Database : MEDLINE
Search on : Patients [Words]
References found : 4406565 [refine]
Displaying: 1 .. 10   in format [Detailed]

page 1 of 440657 go to page                         

  1 / 4406565 MEDLINE  
              next record last record
select
to print
Photocopy
Full text

[PMID]: 26948530
[Au] Autor:Pavan N; Zargar H; Sanchez-Salas R; Castillo O; Celia A; Gallo G; Sivaraman A; Cathelineau X; Autorino R
[Ad] Address:Urology Institute, University Hospitals, Cleveland, OH; Urology Clinic, Department of Medical, Surgical and Health Science, University of Trieste, Italy....
[Ti] Title:Robot-assisted Versus Standard Laparoscopy for Simple Prostatectomy: Multicenter Comparative Outcomes.
[So] Source:Urology;91:104-10, 2016 May.
[Is] ISSN:1527-9995
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To report a comparative analysis of laparoscopic simple prostatectomy (LSP) vs robot-assisted simple prostatectomy (RASP). PATIENTS AND METHODS: Consecutive cases of LSP and RASP done between 2003 and 2014 at 3 participating institutions were included in this retrospective analysis. The effectiveness of the two procedures was determined by performing a paired analysis of main functional and surgical outcomes. A multivariate analysis was also conducted to determine the factors predictive of "trifecta" outcome (combination of International Prostate Symptom Score <8, Qmax > 15 mL/second, and no perioperative complications). RESULTS: A total of 319 patients underwent minimally invasive simple prostatectomy at the participating institutions over the study period. Total prostate volume was larger in the RASP group (median 118.5 mL vs 109 mL, P = .02). Median estimated blood loss tended to be higher for LSP (300 mL vs 350 mL, P = .07). There was no difference in terms of catheterization time (P = .3) and hospital stay (P = .42). A higher rate of overall postoperative complications was recorded in the RASP group (17.7% vs 5.3%), but rate of major complications was not significantly different between the two techniques (2.3 vs 2.1, P = .6). Subjective and objective parameters significantly improved for both LSP and RASP. On multivariable analysis, only two factors were associated with likelihood of obtaining a favorable (trifecta) outcome: age (odds ratio: 0.94; P = .03) and body mass index (odds ratio: 0.84; P = .03). CONCLUSION: Both LSP and RASP can be regarded as safe and effective minimally invasive surgical treatments for bladder outlet obstruction due to large prostate glands.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[St] Status:In-Data-Review

  2 / 4406565 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 26944351
[Au] Autor:Quintana L; Ward A; Gerrin SJ; Genega EM; Rosen S; Sanda MG; Wagner AA; Chang P; DeWolf WC; Ye H
[Ad] Address:Department of Pathology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA....
[Ti] Title:Gleason Misclassification Rate Is Independent of Number of Biopsy Cores in Systematic Biopsy.
[So] Source:Urology;91:143-9, 2016 May.
[Is] ISSN:1527-9995
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To compare the utility of saturation core biopsy and 12-core biopsy in detecting true Gleason grades, using final pathology in prostatectomy specimens as outcome measures, with a particular interest in Gleason upgrading. PATIENTS AND METHODS: We compared the concordance rates of Gleason grades diagnosed on biopsies and prostatectomy specimens in 375 consecutive patients, including 106 saturation biopsies (18-33 cores, median = 20 cores) and 269 12-core biopsies. Grading bias was addressed by a central rereview of all cases that had discordance in reporting high Gleason grades (Gleason grade ≥ 4) on biopsies and prostatectomy specimens. RESULTS: For patients with high Gleason grades on final pathology, saturation and 12-core biopsy schemes had a comparable sensitivity, specificity, negative and positive predictive values (72.5% vs 69.5%, 91.9% vs 97.6%, 64.2% vs 58.4%, and 94.3% vs 98.5%, respectively) in detecting high Gleason grades. On multivariate analysis, prebiopsy serum prostate-specific antigen and clinical T stage independently predicted Gleason upgrading; saturation biopsy was not a significant predictor. Approximately one-third of cases where high Gleason grade was not present in the biopsy were attributed to the confinement of high-grade tumors to unusual anatomic locations such as anterior lobes, apex, bladder neck, and parasagittal zones. CONCLUSION: Our study showed that Gleason misclassification rate is independent of the number of biopsy cores in systematic biopsy. One of the reasons for missing high Gleason grade tumors on systematic biopsy was unusual tumor location outside of the biopsy grid, supporting the need for improved detection technique such as magnetic resonance imaging-guided targeted biopsies.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[St] Status:In-Data-Review

