Urological Research最新文献

筛选
英文 中文
Evaluating ESWL-induced renal injury based on urinary TNF-α, IL-1α, and IL-6 levels. 基于尿TNF-α、IL-1α和IL-6水平评价eswl所致肾损伤。
Urological Research Pub Date : 2012-10-01 DOI: 10.1007/s00240-012-0467-1
Cemal Goktas, Abdurrahman Coskun, Zerrin Bicik, Rahim Horuz, Ibrahim Unsal, Mustafa Serteser, Selami Albayrak, Kemal Sarıca
{"title":"Evaluating ESWL-induced renal injury based on urinary TNF-α, IL-1α, and IL-6 levels.","authors":"Cemal Goktas,&nbsp;Abdurrahman Coskun,&nbsp;Zerrin Bicik,&nbsp;Rahim Horuz,&nbsp;Ibrahim Unsal,&nbsp;Mustafa Serteser,&nbsp;Selami Albayrak,&nbsp;Kemal Sarıca","doi":"10.1007/s00240-012-0467-1","DOIUrl":"https://doi.org/10.1007/s00240-012-0467-1","url":null,"abstract":"<p><p>Extracorporeal shockwave lithotripsy (ESWL) has dramatically changed the treatment of urinary lithiasis and has been the first treatment option for the majority of patients for more than two decades. Despite its significant benefits, it induces acute renal injury that extends from the papilla to the outer cortex. We evaluated the severity of the inflammatory response to ESWL by measuring the urinary excretion of the cytokines TNF-α, IL-1α, and IL-6. The study included 21 selected patients and 14 control subjects. All patients underwent the same ESWL procedure (2,500 shockwaves at 100 shockwaves/min and 0.039 J from the lithotripter). Urine TNF-α, IL-1α, and IL-6 levels were measured using standard ELISA kits. In the study population (patients and controls), we did not detect TNF-α in the urine samples. The levels of both IL-1α (2.5 pg/ml) and IL-6 (3.8 pg/ml) measured before ESWL were not significantly different from the control group (2.5 and 5.2 pg/ml, respectively; p > 0.05). Twenty-four hours after ESWL, in contrast to IL-1α (4 pg/ml), urine IL-6 (19.7 pg/ml) increased significantly (p < 0.05). Fourteen days after ESWL, IL-1α increased to 5 pg/ml, while IL-6 (7 pg/ml) decreased to the control level. Urine cytokine levels may be used to evaluate the inflammatory response to ESWL. After ESWL, IL-6 levels increased in the early phase, while IL-1α levels increased later. These two markers may be used to measure the severity of inflammation. In contrast to IL-1α and IL-6, urine TNF-α excretion was not increased by ESWL. We believe that the inflammatory response to ESWL can be detected by the urinary excretion of IL-1α for up to 14 days.</p>","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-012-0467-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30442085","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: 14
Urgent ureteroscopy as first-line treatment for ureteral stones: a meta-analysis of 681 patients. 紧急输尿管镜作为输尿管结石的一线治疗:一项681例患者的荟萃分析。
Urological Research Pub Date : 2012-10-01 Epub Date: 2012-02-25 DOI: 10.1007/s00240-012-0469-z
Stefano C M Picozzi, Cristian Ricci, Maddalena Gaeta, Stefano Casellato, Robert Stubinski, Giorgio Bozzini, Gianna Pace, Alberto Macchi, Luca Carmignani
{"title":"Urgent ureteroscopy as first-line treatment for ureteral stones: a meta-analysis of 681 patients.","authors":"Stefano C M Picozzi,&nbsp;Cristian Ricci,&nbsp;Maddalena Gaeta,&nbsp;Stefano Casellato,&nbsp;Robert Stubinski,&nbsp;Giorgio Bozzini,&nbsp;Gianna Pace,&nbsp;Alberto Macchi,&nbsp;Luca Carmignani","doi":"10.1007/s00240-012-0469-z","DOIUrl":"https://doi.org/10.1007/s00240-012-0469-z","url":null,"abstract":"<p><p>There are various recent studies on the use of ureteroscopy and debate on whether this should be the first-line treatment for patients with ureteral stones. The aim of this meta-analysis was to understand the role of this surgical procedure in the emergency setting as first-line treatment and to compare the immediate procedure with a delayed one in terms of stone-free rate and complications. A bibliographic search covering the period from January 1980 to March 2010 was conducted in PubMed, MEDLINE and EMBASE. This analysis is based on the six studies found