Showing papers in "The Journal of Urology in 2009"

TL;DR: A standardized nephrometry scoring system that quantitates the salient anatomy of renal masses on computerized tomography/magnetic resonance imaging and accurately classified the complexity of 50 consecutive tumors undergoing excision at Fox Chase Cancer Center.

TL;DR: Adjuvant radiotherapy after radical prostatectomy for a man with pT3N0M0 prostate cancer significantly reduces the risk of metastasis and increases survival.

TL;DR: Radical nephrectomy, which is currently the most common treatment for small renal tumors, may be associated with significant, adverse treatment effects compared with partial neph rectomy.

TL;DR: Men should be informed of the risks and benefits of prostate cancer screening before biopsy and the option of active surveillance in lieu of immediate treatment for certain men diagnosed with prostate cancer.

TL;DR: A risk stratification model was developed to provide accurate estimates of recurrence and progression probability after bacillus Calmette-Guerin and found that recurrence calculated risks using Spanish Urological Club for Oncological Treatment tables were lower than those obtained with Sylvester tables.

TL;DR: In this paper, the authors present the largest multi-institution comparison of the two approaches to date, describing outcomes from 3 experienced minimally invasive surgeons at 3 academic centers in the US.

TL;DR: This multicenter, randomized trial demonstrates that percutaneous tibial nerve stimulation is safe with statistically significant improvements in patient assessment of overactive bladder symptoms, and with objective effectiveness comparable to that of pharmacotherapy.

TL;DR: The current etiology of urethral stricture disease in the developed world and whether there are any differences in etiology by patient age and stricture site is determined and significantly different in younger vs older patients and among stricture sites.

TL;DR: An emphasis is placed on existing strategies for screening and treatment that have been documented to reduce the risk of diabetes and cardiovascular disease in the general population to mitigate the adverse metabolic effects of androgen deprivation therapy.

TL;DR: Weight loss by surgical and more conservative approaches is effective to decrease urinary incontinence symptoms and should be strongly considered a first line treatment in this patient population.

TL;DR: Microdissection testicular sperm extraction is an effective sperm retrieval technique in men with Klinefelter's syndrome and men with hypogonadism who respond to medical therapy may have a better chance of sperm retrieval.

TL;DR: Early clinical, histological and magnetic resonance imaging responses suggest that the targeted region can be ablated with minimal adverse effects, and image guided focal photothermal ablation of low risk and low volume prostate cancer is feasible.

TL;DR: Patients diagnosed with Fournier's gangrene who underwent genital/perineal débridement or died in the hospital were identified and the population based mortality rate of 7.5% was substantially lower than that reported in case series from tertiary care centers.

TL;DR: The feasibility of conducting a full-scale trial of physical therapy methods is judged and the preliminary findings of a beneficial effect of myofascial physical therapy warrants further study.

TL;DR: Orchiectomy may be considered in healthy patients with cryptorchidism who are between ages 12 and 50 years, and observation should be recommended in postpubertal males at significant anesthetic risk and all males older than 50 years.

TL;DR: The results confirm previous observations suggesting that the risks of malignancy and high grade tumors increase with tumor size.

TL;DR: The 6th International Consultation on New Developments in Prostate Cancer and Prostate Diseases met from June 24-28, 2005 in Paris, France to review new developments in benign prostatic disease endorsed the appropriate use of the current terminology lower urinary tract symptoms and recommended that terms such as "clinical benign prostatics hyperplasia" be abandoned.

TL;DR: The temporal theory could plausibly provide the scientific road map to correlate clinical and experimental findings, and identify the role of mechanisms such as polyuria, hyperglycemia, oxidative stress, autonomic neuropathy and decompensation of the bladder contractile apparatus in the creation ofclinical and experimental manifestations of diabetic bladder dysfunction.

TL;DR: American Society of Anesthesiologists score was significantly associated with major complications, while on subgroup analysis in patients who received an orthotopic ileal neobladder female gender was also an independent predictor of major complications.

TL;DR: Results suggest that overall and cancer specific survival is not compromised when partial nephrectomy is done for 4 to 7 cm renal cortical tumors and with the benefit of preserving renal function the results support partial ne phrectomy when technically feasible for renal tumors up to 7cm.

TL;DR: Results indicate that supplemental selenium and N-acetyl-cysteine improve semen quality and advocate their use for male infertility treatment.

TL;DR: The use of a standardized surveillance protocol to define stricture recurrence after urethral reconstruction may allow more effective comparison of urethroplasty outcomes across institutions.

TL;DR: In the experience tumor size is significantly associated with synchronous and asynchronous metastases after nephrectomy and the risk of metastatic disease is negligible in patients with tumors less than 3 cm.

TL;DR: The implementation of guidelines and proctoring recommendations is necessary to protect surgeons, proctors, institutions and, above all, the patients who are associated with the institutional introduction of a robot assisted radical prostatectomy program.

TL;DR: A fifth of patients receive potentially significant radiation doses in the short-term followup of an acute stone event, and urologists must be cognizant of the radiation exposure to patients, and seek alternative imaging strategies to minimize radiation dose during acute and long-term stone management.

TL;DR: The observed association between urological symptoms and the metabolic syndrome provides further evidence of common underlying factors between lower urinary tract symptoms and chronic conditions outside the urinary tract.

TL;DR: Adjuvant chemotherapy is infrequently used to treat high risk upper tract urothelial carcinoma after nephroureterectomy and it appears that adjuvant chemotherapy confers minimal impact on overall or cancer specific survival in this group.

TL;DR: Coenzyme Q10 supplementation resulted in a statistically significant improvement in certain semen parameters, however, further studies are needed to draw a final conclusion and evaluate the effect of coenzymeQ10 supplementation on the pregnancy rate.

TL;DR: Positive soft tissue surgical margin is a strong predictor of recurrence and eventual death from urothelial carcinoma of the bladder.