  3 / 4406565 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 26923442
[Au] Autor:Granieri MA; Webster GD; Peterson AC
[Ad] Address:Department of Surgery, Division of Urology, Duke University Medical Center, Durham, NC. Electronic address: Michael.Granieri@duke.edu.
[Ti] Title:A Critical Evaluation of the Utility of Imaging After Urethroplasty for Bulbar Urethral Stricture Disease.
[So] Source:Urology;91:203-7, 2016 May.
[Is] ISSN:1527-9995
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To determine the incidence of extravasation on initial postoperative pericatheter retrograde urethrogram (pcRUG) after bulbar urethroplasty and the relationship to repair type. MATERIALS AND METHODS: We performed a retrospective review to collect stricture-related and postoperative information with emphasis on pcRUGs. All men had a pcRUG at the initial follow-up appointment. The Foley catheter was removed if no extravasation was seen and left in place for an extra week, with a repeat pcRUG if extravasation was noted. RESULTS: We limited our analysis to men who underwent bulbar urethroplasty from January 1996 to December 2012 (by two surgeons: GDW, ACP). We identified 437 patients and 407 (93%) had follow up data. The mean stricture length was 1.97 cm ± 1.2 cm. In those patients who underwent excision and primary anastomosis (EPA) (n = 232, 57%), we performed the1st pcRUG 1 week earlier compared to those who underwent augmented anastomotic repair (n = 150, 37%) or onlay repair (n = 25, 6%). There was no difference in extravasation rates among all repair types at first pcRUG. The overall rate of extravasation on the first postoperative pcRUG significantly decreased in all patients (0.98% vs 5%, P = .0008) and in those who underwent EPA (5.6% vs 0.4%, P = .0016) when the Foley catheter remained for an extra week. CONCLUSION: Men who undergo bulbar urethroplasty have a low extravasation rate (2.2%) 3 weeks postoperatively and those who underwent EPA benefited from an additional week of catheterization.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[St] Status:In-Data-Review

  4 / 4406565 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 26921645
[Au] Autor:Wang S; Lv J; Feng X; Wang G; Lv T
[Ad] Address:Clinical Research Section, Shanghai Research Institute of Acupuncture and Meridian, Shanghai, China; Yueyang Hospital of Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, China. Electronic address: wangsiyou1234@163.com....
[Ti] Title:Efficacy of Electrical Pudendal Nerve Stimulation in Treating Female Stress Incontinence.
[So] Source:Urology;91:64-9, 2016 May.
[Is] ISSN:1527-9995
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To compare the efficacies of electrical pudendal nerve stimulation (EPNS) vs electromyogram biofeedback (BF)-assisted pelvic floor muscle training (PFMT) plus transvaginal electrical stimulation (TES) in treating female stress urinary incontinence (SUI) and to evaluate the posttreatment and long-term efficacies of EPNS for female SUI. MATERIALS AND METHODS: Forty-two female SUI patients were randomized into groups I and II, 21 in each group. The two groups were treated by EPNS and BF-assisted PFMT plus TES, respectively, for comparison of their effects. Group III (196 patients) were treated by EPNS for evaluation of its effects. To perform EPNS, long acupuncture needles were deeply inserted into four sacrococcygeal points and electrified to stimulate pudendal nerves. Outcome measures were stress test, 24-hour pad test, and a questionnaire to measure the severity of symptoms and quality of life in women with SUI. RESULTS: After 4 weeks of treatment, the questionnaire score was lower and the therapeutic effect was better in group I (questionnaire score 0 [0, 6] and a ≥ 50% symptom improvement rate of 85.7%, respectively) than in group II (questionnaire score 9 [5.5, 15.5] and a ≥ 50% symptom improvement rate of 28.6%) (both P < .01). In group III, complete resolution occurred in 94 cases (48.0%), with a ≥ 50% symptom improvement rate of 85.7%, after 20.3 ± 16.8 sessions of treatment. At the mean follow-up of 52.9 months, complete resolution occurred in 32 (47.1%) of the 68 patients in group III who attained ≥50% posttreatment improvement. CONCLUSION: EPNS is more effective than BF-assisted PFMT plus TES in treating female SUI. It has good posttreatment and long-term effects on female SUI.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[St] Status:In-Data-Review