that fulfilled the predefined inclusion criteria. A total of 681 participants were included. The number of participants in each of the studies considered ranged from 27 to 244 (mean 113). Stone-free rates were 81.9% (72.0-91.8) for the proximal ureter, 87.3% (82.6-92.0) for the mid-ureter, 94.9% (92.1-97.6) for the distal ureter and 89.5% (86.5-92.5) overall according to the logistic regression applied. These values are not statistically significantly different from those reported in the AUA and EAU guidelines. The stone diameter seems to affect the stone-free rate. An increase of the stone diameter of 1 mm beyond 8 mm corresponded to a reduction of stone-free rate of 5% (2.4-8.0) and 8.1% (3.8-12.1) for the distal and proximal ureters, respectively. There is a complete lack of information in international guidelines on the ureteroscopic management of ureteral stones in an emergency setting and the currently available results are dispersed in a few studies in the literature. The rationale for using emergency ureteroscopy is more rapid stone clearance and relief from colic pain. According to our meta-analysis, immediate ureteroscopy for ureteral stone colic seems to be a safe treatment with a high success rate. This evidence will be validated by further randomized studies, with larger series of patients.</p>","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-012-0469-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30487418","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: 39
Retroperitoneoscopic nephrectomy for non-functioning kidneys related to renal stone disease. 后腹膜镜下肾切除术治疗与肾结石疾病相关的无功能肾脏。
Urological Research Pub Date : 2012-10-01 Epub Date: 2012-02-14 DOI: 10.1007/s00240-012-0466-2
Abdulkadir Tepeler, Tolga Akman, Adem Tok, Mehmet Kaba, Murat Binbay, Ahmet Yaser Müslümanoğlu, Ahmet Tefekli
{"title":"Retroperitoneoscopic nephrectomy for non-functioning kidneys related to renal stone disease.","authors":"Abdulkadir Tepeler,&nbsp;Tolga Akman,&nbsp;Adem Tok,&nbsp;Mehmet Kaba,&nbsp;Murat Binbay,&nbsp;Ahmet Yaser Müslümanoğlu,&nbsp;Ahmet Tefekli","doi":"10.1007/s00240-012-0466-2","DOIUrl":"https://doi.org/10.1007/s00240-012-0466-2","url":null,"abstract":"<p><p>Laparoscopic nephrectomy has become the gold standard procedure for nonfunctioning or symptomatic benign kidneys due to renal calculi, obstructive, refluxive, and inflammatory nephropathies or renovascular hypertension. We aimed to investigate the effect of renal calculi as a reason of non-functioning on the progress and complication rates of the retroperitoneoscopic nephrectomy (RPN). During a 2-year period, 108 patients with benign renal conditions underwent RPN by single surgeon. Among these patients, total of 27 (Group 1) with a non-functioning kidney due to renal calculi were retrospectively compared with 27 patients (Group 2) with other benign renal conditions. The two groups were matched for age, body mass index, and previous renal surgery. We analyzed operative and post-operative findings and complications. The mean age and the BMI of the groups were similar. The operation time was significantly longer in Group 1 than Group 2 (p = 0.0001). There was no significant difference between the groups with respect to mean hemoglobin drop postoperatively (p = 0.9) and hospitalization time (p = 0.06). The perioperative and postoperative complication rates were higher in Group 1 but not statistically different from Group 2 (p = 0.19, p = 0.29, respectively). RPN for nonfunctioning calculous kidneys is more challenging procedure and is associated with prolonged operation time related to difficult dissection of dense adhesions. It can be safely performed by experienced hands with similar perioperative and postoperative complication rates as well as for other benign conditions of the kidney.</p>","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-012-0466-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30457091","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: 23
