Acta urologica Belgica最新文献_第8页

[Medical treatment of ureteral calculi]. 输尿管结石的内科治疗。

Acta urologica Belgica Pub Date : 1997-10-01

C Vaessen, T Roumeguere, J Simon, C Schulman

引用次数: 0

[A metabolic approach to patients with calculi]. [一种治疗结石的代谢方法]。

Acta urologica Belgica Pub Date : 1997-10-01

T Wildschutz, S Ekane, J Simon, C C Schulman

引用次数: 0

PSA evolution: a prognostic factor during treatment of advanced prostatic carcinoma with total androgen blockade. Data from a Belgian multicentric study of 546 patients. PSA演变:在全雄激素阻断治疗晚期前列腺癌期间的预后因素。数据来自比利时一项546例患者的多中心研究。

Acta urologica Belgica Pub Date : 1997-10-01

W Oosterlinck, J Mattelaer, J Casselman, R Van Velthoven, M P Derde, L Kaufman

{"title":"PSA evolution: a prognostic factor during treatment of advanced prostatic carcinoma with total androgen blockade. Data from a Belgian multicentric study of 546 patients.","authors":"W Oosterlinck, J Mattelaer, J Casselman, R Van Velthoven, M P Derde, L Kaufman","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: To study the prognostic value of the prostate-specific antigen (PSA) response and its relationship with other initial prognostic factors during the treatment of advanced prostatic carcinoma with total androgen blockade.Methods: Five hundred forty-six patients with advanced loco-regional (M0) or distant metastatic (M1) prostatic carcinoma treated with flutamide combined with either orchiectomy or LHRH analogues were included in this analysis. Initial patients characteristics and the PSA response were evaluated in relation to progression-free survival using a univariate and multivariate (Cox regression) analysis.Results: The following prognostic factors were indicative of a decrease in progression-free survival: the absence of PSA normalization (< 4 ng/ml) after 3 or 6 months, M1 stage, high G grade, ECOG performance status > 1, presence of pain and absence of dysuria. In M1 patients the combination of PSA normalization after 3 or 6 months with initial G grade and ECOG performance status had the strongest predictive value.Conclusions: This study demonstrates that PSA normalization after 3 or 6 months along with initial tumor stage, grade and health status of the patient are the most important prognostic factors related to progression-free survival in the hormonal treatment of advanced prostatic carcinoma.","PeriodicalId":75424,"journal":{"name":"Acta urologica Belgica","volume":"65 3","pages":"63-71"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350704","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: 0

[Calculi: interventional treatment]. [结石:介入治疗]。

Acta urologica Belgica Pub Date : 1997-10-01

T Roumeguere, C Vaessen, J Simon, C C Schulman

引用次数: 0

Is there still a place for surgery in the treatment of ureteral stones? 输尿管结石的治疗还有手术的余地吗?

Acta urologica Belgica Pub Date : 1997-10-01

Z Kirkali, M U Mungan, G Arslan, O Sahin

{"title":"Is there still a place for surgery in the treatment of ureteral stones?","authors":"Z Kirkali, M U Mungan, G Arslan, O Sahin","doi":"","DOIUrl":"","url":null,"abstract":"Although most ureteral stones can be treated with Extracorporeal Shock Wave Lithotripsy (ESWL) and endourology, there still is a small percent of patients whose stones can not be treated with minimally invasive techniques and thus require open surgery. Retroperitoneoscopic surgery is a good alternative for this subgroup of patients. It provides a direct access to the retroperitoneum, less morbid than an open operation and provides a better cosmetic result. On the very rare occasion open surgery with ureteral reimplantation to the bladder is required in those patients with lower ureteral stones. We have seen 1297 patients with stones larger than 5 mm in the ureter during the last 7 years. Among those undergoing watchful waiting 82% were stone-free; and that was 2.4% of all ureteral stones. Among those 1258 patients whom required a treatment 82.1% underwent in situ ESWL and 74.5% of them were rendered stone-free. In 8.9% of the patients ureteroscopy was performed (50% primary, and 50% for failed ESWL) with a stone-free rate of 75.8%. Open stone surgery was required in 8.9%, and retroperitoneoscopic surgery for ureteral stones was performed in only 0.15% of all patients. The best form of treatment for a ureteral stone is watchful waiting and the patient passing the stone without any intervention. Although that is the best scenario, this is a very painful condition and unfortunately most patients require some form of treatment. While ESWL for upper and mid ureteral non-obstructing and non-impacted stones is highly effective, stones in the lower ureter can be successfully treated via ureteroscopy. There still are some patients who require open surgery and retroperitoneoscopic surgery can be an alternative for this subgroup of patients offering a less morbid and better cosmetic result.","PeriodicalId":75424,"journal":{"name":"Acta urologica Belgica","volume":"65 3","pages":"35-40"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350701","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: 0