  5 / 4406565 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 26921643
[Au] Autor:Karabulut I; Keskin E; Bedir F; Yilmazel FK; Ziypak T; Doluoglu OG; Resorlu B; Germiyanoglu C
[Ad] Address:Department of Urology, Erzurum Training and Research Hospital, Ankara, Turkey....
[Ti] Title:Rigid Ureteroscope Aided Insertion of Ureteral Access Sheath in Retrograde Intrarenal Surgery.
[So] Source:Urology;91:222-5, 2016 May.
[Is] ISSN:1527-9995
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To compare the outcomes of the ureteral access sheath (UAS) placement techniques in patients undergoing retrograde intrarenal surgery. MATERIALS AND METHODS: The patients were divided into two groups with respect to placement method of UAS. UAS was placed with the classical method, through the guidewire, in the first group of the patients (group I). The outer sheath of UAS was worn on the semirigid endoscope and placed into the ureter under direct vision in the second group (group II). The number of patients was the same in two groups (n = 42). RESULTS: Overall, 70 of 84 (83.3%) patients were stone free after the initial treatment. The success rates were comparable between the two groups (80.9% vs 85.7%, P = .859) 1 month after surgery. Fluoroscopy screening time (11.7 ± 5.7 seconds vs 0 second), UAS placement time (245 ± 138.4 seconds vs 40 ± 17.9 seconds; P < .001), and operation time (58.7 ± 17.1 minutes vs 51.2 ± 16.7 minutes; P = .046) were significantly longer in group I when compared to group II. The complication rate was higher in group I when compared to group II (23.8% vs 9.5%), but the difference was not statistically significant (P = .079). CONCLUSION: Introducing UAS into ureter under direct vision while it was precisely worn on ureteroscope makes this step safer, and protects the surgeon and patient from radiation exposure by shortening fluoroscopy and operation times.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[St] Status:In-Data-Review

