Scandinavian Journal of Urology and Nephrology最新文献_第2页

Retroperitoneal laparoendoscopic single-site ureterolithotomy and ureteroureterostomy for retrocaval ureter with ureteral calculus: first case report. 腹膜后腹腔镜单部位输尿管取石及输尿管输尿管造口术治疗腔后输尿管结石1例报告。

Scandinavian Journal of Urology and Nephrology Pub Date : 2012-12-01 Epub Date: 2012-05-24 DOI: 10.3109/00365599.2012.691112

Zhi Chen, Xiang Chen, Yan-Cheng Luo, Yao He, Nan-Nan Li, Chao-Qun Xie, Chen Lai, Xiao-Long Fang

{"title":"Retroperitoneal laparoendoscopic single-site ureterolithotomy and ureteroureterostomy for retrocaval ureter with ureteral calculus: first case report.","authors":"Zhi Chen, Xiang Chen, Yan-Cheng Luo, Yao He, Nan-Nan Li, Chao-Qun Xie, Chen Lai, Xiao-Long Fang","doi":"10.3109/00365599.2012.691112","DOIUrl":"https://doi.org/10.3109/00365599.2012.691112","url":null,"abstract":"A 53-year-old man presented with a 6-month history of intermittent right flank pain. Radiological imaging confirmed the diagnosis of retrocaval ureter (RCU) and ureteral calculus. Retroperitoneal laparoendoscopic single-site surgery (LESS) ureterolithotomy and ureteroureterostomy was successfully performed. The operative time was 185 min and the blood loss was approximately 20 ml. The patient's postoperative course was uneventful. Postoperative analgesia was not needed. The patient was discharged on the third postoperative day. The drain and double-J stent were respectively removed at 1 and 8 weeks postoperatively. At the 3-month follow-up, nuclear scan showed no evidence of obstruction of the right kidney and the patient also remained symptom free. It may be concluded that retroperitoneal LESS repair for RCU is a feasible and safe procedure, which can be considered as a option for the management of RCU even if it is complicated by the presence of a ureteral calculus.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"46 6","pages":"437-40"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2012.691112","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30641440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Sleep quality and its correlates in patients on continuous ambulatory peritoneal dialysis. 连续非卧床腹膜透析患者的睡眠质量及其相关因素。

Scandinavian Journal of Urology and Nephrology Pub Date : 2012-12-01 Epub Date: 2012-06-08 DOI: 10.3109/00365599.2012.693134

Ayla Erdogan, Erkan Dervisoglu, Ayse Kutlu

{"title":"Sleep quality and its correlates in patients on continuous ambulatory peritoneal dialysis.","authors":"Ayla Erdogan, Erkan Dervisoglu, Ayse Kutlu","doi":"10.3109/00365599.2012.693134","DOIUrl":"https://doi.org/10.3109/00365599.2012.693134","url":null,"abstract":"Objective: The aim of this study was to investigate demographic, clinical and psychosocial factors associated with sleep quality in patients on continuous ambulatory peritoneal dialysis (CAPD).Material and methods: Demographic data, clinical and biochemical parameters of 112 CAPD patients (convenience sample of 52 women and 60 men, mean age 51 ± 15 years) were measured. In the same patients, the Pittsburgh Sleep Quality Index (PSQI) was used for assessing sleep quality, the Beck Depression Inventory (BDI) for severity of depressive symptoms, the International Restless Legs Syndrome Study Group criteria for the diagnosis of restless legs syndrome (RLS), and the Short Form-36 (SF-36) of Medical Outcomes Study questionnaire for quality of life (QoL).Results: Patients with PSQI scores of > 5 (\"bad sleepers\") had lower serum albumin (p = 0.008), total cholesterol (p = 0.034), normalized protein equivalent of nitrogen appearance (p = 0.046) and residual renal function (p = 0.012), but higher serum ferritin (p = 0.016) and BDI scores (p < 0.001). No significant correlation could be demonstrated between sleep quality and other demographic and clinical parameters. Although the prevalence of RLS was higher in poor sleepers, the difference did not reach statistical significance (p = 0.067). In multivariate analysis, only elevated BDI was an independent predictor of poor sleep quality (p = 0.031). Compared with good sleepers, poor sleepers had significantly lower QoL scores in all subscales of the SF-36.Conclusions: Although poor sleepers had lower nutritional indices, an elevated BDI was the only independent predictor of poor sleep quality. Poor sleep quality was also associated with lower QoL in patients on CAPD.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"46 6","pages":"441-7"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2012.693134","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30672598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Observing signs of toilet readiness: results of two prospective studies. 观察准备上厕所的迹象:两项前瞻性研究的结果。