[Complications of ureteroscopy]. 输尿管镜的并发症。

Acta urologica Belgica Pub Date : 1997-10-01

T Roumeguere, J Simon, C C Schulman

引用次数: 0

Radical prostatectomy and prognostic factors. 根治性前列腺切除术与预后因素。

Acta urologica Belgica Pub Date : 1997-10-01

W du Fossé, I Billiet, J Mattelaer

{"title":"Radical prostatectomy and prognostic factors.","authors":"W du Fossé, I Billiet, J Mattelaer","doi":"","DOIUrl":"","url":null,"abstract":"Objectives: Prognosis of patients who have been treated by radical prostatectomy, because of prostatic carcinoma, is dependent on a number of factors. In this study we try to determine these factors, their relationship with each other, their relationship with progression of disease and the prognostic value of this relationship.Methods: \"Progression\" (or relapse) of disease is defined as clinical evidence of local or general recurrence and/or isolated elevation of postoperative PSA level more than 0.2 ng/ml (Hybritech) at two consecutive outpatient visits. In our institution, 62 radical retropubic prostatectomies were performed over a period of 66 months. Without any exclusion, these patients were included in the analysis (with respect to \"progression\"), which consisted of bi- and multivariate analyses, Kaplan-Meier estimations and multivariate survival analyses using the \"Cox proportional hazards model\". Median follow-up time was 32 months.Results: \"Progression\" was seen in 24.5% of cases, after a median progression-free interval of 13 months. Overall survival and freedom from \"progression\" (FFP) after 32 months were respectively 98.11% and 81.11%. Significant relations can be demonstrated between on one side preoperative PSA level, and on the other side \"progression\". FFP after 32 months for pathological T3-T4NO-1 tumors is 67.12% compared to 100% for pathological T2 tumors; FFP after 32 months is 88.98% for Gleason score of resection specimen < 7 and 73.86% for Gleason score > or = 7. Age, preoperative PSA level, Gleason score of resection specimen, surgical margin and 1-month-postoperative PSA level have in our analysis significant value (p < 0.05) in predicting \"progression\".Conclusions: Most in the literature described predictive factors for \"progression\" are fairly well reproduced in our analysis. Elimination of bias from applied (neo-)adjuvant therapy and less heterogeneity of the study group would most certainly improve this reproducibility.","PeriodicalId":75424,"journal":{"name":"Acta urologica Belgica","volume":"65 3","pages":"53-62"},"PeriodicalIF":0.0,"publicationDate":"1997-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20350703","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: 0

[Diagnostic approaches in calculi]. [结石诊断方法]。

Acta urologica Belgica Pub Date : 1997-10-01

P Velez de Pombo, T Wildschutz, J Simon, C C Schulman

引用次数: 0

[Etiology and treatment of secondary lesions of the urethra: unusual complication of a combined kidney-pancreas transplantation]. 【继发性尿道病变的病因及治疗:肾胰联合移植的罕见并发症】。

Acta urologica Belgica Pub Date : 1997-10-01

St Bataille, B Kimpe, L Baert

引用次数: 0

[Therapeutic strategy for Wunderlich syndrome]. [Wunderlich综合征的治疗策略]。

Acta urologica Belgica Pub Date : 1997-10-01

L G Timmermans

引用次数: 0