  6 / 4406565 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 26919965
[Au] Autor:Komai Y; Sugimoto M; Gotohda N; Matsubara N; Kobayashi T; Sakai Y; Shiga Y; Saito N
[Ad] Address:Department of Urology, National Cancer Center Hospital East, Chiba, Japan. Electronic address: yokomai@east.ncc.go.jp....
[Ti] Title:Patient-specific 3-dimensional Printed Kidney Designed for "4D" Surgical Navigation: A Novel Aid to Facilitate Minimally Invasive Off-clamp Partial Nephrectomy in Complex Tumor Cases.
[So] Source:Urology;91:226-33, 2016 May.
[Is] ISSN:1527-9995
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To report our initial experience with a novel style of 3-dimensional (3D) printed kidney, which we call "4D" surgical navigation in minimally invasive off-clamp partial nephrectomy (PN). MATERIALS AND METHODS: Ten patients with a R.E.N.A.L. nephrometry score ≥8 renal mass underwent minimally invasive off-clamp PN navigated with the aid of a patient-specific 3D printed kidney. To enhance the advantage of a 3D printed organ, we herein designed our 3D printed kidneys so that the tumor and its margin could be removed. This tumor removability allowed surgeons and patients to preoperatively visualize both the pre- and posttumor-resection kidney status, which we termed "4D" surgical navigation. Before patients consented to surgery, the surgical procedure and perioperative risks were explained to each patient using the patient-specific 3D printed kidney; subsequently, surgeons asked patients whether the 3D printed kidney model had helped them better understand their surgery than they would have without the model. RESULTS: All minimally invasive off-clamp PNs were successfully completed with acceptable perioperative outcomes and negative surgical margins. The 3D printed tumors together with their margins were nearly identical to the surgical specimens. All patients responded that their specific 3D printed kidney models had helped them understand their disease and the operations they underwent. CONCLUSION: This is the first report of a novel 3D printed organ style, which we termed "4D" surgical navigation. Use of the current 3D printed kidney models helped surgeons to perform minimally invasive off-clamp PN in complex tumor cases and also helped patients to more fully understand the operation.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[St] Status:In-Data-Review

  7 / 4406565 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 26919963
[Au] Autor:Mamut AE; Violette PD; Rowe NE; Cui F; Luke PP
[Ad] Address:Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada; Department of Surgery, Division of Urology, London Health Sciences Center, Western University, London, Ontario, Canada....
[Ti] Title:Measuring the Impact of Medical Chronic Kidney Disease and Diabetes Mellitus on Renal Functional Decline Following Surgical Management of Renal Masses.
[So] Source:Urology;91:124-8, 2016 May.
[Is] ISSN:1527-9995
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To identify risk factors for renal functional decline following extirpative renal surgery, and establish the relative impact of these factors on glomerular filtration rate (GFR). METHODS: We reviewed 224 consecutive patients with a normal contralateral kidney who underwent radical nephrectomy for a renal mass at a tertiary care center between 2002 and 2010. Multivariate linear regression was used to identify independent predictors of renal function. RESULTS: Mean patient age at time of surgery was 62.6 years and 58% of patients were male. On multivariate analysis, preoperative GFR and diabetes mellitus (DM) were independent predictors of 1-year postoperative renal function. Every 1.0 mL/min/1.73 m(2) of preoperative GFR corresponded to a loss of 0.50 mL/min/1.73 m(2) following extirpative renal surgery. Diabetic patients had a further decrease in GFR of 4.5 mL/min/1.73 m(2) (95% confidence interval 1.5-7.6) compared to patients without DM. CONCLUSION: Preoperative GFR and DM were independent predictors of postoperative renal function. This may represent a proportion of patients with medical renal disease that is not identified on the basis of preoperative GFR alone.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[St] Status:In-Data-Review

  8 / 4406565 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 26919962
[Au] Autor:Stern KL; Tyson MD; Abdul-Muhsin HM; Humphreys MR
[Ad] Address:Department of Urology, Mayo Clinic Hospital, Phoenix, AZ....
[Ti] Title:Contemporary Trends in Percutaneous Nephrolithotomy in the United States: 1998-2011.
[So] Source:Urology;91:41-5, 2016 May.
[Is] ISSN:1527-9995
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To examine trends in percutaneous nephrolithotomy (PCNL) using a serial, cross-sectional study design. METHODS: The Nationwide Inpatient Sample, the largest, publicly available, all-payer, inpatient database, was searched to identify patients of any age who underwent PCNL from 1998 to 2011. Annual procedure incidence rates were estimated using the total US Census Bureau populations. RESULTS: Data indicated that 105,180 patients underwent PCNL during the study period. The overall annual rate increased from 17 to 31 per million US adults (P < .001), with significant increases among white (P < .001) and Hispanic (P = .03) patients. Both sexes had significant increases in procedure rates: males increased from 17 to 30 per million adults (P < .001), and females increased from 17 to 32 (P < .001). PCNL among patients younger than 18 years was relatively stable (P = .59), whereas among patients aged 18 to 64 years, the procedure rate increased from 39 to 70 per million adults (P < .001), and patients older than 65 years had a larger increase, from 52 to 113 per million (P < .001). CONCLUSION: The incidence of PCNL in the United States nearly doubled from 1998 to 2011.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[St] Status:In-Data-Review