Scandinavian Journal of Urology and Nephrology Pub Date : 2012-12-01 Epub Date: 2012-07-02 DOI: 10.3109/00365599.2012.693537

Nore Kaerts, Alexandra Vermandel, Frauke Lierman, Ans Van Gestel, Jean-Jacques Wyndaele

{"title":"Observing signs of toilet readiness: results of two prospective studies.","authors":"Nore Kaerts, Alexandra Vermandel, Frauke Lierman, Ans Van Gestel, Jean-Jacques Wyndaele","doi":"10.3109/00365599.2012.693537","DOIUrl":"https://doi.org/10.3109/00365599.2012.693537","url":null,"abstract":"Objective: The aims of this study were to check the possibility of observing readiness signs proposed in the literature (Study 1) and to investigate the interrater reliability of observing readiness signs between different researchers (Study 2).Material and methods: In Study 1, 24 healthy children, recruited in Flemish childcare centres, were observed. Each child was observed for 8 h. In this study a list of readiness signs was used as described in a recent literature review on readiness signs in young, healthy children. In Study 2, two observers independently evaluated an adapted list with readiness signs in another 24 healthy children recruited in a similar setting. SPSS was used to analyse the interrater reliability between these observations, calculating Cohen's kappa per readiness sign.Results: The results of Study 1 show that not all readiness signs are easy to assess. This resulted in a shortened checklist with 20 signs, which can be easily observed in young, healthy children during an 8 h period, and which was used in Study 2. The results of Study 2 show that, for most readiness signs, Cohen's kappa and the agreement between observers varied from good to perfect.Conclusions: This article presents the results of two studies that are the first in a series investigating the use of readiness signs. Further research on readiness signs is being conducted to reach consensus on when to start toilet training based on readiness signs, and to obtain evidence-based guidelines.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"46 6","pages":"424-30"},"PeriodicalIF":0.0,"publicationDate":"2012-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2012.693537","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30728612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Anaemia treatment in chronically dialysed children: a multicentre nationwide observational study. 慢性透析儿童的贫血治疗:一项全国多中心观察性研究。

Scandinavian Journal of Urology and Nephrology Pub Date : 2012-10-01 Epub Date: 2012-05-16 DOI: 10.3109/00365599.2012.685492

Anna Jander, Ryszard Wierciński, Irena Bałasz-Chmielewska, Monika Miklaszewska, Katarzyna Zachwieja, Halina Borzecka, Jacek Zachwieja, Irena Olszak-Szot, Dariusz Kubicki, Helena Ziółkowska, Jacek Rubik, Maria Szczepańska, Dariusz Runowski, Wojciech Fendler, Marcin Tkaczyk

{"title":"Anaemia treatment in chronically dialysed children: a multicentre nationwide observational study.","authors":"Anna Jander, Ryszard Wierciński, Irena Bałasz-Chmielewska, Monika Miklaszewska, Katarzyna Zachwieja, Halina Borzecka, Jacek Zachwieja, Irena Olszak-Szot, Dariusz Kubicki, Helena Ziółkowska, Jacek Rubik, Maria Szczepańska, Dariusz Runowski, Wojciech Fendler, Marcin Tkaczyk","doi":"10.3109/00365599.2012.685492","DOIUrl":"https://doi.org/10.3109/00365599.2012.685492","url":null,"abstract":"Objective: Erythropoiesis-stimulating agents (ESAs) are applied as a standard therapy in children with anaemia in chronic kidney disease. The aim of this study was to describe the efficacy and details of ESA treatment in a population of dialysed children in Poland.Material and methods: The study had a prospective observational design and was performed in 12 dialysis centres. The study group comprised 117 dialysed children with a mean age at enrolment of 165.33 (97.18-196.45) months.Results: Dialysed children were treated mostly with epoietin beta and darbepoietin. The mean dose of ESA was 99 (68-147) U/kg/week with a significant difference between patients on peritoneal dialysis [83 (54-115)] and haemodialysis [134 (103-186)] (p < 0.0001). The mean haemoglobin of all the time-point tests during 6 months was 10.91 ± 1.18 g/dl. The efficacy of anaemia treatment was unsatisfactory in 52% of subjects. In multivariate analysis, initial haemoglobin level <10 g/l, any infection, younger age at first dialysis, malnutrition and inadequate ESA dosage remained significant predictors of anaemia.Conclusions: The study revealed that anaemia treatment in Polish children is unsatisfactory. Late commencement of the treatment, inadequate dosing, malnutrition and infections could constitute risk factors for therapy failure.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"46 5","pages":"375-80"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2012.685492","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30618130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 9

