Showing papers in "The Journal of Urology in 2011"

TL;DR: To revise the 2003 version of the American Urological Association's (AUA) Guideline on the management of benign prostatic hyperplasia, new pharmacotherapies and technologies have emerged which have impacted treatment algorithms.

TL;DR: Infectious complications after prostate biopsy have increased in recent years while the rate of serious noninfectious complications is relatively stable, and among men undergoing biopsy, later year, nonwhite race and higher comorbidity scores were significantly associated with an increased risk of infectious complications.

TL;DR: Interstitial cystitis/bladder pain syndrome is best identified and managed through use of a logical algorithm such as is presented in this Guideline.

TL;DR: In this article, an understanding of the treated natural history of screen detentions is presented, based on a detailed treatment history of prostate cancer specific mortality after radical prostatectomy.

TL;DR: It is suggested that bladder pain syndrome/interstitial cystitis symptoms are widespread among United States women and associated with considerable disability, and underdiagnosed, and this first population based symptom prevalence estimate is provided.

TL;DR: Prostate magnetic resonance imaging at 3T allows for the detection of prostate cancer and a multiparametric approach increases the predictive power of magnetic resonance Imaging for diagnosis.

TL;DR: Prostate cancer localized on magnetic resonance Imaging may be targeted using this novel magnetic resonance imaging/ultrasound fusion guided biopsy platform, and to determine which patients may benefit.

TL;DR: It appears that no entity on the prescribing or dispensing ends of prescription opioid delivery is fulfilling the responsibility to accurately educate patients on proper surplus medication disposal and surgeons should analyze prescribing practices and consider decreasing the quantity of postoperative narcotics prescribed.

TL;DR: The prostate health index may be useful in prostate cancer screening to decrease unnecessary biopsy in men 50 years old or older with prostate specific antigen 2 to 10 ng/ml and negative digital rectal examination with minimal loss in sensitivity.

TL;DR: In this article, the authors retrospectively reviewed baseline characteristics and outcomes of 314 patients with anti-vascular endothelial growth factor therapy naive, metastatic renal cell carcinoma from United States and Canadian cancer centers to study the impact of cytoreductive nephrectomy on overall survival.

TL;DR: Long-term renal function after partial nephrectomy is determined primarily by the quantity and quality of renal parenchyma preserved, although type and duration of ischemia remain the most important modifiable factors, and warrant further study.

TL;DR: Transperineal prostate mapping may provide an effective method to risk stratify men with localized prostate cancer and require prospective validation.

TL;DR: The International Bladder Cancer Group built on the existing framework provided by current guidelines, and provided consensus on the definitions of low, intermediate and high risk nonmuscle invasive bladder cancer, as well as practical recommendations for the treatment of patients in each of these risk categories.

TL;DR: Even in experienced hands the long-term complication rate of radical cystectomy and neobladder formation are not negligible, and most complications are diversion related.

TL;DR: It is demonstrated that clinically insignificant prostate cancer may include index Gleason score 6, pT2 tumors with volumes up to at least 1.3 ml, and a reconsideration of current methods and nomograms used for pretreatment risk assessment is suggested.

TL;DR: Microperc is technically feasible, safe and efficacious for small volume renal calculous disease and the place of microperc in the treatment of nonbulky renal urolithiasis is defined.

TL;DR: Because the comorbidity rate is high, screening for psychological symptoms is recommended for all children in all settings with enuresis and/ or daytime urinary and/or fecal incontinence.

TL;DR: The results appear sufficiently promising to support the further evaluation of focal therapy as a strategy to decrease some of the harms and costs associated with standard whole gland treatments.

TL;DR: The modern incidence of testicular torsion as well as the current rates of orchiectomy and attempted testicular salvage are determined, and the risk factors for testicular loss are identified.

TL;DR: Nutritional deficiency, as measured by preoperative weight loss, body mass index and serum albumin, is a strong predictor of 90-day mortality and poor overall survival in patients undergoing radical cystectomy for bladder cancer.

TL;DR: The age standardized prevalence of urinary incontinence increased in men and women from 2001 through 2008 and increased prevalence was partially explained by differences in age, race/ethnicity, obesity, diabetes and select chronic diseases across the survey periods.

TL;DR: Meticulous extended lymph node dissection up to the mid-upper third of the common iliac vessels appears to provide survival and recurrence outcomes similar to those of a super extended template up toThe inferior mesenteric artery.

TL;DR: The face, content and construct validity of a novel robotic skill simulator that uses the da Vinci Si Surgeon Console is confirmed and is likely to influence robotic surgical training across specialties.

TL;DR: Nocturia is a strong predictor of mortality, more so in younger men and women than in the elderly, with a dose-response pattern in increased mortality risk with increasing number of voiding episodes nightly.

TL;DR: Conduit urinary diversion is associated with a high overall complication rate but a low reoperation rate, and long-term followup of these patients is necessary to closely monitor for potential complications from the urinary diversion that can occur decades later.

TL;DR: Analysis showed that miRNAs are dysregulated in clear cell renal cell carcinoma and may contribute to kidney cancer pathogenesis by targeting more than 1 key molecule.

TL;DR: There is no clear justification for treating patients in whom prostate specific antigen increases above 10 ng/ml in the absence of other indications of tumor progression, and patients considering active surveillance should undergo confirmatory biopsy to better assess the risk of progression.

TL;DR: Using selective media to isolate fluoroquinolone resistant E. coli from the rectum before transrectal ultrasound guided prostate biopsy, this protocol may be used to provide information regarding targeted antibiotic prophylaxis before trans rectal prostate biopsies.

TL;DR: An effective way to precisely diagnose prostate cancer using a novel prostate biopsy system that integrates pre-interventional magnetic resonance imaging with peri-intervention ultrasound for perineal navigated prostate biopsies enable effective examination of suspicious magnetic resonance Imaging lesions.