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Showing papers in "The Journal of Urology in 1984"


Journal ArticleDOI
TL;DR: The prevalence and growth rate of human benign prostatic hyperplasia with age is reported by combining and analyzing data from 10 independent studies containing more than 1,000 prostates.

2,149 citations


Journal ArticleDOI
TL;DR: The observation that MoAb against the receptor for EGF is cytostatic rather than cytocidal in vitro against A431 cells, yet completely prevents tumor growth in vivo, suggests that some host animal responses also may be involved in the antitumor effect.

515 citations


Journal ArticleDOI
TL;DR: Any tumor on the dome or anterior wall should be approached initially as if it were a urachal tumor and, therefore, en bloc cystectomy with umbilectomy and pelvic lymphadenectomy unless the tumor is known to be a sarcoma or early stage (I) carcinoma.

442 citations


Journal ArticleDOI
TL;DR: It is concluded that the reported benefits derived from the use of cranberry juice may be related to its ability to inhibit bacterial adherence.

294 citations


Journal ArticleDOI
TL;DR: Systemic knowledge of the human cavernous nerves from the spinal center to the erectile tissue should permit a better understanding of erection and impotence and with the aid of intraoperative neurostimulation, the Cavernous nerves may be identified and preserved, thereby preventing iatrogenic impotency.

253 citations


Journal ArticleDOI
TL;DR: The quality of life for patients considered previously to be candidates for cutaneous diversion can be improved markedly by a modified Kock continent ileal reservoir.

212 citations


Journal ArticleDOI
TL;DR: Fournier's gangrene remains a rare but life-threatening disease and during the last 10 years a definite urologic or colorectal cause could be identified as the source of the infection in 19 patients.

210 citations


Journal ArticleDOI
TL;DR: An analysis of two groups of patients managed during an 11-year period by the same surgical team, using identical surgical technique, provides useful information that questions the benefit of preoperative radiation therapy in the management of high grade, invasive bladder cancer.

206 citations


Journal ArticleDOI
TL;DR: Extrapolation of these data suggests that 3,520 deaths in the United States each year are directly caused by hospital-acquired bacteremic urinary tract infection but that these deaths may be limited virtually to high risk patients with poor prognoses from underlying diseases.

198 citations


Journal ArticleDOI
TL;DR: The previously reported decreased ability to pressure production at small volumes in the rat urinary bladder subjected to an acute infravesical outflow obstruction might thus, at least in part, be due to changed contractile properties of the hypertrophic cells, and/or to an inefficient incorporation of the newly formed smooth muscle cells.

188 citations


Journal ArticleDOI
TL;DR: It is demonstrated that in terms of local control of the disease, over-all survival and survival free of disease total prostatectomy remains the optimal treatment for patients with clinically localized carcinoma of the prostate.

Journal ArticleDOI
TL;DR: To minimize mortality and morbidity in this high risk group of patients strict attention should be directed to rapid resuscitation, early diagnosis including cystography with drainage films and anticipation of associated organ injury at operation.

Journal ArticleDOI
TL;DR: The 99mtechnetium-diethylenetriaminepentaacetic acid renal scan allows differentiation of ureteropelvic junction obstruction from multicystic kidney in most instances.

Journal ArticleDOI
TL;DR: In this paper, the authors report on their clinical experience in the use of extracorporeally generated, focused shock waves in the treatment of stone disease in the upper urinary tract.

Journal ArticleDOI
TL;DR: Recommendations are made for the standardization of nomenclature describing duplex systems, ectopic ureters and ureteroceles in the hope to eliminate the ambiguity and confusion that exist currently.


Journal ArticleDOI
TL;DR: The results suggest that the level of vena caval involvement by tumor thrombus in patients with renal cell carcinoma has prognostic significance.

Journal ArticleDOI
TL;DR: In this paper, a life-threatening toxicity syndrome consisting of an erythematous, desquamative skin rash, fever, hepatitis, eosinophilia, and worsening renal function in 78 patients receiving allopurinol was described.

Journal ArticleDOI
TL;DR: Percutaneous removal of upper tract urinary calculi appears to be an appropriate alternative to an open operation in most patients with symptomatic urolithiasis.

Journal ArticleDOI
TL;DR: It is suggested that the normal flora of the urinary tract may play an important protective role against attachment of uropathogens to the surfaces of uroepithelial cells, and that the blocking capacity of these organisms may vary over the menstrual cycle.

Journal ArticleDOI
TL;DR: Digital rectal examination proved to be an insensitive screening device with poor predictive value and the use of adjunctive screening tools for detection of adenocarcinoma of the prostate is suggested.

Journal ArticleDOI
TL;DR: A review of a 20-year experience of radical cystectomy identified 99 patients who had not undergone preoperative radiation therapy and life-table analyses showed that survival rate in this group was comparable with that reported for other groups receiving preoperative Radiation Therapy.

Journal ArticleDOI
TL;DR: This study represents the first identification and characterization of alpha1 adrenergic receptors in the prostate using radioligand receptor binding methods and the equilibrium dissociation constant and density of prazosin binding sites were similar in different regions of an enucleated prostate suggesting homogeneity of receptor density and receptor binding sites within an adenoma.

Journal ArticleDOI
TL;DR: Modification of the technique of radical prostatectomy to produce a functional urethral length of at least 2.8 cm may be desirable, and a strong trend toward improvement of continence with time is suggested.

Journal ArticleDOI
TL;DR: There was little difference in bladder cancer risk between men who had and who had not smoked pipes but pipe smoking did appear to be associated with risk among men whoHad never smoked cigarettes, and ex-smokers had a level of risk between that of current smokers and nonsmokers.

Journal ArticleDOI
TL;DR: The inheritance pattern of the exstrophy-epispadias complex was investigated by a combined literature review and a survey of the personal experience of pediatric urologists in North and South America, and Europe, and the recurrence of bladderExstrophy in offspring of parents with the exstroke complex is greater than previously assumed.

Journal ArticleDOI
TL;DR: Because of the ease of administration, rapidity of action, and decrease of adrenal and testicular androgen levels, as well as the relative lack of side effects, ketoconazole may prove to be an important new drug in the treatment of prostatic cancer.

Journal ArticleDOI
TL;DR: The protein concentration of the hydrocele fluid in the 2 most recent patients was consistent with lymphatic obstruction, and the protein concentration in the previous patients was similar to that in patients treated with the suprainguinal approach.

Journal ArticleDOI
TL;DR: The long-term results confirm previous studies showing the effectiveness of bacillus Calmette-Guerin in the prophylaxis and therapy of superficial vesical neoplasms, however, some decrease is observed in the population free of disease with a prolonged followup.

Journal ArticleDOI
TL;DR: A prospective study of urinary complications during an interval of clean intermittent catheterization at initial hospitalization in a spinal cord injury unit found that antibacterial prophylaxis significantly reduced the likelihood of laboratory infection but not the probability of clinical infection.