Human umbilical vein endothelial cells accelerate oxalate-induced apoptosis of human renal proximal tubule epithelial cells in co-culture system which is prevented by pyrrolidine dithiocarbamate. 人脐静脉内皮细胞加速草酸盐诱导的人肾近端小管上皮细胞凋亡,并被吡咯烷二硫代氨基甲酸酯阻止。
Urological Research Pub Date : 2012-10-01 Epub Date: 2012-01-06 DOI: 10.1007/s00240-011-0450-2
Kemal Sarıca, Hasan Aydin, Faruk Yencilek, Dilek Telci, Bayram Yilmaz
{"title":"Human umbilical vein endothelial cells accelerate oxalate-induced apoptosis of human renal proximal tubule epithelial cells in co-culture system which is prevented by pyrrolidine dithiocarbamate.","authors":"Kemal Sarıca,&nbsp;Hasan Aydin,&nbsp;Faruk Yencilek,&nbsp;Dilek Telci,&nbsp;Bayram Yilmaz","doi":"10.1007/s00240-011-0450-2","DOIUrl":"https://doi.org/10.1007/s00240-011-0450-2","url":null,"abstract":"<p><p>Oxalate is the most common component of kidney stones and elevated urinary levels induce renal tubular cell toxicity and death which is essential for crystal attachment. Endothelial cells, in some studies have been shown to regulate certain functions of renal proximal tubule cells. The aim of this study was to evaluate the effect of endothelial cells on tubular cell apoptosis in a co-culture system mimicking the in vivo renal physiological settings. The human umbilical vein endothelial cells (HUVEC) and human renal proximal tubule epithelial cells (RPTEC) were exposed to increasing concentrations (0-1.0 mM) of oxalate with or without 10 μM PDTC pretreatment for 24 h. In HUVEC, RPTEC and HUVEC-RPTEC co-cultures, the cell viability was measured using the WST-1 assay and cell death with the TUNEL analysis using the flow cytometry. The treatment of RPTECs with oxalate lead to 8.9-26.2% cell death which was reduced to 0-1.6% with the PDTC pretreatment. The death rate of RPTECs was significantly increased by 15-19% at different oxalate concentrations when co-cultured with HUVECs. In contrast, cell viability was not substantially altered in PDTC pretreated RPTECs that were co-cultured with HUVECs. Apoptosis was the way of cell death as similar rate of apoptosis was observed in cell culture systems. Although cell viability of RPTECs was further reduced when co-cultured with HUVECs, it was restored with the pretreatment of PDTC. This is the first study focusing on the role of endothelial cells on RPTEC apoptosis following hyperoxaluria.</p>","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-011-0450-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30368416","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: 13
Comparison of conventional radiography combined with ultrasonography versus nonenhanced helical computed tomography in evaluation of patients with renal colic. 常规x线结合超声与非增强螺旋ct对肾绞痛患者评价的比较。
Urological Research Pub Date : 2012-10-01 Epub Date: 2012-03-14 DOI: 10.1007/s00240-012-0460-8
Sinan Ekici, Orhun Sinanoglu
{"title":"Comparison of conventional radiography combined with ultrasonography versus nonenhanced helical computed tomography in evaluation of patients with renal colic.","authors":"Sinan Ekici,&nbsp;Orhun Sinanoglu","doi":"10.1007/s00240-012-0460-8","DOIUrl":"https://doi.org/10.1007/s00240-012-0460-8","url":null,"abstract":"<p><p>The aim of this study is to determine whether kidneys ureters bladder X-ray (KUB) film combined with ultrasound (US) can be effectively used in evaluation of renal colic and miss stones with clinically significant size identified on nonenhanced computed tomography (NECT) in patients with urolithiasis. This retrospective study evaluated the clinical and radiological records of 300 patients at our institution undergoing KUB and/or US and/or NECT for the evaluation of renal colic from June 2007 to December 2010. Of patients with negative findings on KUB and/or US, 22 had renal stones on NECT (mean size 4.4 mm, range 3-8), 3 had lower ureteral stone (mean size 3.3 mm, range 2-5). In patients with isolated suspicious renal ectasia without stone image, two had renal stone on NECT (mean size 4 mm, range 2-6), 5 had upper ureteral stone (mean size 4.4 mm, range 4-6), 7 had middle ureteral stone (mean size 3.7 mm, range 3-4) and 14 had lower ureteral stone (mean size 4 mm, range 2-6). The cost-effective and almost radiation-free combination of KUB and US should be preferred for diagnosis of urolithiasis, as it detects most of the ureteral and renal calculi which are clinically significant.