Search Results
Results 301 - 350 of 1892
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Davis John W - - 2009
BACKGROUND: Nonrandomized studies of unilateral nerve-sparing (UNS) radical prostatectomy (RP) have reported improved recovery of erectile function if the sacrificed cavernous nerve is reconstructed with a sural nerve graft (SNG). OBJECTIVE: To determine whether UNS RP plus SNG results in a 50% relative increase in potency at 2 yr compared ...
Menard Johann - - 2008
OBJECTIVES: To compare the morbidity and functional results after laparoscopic radical prostatectomy with and without previous transurethral resection of the prostate (TURP). METHODS: From May 1998 to January 2005, 640 patients underwent laparoscopic radical prostatectomy, of whom 46 (7.2%) had previously undergone TURP. The perioperative and postoperative data were compared ...
MacDiarmid Scott A SA Alliance Urology Specialists, Greensboro, NC 27403, USA. - - 2008
To evaluate the efficacy and tolerability of extended-release oxybutynin in combination with the alpha1-blocker tamsulosin in reducing lower urinary tract symptoms in men. In this multicenter, double-blind trial performed between March 29, 2004, and June 22, 2005, 420 men aged 45 years or older with a total International Prostate Symptom ...
Cam Kamil - - 2008
OBJECTIVES: To prospectively evaluate the efficacy of single dose antibiotic prophylaxis in 12-core transrectal ultrasonography (TRUS) guided prostate biopsy. METHODS: A total of 400 patients who underwent prostate biopsy with TRUS guidance were included. The patients were prospectively randomized in three groups regarding antibiotic prophylaxis. The first group (139 patients) ...
Anderson Christopher B - - 2008
OBJECTIVE: To compare the outcomes of patients presenting with and without acute urinary retention (AUR) who were treated with 100-W holmium laser resection of the prostate (HoLRP), as laser therapies, including HoLRP, have been used for treating lower urinary tract symptoms secondary to benign prostatic hyperplasia (BPH), but the effectiveness ...
Jain Arun - - 2008
PURPOSE: To present long-term follow-up results of 116 patients treated with laser ablation of the prostate and transurethral scraping (LAP/TUS) that involves vaporization and coagulation with potassium titanyl phosphate (KTP):YAG (yttrium-aluminum-garnet) (40 W) and neodymium (Nd):YAG (60 W) lasers, respectively, followed by scraping of the debris with a resectoscope. PATIENTS ...
Seki Narihito - - 2008
PURPOSE: To evaluate the learning experience, in addition to its impact on outcomes, in patients with benign prostatic hyperplasia (BPH) who undergo photoselective vaporization of the prostate (PVP). PATIENTS AND METHODS: The study included 74 Japanese patients who underwent PVP. All patients were assessed for treatment efficacy in outcome variables ...
Nickel J Curtis - - 2008
To determine the prevalence, diagnostic patterns and management of lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH) in Canadian urology outpatient practice. Representative urologists were randomly selected from lists provided by the Canadian and Quebec Urological Associations. Each patient identified with a BPH diagnosis during a typical ...
Trabulsi Edouard J EJ Department of Urology, Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, - - 2008
It is unclear whether postoperative salvage radiation therapy (SRT) and early adjuvant radiotherapy (ART) after radical prostatectomy lead to equivalent long-term tumor control. We studied a group of patients undergoing ART by comparing them with a matched control group undergoing SRT after biochemical failure. Using a multi-institutional database of 2299 ...
Ruszat Robin - - 2008
OBJECTIVES: To evaluate the intermediate-term clinical efficacy and the rate of complications in 80 W photoselective vaporization of the prostate (PVP) with the potassium-titanyl-phosphate laser (Greenlight, (AMS, Minnetonka, MN, USA) compared with transurethral resection of the prostate (TURP) in a prospective non-randomised two-centre study. PATIENTS AND METHODS: From December 2003 ...
Seki Narihito - - 2008
PURPOSE: We evaluated the effects of photoselective vaporization of the prostate on efficacy outcomes and urodynamic parameters in patients with benign prostatic hyperplasia. MATERIALS AND METHODS: The efficacy and morbidity of photoselective vaporization of the prostate were prospectively analyzed in 135 patients who underwent this therapy. Treatment efficacy was assessed ...
Link Brian A - - 2008
PURPOSE: We determined whether prostate weight has an impact on the pathological and operative outcomes of robot assisted laparoscopic radical prostatectomy. MATERIALS AND METHODS: We reviewed the records of 1,847 consecutive patients who underwent robot assisted laparoscopic radical prostatectomy at our institution. Variables were compared across quartile distributions of prostate ...
van Oort I M - - 2009
OBJECTIVE: Small volume prostate cancers (<0.5 cc, svPC), and insignificant prostate cancers (<0.5 cc and Gleason scores <7, InsigPC) are considered clinically insignificant by some investigators. The aim of this study is to determine the biochemical recurrence rate (BCR) of svPC and InsigPC in prostatectomy specimens. METHODS: In total, 502 ...
