Title: Urologic Radiology

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.

? Chuaqui, R.F., Englert, C.R., Strup, S.E., Vocke, C.D., Zhuang, Z.P., Duray, P.H., Bostwick, D.G., Linehan, W.M., Liotta, L.A. and Emmertbuck, M.R. (1997), Identification of a novel transcript up-regulated in a clinically aggressive prostate carcinoma. Urology, 50 (2), 302-307.

Full Text: 1997\Urology50, 302.pdf

Abstract: Objectives. To identify differentially expressed genes in tumor cells of patients with prostate cancer by means of tissue microdissection and targeted differential display. Methods. RNA was recovered from pure populations of microdissected normal epithelium and invasive tumor from frozen tissue sections of a radical prostatectomy specimen. Reverse transcriptian-polymerase chain reaction (PCR) using arbitrary and zinc finger PCR primers was performed. Results, A 130-base pair product was identified that appeared selectively in the tumor sample. DNA sequence analysis revealed it to be a clone from the expressed sequence tag database (GenBank accession R00504). Microdissection of normal epithelium and the corresponding invasive tumor was subsequently performed on a test panel of 10 prostate carcinoma specimens. Comparison of R00504 levels in normal epithelium and invasive carcinoma, using -actin as an internal control, showed the transcript to be substantially overexpressed in 5 of 10 carcinomas. Northern blotting revealed R00504 to be a 2.6-kilobase gene. Conclusions. A navel transcript up-regulated in an aggressive prostate carcinoma was identified using degenerate zinc finger primers in microdissected tissue samples. The approach used in this study may be helpful in quantitative comparison of known genes and identification of novel gel?es in microdissected human tissue samples. (C) 1997, Elsevier Science Inc. All rights reserved.

Keywords: Human Breast-Cancer, Cloning

? Lu, C.M., Lan, S.J., Lee, Y.H., Huang, J.K., Huang, C.H. and Hsieh, C.C. (1999), Tea consumption: Fluid intake and bladder cancer risk in southern Taiwan. Urology, 54 (5), 823-828.

Full Text: 1999\Urology54, 823.pdf

Abstract: Objectives. To determine whether tea consumption and intake of other beverages increases bladder cancer risk.

Methods, A case-control study was conducted in Kaohsiung, Taiwan between August 1996 and June 1997. Index patients studied were consecutive patients with histologically confirmed, newly diagnosed bladder cancer in two major hospitals. For each patient, 4 controls were selected from patients with non-neoplastic and nonurologic diseases undergoing surgical operations in the same hospital and individually matched by sex, age, and date of admission. Using a structured questionnaire, a trained interviewer interviewed 40 patients and 160 controls. Conditional logistic regression analysis adjusting for ethnicity, family history, and smoking status and matching variables were used to estimate the odds ratio (OR) and 95% confidence interval (CI).

Results. Tea consumption overall was associated with increased bladder cancer risk (OR 3.29, 95% CI 1.34 to 8.05). Compared with non-tea drinkers, the odds ratios of bladder cancer for oolong tea drinkers was 3.00 (95% CI 1.20 to 7.47); for non-oolong tea drinkers (black and/or other green tea), it was 14.86 (95% CI 2.13 to 103.83). The risk was greater among those who began to drink tea before age 40 (OR 9.50, 95% CI 2.39 to 37.75) and those who had been drinking tea for more than 30 years (OR 17.75, 95% CI 3.00 to 105.17). Coffee, tap water, and alcohol consumption were associated with a slightly increased risk, and both soy juice and rice juice consumption were associated with reduced risk; none of these odds ratio estimates were statistically significant, however.

Conclusions. Our results suggest that tea consumption is associated with an increased risk of bladder cancer. UROLOGY 54: 823-828, 1999. (C) 1999, Elsevier Science Inc.

Keywords: Dietary Factors, Drinking-Water, Smoking, Coffee, Polyphenols, Beverages, Selection, Area, Men

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