</p>","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-012-0460-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40162109","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: 51
Single session removal of forgotten encrusted ureteral stents: combined endourological approach. 单次切除遗忘结壳输尿管支架:联合腔内入路。
Urological Research Pub Date : 2012-10-01 Epub Date: 2011-12-11 DOI: 10.1007/s00240-011-0442-2
Yakup Bostanci, Ender Ozden, Fatih Atac, Yarkin Kamil Yakupoglu, Ali Faik Yilmaz, Saban Sarikaya
{"title":"Single session removal of forgotten encrusted ureteral stents: combined endourological approach.","authors":"Yakup Bostanci,&nbsp;Ender Ozden,&nbsp;Fatih Atac,&nbsp;Yarkin Kamil Yakupoglu,&nbsp;Ali Faik Yilmaz,&nbsp;Saban Sarikaya","doi":"10.1007/s00240-011-0442-2","DOIUrl":"https://doi.org/10.1007/s00240-011-0442-2","url":null,"abstract":"<p><p>Forgotten ureteral stents represent a difficult problem for urologists; the major complications are infection, migration, encrustation, stone formation, and multifractured stent, and a consensus on the best therapeutic approach is lacking. Here we present our experience with endoscopic management of this challenging problem and discuss the various endourological approaches for treating forgotten encrusted ureteral stents. From January 2005 to December 2010, 19 patients (11 women and 8 men) with encrusted ureteral stents were retrospectively analyzed. Combined endourologic therapies including extracorporeal shock wave lithotripsy (SWL), percutaneous nephrolithotomy (PCNL), ureterorenoscopic lithotripsy (URSL), and cystolithotripsy (CLT) were used to achieve stent removal. A total of 19 patients with encrusted ureteral stents were treated at our center. The mean patient age was 46.2 ± 18.5 years (8-81), the average indwelling time of the stent was 24.7 ± 19.0 months (8-93), and the mean hospital stay was 3.4 ± 4.0 days (range 1-15 days). Using the described combination of techniques, all stents and the associated stones were eventually removed without any complications and patients were rendered stone- and stent-free. A main element of the treatment strategy was to keep the number of interventions as low as possible. The use of various combinations of endourological techniques can achieve effective stent and stone treatment after a single anesthesia session with minimal morbidity and short hospital stay.</p>","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-011-0442-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30317374","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: 29
Quantitative analysis of colonization with real-time PCR to identify the role of Oxalobacter formigenes in calcium oxalate urolithiasis. 实时荧光定量PCR定植鉴定formigenes草酸杆菌在草酸钙尿石症中的作用。
Urological Research Pub Date : 2012-10-01 Epub Date: 2012-01-04 DOI: 10.1007/s00240-011-0449-8
Ertan Batislam, Erdal Yilmaz, Ercan Yuvanc, Ozgul Kisa, Ucler Kisa