Montorsi Francesco F Division of Urology, Universita Vita Salute San Raffaele, Via Olgettina 60, Milan, Italy. - - 2008
To date, no data have been available from large, well-designed trials comparing on demand and nightly dosing of phosphodiesterase type 5 (PDE5) inhibitors on recovery of erectile function in postprostatectomy patients with erectile dysfunction (ED). To investigate the effect of early postoperative dosing with vardenafil, administered either nightly or on ...
Kurbatov Dmitry - - 2008
The goal of this study was to assess the therapeutic benefits of long-acting testosterone therapy in hypogonadal patients with erectile dysfunction (ED). We recruited 29 patients with ED, ranging in age from 32 to 65 years (mean +/- SD, 47 +/- 9.7 years), with low plasma testosterone, who did not ...
Martis Gianni - - 2008
BACKGROUND: The efficacy and safety of a new transurethral endoscopic device using bipolar electrocautery, the Gyrus system, were evaluated. This system permits rapid prostate tissue removal by endoscopic vaporization with little bleeding using saline irrigation, therefore eliminating transurethral resection of the prostate (TURP) syndrome. METHODS: Between January 2000 and December ...
Akino Hironobu - - 2008
OBJECTIVES: Although invasive and expensive, the pressure-flow study is known as the reference standard for the diagnosis of bladder outlet obstruction. We investigated the usefulness of ultrasound-estimated bladder weight (UEBW) as a predictor of the need for surgery for benign prostatic hyperplasia (BPH). METHODS: A total of 97 consecutive male ...
Eisenberg Michael L - - 2008
OBJECTIVES: To determine the efficacy of partial cryoablation of the prostate in the salvage setting. METHODS: All patients who were treated between April 2004 and September 2007 for recurrent prostate adenocarcinoma after failure of primary radiotherapy by means of partial cryoablation were identified. RESULTS: Nineteen patients met inclusion criteria; 15 ...
Teber Dogu - - 2008
OBJECTIVES: The vesicourethral anastomosis is critical to the outcome of laparoscopic radical prostatectomy (LRP). We retrospectively compared a recently introduced running suture with existing interrupted techniques. MATERIALS AND METHODS: A total of 600 patients undergoing LRP at our institution were reviewed. Each group consisted of 200 patients. Group 1 (intracorporeal-single-knot-running ...
Roumeguère Thierry - - 2008
INTRODUCTION: The DETECT study is a prospective, 12-month, European, multicenter, observational study of patients with erectile dysfunction (ED) initiating or changing treatment to tadalafil in routine clinical practice. AIM: To determine the effectiveness of tadalafil and the factors associated with the continuation of treatment for ED at 12 months. METHODS: ...
Tugcu Volkan - - 2008
PURPOSE: To present our 2-year data comparing photoselective vaporization of the prostate (PVP) and transurethral resection of the prostate (TURP) for patients suffering from lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH). PATIENTS AND METHODS: In this prospective non-randomized study, 210 patients with a prostate volume <70 ...
Wu Sheng-Tang - - 2008
BACKGROUND: The incidence of prostate cancer is lower in Taiwan compared to Europe and North America. Only a few urologists have been trained to perform laparoscopic radical prostatectomies (LRP). The initial experience of robotic LRP in Taiwan is reported. PATIENTS AND METHODS: Twenty-four patients with localized prostate carcinomas underwent robotic ...
Bartoletti Riccardo - - 2008
PURPOSE: To evaluate the tolerability and safety of a newly designed probe for trans-perineal microwave thermoablation (TPMT) of the prostate in patients with benign prostatic hyperplasia (BPH), and the in vivo microwave effects on prostatic tissue. PATIENTS AND METHODS: Nine patients with obstructive BPH who were candidates for open prostatectomy ...
Emberton Mark - - 2008
OBJECTIVE: To systematically review the placebo arms of randomized trials of medical therapy for benign prostatic hyperplasia (BPH) and thus estimate rates of progression. METHODS: We searched PubMed, the Cochrane Trials Register and the USA Food and Drug Administration website. Retrieved citations were reviewed in two stages: a title and ...
Hekal Ihab A - - 2009
BACKGROUND: Literature regarding both subjective and objective evaluations of erectile function following radical cystectomy is deficient. OBJECTIVE: To study the recoverability of erectile function in post-radical cystectomy patients on subjective and objective bases. DESIGN, SETTING, AND PARTICIPANTS: Between March 2003 and March 2005, 45 male patients with organ-confined invasive bladder ...
