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Title: Urology


Full Journal Title: Urology

ISO Abbreviated Title: Urology

JCR Abbreviated Title: Urology

ISSN: 0090-4295

Issues/Year: 12

Journal Country/Territory: United States

Language: English

Publisher: Elsevier Science Inc

Publisher Address: 655 Avenue of the Americas, New York, NY 10010

Subject Categories:

Urology & Nephrology: Impact Factor

Chaussy, C., Schmiedt, E., Jocham, D., Schuller, J., Brandl, H. and Liedl, B. (1984), Extracorporeal shock-wave lithotripsy (ESWL) for treatment of urolithiasis. Urology, 23 (5), 59-66.

Full Text: 1984\Urology23, 59.pdf

Abstract: We present our experience with extracorporeal shock wave lithotripsy (ESWL) and the new therapeutic aspects it has generated. The current state of technology also will be discussed.

Grasso, M., Loisides, P., Beaghler, M. and Bagley, D. (1995), The case for primary endoscopic management of upper urinary tract calculi: I. A critical review of 121 extracorporeal shock-wave lithotripsy failures. Urology, 45 (3), 363-371.

Full Text: 1995\Urology45, 363.pdf

Abstract: Objectives. To define those patients with upper urinary tract calculi who are more likely to have an unsuccessful outcome from extracorporeal shock-wave lithotripsy (ESWL).

Methods. A critical prospective analysis of 121 patients, referred to two university centers after ESWL had been exhausted as a treatment modality for upper urinary tract calculi, was performed. Patients were subdivided into the following groups: failure to clear fragments, failure to fragment, difficulty in calculus localization, and failure due to inherent upper urinary tract obstruction. Other important variables include the type of extracorporeal lithotriptor used, number of treatment sittings before referral, calculus location, calculus composition, patient body habitus, and the imaging leading to and associated with extracorporeal therapy.

Results. Large renal calculi (mean, 22.2 mm) and those within dependent or obstructed portions of the collecting system were frequently referred for endoscopic management after failed ESWL. Steinstrasse can be an extremely morbid complication from ESWL and in this series was associated with irreversible loss of renal function and ureteral stricture disease. Extracorporeal lithotripsy of infectious calculi can be associated with severe septic complication. Inadequate preoperative and intraoperative imaging and morbid obesity were also associated with failure. Second- and third-generation lithotriptors were represented in greater numbers than the Dornier HM-3 in this group of ESWL failures.

Conclusions. ESWL remains the treatment of choice for moderately sized, uncomplicated renal calculi. Large calculi, those within obstructed or dependent portions of the collecting system, and those composed of calcium oxalate monohydrate, frequently fail ESWL. Training in the more technically challenging aspects of endoscopic lithotripsy must be encouraged.

Talic, R.F. (1996), Extracorporeal shock-wave lithotripsy monotherapy in renal pelvic ectopia. Urology, 48 (6), 857-861.

Full Text: 1996\Urology48, 857.pdf

Abstract: Objectives. To determine the efficacy of extracorporeal shock-wave lithotripsy (ESWL) in the treatment of urinary stones in pelvic kidneys.

Methods. Fourteen male patients with renal pelvic ectopia and stones were treated with ESWL monotherapy using the unmodified Dornier HM3 lithotriptor with its original generator and ellipsoid. Twelve patients were treated in the prone position using cystoscopically placed ureteral catheters to aid in fluoroscopic localization, whereas 2 patients were treated in the supine position. A review of their stone disease, ESWL treatment, ancillary procedures, outcome, and complications is presented.

Results. All pelvic kidneys were free of infection and obstruction in this group. The mean stone burden was 30.2±37.8. Most patients required a single session (9 of the 14 [64%]), 2 patients required two sessions, and 2 patients required multiple sessions. The average number of shock waves per session was 1689 (range 450 to 3500), with average kilovoltage of 21.5 (range 18 to 24). Eighty-two percent of the patients followed (9 of 11) were stone-free at 3 months. No ancillary endourologic procedures were required to deal with the presenting stones. Obstructive steinstrasse complicated treatment in only 2 patients (14%) and was successfully treated by further ESWL in both patients; in 1 of them, ureteroscopy was needed.

