ISRN urology最新文献_第7页

Reconstruction of long anterior urethral strictures by dorsally quilted penile skin flap. 背侧绗缝阴茎皮瓣重建前尿道长狭窄。

ISRN urology Pub Date : 2012-01-01 Epub Date: 2012-03-04 DOI: 10.5402/2012/651513

Abdel Moneim M Abuzeid, M S Abdel Kader

{"title":"Reconstruction of long anterior urethral strictures by dorsally quilted penile skin flap.","authors":"Abdel Moneim M Abuzeid, M S Abdel Kader","doi":"10.5402/2012/651513","DOIUrl":"https://doi.org/10.5402/2012/651513","url":null,"abstract":"Objective. To present the results of reconstruction of long (>5 cm), penile, bulbar, and bulbopenile urethral strictures by penile skin flap as dorsal onlay in one-stage procedure. Patients and Methods. Between January, 1998 and December, 2004, 18 patients (aged from 28-65 years) presented with long urethral strictures, 5.6-13.2 cm (penile in 6, bulbar in 2 and combined in 10 cases), those were repaired utilizing long penile skin flaps placed as dorsal onlay flap in one stage (Orandi flap 6 cm in 6 cases, circular flaps 7-10 cm in 8, and spiral flaps 10-15 cm in 4). Followup of all patients after reconstruction included urine flow rate at weekly intervals, RUG at 6-12 weeks, and urethrocystoscopy at 12 and 18 months. Results. The urethral patency was achieved in 77% of patients. The complications were fistula in one patient (5.5%), restricture occurred in 3 patients (16.6%) that required visual internal urethrotomy and two patients (11%) showed curvature on erection that dose not interfere with sexual intercourse. Diverticulum (penile urethra) was seen in one patient (5.5%) containing stones and was excised surgically. There was penile skin loss in 3 patients (16.6%). All patients completed at least one-year followup period. Conclusion. Free penile skin flaps offer good results (functional and cosmetic) in long penile and/or bulbar urethral strictures. Meticulously fashioned longitudinal, circular or spiral penile skin flaps could bridge urethral defects up to 15 cm long.","PeriodicalId":89401,"journal":{"name":"ISRN urology","volume":"2012 ","pages":"651513"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/651513","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30601886","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: 2

Navigating the difficult robotic assisted pyeloplasty. 导航困难的机器人辅助肾盂成形术。

ISRN urology Pub Date : 2012-01-01 Epub Date: 2012-10-30 DOI: 10.5402/2012/291235

David D Thiel

引用次数: 3

Why I cannot find the prostate? Behind the subjectivity of rectal exam. 为什么我找不到前列腺?直肠检查主观性的背后。

ISRN urology Pub Date : 2012-01-01 Epub Date: 2012-02-15 DOI: 10.5402/2012/456821

Dmitry Koulikov, Ariel Mamber, Alon Fridmans, Wael Abu Arafeh, Ofer Z Shenfeld

引用次数: 21

A Twelve-Year Experience in Ambulatory Surgery within Urology. 泌尿外科门诊手术十二年的经验。

ISRN urology Pub Date : 2012-01-01 Epub Date: 2012-02-16 DOI: 10.5402/2012/383642

Pedro Navalón, Yoni Pallás, Victor Navalón, Felipe Ordoño, Elisa Monllor

引用次数: 0

Macroscopic hematuria-a leading urological problem in patients on anticoagulant therapy: is the common diagnostic standard still advisable? 宏观血尿——抗凝治疗患者的主要泌尿系统问题:通用诊断标准是否仍然可取?

ISRN urology Pub Date : 2012-01-01 Epub Date: 2012-04-01 DOI: 10.5402/2012/710734

Artur A Antoniewicz, Lukasz Zapała, Sławomir Poletajew, Andrzej Borówka

引用次数: 20

Three Years of Salvage IMRT for Prostate Cancer: Results of the Montpellier Cancer Center. 前列腺癌的三年补救性IMRT:蒙彼利埃癌症中心的结果。

ISRN urology Pub Date : 2012-01-01 Epub Date: 2012-03-20 DOI: 10.5402/2012/391705

Olivier Riou, Pascal Fenoglietto, Benoit Laliberté, Cathy Menkarios, Carmen Llacer Moscardo, Meng Huor Hay, Norbert Ailleres, Jean-Bernard Dubois, Xavier Rebillard, David Azria

