Abstract:
BACKGROUND:This very large population-based study investigated outcomes after a diagnosis of prostate cancer (PCa) in terms of mortality rates, treatments and adverse effects. METHODS:Among the 11 million men aged 40 years and over covered by the general national health insurance scheme, those with newly managed PCa in 2009 were followed for two years based on data from the national health insurance information system (SNIIRAM). Patients were identified using hospitalisation diagnoses and specific refunds related to PCa and PCa treatments. Adverse effects of PCa treatments were identified by using hospital diagnoses, specific procedures and drug refunds. RESULTS:The age-standardised two-year all-cause mortality rate among the 43,460 men included in the study was 8.4%, twice that of all men aged 40 years and over. Among the 36,734 two-year survivors, 38% had undergone prostatectomy, 36% had been treated by hormone therapy, 29% by radiotherapy, 3% by brachytherapy and 20% were not treated. The frequency of treatment-related adverse effects varied according to age and type of treatment. Among men between 50 and 69 years of age treated by prostatectomy alone, 61% were treated for erectile dysfunction and 24% were treated for urinary disorders. The frequency of treatment for these disorders decreased during the second year compared to the first year (erectile dysfunction: 41% vs 53%, urinary disorders: 9% vs 20%). The frequencies of these treatments among men treated by external beam radiotherapy alone were 7% and 14%, respectively. Among men between 50 and 69 years with treated PCa, 46% received treatments for erectile dysfunction and 22% for urinary disorders. For controls without PCa but treated surgically for benign prostatic hyperplasia, these frequencies were 1.5% and 6.0%, respectively. CONCLUSIONS:We report high survival rates two years after a diagnosis of PCa, but a high frequency of PCa treatment-related adverse effects. These frequencies remain underestimated, as they are based on treatments for erectile dysfunction and urinary disorders and do not reflect all functional outcomes. These results should help urologists and general practitioners to inform their patients about outcomes at the time of screening and diagnosis, and especially about potential treatment-related adverse effects.
journal_name
BMC Uroljournal_title
BMC urologyauthors
Tuppin P,Samson S,Fagot-Campagna A,Lukacs B,Alla F,CNAMTS scientific board members.,Paccaud F,Thalabard JC,Vicaut E,Vidaud M,Millat Bdoi
10.1186/1471-2490-14-48subject
Has Abstractpub_date
2014-06-13 00:00:00pages
48issn
1471-2490pii
1471-2490-14-48journal_volume
14pub_type
杂志文章相关文献
BMC Urology文献大全abstract:BACKGROUND:Urethral injury produces partial or complete disruption of the urethral integrity. Advances in endourology have made endoscopic management of most of these injuries feasible without greatly compromising the final result. We report our institutional experience of immediate endoscopic realignment of complete i...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-5-13
更新日期:2005-11-09 00:00:00
abstract:BACKGROUND:Metastatic tumors of the penis are uncommon, and fewer than 500 cases have been reported since 1870. Most penile secondary tumors originate in organs of the genitourinary tract, followed by the gastrointestinal tract. Primary tumors of sarcoma origin are extremely rare. Herein, we present a teenager who had ...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-019-0511-3
更新日期:2019-09-02 00:00:00
abstract:BACKGROUND:There is an increased incidence of renal cell carcinoma (RCC) in patients with metabolic syndrome who usually have high levels of serum triglyceride (TG) and low high-density lipoprotein-cholesterol (HDL-C). Plasma atherogenic index (PAI) is the logarithmic ratio of serum TG level to HDL-C and related to car...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-019-0514-0
更新日期:2019-09-13 00:00:00
abstract:BACKGROUND:Schwannomas are tumours arising from Schwann cells, which sheath the peripheral nerves. Here, we report a rare case of left intrascrotal, extratesticular schwannoma. Although rare, scrotal localisation of schwannomas has been reported in male children, adult men, and elderly men. They are usually asymptomati...
journal_title:BMC urology
pub_type: 杂志文章,评审
doi:10.1186/1471-2490-14-32
更新日期:2014-04-28 00:00:00
abstract:BACKGROUND:In patients with neurogenic bladder (NB), elevated intravesical pressures can be transmitted to the upper urinary tract, causing hydronephrosis (HN) and ureteral dilation (UD), which are referred to as upper urinary tract dilation (UUTD). Ureteral obstruction at the bladder wall is another cause for UUTD, bu...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-14-38
更新日期:2014-05-22 00:00:00
abstract:BACKGROUND:Although there is growing evidence of relationship between obesity and some specific stone compositions, results were inconsistent. Due to a greater relationship between metabolic syndrome and some specific stone type, obesity measured by body mass index (BMI) has limitation in determining relationship betwe...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-015-0013-x
更新日期:2015-03-14 00:00:00
abstract:BACKGROUND:Due to the lack of strong evidence to identify the relationship between antihypertensive drugs use and the risk of prostate cancer, it was needed to do a systematic review to go into the subject. METHODS:We systematically searched PubMed, Web of Science and Embase to identify studies published, through May ...