Severe phimosis leading to obstructive uropathy in a boy with lichen sclerosus. 严重包茎导致男孩硬地衣梗阻性尿路病变。

Scandinavian Journal of Urology and Nephrology Pub Date : 2012-10-01 Epub Date: 2012-05-18 DOI: 10.3109/00365599.2012.689007

Ahmet Ali Sancaktutar, Hüseyin Kilinçaslan, Murat Atar, Haluk Söylemez, Necmettin Penbegül, Yaşar Bozkurt, Abdulkadir Tepeler

引用次数: 2

Effect of alfacalcidol on cardiac function in patients with chronic kidney disease stage 4 and secondary hyperparathyroidism: a pilot study. 阿法骨化醇对慢性肾病4期和继发性甲状旁腺功能亢进患者心功能的影响:一项初步研究

Scandinavian Journal of Urology and Nephrology Pub Date : 2012-10-01 Epub Date: 2012-06-25 DOI: 10.3109/00365599.2012.693131

Per Ivarsen, Johan Vestergaard Povlsen, Kent Lodberg Christensen

{"title":"Effect of alfacalcidol on cardiac function in patients with chronic kidney disease stage 4 and secondary hyperparathyroidism: a pilot study.","authors":"Per Ivarsen, Johan Vestergaard Povlsen, Kent Lodberg Christensen","doi":"10.3109/00365599.2012.693131","DOIUrl":"https://doi.org/10.3109/00365599.2012.693131","url":null,"abstract":"Objective: Left ventricular hypertrophy (LVH) is highly prevalent in chronic kidney disease (CKD) and a risk marker for cardiovascular mortality. It was hypothesized that vitamin D deficiency could play an important role in the pathogenesis of left ventricular hypertrophy and dysfunction in CKD. An open-labelled randomized study was performed comparing the effect of alfacalcidol versus no treatment in patients with CKD 4, secondary hyperparathyroidism and LVH. The primary endpoint was regression of LVH. Secondary endpoints were changes in left ventricular function.Material and methods: Twenty-four patients were screened. Of these, 14 had LVH according to the criteria used. Six were randomized to alfacalcidol and seven to no treatment. The patient follow-up was 6 months. Left ventricular mass and function were measured by echocardiography.Results: Parathyroid hormone decreased by 72% and -3% in the alfacalcidol-treated and non-treated groups, respectively (p < 0.05), while serum Ca(2+) increased by 9% and -1.6%, respectively (p < 0.05), and serum phosphate was unchanged. The left ventricular mass index was unchanged, whereas fractional shortening (20% vs 2%, p < 0.005) and Tei index (36% vs 12%, p < 0.05) increased significantly. Systolic and diastolic blood pressure was unchanged.Conclusion: Short-term treatment with alfacalcidol did not induce regression of LVH; however, left ventricular function became hyperdynamic but less effective in patients with CKD. This could be problematic in the long term.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"46 5","pages":"381-8"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2012.693131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30713376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 10

Information on pros and cons of prostate-specific antigen testing to men prior to blood draw: a study from the National Prostate Cancer Register (NPCR) of Sweden. 男性抽血前进行前列腺特异性抗原检测的利弊信息:来自瑞典国家前列腺癌登记(NPCR)的一项研究。

