Reviews in urology最新文献_第7页

Management of Ureteral Strictures: NYU Case of the Month, October 2018. 输尿管狭窄的管理：纽约大学月度病例，2018年10月。

Reviews in urology Pub Date : 2018-01-01 DOI: 10.3909/riu0824B

Lee C Zhao

引用次数: 2

Transrectal Ultrasound-guided Versus Transperineal Mapping Prostate Biopsy: Complication Comparison. 经直肠超声引导与经会阴定位前列腺活检:并发症比较。

Reviews in urology Pub Date : 2018-01-01 DOI: 10.3909/riu0785

Vassilios M Skouteris, E David Crawford, Vladimir Mouraviev, Paul Arangua, Marios Panagiotis Metsinis, Michael Skouteris, George Zacharopoulos, Nelson N Stone

{"title":"Transrectal Ultrasound-guided Versus Transperineal Mapping Prostate Biopsy: Complication Comparison.","authors":"Vassilios M Skouteris, E David Crawford, Vladimir Mouraviev, Paul Arangua, Marios Panagiotis Metsinis, Michael Skouteris, George Zacharopoulos, Nelson N Stone","doi":"10.3909/riu0785","DOIUrl":"https://doi.org/10.3909/riu0785","url":null,"abstract":"Herein, the authors compare morbidity in men who underwent both transrectal ultrasound-guided (TRUS) prostate biopsy and transperineal mapping biopsy (TPMB) at two institutions with extensive experience in both procedures. We also identified strategies and predictive factors to reduce morbidity for both procedures. In our study, 379 men from two institutions, of which 265 (69.9%) had a prior TRUS-guided biopsy, also had TPMB performed via a template with biopsies taken at 5-mm intervals. Men in the TRUS group had a median of 12 cores sampled whereas the TPMB group had 51.5 (range, 16-151). The median biopsy density was 1.1 core/cc prostate volume. Median age and prostate-specific antigen (PSA) level were 65 years (range, 34-86) and 5.5 ng/mL (range, 0.02-118). Of these men, 11 of 265 (4.2%) who had TRUS biopsy developed urinary tract infection compared with 3 of 379 (0.79%) of those with mapping biopsy. Infection was 14.8% in TRUS biopsy group with 13 or more cores versus 2.9% in those with 12 or less (OR, 5.8; 95% CI, 1.6-21.2; P = 0.003). No men developed retention after TRUS biopsy whereas 30 of 379 (7.9%) did following TPMB. Older age, larger prostate volume (PV), and higher core number were associated with retention. On linear regression only age (P = 0.010) and PV (P = 0.016) remained as significant associations. Men older than 65 years had 12.8% versus 3.9% (OR, 3.7; 95% CI, 1.6-8.4, P = 0.001) and PV greater than 42 cc had 13.4% versus 2.7% (OR, 5.7; 95% CI, 2.1-15.1) retention incidence. In the present study TPMB is rarely associated with infection (0.78%) but more commonly with urinary retention (7.9%). Men older than 65 years and with PV greater than 42 cc were at four to five times greater retention risk. Consideration should be given to discharging these men with a urinary catheter following TPMB.","PeriodicalId":21185,"journal":{"name":"Reviews in urology","volume":"20 1","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3909/riu0785","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36255998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 37

Effectiveness of Subcutaneously Administered Leuprolide Acetate to Achieve Low Nadir Testosterone in Prostate Cancer Patients. 皮下注射醋酸亮丙瑞林实现前列腺癌患者低睾酮水平的有效性

Reviews in urology Pub Date : 2018-01-01 DOI: 10.3909/riu0798

Christopher M Pieczonka, Przemyslaw Twardowski, Joseph Renzulli, Jason Hafron, Deborah M Boldt-Houle, Stuart Atkinson, Scott Eggener

引用次数: 0

Testicular Torsion. 睾丸扭转。

Reviews in urology Pub Date : 2018-01-01 DOI: 10.3909/riu0800

Grace S Hyun

引用次数: 3

Management of Obstructive Benign Prostatic Hyperplasia With a >200 mL Gland. > 200ml腺体梗阻性良性前列腺增生的治疗。

Reviews in urology Pub Date : 2018-01-01 DOI: 10.3909/riu0795

Christopher E Kelly

引用次数: 0

Management of Penile Cancer. 阴茎癌的处理。

Reviews in urology Pub Date : 2018-01-01 DOI: 10.3909/riu2001NYUCOM

Marc A Bjurlin, Danil V Makarov

引用次数: 0

Prostate Biopsy Characteristics: A Comparison Between the Pre- and Post-2012 United States Preventive Services Task Force (USPSTF) Prostate Cancer Screening Guidelines. 前列腺活检特征:2012年前后美国预防服务工作组(USPSTF)前列腺癌筛查指南的比较