Conclusions. ESWL monotherapy of renal pelvic ectopia stones is very effective and should be considered as the first therapeutic option for these patients, provided that accurate localization of the stone treated and proper positioning of patients that ensures adequate delivery of shock-wave energy can be maintained.

Hassan, I. and Zietlow, S.P. (2002), Acute pancreatitis after extracorporeal shock wave lithotripsy for a renal calculus. Urology, 60 (6), 1111iii-1111v.

Full Text: 2002\Urology60, 1111.pdf

Abstract: Extracorporeal shock wave lithotripsy (ESWL) is currently considered the standard treatment for most renal and upper ureteral calculi. The complication rates with ESWL have been reported to be low, resulting in its widespread acceptance and use. However, as the technique has become more widely available, serious complications as a result of injury to the kidney and the surrounding organs have been recognized. We report on the development of severe acute pancreatitis in a patient after ESWL for a right-sided renal calculus. The patient history and chronologic clinical course strongly suggest a caUSAl association between the ESWL and the development of pancreatitis.

Brucker, P.S. and Cella, D. (2003), Measuring self-reported sexual function in men with prostate cancer. Urology, 62 (4), 596-606.

Full Text: 2003\Urology62, 596.pdf

? Heldwein, F.L., Rhoden, E.L. and Morgentaler, A. (2010), Classics of urology: A half century history of the most frequently cited articles (1955-2009). Urology, 75 (6), 1261-1268.

Full Text: 2010\Urology75, 1261.pdf

Abstract: To identify and characterize the most frequently cited articles published in Journals dedicated to Urology over the last 50 years. A Pubmed search was performed of all articles published in the 13 most cited urological journals between 1955 and 2009. Articles with more than 100 citations were identified as “classic”, and were analyzed further. of 97 554 articles published during this time, 1239 articles were cited more than 100 times. The most common topic among classic articles was prostate cancer and prostate-specific antigen (33.5%), followed by bladder cancer and benign prostatic hyperplasia. A further analysis was performed for the 50 most frequently cited articles (“top-50”). UROLOGY 75: 1261-1268, 2010. (C) 2010 Elsevier Inc.

Keywords: Cancer, Citations, Continence Society, History, Journals, Prostatectomy, Renal-Cell Carcinoma, Standardization Sub-Committee, Terminology, Urinary-Tract Function

? Hao, N., Tian, Y., Liu, W., Wazir, R., Wang, J.Z., Liu, L.R., Wang, K.J. and Li, H. (2014), Antimuscarinics and alpha-blockers or alpha-blockers Monotherapy on Lower Urinary Tract Symptoms: A meta-analysis. Urology, 83 (3), 556-562.

Full Text: 2014\Urology83, 556.pdf

Abstract: OBJECTIVE To assess the clinical efficiency and safety of combination pharmacotherapy of antimuscarinics and alpha-blockers vs alpha-blockers monotherapy on patients with moderate to severe lower urinary tract symptoms (LUTS). METHODS We searched the Cochrane Central Register of Controlled Trials, PubMed, EMBASE, the Cochrane Database of Systematic Review, and Web of Science from their inception until June 2013 to identify all eligible studies that compare the 2 pharmacotherapy strategies on LUTS. The Cochrane Collaboration’s RevMan 5.2 software was used for data analysis, and the fixed or the random effect model was selected depending on the proportion of heterogeneity. RESULTS Eighteen eligible randomized controlled trials were included in this systematic review, including 2106 (51.57%) in cotherapy group and 1978 (48.43%) in monotherapy group. Synthetic data showed that there were significant improvements on Storage International Prostate Symptom Score (mean difference [MD] = -1.51; 95% confidence interval [CI] -2.10 to -0.91, P <.00001), quality of life score (MD = -0.53; 95% CI -0.89 to -0.17, P=.004), micturitions per 24 hours (MD = -1.14; 95% CI -1.84 to -0.45, P=.001), and urgency episodes per 24 hours (MD = -0.99; 95% CI -1.46 to -0.51, P < .0001) in the cotherapy group. There were no significant difference regarding maximum flow rate (MD = -0.05; 95% CI -0.27 to 0.17, P=.64), Total International Prostate Symptom Score (TIPSS) (MD = -0.88; 95% CI 1.64 to 0.12, P=.02), and Voiding International Prostate Symptom Score (VIPSS) (MD = 0.40; 95% CI -0.34 to 1.15, P=.29). As to postvoid residual volume, however, a worse condition was showed in the cotherapy group (MD = -6.53; 95% CI 3.06-10.00, P < .0002). CONCLUSION Antimuscarinics could and should be added to the drug regimen for patients with LUTS attributed to benign prostatic hyperplasia/bladder outlet obstruction, particularly are dominated by storage symptoms. For patients with increased acute urinary retention risk, they should be carefully monitored. (C) 2014 Elsevier Inc.