Oeconomou Athanassios - - 2008
CONTEXT: The intraprostatic injection of botulinum neurotoxin type A (BoNT-A) is a minimally invasive but still-experimental treatment of lower urinary tract symptoms (LUTS) due to benign prostatic enlargement (BPE) based on an off-label use of the drug. OBJECTIVE: Report the mechanisms of action of BoNT-A on the prostate as well ...
Shikanov Sergey A - - 2008
PURPOSE: We evaluated urinary and sexual quality of life 1 year following robotic laparoscopic radical prostatectomy and identified preoperative variables predictive of a severe decrease from baseline. MATERIALS AND METHODS: Using a prospective robotic laparoscopic radical prostatectomy database we identified patients with greater than 1 year of postoperative followup. The ...
Jones J Stephen - - 2008
PURPOSE: We report the largest data set to date to our knowledge regarding outcomes for primary whole gland prostate cryoablation. MATERIALS AND METHODS: The COLD (Cryo On-Line Data) Registry consists of case report forms obtaining pretreatment and posttreatment information for patients undergoing whole gland prostate cryoablation. A total of 1,198 ...
Zorn Kevin C - - 2008
PURPOSE: The main objective of radical prostatectomy (RP) is optimal oncologic resection with preservation of sexual function (SF). During our initial experience with robot-assisted laparoscopic radical prostatectomy (RLRP), we noted a high rate of posterolateral location of positive surgical margins (PSM) with nerve preservation (NP). With its magnified view of ...
Yuh Bertram - - 2008
INTRODUCTION/OBJECTIVE: Simple prostatectomy continues to be an effective surgical option for patients with symptomatic high volume benign prostatic hyperplasia. Recent trends towards minimally invasive urologic surgery, in particular for prostate cancer, have created surgical alternatives with additional potential benefits. We report on the feasibility of robot-assisted retropubic prostatectomy. MATERIALS AND ...
Araki Motoo - - 2008
BACKGROUND AND PURPOSE: Potassium-titanyl-phosphate (KTP) laser photoselective vaporization prostatectomy (PVP) is a relatively new technology for the management of lower urinary-tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH). We review our initial experience. PATIENTS AND METHODS: We prospectively evaluated our initial 12-month experience with 80 W KTP laser PVP. ...
Tayib Abdulmalik M - - 2008
OBJECTIVE: To evaluate the short-term tolerability and outcome of high power green light potassium titanyl phosphate laser prostatectomy in high-risk patients with symptomatic benign prostatic hyperplasia. METHODS: Eleven high risk operative patients were included in this study at the International Medical Center, Jeddah, Kingdom of Saudi Arabia, between January and ...
Antunes Alberto A - - 2008
CONTEXT: Studies analyzing the concordance of biopsy and radical prostatectomy (RP) Gleason scores have limitations. Some included 2 or more centers, used historical controls from the early prostate specific antigen era or lacked a clear definition of the biopsy schemes. Furthermore, most did not control the results for prostate volume. ...
Broemling Sunita - - 2008
Introduction: Immunosuppression may contribute to cancer recurrence after curative surgery.(1) The immunosuppression is likely multi-factorial and may be affected by blood transfusions and overall surgical stress. Regional anesthesia may reduce the surgical stress response and positively modulate immunity. Using paravertebral blocks has recently shown to decrease the risk of recurrence ...
Paick Jae-Seung - - 2008
The aim of this study was to compare the impacts of terazosin and tamsulosin, on prostate activity, i.e., serum prostate-specific antigen, total prostate volume (TPV), and transition zone volume (TZV). A total of 90 patients who presented with lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH), ranging ...
Cury José - - 2008
To evaluate the influence of the urologist's experience on the surgical results and complications of transurethral resection of the prostate (TURP). Sixty-seven patients undergoing transurethral resection of the prostate without the use of a video camera were randomly allocated into three groups according to the urologist's experience: a urologist having ...
Nobes Jenny P - - 2008
PURPOSE: Erectile dysfunction following prostate brachytherapy is reported to be related to dose received by the penile bulb. To minimise this, whilst preserving prostate dosimetry, we have developed a technique for I-125 seed brachytherapy using both stranded seeds and loose seeds delivered with a Mick applicator, and implanted via the ...
Hamann Moritz F - - 2008
OBJECTIVES: We determined the impact of potassium-titanyl-phosphate (KTP) laser therapy of the prostate on urodynamic results, voiding function, quality of life, and sexual function. DESIGN, SETTING, AND PARTICIPANTS: Forty-five patients complaining of symptomatic benign prostatic hyperplasia (BPH) and urodynamically proven obstructive voiding were included in the prospective study. Follow-up exams ...