journal_title:BMC urology
pub_type: 杂志文章,meta分析,评审
doi:10.1186/s12894-018-0318-7
更新日期:2018-03-07 00:00:00
abstract:BACKGROUND:The objective of this study is to determine in a case series (four patients) how calcified deposits in renal papillae are associated with the development of calcium oxalate monohydrate (COM) papillary calculi. METHODS:From the recently collected papillary calculi, we evaluated retrospectively patients, subj...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-13-14
更新日期:2013-03-11 00:00:00
abstract:BACKGROUND:Emerging evidence has noted the important participation of microRNAs (miRNAs) in several human diseases including cancer. This research was launched to probe the function of miR-381 in bladder cancer (BCa) progression. METHODS:Twenty-eight patients with primary BCa were included in this study. Cancer tissue...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-020-00775-3
更新日期:2021-01-06 00:00:00
abstract:BACKGROUND:Nutcracker syndrome is an entity resulting from left renal vein compression by the aorta and the superior mesenteric artery, which leads to symptoms of hematuria or left flank pain. The alternative option of endovascular or extravascular stenting is very appealing because of the minimal invasive procedures. ...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-015-0063-0
更新日期:2015-07-24 00:00:00
abstract:BACKGROUND:This study was to explore the possibility that foot stimulation increased bladder capacity(BC) in rats with neurogenic bladder secondary to T10 spinal cord injuries. METHODS:In 20 awake rats (stimulation group) with T10 spinal cord injuries, 5 repeat cystometrograms (CMGs) were recorded. The 1st and 2nd CMG...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-017-0277-4
更新日期:2017-09-15 00:00:00
abstract:BACKGROUND:Survival rate for patients presenting muscle invasive bladder cancer is very low, and useful therapeutic target has not been identified yet. In the present study, new COX2 downstream signals involved in urothelial carcinoma cell survival were investigated in vitro and in vivo. METHODS:COX2 gene was silenced...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-11-8
更新日期:2011-05-18 00:00:00
abstract:BACKGROUND:Calcifying nanoparticles (NPs) have been proven to be associated with a variety of pathological calcification and previously detected in semen samples from patients with testicular microlithiasis (TM). The present study was designed to test the hypothesis if human-derived NPs could invade the seminiferous tu...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-017-0289-0
更新日期:2017-10-30 00:00:00
abstract:BACKGROUND:To examine the expression of type 1 plasminogen inhibitor (PAI-1) in clear cell renal cell carcinoma (CCRCC), and its possible association with microvessel density (MVD), the expression of thrombospondin-1 (TSP-1), nuclear grade, tumour stage, continuously coded tumour size (CCTS) and to assess the value of ...
journal_title:BMC urology
pub_type: 临床试验,杂志文章
doi:10.1186/1471-2490-10-20
更新日期:2010-12-03 00:00:00
abstract:BACKGROUND:To investigate the feasibility and safety of surgical treatment for Peyronie's disease (PD) by excising and repairing plaque using autologous tunica vaginalis of testis. METHODS:From March 2007 to December 2012, total 19 patients with PD underwent surgical treatment at our center. All patients had significa...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-016-0120-3
更新日期:2016-01-13 00:00:00
abstract:BACKGROUND:Laparoscopic single-site surgery has recently emerged in the field of urology and this minimally-invasive surgery has resulted in a further reduction in morbidity compared with traditional laparoscopy. We present our initial experience with laparoendoscopic single-site surgery of partial adrenalectomy (LESS-...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-10-19
更新日期:2010-11-23 00:00:00
abstract:BACKGROUND:Stauffer Syndrome (SS) is a paraneoplastic disorder associated with renal cell carcinoma (RCC). First described by Herbert Maurice Stauffer in 1961, it is characterized by hepatic dysfunction in the absence of metastasis, and elevated alkaline phosphatase, aminotransferases and prolonged prothrombin time. In...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-020-00671-w
更新日期:2020-07-20 00:00:00
abstract:BACKGROUND:The current standard for Prostate Cancer (PCa) detection in biopsy-naïve men consists of 10-12 systematic biopsies under ultrasound guidance. This approach leads to underdiagnosis and undergrading of significant PCa while insignificant PCa may be overdiagnosed. The recent developments in MRI and Contrast Enh...