{"title":"Three Years of Salvage IMRT for Prostate Cancer: Results of the Montpellier Cancer Center.","authors":"Olivier Riou, Pascal Fenoglietto, Benoit Laliberté, Cathy Menkarios, Carmen Llacer Moscardo, Meng Huor Hay, Norbert Ailleres, Jean-Bernard Dubois, Xavier Rebillard, David Azria","doi":"10.5402/2012/391705","DOIUrl":"https://doi.org/10.5402/2012/391705","url":null,"abstract":"Background. To assess the feasibility of salvage intensity-modulated radiation Therapy (IMRT) and to examine clinical outcome. Patients and Methods. 57 patients were treated with salvage IMRT to the prostate bed in our center from January, 2007, to February, 2010. The mean prescription dose was 68 Gy in 34 fractions. Forty-four patients received concomitant androgen deprivation. Results. Doses to organs at risk were low without altering target volume coverage. Salvage IMRT was feasible without any grade 3 or 4 acute gastrointestinal or urinary toxicity. With a median follow-up of 21 months, one grade 2 urinary and 1 grade ≥2 rectal late toxicities were reported. Biological relapse-free survival was 96.5% (2.3% (1/44) relapsed with androgen suppression and 7.7% (1/13) without). Conclusion. Salvage IMRT is feasible and results in low acute and chronic side-effects. Longer follow-up is warranted to draw conclusions in terms of oncologic control.","PeriodicalId":89401,"journal":{"name":"ISRN urology","volume":"2012 ","pages":"391705"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/391705","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30602006","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: 6

Clinical profile and outcome of conservatively managed emphysematous pyelonephritis. 保守治疗肺气性肾盂肾炎的临床特点及预后。

ISRN urology Pub Date : 2012-01-01 Epub Date: 2012-03-18 DOI: 10.5402/2012/931982

Praveen Kumar Kolla, Desai Madhav, Satish Reddy, Suneetha Pentyala, Panil Kumar, Rama Mohan Pathapati

引用次数: 16

External validation of an artificial neural network and two nomograms for prostate cancer detection. 用于前列腺癌检测的人工神经网络和两个提名图的外部验证。

ISRN urology Pub Date : 2012-01-01 Epub Date: 2012-07-05 DOI: 10.5402/2012/643181

Thorsten H Ecke, Steffen Hallmann, Stefan Koch, Jürgen Ruttloff, Henning Cammann, Holger Gerullis, Kurt Miller, Carsten Stephan

{"title":"External validation of an artificial neural network and two nomograms for prostate cancer detection.","authors":"Thorsten H Ecke, Steffen Hallmann, Stefan Koch, Jürgen Ruttloff, Henning Cammann, Holger Gerullis, Kurt Miller, Carsten Stephan","doi":"10.5402/2012/643181","DOIUrl":"10.5402/2012/643181","url":null,"abstract":"Background. Multivariate models are used to increase prostate cancer (PCa) detection rate and to reduce unnecessary biopsies. An external validation of the artificial neural network (ANN) \"ProstataClass\" (ANN-Charité) was performed with daily routine data. Materials and Methods. The individual ANN predictions were generated with the use of the ANN application for PSA and free PSA assays, which rely on age, tPSA, %fPSA, prostate volume, and DRE (ANN-Charité). Diagnostic validity of tPSA, %fPSA, and the ANN was evaluated by ROC curve analysis and comparisons of observed versus predicted probabilities. Results. Overall, 101 (35.8%) PCa were detected. The areas under the ROC curve (AUCs) were 0.501 for tPSA, 0.669 for %fPSA, 0.694 for ANN-Charité, 0.713 for nomogram I, and 0.742 for nomogram II, showing a significant advantage for nomogram II (P = 0.009) compared with %fPSA while the other model did not differ from %fPSA (P = 0.15 and P = 0.41). All models overestimated the predicted PCa probability. Conclusions. Beside ROC analysis, calibration is an important tool to determine the true value of using a model in clinical practice. The worth of multivariate models is limited when external validations were performed without knowledge of the circumstances of the model's development.","PeriodicalId":89401,"journal":{"name":"ISRN urology","volume":"2012 ","pages":"643181"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3399415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30788374","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: 0