Scandinavian Journal of Urology and Nephrology Pub Date : 2012-10-01 Epub Date: 2012-05-31 DOI: 10.3109/00365599.2012.691110

Jon Fridriksson, Katarina Gunseus, Pär Stattin

{"title":"Information on pros and cons of prostate-specific antigen testing to men prior to blood draw: a study from the National Prostate Cancer Register (NPCR) of Sweden.","authors":"Jon Fridriksson, Katarina Gunseus, Pär Stattin","doi":"10.3109/00365599.2012.691110","DOIUrl":"https://doi.org/10.3109/00365599.2012.691110","url":null,"abstract":"Objective: Recent guidelines on serum testing of prostate-specific antigen (PSA) levels in asymptomatic men emphasize the importance of an informed decision. This study assessed the proportion of men who had received written or oral information on the possible consequences of testing of serum levels of PSA before blood draw.Material and methods: From the National Prostate Cancer Register (NPCR) in Sweden, 600 men per year were randomly selected out of all men with T1c prostate cancer who were diagnosed in the work-up of a PSA test as a part of health examination in 2006-2008. In a mailed questionnaire these men were asked whether and how they had been informed about the pros and cons of a PSA test prior to blood draw.Results: In total, 1621 out of 1800 men (90.1%) responded to the questionnaire; 39/1563 (2.5%) reported that they had received only written information before testing, 179/1563 (11.5%) had received both oral and written information, 763/1563 (48.8%) had received oral information only, 423/1563 (27.1%) had not received any information and 159/1563 (10.2%) were not aware of that a PSA test had been performed.Conclusions: The proportion of men who had received written information on the pros and cons of a PSA test before blood draw in the setting of a health examination was low. Improved routines for giving information to the patient before a PSA test are warranted.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"46 5","pages":"326-31"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2012.691110","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30655700","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: 9

Residual tumour in the marginal resection after a complete transurethral resection is associated with local recurrence in Ta/T1 urinary bladder cancer. Ta/T1型膀胱癌经尿道完全切除后边缘切除残余肿瘤与局部复发相关。

Scandinavian Journal of Urology and Nephrology Pub Date : 2012-10-01 Epub Date: 2012-05-08 DOI: 10.3109/00365599.2012.684700

Georg Jancke, Johan Rosell, Staffan Jahnson

{"title":"Residual tumour in the marginal resection after a complete transurethral resection is associated with local recurrence in Ta/T1 urinary bladder cancer.","authors":"Georg Jancke, Johan Rosell, Staffan Jahnson","doi":"10.3109/00365599.2012.684700","DOIUrl":"https://doi.org/10.3109/00365599.2012.684700","url":null,"abstract":"Objective: This study investigated the presence of residual tumour in the marginal resection (MR) after a complete transurethral resection (TURB) of Ta/T1 transitional urinary bladder cancer. The association between positive MR and recurrence was analysed.Material and methods: After macroscopically complete TURB, a marginal resection of 7 mm (corresponding to the diameter of the resection loop) was removed around the entire resection area. Univariate and multivariate Cox regression analyses were performed to assess the influence of residual disease on recurrence.Results: In all, 94 patients with a median follow-up time of 36 months were included, and residual tumour in the MR was present in 24 (26%). The recurrence rates for all cases, for those with a tumour-positive and a tumour-free MR were 60 (64%), 20 (83%) and 40 (57%), respectively. Local recurrence was found in 14 (58%) of the patients with tumour presence in the MR compared to 13 (19%) of those with a tumour-free margin. A positive MR was significantly associated with overall recurrence (p < 0.001) and local recurrence (p = 0.001).Conclusion: Incomplete transurethral resection of bladder cancer is common, as demonstrated in 26% patients with positive MR. The presence of tumour in the MR may be a risk factor for recurrence, and particularly local recurrence.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"46 5","pages":"343-7"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2012.684700","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30598897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Laparoscopic extended pelvic lymphadenectomy for staging can be performed with limited morbidity and short hospital stay in patients with prostate cancer. 腹腔镜扩大盆腔淋巴结切除术的分期可以进行有限的发病率和短住院时间的前列腺癌患者。