{"title":"Quantitative analysis of colonization with real-time PCR to identify the role of Oxalobacter formigenes in calcium oxalate urolithiasis.","authors":"Ertan Batislam,&nbsp;Erdal Yilmaz,&nbsp;Ercan Yuvanc,&nbsp;Ozgul Kisa,&nbsp;Ucler Kisa","doi":"10.1007/s00240-011-0449-8","DOIUrl":"https://doi.org/10.1007/s00240-011-0449-8","url":null,"abstract":"<p><p>The objective of the study was to quantitatively measure the number of Oxalobacter formigenes (O. formigenes) colonizations in the gastrointestinal tract in calcium oxalate-forming patients with real-time polymerase chain reaction (PCR). Calcium oxalate-forming patients (n: 27) were included in the study. Serum calcium, sodium, potassium, urea and creatinine levels, as well as 24 h urine levels of calcium and oxalate were measured. The numbers of O. formigenes colonies in stool samples were detected by real-time PCR. One or two metabolic abnormalities were detected in 15 of 27 patients. The O. formigenes levels in patients with metabolic disturbance were significantly decreased when compared to the patients with no metabolic abnormalities (p: 0.038). The undetectable levels of O. formigenes were encountered in one of five patients with hypercalciuria, in three of four patients with hyperoxaluria and in four of six patients with both hypercalciuria and hyperoxaluria. In nine patients with a history of stone recurrence, O. formigenes colonization was significantly lower than the patients with the first stone attack (p: 0.001). O. formigenes formation ceased or significantly diminished in patients with calcium oxalate stones with a coexistence of both hyperoxaluria and hypercalciuria. The measurement of O. formigenes colonies by real-time PCR seemed to be an inconvenient and expensive method. For this reason, the real-time PCR measurements can be spared for the patients with stone recurrences and with metabolic abnormalities like hypercalciuria and hyperoxaluria. The exact measurement of O. formigenes may also help more accurate programming of O. formigenes-based treatments.</p>","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-011-0449-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30361004","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: 14
The efficacy and safety of ureteroscopy for ureteral calculi in pregnancy: our experience in 32 patients. 32例妊娠期输尿管结石输尿管镜检查的疗效和安全性分析。
Urological Research Pub Date : 2012-10-01 Epub Date: 2012-01-04 DOI: 10.1007/s00240-011-0454-y
Yasar Bozkurt, Necmettin Penbegul, Haluk Soylemez, Murat Atar, Ahmet Ali Sancaktutar, Kadir Yıldırım, Muhammet Erdal Sak
{"title":"The efficacy and safety of ureteroscopy for ureteral calculi in pregnancy: our experience in 32 patients.","authors":"Yasar Bozkurt,&nbsp;Necmettin Penbegul,&nbsp;Haluk Soylemez,&nbsp;Murat Atar,&nbsp;Ahmet Ali Sancaktutar,&nbsp;Kadir Yıldırım,&nbsp;Muhammet Erdal Sak","doi":"10.1007/s00240-011-0454-y","DOIUrl":"https://doi.org/10.1007/s00240-011-0454-y","url":null,"abstract":"<p><p>The aim of this study was to investigate the efficacy and safety of ureteroscopy (URS) in pregnant women. A retrospective analysis was performed on 32 pregnant patients referred to our center between April 2005 and November 2010 with hydronephrosis requiring surgical intervention. A semirigid URS of 9.5 F was used in all patients. The mean age of patients was 27.8 years (range 20-39), and the mean gestation duration was 24 weeks (15-34). The ultrasound findings were diagnostic of obstructive ureteral calculi in 16 (50%) patients and the mean stone diameter was 8 mm. Spinal anaesthesia was performed in 22 (68.8%) patients, while general anaesthesia was performed in 7 (21.8%) patients. Ureteric stones were found in 27 (84.3%) patients during endoscopy, 10 being distal, 9 middle and 8 proximal. There were no stones in five patients. The stones were fragmented with pneumatic lithotripsy in 8 patients and with holmium laser in 17 patients and the fragments were retracted with forceps. Of the 32 patients, 19 (59.4%) required JJ stent insertion peroperatively. There was no serious complication intraoperatively, while urinary tract infection developed in four and renal colic in two patients postoperatively. In one patient, sepsis developed postoperatively, and improved with appropriate treatment. All babies were born normally. Semirigid ureteroscopy for diagnosing and treating ureteral calculi by intracorporeal pneumatic or holmium laser lithotripsy is a safe and reasonable treatment option for pregnant patients.</p>","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-011-0454-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30361005","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: 39