Outcome Assessment of the Marshall Coughing Test during Cervix Reposition Maneuver in Women with Urinary Stress Incontinence with/without Genital Prolapse. 对伴有/不伴有生殖器脱垂的压力性尿失禁妇女在宫颈复位操作中进行马歇尔咳嗽测试的结果评估。

ISRN urology Pub Date : 2012-01-01 Epub Date: 2012-02-20 DOI: 10.5402/2012/109858

Vesna Antovska

{"title":"Outcome Assessment of the Marshall Coughing Test during Cervix Reposition Maneuver in Women with Urinary Stress Incontinence with/without Genital Prolapse.","authors":"Vesna Antovska","doi":"10.5402/2012/109858","DOIUrl":"10.5402/2012/109858","url":null,"abstract":"Objectives. Outcome assessment of the Marshall coughing test (MT) during cervix reposition maneuver (CRM) in women with urinary stress incontinence (USI) with/without genital prolapse (GP). Study Design. 268 patients, divided into USIg (n = 132) with isolated USI and USIGPg (n = 136) with USI and GP stage I/II, additionally divided into USIGP(A) (n = 78) with USI and GP stage I and USIGP(B) (n = 58) with USI and GP stage II, were evaluated with pelvic organ prolapse quantification (POPQ), MT, and CRM. Results. (a) 7.58% had (+) MT with CRM in USIg; (b) in up to 96.15% MT became negative during CRM in USIGP(A); (c) in 51.72% MT became positive only during CRM, as a sign for occult USI in USIGP(B); (d) point Aa (POPQ), which is bladder neck(BN) projection on the anterior vaginal wall, was situated higher in rest position (RP), but moved lower during the Valsalva maneuver (VM) in USIg versus USIGPg (P < 0.05). Conclusion. CRM could be useful arm in selection of (1) patients with isolated USI and great chance for postoperative failure; (2) patients with USI+GP stage I, who need GP repair during antistress surgery; (3) patients with USI + GP stage II, who need antistress procedure during vaginal hysterectomy.","PeriodicalId":89401,"journal":{"name":"ISRN urology","volume":" ","pages":"109858"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3302208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40173549","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: 0

Fournier's Gangrene: Conventional Dressings versus Dressings with Dakin's Solution. 富尼耶坏疽:传统敷料与达金溶液敷料。

ISRN urology Pub Date : 2012-01-01 Epub Date: 2012-03-04 DOI: 10.5402/2012/762340

Bülent Altunoluk, Sefa Resim, Erkan Efe, Mustafa Eren, Can Benlioglu, Nazim Kankilic, Halit Baykan

{"title":"Fournier's Gangrene: Conventional Dressings versus Dressings with Dakin's Solution.","authors":"Bülent Altunoluk, Sefa Resim, Erkan Efe, Mustafa Eren, Can Benlioglu, Nazim Kankilic, Halit Baykan","doi":"10.5402/2012/762340","DOIUrl":"https://doi.org/10.5402/2012/762340","url":null,"abstract":"Purpose. Fournier's gangrene is a fulminant and destructive inflammation of the scrotum, penis, and perineum. The objective of this study was to compare 2 different approaches to wound management after aggressive surgical debridement. Methods. Data from 14 patients with Fournier's gangrene were retrospectively collected (2005-2011). Once the patients were stabilized following surgery, they were treated with either daily antiseptic (povidone iodine) dressings (group I, n = 6) or dressings with dakin's solution (sodium hypochloride) (group II, n = 8). Results. The mean age of the patients was 68.2 ± 7.8 (55-75) years in group I and 66.9 ± 10.2 (51-79) years in group II. Length of hospital stay was 13 ± 3.5 (7-16) days in group I and 8.9 ± 3.0 (4-12) days in group II (P < 0.05). The number and rate of mortality was 1/6 (16.7%) in group I, and 1/8 (12.5%) in group II. Conclusions. The hospitalization time can be reduced with the use of dakin's solution for the dressings in the treatment of FG. Also, dressings with dakin's solution seems to have favorable effects on morbidity and mortality. Consequently dakin's solution may alter the treatment of this disastrous disease by reducing cost, morbidity and mortality.","PeriodicalId":89401,"journal":{"name":"ISRN urology","volume":"2012 ","pages":"762340"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5402/2012/762340","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30601889","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: 18