  9 / 4406565 MEDLINE  
              first record previous record next record last record
select
to print
Photocopy
Full text

[PMID]: 26902834
[Au] Autor:Garrido-Abad P; Sinués-Ojas BA; Fernández-Arjona M
[Ad] Address:Department of Urology, Hospital del Henares, Coslada, Madrid, Spain. Electronic address: pgabad@hotmail.com.
[Ti] Title:Unusual Case of Voiding Symptoms and Constipation: Retrorectal Cystic Hamartoma.
[So] Source:Urology;91:e5-6, 2016 May.
[Is] ISSN:1527-9995
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Retrorectal cystic hamartoma (tailgut cyst) is a rare congenital lesion. This study is one of the few reports of this rare clinical entity causing irritative voiding symptoms and constipation in a male patient. Although most cases are asymptomatic, patients may present with symptoms resulting from local mass effect or complication.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[St] Status:In-Data-Review

  10 / 4406565 MEDLINE  
              first record previous record
select
to print
Photocopy
Full text

[PMID]: 26896733
[Au] Autor:Petrelli F; Vavassori I; Cabiddu M; Coinu A; Ghilardi M; Borgonovo K; Lonati V; Barni S
[Ad] Address:Oncology Division, Azienda Socio-Sanitaria Territoriale Bergamo Ovest, Treviglio, BG, Italy. Electronic address: faupe@libero.it....
[Ti] Title:Predictive Factors for Reclassification and Relapse in Prostate Cancer Eligible for Active Surveillance: A Systematic Review and Meta-analysis.
[So] Source:Urology;91:136-42, 2016 May.
[Is] ISSN:1527-9995
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To systematically evaluate the evidence on the predictors of the upgrading and biochemical recurrence of prostate cancer (PC) in those patients with low-risk disease assigned to active surveillance (AS). MATERIALS AND METHODS: An electronic search of the PubMed, SCOPUS, Web of Science, CINAHL, Cochrane Library, Google Scholar, and Embase databases was performed for all reports that included detailed results of multivariate analyses of the predictors of PC reclassification and biochemical relapse during AS. Cumulative analyses of available hazard ratios (HRs) and their corresponding 95% confidence intervals were conducted using the RevMan 5.3 software to assess the potential predictors of PC upgrading and recurrence. Both random-effect model meta-analysis and Hartung-Knapp-Sidik-Jonkman meta-analysis method were applied to obtain the pooled HR for each covariate. RESULTS: In the 32 articles analyzed, encompassing about 24,236 patients with early-stage PC, the 3 clinicopathological variables significantly associated with histological progression during AS were: prostate-specific antigen-density (HR 2.46; P = .0001); 2 positive cores (HR 1.54; P = .006); and race (HR 2; P = .04). Age, prostate-specific antigen levels, and suspicion on magnetic resonance imaging were not significantly associated with increased risk of progression of PC. CONCLUSION: We identified 3 strong predictors for the upgrading of PC during AS. These should be systematically evaluated to enable patients with low-risk disease to be treated with AS.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1604
[Js] Journal subset:IM
[St] Status:In-Data-Review


page 1 of 440657 go to page                         
   


Refine the search
  Database : MEDLINE Advanced form   

    Search in field  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/PAHO/WHO - Latin American and Caribbean Center on Health Sciences Information