Does the use of doxazosin influence the success of SWL in the treatment of upper ureteral stones? A multicenter, prospective and randomized study. 多沙唑嗪的使用是否影响SWL治疗输尿管上段结石的成功?一项多中心、前瞻性和随机研究。
Urological Research Pub Date : 2012-10-01 Epub Date: 2012-01-07 DOI: 10.1007/s00240-011-0455-x
Ferhat Ateş, Bilal Eryıldırım, Metin Ishak Öztürk, Turgay Turan, Cenk Gürbüz, Mete Oğuz Ekinci, Asıf Yıldırım, Cemal Göktaş, Temuçin Şenkul, Kemal Sarıca
{"title":"Does the use of doxazosin influence the success of SWL in the treatment of upper ureteral stones? A multicenter, prospective and randomized study.","authors":"Ferhat Ateş,&nbsp;Bilal Eryıldırım,&nbsp;Metin Ishak Öztürk,&nbsp;Turgay Turan,&nbsp;Cenk Gürbüz,&nbsp;Mete Oğuz Ekinci,&nbsp;Asıf Yıldırım,&nbsp;Cemal Göktaş,&nbsp;Temuçin Şenkul,&nbsp;Kemal Sarıca","doi":"10.1007/s00240-011-0455-x","DOIUrl":"https://doi.org/10.1007/s00240-011-0455-x","url":null,"abstract":"<p><p>The objective of the study is to investigate the effect of doxazosin, administered to the subjects who underwent SWL due to upper ureteral stones, on therapeutic outcomes. The study enrolled the patients with a radio-opaque stone ≥5 mm in upper ureter. Patients were randomized into two groups: the first group underwent SWL following the diagnosis and they were recommended to receive oral hydration. The second group underwent SWL after initiating alpha blocker (doxazosin controlled-release tablet 4 mg/day) and drug therapy was continued until that the patient has been stone free. Parameters of SWL procedure, Steinstrasse, pain score at admission, time to stone passage, the complications developed, the additional procedures that were administered and number of hospital visits done due to pain during the treatment were recorded. A total of 79 patients were enrolled to the study. The subjects evaluated included 35 patients, who received an alpha blocker and 44 patients who did not receive an alpha blocker. For both groups, the level of energy applied per SWL session, the diameter of the stone, the number of hospital visits done due to pain, pain score and the need for analgesia were found to be similar (p > 0.05). The group of doxazosin was more advantageous in terms of stone-free rate, the need for additional procedures and Steinstrasse (p < 0.05). In conclusion, the addition of doxazosin to SWL therapy administered for upper ureteral stones reduces Steinstrasse, and thereby, the need for additional procedures and increases post-treatment stone-free rate. A positive effect of doxazosin on the time to stone passage was not shown.</p>","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-011-0455-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30371772","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: 12
Re: The efficacy and safety of ureteroscopy for ureteral calculi in pregnancy: our experience in 32 patients. 32例妊娠期输尿管结石输尿管镜检查的疗效和安全性分析。
Urological Research Pub Date : 2012-10-01 DOI: 10.1007/s00240-012-0458-2
Abdulkadir Tepeler, Abdullah Armağan, Zafer Doğan, Mehmet Yılmaz, Mesrur Selçuk Sılay
{"title":"Re: The efficacy and safety of ureteroscopy for ureteral calculi in pregnancy: our experience in 32 patients.","authors":"Abdulkadir Tepeler,&nbsp;Abdullah Armağan,&nbsp;Zafer Doğan,&nbsp;Mehmet Yılmaz,&nbsp;Mesrur Selçuk Sılay","doi":"10.1007/s00240-012-0458-2","DOIUrl":"https://doi.org/10.1007/s00240-012-0458-2","url":null,"abstract":"","PeriodicalId":23412,"journal":{"name":"Urological Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s00240-012-0458-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30430263","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: 5
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信