Keywords: Add-On Therapy, Analysis, Benign Prostatic Hyperplasia, Bladder Outlet Obstruction, Clinical, Combination Treatment, Confidence, Data, Data Analysis, Database, Double-Blind, Drug, Efficiency, Embase, Flow, Flow Rate, Heterogeneity, Interval, Life, Lower Urinary Tract Symptoms, Luts, Mar, Men, Meta-Analysis, Methods, Model, Overactive Bladder, P, Patients, Pharmacotherapy, Propiverine Hydrochloride, Pubmed, Quality, Quality Of, Quality of Life, Randomized, Randomized Controlled Trials, Residual Volume, Retention, Review, Risk, Safety, Science, Software, Storage, Storage Symptoms, Symptoms, Systematic Review, Urinary, Urinary Retention, Volume, Web of Science

? Chun, J.Y., Teoh, Chan, N.H., Cheung, H.Y., Hou, S.S.M. and Ng, C.F. (2014), Inflammatory myofibroblastic tumors of the urinary bladder: A systematic review. Urology, 84 (3), 503-508.

Full Text: 2014\Urology84, 503.pdf

Abstract: We systemically reviewed the literature on inflammatory myofibroblastic tumors (IMTs) of the urinary bladder and compared between anaplastic lymphoma kinase (ALK)-positive and ALK-negative IMTs. An extensive search of the literature was performed in Medline and Web of Science using the following terms: “inflammatory myofibrolastic tumor,” “inflammatory pseudotumor,” and “bladder.” A manual search was also performed using the web-based search engine Google Scholar. Reference lists of the retrieved articles were reviewed for other relevant studies. Patients’ and disease characteristics of each individual case were reviewed. Further analyses were performed to compare between ALK-positive and ALK-negative IMTs. Forty-one studies were identified, and 182 patients were included for review and subsequent analyses. Of the IMTs, 65% were ALK-positive. Local tumor recurrence rate was 4%, and no cases of distant metastases have been reported. Compared with ALK-negative IMTs, ALK-positive IMTs had a female predilection with a sex ratio (male: female) of 1: 1.67 (P = .048). ALK-positive IMTs also appeared to occur in younger patients (P = .072). No significant differences were noted in terms of their clinical presentations and histologic features. On immunohistochemical staining, ALK-positive IMTs had more positive results for desmin (P = .042) and p53 (P = .05), and more negative results for clusterin (P = .003). In summary, ALK-positive IMTs of the urinary bladder had a female predilection, appeared to occur more frequently in younger patients, and had different immunohistochemical staining patterns when compared with ALK-negative IMTs. Regardless of its ALK status, IMT of the urinary bladder has a good prognosis after surgical resection. (C) 2014 Elsevier Inc.

Keywords: Alk Expression, Analyses, Anaplastic Lymphoma, Articles, Bladder, Characteristics, Clinical, Disease, Engine, Female, Genitourinary Tract, Google, Google Scholar, Immunohistochemical Staining, Large-Cell Lymphoma, Literature, Lymphoma, Male, Medline, Metastases, Neoplasms, P, P53, Patients, Prognosis, Proliferations, Pseudotumor, Recurrence, Reference, Reference Lists, Review, Science, Search Engine, Sex, Soft-Tissue Tumors, Surgical Resection, Systematic, Systematic Review, TPM3-Alk, Translocation, Tumor, Urinary, Web Of Science



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