Document Detail

Hypebaric oxygen treatment in urology.
MedLine Citation:
PMID:  21791717     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Hyperbaric oxygen therapy (HBO) has been successfully used in several disorders derived from tissue hypoxia, due to the extra oxygen supply to the tissues it enables. In this manuscript we performed a systematic review including all the existing data published until 2010 about HBO in urologic disorders.
METHODS: We performed a Medline search using the terms "hyperbaric oxygen", "radical cystitis", "interstitial cystitis", "hemorrhagic cystitis", "urological/pelvic fistula"and "Fournier's gangrene". The search was restricted to human clinical trials published in any language.
RESULTS: We found 56 papers: 1 randomized controlled trial, 7 reviews and 48 case reports; only one of them was a prospective study. A total of 695 patients were included. Just one study used tissue oxygen measurement to define hypoxia. The number of hyperbaric oxygen therapy sessions ranged from 4 to 44 (mean 19.2 sessions/patient).
CONCLUSIONS: The level of evidence from most reviewed papers is low because most of them are case series. Nevertheless, results of most of those studies regarding patient management are good or very good. So it seems that HBO can be very useful in urological diseases related to tissue hypoxia.
Daniel Gallego Vilar; Gonzalo García Fadrique; Iván José Povo Martín; Jaume Miralles Aguado; Carmen Garau Perelló; Laura Sanchis Verdú; Vicente Gimeno Argente; Manuel Bosquet Sanz; Miguel Rodrigo Aliaga; Francisco Javier Claramonte Ramón; Juan Gallego Gómez
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Publication Detail:
Type:  Historical Article; Journal Article; Meta-Analysis; Review    
Journal Detail:
Title:  Archivos españoles de urología     Volume:  64     ISSN:  1576-8260     ISO Abbreviation:  Arch. Esp. Urol.     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-07-27     Completed Date:  2011-11-23     Revised Date:  2012-08-08    
Medline Journal Info:
Nlm Unique ID:  0064757     Medline TA:  Arch Esp Urol     Country:  Spain    
Other Details:
Languages:  eng; spa     Pagination:  507-16     Citation Subset:  IM    
Urology Department, Hospital General De Castellón, Castellón De La Plana, España.
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MeSH Terms
Cystitis / therapy
Fasciitis, Necrotizing / therapy
Fournier Gangrene / therapy
History, 20th Century
Hyperbaric Oxygenation* / adverse effects,  history,  instrumentation,  methods
Urologic Diseases / therapy*
Urology / methods*

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