms of overactive bladder. Perhaps the earliest form of treatment was the bladder drill, an intensive intervention designed to increase the interval between voids to establish a normal frequency of urination and normalization...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(02)01800-9
更新日期：2002-11-01 00:00:00
abstract：OBJECTIVE:Sacrocolpopexy is considered the gold standard for the treatment of pelvic organ prolapse (POP). This procedure was the first technique used to treat POP with robotic assistance and has gone a long way since the open procedure was introduced. Originally, 5 trocars were inserted and there remained issues in te...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.11.023
更新日期：2017-05-01 00:00:00
abstract：:Our clinical experience in renal surgery utilizing the CO2 laser is presented. The inherent characteristics of precision and hemostasis of this modality were found to be useful in the performance of three anatrophic nephrolithotomies and three partial nephrectomies. Operative time ranged between 110 and 120 minutes, w...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(85)90524-2
更新日期：1985-02-01 00:00:00
abstract：OBJECTIVES:To review our initial experience with transvesicoscopic ureteral reimplantation (TVUR) in children with vesicoureteral reflux and to evaluate the learning curve for the feasibility and reproducibility of TVUR. METHODS:TVUR was performed in 28 consecutive patients with a mean age of 6.0 years. Cohen's classi...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2010.11.023
更新日期：2011-06-01 00:00:00
abstract：:Adrenal myelolipoma is a rare benign tumor composed of mature adipose cells and hematopoietic elements. Although they are not hormonally active, there is very rarely an association with functional adrenal disorders. We report a case of bilateral adrenal myelolipoma associated with primary hyperaldosteronism. To our kn...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/j.urology.2007.09.046
更新日期：2007-12-01 00:00:00
abstract：OBJECTIVE:To evaluate the impact of frailty on adverse perioperative outcomes in patients treated with radical cystectomy for bladder cancer. MATERIAL AND METHODS:We identified 9459 adults (age ≥18) in the Nationwide Readmission Database who underwent radical cystectomy in 2014 for bladder cancer. We defined patients'...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2019.04.057
更新日期：2019-11-01 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:To define clinical scenarios in urology for which laparoendoscopic single-site surgery (LESS) is indicated and likely to be successful. We report a series of LESS nephrectomies and compare patient characteristics with traditional laparoscopic nephrectomies performed during the same time period. METHODS:We r...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2010.06.063
更新日期：2011-03-01 00:00:00
abstract：OBJECTIVE:To show the noninferiority of silodosin 8-mg once-daily (QD) to 4-mg twice-daily (BID) in efficacy and safety in patients with lower urinary tract symptoms or benign prostatic hyperplasia in the Korean population. METHODS:A prospective, multicenter, double-blind, randomized, comparative study was conducted. ...
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.2013.11.013
更新日期：2014-04-01 00:00:00
abstract：:A case is reported of bilateral hydronephrosis secondary to ureteropelvic junction obstruction, diagnosed at thirty-six weeks of gestation when ultrasound was performed on the mother for polyhydramnios. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(81)90048-0
更新日期：1981-03-01 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：OBJECTIVE:To retrospectively evaluate the clinical outcomes of 20 patients diagnosed with a nonpalpable or small testicular mass (2 cm) at 2 academic urological department. Testis-sparing surgery (TSS) is currently performed routinely for the management of nonpalpable testicular masses. High reliability of frozen secti...
journal_title：Urology
pub_type： 杂志文章,多中心研究
doi：10.1016/j.urology.2011.12.039
更新日期：2012-04-01 00:00:00
abstract：:Discussion, diagnosis, and management of fibroepithelial polyps in a newborn female. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2019.06.026
更新日期：2019-10-01 00:00:00
abstract：OBJECTIVES:To evaluate an alternative to clean intermittent catheterization (CIC) for individuals with neurogenic bladder for its effects on independence, privacy, and convenience. This prospective cohort study provides an initial assessment of quality of life, safety, and efficacy of closed diurnal indwelling catheter...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.04.033
更新日期：2020-08-01 00:00:00
abstract：OBJECTIVES:To evaluate the initial, long-term, and durable response rates to terazosin, placebo, or other therapies in patients with chronic prostatitis/chronic pelvic pain syndrome. METHODS:A total of 100 subjects, aged 20 to 50 years, who met the National Institutes of Health criteria for chronic prostatitis/chronic...
journal_title：Urology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/j.urology.2004.06.041
更新日期：2004-11-01 00:00:00
abstract：:To plan the treatment of carcinoma of the bladder correctly accurate knowledge of the morphology and degree of infiltration of the tumor is essential. Double contrast cystography and polycystography are radiologic techniques that can provide such information. Hitherto, these two procedures have been performed separate...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(77)90201-1
更新日期：1977-02-01 00:00:00
abstract：:Upper urinary tract urodynamic parameters were measured serially in 12 dogs subjected to partial ureteropelvic junction obstruction. Measurements of pressure-volume relationships (pelvimetrics) and the physiologic capacity of the renal pelvis were important predictors of hydronephrotic equilibrium which occurred only ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(83)90049-3
更新日期：1983-05-01 00:00:00
abstract：:Menkes syndrome is a genetic disorder of copper metabolism, often with urologic complications, including bladder diverticula and vesicoureteral reflux. A 1-year-old boy with Menkes syndrome presented with recurrent urinary tract infections and incomplete bladder emptying secondary to 2 large bladder diverticula. He un...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/j.urology.2015.03.030
更新日期：2015-07-01 00:00:00
abstract：OBJECTIVE:To study the correlation between a new visual tool (ANalogical UroFlowmetry (ANUF)) and uroflowmetry (UF) parameters when performed to assess male lower urinary tract symptoms (MLUTS). METHODS:We configured an original pictogram composed of 4 different urine streams. In the setting of a University Hospital b...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.08.027
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVES:To explore the rate of upgrading in a contemporary cohort from 2 Japanese institutions, and evaluating the predictive accuracy of the nomogram when applied to patients, regardless of race. Previous reports have indicated that a maximum of 43% of men with prostate cancer will show an upgraded Gleason score fr...
journal_title：Urology
pub_type： 杂志文章,多中心研究
doi：10.1016/j.urology.2009.05.084
更新日期：2010-08-01 00:00:00
abstract：:We report the case of a calcified angiomyolipoma of the kidney, fortuitously discovered on a computed tomography scan of the abdomen. Because of the presence of intratumoral calcification and macroscopic fat, renal cell carcinoma could not be ruled out by imaging. Biopsy of the mass was performed, and pathological stu...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.07.011
更新日期：2016-11-01 00:00:00
abstract：OBJECTIVE:To study the histopathology changes and clinical features of vesical diverticula, focusing on the neoplastic entities. MATERIALS AND METHODS:We retrieved data for 108 patients with vesical diverticula from the archives of our institute during the past 15 years (1998 to 2012) and reviewed their clinical and p...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.02.015
更新日期：2013-07-01 00:00:00