journal_title:BMC urology
pub_type: 临床试验,杂志文章
doi:10.1186/s12894-017-0213-7
更新日期:2017-04-05 00:00:00
abstract:BACKGROUND:Obstetric fistula although virtually eliminated in high income countries, still remains a prevalent and debilitating condition in many parts of the developing world. It occurs in areas where access to care at childbirth is limited, or of poor quality and where few hospitals offer the necessary corrective sur...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-11-23
更新日期:2011-12-07 00:00:00
abstract:BACKGROUND:A supernumerary kidney (SK) is an additional kidney with its own capsule and blood supply that is not fused with the ipsilateral kidney (IK). Because individual case reports indicate a high morbidity rate, the aim of this retrospective study was a detailed analysis of this rare anatomical variant. METHODS:O...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-019-0522-0
更新日期:2019-10-17 00:00:00
abstract:BACKGROUND:Jackstone is a bladder stone that has a similar appearance to toy jacks. However review of the English language medical literature revealed only a few previous reports of jackstone calculus. CASE PRESENTATION:We report a case in which a large jackstone calculus was incidentally detected during the evaluatio...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-017-0230-6
更新日期:2017-06-05 00:00:00
abstract:BACKGROUND:Primary renal carcinoid is extremely rare and there are few reports on the natural history of the disease. CASE PRESENTATION:A 68-year-old male with a right renal mass who lost to follow-up for ten years has been presented. His only complaint was a mild flank pain. Upon admission to the hospital for his ren...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-2-1
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:The route of local and metastatic spread of testicular seminoma is well recognised and accepted. The spread is via lymphatics to the paraaortic nodes. CASE PRESENTATION:We present a case report of testicular seminoma in a 56 year old man with previously unreported histological findings. In this case seminom...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-6-5
更新日期:2006-03-01 00:00:00
abstract:BACKGROUND:Our understanding of early post-vasectomy recanalization is limited to histopathological studies. The objective of this study was to estimate the frequency and to describe semen analysis patterns of early recanalization after vasectomy. METHODS:Charts displaying serial post-vasectomy semen analyses were cre...
journal_title:BMC urology
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2490-6-25
更新日期:2006-09-19 00:00:00
abstract:BACKGROUND:To conduct an accurate evaluation of patients presenting with posttraumatic penoscrotal injuries, and to formulate a treatment algorithm based on this assessment. METHODS:We conducted a retrospective chart review study. Patients with penoscrotal defects admitted to our level I trauma center from 2017 to 201...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-020-00763-7
更新日期:2021-01-07 00:00:00
abstract:BACKGROUND:Polyorchidism is a congenital anomaly of the urogenital system and means more than two testes. It is a rare phenomenon, where there are no more than 200 reported cases in the literature. In this case, we report a 13-month year's old case with five testicles. CASE PRESENTATION:We report a rare five testicles...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-020-00681-8
更新日期:2020-08-20 00:00:00
abstract:BACKGROUND:Clear cell sarcoma of the kidney (CCSK) in adults is extremely rare. Optimal treatment of adult patients with CCSK remains unclear. CASE PRESENTATION:A 22-year-old man presented with a 2-month history of left flank pain. A color duplex sonography revealed a hypervascular, heterogeneous renal mass. Abdominal...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-6-11
更新日期:2006-04-03 00:00:00
abstract:BACKGROUND:It is well recognized that the presence of positive surgical margins (PSM) after radical prostatectomy (RP) adversely affects cancer specific outcomes and recent evidence from randomized trials supports the use of adjuvant radiotherapy in these cases. However, not all of the patients with PSM develop disease...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-14-79
更新日期:2014-10-02 00:00:00
abstract:BACKGROUND:Buried penis, most commonly seen in children, is particularly debilitating in adults, resulting in inability to void while standing and it also affects vaginal penetration. We report a case of buried penis due to a traffic accident, which caused dislocation of the fractured pubic bone that shifted inside and...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-4-6
更新日期:2004-06-08 00:00:00
abstract:BACKGROUND:Optimal treatment of high-risk prostate cancer remains controversial. We aimed to compare treatment outcomes of prostate cancer patients treated with definitive external-beam radiotherapy (ExRT) or radical prostatectomy (RP). METHODS:The records of 120 high-risk clinical stage T2b-T4 N0 M0 prostate cancer p...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-018-0432-6
更新日期:2019-01-05 00:00:00