Scandinavian Journal of Urology and Nephrology Pub Date : 2012-10-01 Epub Date: 2012-05-08 DOI: 10.3109/00365599.2012.681062

Fredrik Liedberg, Henrik Kjölhede, Pernilla Sundqvist

{"title":"Laparoscopic extended pelvic lymphadenectomy for staging can be performed with limited morbidity and short hospital stay in patients with prostate cancer.","authors":"Fredrik Liedberg, Henrik Kjölhede, Pernilla Sundqvist","doi":"10.3109/00365599.2012.681062","DOIUrl":"https://doi.org/10.3109/00365599.2012.681062","url":null,"abstract":"Objective: Assessing lymph-node status in prostate cancer patients with high accuracy is only possible with surgical staging, despite the evolution of modern imaging techniques. The use of surgical staging has to be balanced against the complications of the procedure, the individual patient's risk for harbouring metastases and the consequences for the treatment of the patient if such metastases are present. The aim of this study was to investigate complications at 90 days using a standardized method (Clavien) in a consecutive series of patients submitted to laparoscopic extended pelvic lymphadenectomy.Material and methods: This population-based study included 133 high-risk prostate cancer patients scheduled for external beam radiation. Laparoscopic extended pelvic lymphadenectomy and registration of complications were performed in a standardized fashion. Complications were registered on a five-grade scale, and differences between groups were compared with the chi-squared test.Results: The mean hospital stay was 1.3 days. Only three patients (2%) suffered from grade 3 complications after surgery, whereas 35 patients (26%) had grade 1 complications and another 11 patients (8%) were treated for grade 2 complications. Of all patients, 35% had lymph-node metastasis, of whom 50% received intensified oncological treatment including adjuvant androgen deprivation and regional lymph-node radiation. Thus, 65% of the patients could be spared regional lymph-node radiation and its associated long-term toxicity.Conclusions: Laparoscopic extended pelvic lymphadenectomy can be performed with minimal significant complications and short hospital stay in patients with high-risk prostate cancer.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"46 5","pages":"332-6"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2012.681062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30599127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Initial symptoms and delay in patients with penile carcinoma. 阴茎癌患者的初始症状和延迟。

Scandinavian Journal of Urology and Nephrology Pub Date : 2012-10-01 Epub Date: 2012-07-02 DOI: 10.3109/00365599.2012.677473

Elisabet Skeppner, Swen-Olof Andersson, Jan-Erik Johansson, Torgny Windahl

{"title":"Initial symptoms and delay in patients with penile carcinoma.","authors":"Elisabet Skeppner, Swen-Olof Andersson, Jan-Erik Johansson, Torgny Windahl","doi":"10.3109/00365599.2012.677473","DOIUrl":"https://doi.org/10.3109/00365599.2012.677473","url":null,"abstract":"Objective: This study aimed to assess initial symptoms and factors associated with patients' and doctors' delay in penile carcinoma.Material and methods: Fifty consecutive patients with penile carcinoma treated with an organ-sparing technique and nine with partial amputation were enrolled in a prospective study at the Department of Urology, Örebro University Hospital, between 2005 and 2009. Face-to-face structured interviews in combination with self-assessment forms were used for the patients' descriptions of clinical symptoms, treatment seeking and reasons for delay. Data were also extracted from the medical records confirming time-lag between GP assessment, specialist care and time for diagnosis.Results: Erythema, rash and eczema were the most common initial symptoms (35%). In total, 65% had a patients' delay of more than 6 months, and among these there was a small, but not statistically significant, predominance for pT1 and pTis tumours. Living with a stable partner did not affect the delay. The most common reason for patients' delay was the feeling of embarrassment over symptoms localized in a sexual body area. Nine patients had a doctors' delay of more than 3 months from first special visit to diagnosis. Eight of these patients consulted dermatologists and were subjected to repeated biopsies, leaving premalignant results.Conclusions: A considerable proportion of the patients had a patients' delay of more than 6 months, perhaps due to benign initial symptoms as erythema, rash or eczema. Psychological factors such as embarrassment and denial may also be involved, as well as insufficient awareness or knowledge.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"46 5","pages":"319-25"},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2012.677473","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30914079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 44