Suer Evren - - 2008
OBJECTIVES: To evaluate, in a retrospective, single-center trial, our open prostatectomy outcomes and complications in the past 12 years to emphasize the feasibility of open prostatectomy for large prostates. METHODS: A total of 1193 patients underwent open prostatectomy from 1995 to 2007. We retrospectively analyzed the data from 664 patients ...
Du Chuanjun - - 2008
PURPOSE: Holmium laser enucleation of the prostate (HoLEP) is a well established procedure for the treatment of benign prostatic hyperplasia. Here we report our experience of the learning curve, efficacy, and safety of HoLEP. METHODS: We retrospectively reviewed data from 190 consecutive patients who had undergone HoLEP for benign prostatic ...
Jenkins Lawrence C - - 2008
OBJECTIVES: To determine whether the presence of a median lobe can be predicted preoperatively and whether its presence affects postoperative urinary function and immediate pathologic outcomes after robot-assisted radical prostatectomy. METHODS: A retrospective review of 345 consecutive patients who underwent robot-assisted radical prostatectomy at our institution from August 2004 to ...
Fenter Thomas C - - 2008
OBJECTIVE: To determine comparative differences on rates of acute urinary retention (AUR) and prostate-related surgeries among patients aged > or =65 years treated with dutasteride or finasteride. METHODS: For this retrospective analysis, medical/pharmacy claims data from July 1, 2003, to June 30, 2006, were analyzed for enlarged prostate patients aged ...
Fracalanza Simonetta - - 2008
OBJECTIVES: To evaluate whether robotically assisted laparoscopic prostatectomy (RALP) is less invasive than radical retropubic prostatectomy (RRP), as experimental studies suggest that the acute phase reaction is proportional to surgery-induced tissue damage. PATIENTS AND METHODS: Between May and November 2006, all patients undergoing RRP or RALP in our department were ...
Zorn Kevin C - - 2008
PURPOSE: For men with high-volume or high-grade prostate cancer, wide excision of the ipsilateral neurovascular bundle is commonly performed. The concept of nerve reconstruction is intriguing as a feasible approach to preserve sexual function (SF). We sought to evaluate the functional, pathologic, and oncologic outcomes of men who underwent robot-assisted ...
Chabert Charles C - - 2008
OBJECTIVE: To assess the effect on potency recovery of incorporating a high incision of the lateral prostatic fascia (LPF) or curtain dissection (CD) into our technique of laparoscopic nerve-sparing radical prostatectomy (LNSRP). PATIENTS AND METHODS: In all, 137 bilateral neurovascular bundle (NVB) preserving LNSRPs were performed, incorporating curtain dissection (CD) ...
Pfitzenmaier Jesco - - 2008
OBJECTIVE: To compare the safety and outcome of potassium-titanyl-phosphate (KTP) Greenlight (Laserscope, AMS, Minnetonka, MN, USA) vaporization for treating benign prostatic hyperplasia (BPH) in prostates of > or =80 vs <80 mL. PATIENTS AND METHODS: In all, 204 consecutive patients were enrolled into this prospective study; 31 were excluded from ...
Moore Katherine N - - 2008
OBJECTIVES: To test the effectiveness of weekly postoperative pelvic floor muscle training (PFMT) versus supportive telephone contact by a urology nurse for men at 4 weeks after radical prostatectomy. METHODS: This was a randomized controlled trial in three Canadian centers. At 4 weeks after surgery, standardized verbal and written instruction ...
McCullough Andrew R - - 2008
OBJECTIVES: To clarify the period of responsiveness to sildenafil. METHODS: Under a double-blind protocol, men with mild to moderate erectile dysfunction (International Index of Erectile Function [IIEF] Erectile Function domain score, 11 to 25) were randomized to sildenafil (100 mg) or placebo and attempted intercourse 8 hours (range, 7 to ...
Kunishima Yasuharu - - 2008
Antimicrobial treatment is usually used for chronic prostatitis. However, the efficacy of such treatment has not been fully evaluated. We conducted a study to evaluate the efficacy of gatifloxacin for patients with chronic prostatitis using the Japanese version of the National Institutes of Health Chronic Prostatitis Symptom Index (JPN-NIH CPSI). ...
Dineen Martin K - - 2008
OBJECTIVES: To evaluate the ability of a temporary prostatic stent (Spanner [Sp]) to manage voiding symptoms, irritative symptoms, and bother after transurethral microwave thermotherapy (TUMT) for prostatic obstruction. METHODS: Patients were randomized to the Sp (n = 100) or standard of care (SOC, n = 86) after TUMT with 3 ...
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