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Showing papers in "The Journal of Urology in 2000"


Journal ArticleDOI
TL;DR: Use of the new female sexual dysfunction diagnostic and classification system based on physiological as well as psychological pathophysiologies, and a personal distress criterion for most diagnostic categories are recommended.

1,244 citations


Journal ArticleDOI
TL;DR: BCG immunotherapy was beneficial in patients with carcinoma in situ and select patients with Ta, T1 bladder cancer, and patients had significantly longer worsening-free survival.

1,094 citations


Journal ArticleDOI
TL;DR: Partial nephrectomy is effective for localized renal cell carcinoma, providing long-term tumor control with preservation of renal function, and was significantly affected by tumor stage, symptoms, tumor laterality and tumor size.

1,016 citations


Journal ArticleDOI
TL;DR: The incidence of erectile dysfunction in men 40 to 69 years old in Massachusetts was estimated during an average 8.8-year followup, and how risk varied with age, socioeconomic status and medical conditions was determined.

997 citations


Journal ArticleDOI
TL;DR: Botulinum-A toxin injections into the detrusor muscle seem to be a safe and valuable therapeutic option in spinal cord injured patients with incontinence resistant to anticholinergic medication who perform clean intermittent self-catheterization.

781 citations


Journal ArticleDOI
TL;DR: Patients with a small renal tumor have similar perioperative morbidity, pathological stage and outcome regardless of treatment with partial or radical nephrectomy, and partial neph rectomy remains a safe alternative for tumors of this size.

604 citations


Journal ArticleDOI
TL;DR: Laroscopic radical prostatectomy is now not only feasible, but more importantly reproducible, and has definitively replaced the retropubic approach in the authors' practice.

601 citations


Journal ArticleDOI
TL;DR: No chemotherapy agent has produced response rates that justify its use as a single agent and metastatic renal cell carcinoma remains highly resistant to systemic therapy.

572 citations


Journal ArticleDOI
TL;DR: Laroscopic radical nephrectomy is a viable alternative for managing localized renal tumors up to 10 cm and affords patients with renal tumors an improved postoperative course with less pain and a quicker recovery while providing similar efficacy at 2-year followup for patients with T1 and T2 tumors.

567 citations


Journal ArticleDOI
TL;DR: There appears to have been a slight increase in the national incidence of ureteral tumors in the last 23 years and a slight improvement in the overall disease specific survival of patients with upper tract neoplasms.

518 citations


Journal ArticleDOI
TL;DR: The 6 systematic biopsies of the peripheral zone are inadequate and a minimum of 8, including the apex, mid lobar mid gland, lateral mid gland and lateral base, should routinely be performed.


Journal ArticleDOI
TL;DR: Knowledge of preoperative erectile function and patient age before the operation and the degree of neurovascular bundle preservation afterward may aid in patient counseling regarding potency recovery after radical prostatectomy.

Journal ArticleDOI
TL;DR: Routine repeat resection is advised to control noninvasive tumors and to detect residual tumor invasion.

Journal ArticleDOI
TL;DR: Laroscopic radical prostatectomy is feasible and perioperative morbidity is low and oncological results are identical to those of conventional surgery and functional results are encouraging.

Journal ArticleDOI
TL;DR: Biopsies of the alternate sites suggested by the simulation studies are feasible and reproducible and significantly enhanced prostate cancer detection compared to conventional sextant biopsies in men undergoing a repeat procedure.

Journal ArticleDOI
TL;DR: Based on the recent experience with patients treated for renal cell carcinoma in the era of enhanced technology and improved survival, tumor grade and molecular markers may serve as useful adjuncts to TNM staging in guiding treatment and predicting survival outcomes.

Journal ArticleDOI
TL;DR: Femoral neck bone mineral density was higher in controls than in treated men and remained essentially unchanged for 2 years, while baseline bone mass and subsequent bone loss may be influenced by host obesity, age and exercise habits.

Journal ArticleDOI
TL;DR: Ccinoma in situ influenced recurrence, progression and disease specific mortality in patients with primary superficial Ta and T1 transitional cell carcinoma of the bladder.

Journal ArticleDOI
TL;DR: Laroscopic donor nephrectomy appears to be safe and decreases morbidity in the renal donor, and allograft function is comparable to that in open neph rectomy series.

Journal ArticleDOI
TL;DR: It is suggested that cystoscopy cannot be safely avoided even in younger patients with microscopic hematuria and only a combination of ultrasound and IVP detected all upper tract tumors.

Journal ArticleDOI
TL;DR: Overall MRI and magnetic resonance spectroscopic imaging have accuracy similar to biopsy for intraprostatic localization of cancer and they are more accurate than biopsy in the prostate apex.

Journal ArticleDOI
TL;DR: In this paper, a mixture of fluorescent labeled probes to the centromeres of chromosomes 3, 7 and 17, and band 9p21 (P16/CDKN2A gene) was used to assess urinary cells for chromosomal abnormalities indicative of malignancy.

Journal ArticleDOI
TL;DR: It is demonstrated that a selective COX-2 inhibitor suppresses PC-3 cell tumor growth in vivo and down regulation of tumor VEGF with decreased angiogenesis.

Journal ArticleDOI
TL;DR: Clean intermittent catheterization is the safest bladder management method for spinal cord injured patients in terms of urological complications and has a significant detrimental impact on the economic status of the health care system.

Journal ArticleDOI
TL;DR: Neuromodulation of the sacral nerves is an effective, safe therapy that successfully treats significant symptoms of refractory urgency-frequency and is documented at 12 and 24 months.

Journal ArticleDOI
TL;DR: The Dysfunctional Voiding Symptom Score appears to provide accurate and objective, that is, numerical, grading of voiding behaviors of children, and comparative research studies of dysfunctional voiding diagnosis and response to therapy should be aided greatly by this system.


Journal ArticleDOI
TL;DR: A significant number of men, including those with organ confined cancers, will continue to have disease progression after 5 years, and patients undergoing radical prostatectomy should be subjected to long-term followup to allow the option of early intervention should progression occur.

Journal ArticleDOI
TL;DR: Treatment of PSA only recurrence is divided into 2 main categories of salvage local treatments and systemic therapy, and external beam radiation is the main local salvage treatment for radical prostatectomy recurrence, and cryotherapy, salvage radiotherapy versus systemic hormonal therapy are options for radiation recurrence.