Reviews in urology Pub Date : 2018-01-01 DOI: 10.3909/riu0793

Navin Shah, Vladimir Ioffe, Thomas Huebner, Ivelina Hristova

{"title":"Prostate Biopsy Characteristics: A Comparison Between the Pre- and Post-2012 United States Preventive Services Task Force (USPSTF) Prostate Cancer Screening Guidelines.","authors":"Navin Shah, Vladimir Ioffe, Thomas Huebner, Ivelina Hristova","doi":"10.3909/riu0793","DOIUrl":"https://doi.org/10.3909/riu0793","url":null,"abstract":"To compare prostate cancer (PCa) characteristics diagnosed by prostate biopsy (Pbx) in the 3 years before and after the 2012 United States Preventive Services Task Force (USPSTF) recommendations for PCa screening, we completed a retrospective comparative analysis of 402 sequential PCa patients diagnosed from 2010 to 2012 (3 years) with 552 PCa patients diagnosed from 2015 to 2017 (3 years). Data was collected on patient age, race, total number of biopsies performed, prostate specific antigen (PSA), Gleason sum score (GSS), and digital rectal examination (DRE). The data was analyzed to determine whether the 2012 USPSTF screening recommendations affected PCa characteristics. Two study groups were defined, Group A and Group B, prior to and after the 2012 USPSTF screening recommendations, respectively. In Group A (pre- 2012 USPSTF recommendations), 567 patients/year underwent a Pbx versus Group B, 398 patients/year, a 30% reduction post-USPSTF. The annual positive Pbx rate for Group A is 134/year versus Group B 184/year, a 37.3% increase post-USPSTF. Group A had high-grade PCa (GSS 7-10) in 51.5% versus Group B in 60.1%, an 8.6% increase post-USPSTF. In Group B, the total number of positive biopsies was increased by 100%. This study shows that in Group B, the Pbx rate decreased by 30% but the annual PCa detection rate increased by 37%. High-grade GSS (7-10) PCa increased by 8.6%. Despite a reduction in the total number of prostate biopsies by 30%, there was a 100% increase in the total number of positive prostate biopsies.","PeriodicalId":21185,"journal":{"name":"Reviews in urology","volume":"20 2","pages":"77-83"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6168329/pdf/RIU020002_077.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36599627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Management of Testicular Cancer: NYU Case of the Month, November 2018. 睾丸癌的管理:纽约大学本月病例，2018年11月。

Reviews in urology Pub Date : 2018-01-01 DOI: 10.3909/riu0824C

James Wysock

引用次数: 1

Azoospermia With Testosterone Therapy Despite Concomitant Intramuscular Human Chorionic Gonadotropin: NYU Case of the Month, July 2018. 无精子症伴睾酮治疗，尽管同时肌注人绒毛膜促性腺激素:纽约大学本月病例，2018年7月。

Reviews in urology Pub Date : 2018-01-01 DOI: 10.3909/riu0814

Bobby Najari

引用次数: 2

Histologic Changes in Prostate Cancer Detected Subsequent to the 2012 United States Preventive Services Task Force (USPSTF) Prostate Cancer Screening Recommendation. 2012年美国预防服务工作组(USPSTF)前列腺癌筛查建议后检测到的前列腺癌组织学变化

Reviews in urology Pub Date : 2018-01-01 DOI: 10.3909/riu0815

Carl A Olsson, Hugh J Lavery, Kamlesh K Yadav, Ann E Anderson, Deepak Kapoor

{"title":"Histologic Changes in Prostate Cancer Detected Subsequent to the 2012 United States Preventive Services Task Force (USPSTF) Prostate Cancer Screening Recommendation.","authors":"Carl A Olsson, Hugh J Lavery, Kamlesh K Yadav, Ann E Anderson, Deepak Kapoor","doi":"10.3909/riu0815","DOIUrl":"https://doi.org/10.3909/riu0815","url":null,"abstract":"We report changes in the histopathology of prostate cancer diagnosed in a large urology group practice after the final United States Preventive Services Task Force (USPSTF) Grade D recommendation against prostate-specific antigen screening. All prostate biopsies performed from 2011 through 2015 in a large urology group practice were retrospectively reviewed; 2012 was excluded as a transition year. The changes in biopsy data in years following the USPSTF decision (2013-2015) were then compared with baseline (2011). A total of 10,944 biopsies were evaluated during the study period. Positive biopsy rates rose from 39.1% at baseline to 45.2% in 2015 (P < 0.01) with a marked shift toward more aggressive cancer throughout the study period. The absolute number of patients presenting with Gleason Grade Group 4 or 5 increased from 155/year at baseline to 231, 297, and 285 in 2013, 2014, and 2015, respectively (P < 0.05), unrelated to age or racial changes over time. Black men represented 16% of the cohort. Since the USPSTF recommendation against prostate cancer screening, trends toward a substantial upward grade migration and increased volume of cancers were noted in a cohort of nearly 11,000 patients in a real-world clinical practice. Additionally, continuing reductions in cancer detection in the United States may exacerbate these trends.","PeriodicalId":21185,"journal":{"name":"Reviews in urology","volume":"20 3","pages":"125-130"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6241894/pdf/RiU020003_125.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36763015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4