Showing papers in "Urology in 1993"

TL;DR: Estimates of complication and follow-up treatment rates are generally higher, and almost certainly more representative for older men, than estimates previously published.

TL;DR: It is concluded that a varicocele in some men is a progressive and not a static lesion resulting in the loss of previously established fertility.

TL;DR: The present study suggests that prostatism-like symptoms are a manifestation of aging, and that the AUA symptom index is not BPH-specific.

TL;DR: In this paper, the authors compared the efficacy and side effects of bilateral orchiectomy versus a combination of a luteinizing hormone-releasing hormone agonist (LHRH-A) depot formulation, goserelin acetate (3.6 mg s.c. once every four weeks), and flutamide (250 mg three times daily), in patients with metastatic cancer.

TL;DR: The use of both tests in combination provided the highest rate of detection in all age groups, and younger men have the longest projected life expectancy and, therefore, the most to gain from early prostate cancer detection.

TL;DR: Patients with prostatitis syndromes are reviewed, and the most advocated treatment remains the antibiotic treatment, bringing relief of complaints in 35.6 percent of the patients and cure in 23.8 percent.

TL;DR: Better androgen blockade is not the answer for treating prostate cancer, rather research efforts should focus on those factors that sustain prostate growth in the absence of androgens, including peptide growth factors.

TL;DR: Findings indicate that a serum PSA determination after either a flexible or a rigid cystoscopy is accurate and reliable, and because in some patients the serum P SA still remained elevated after four weeks, it is recommended that a serological determination not be obtained for at least six weeks after either the prostate biopsy or TURP.

TL;DR: Evaluating the utility of tumor volume in predicting progression of early prostate cancer based on the composite published evidence from nine pathologic studies of serially-sectioned prostates suggests that tumor volume is a significant predictor of cancer progression.

TL;DR: In the initial management of urachal carcinoma, umbilectomy with partial cystectomy may be considered in selected cases; this can enhance quality of life without necessarily influencing survival adversely.

TL;DR: The findings of this investigation allow the physician maximal use of the preoperative variables to discuss more accurately with the patient what might be expected at the time of operation and to plan more precisely the surgical procedure that will possibly ensure complete removal of the prostate cancer with the least compromise to normal physiologic function.

TL;DR: It is believed that laparoscopic radical nephrectomy with strict adherence to oncologic surgical principles is a practical, less invasive alternative in select patients with renal tumors.

TL;DR: Clinical data suggest that radical surgery often combined with immediate adjuvant therapy may provide better disease control (including PSA values) than primary radiotherapy.

TL;DR: With insight into normal physiology the authors will understand the pathologic process and be able to treat it and to elucidate the cellular and molecular basis of erectile physiology.

TL;DR: Prostate-specific antigen (PSA) levels after radiation therapy and after any local therapy for prostate cancer will provide more precise information on the success of that therapy in ablating disease.

TL;DR: Orchiectomy and radiation appeared to demonstrate similar efficacy in controlling local recurrences: five-year local recurrence-free survival in this retrospective analysis was > 95 percent for both treatments compared with 84 percent for those without adjuvant treatment.

TL;DR: Since the learning curve with laparoscopy is initially quite steep, urologists beginning to apply the technique should work closely with experienced laparoscopic surgeons.

TL;DR: The results of the current study confirm the safety and usefulness of intravesical oxybutynin in treating uninhibited detrusor contractions in a difficult patient population.

TL;DR: There has been a steady and progressively more widespread application of laparoscopic techniques in pediatric urology, which has been somewhat slow to develop compared with adult laparoscope, but it seems likely that this progression will continue to accelerate.

TL;DR: Endoscopic placement of ureteral stents under ultrasound guidance is an effective, safe method of urinary decompression, with no radiation risks imparted to the mother or fetus.

TL;DR: Results strongly suggest local production and release of ACT by the normal prostate epithelium that may be important for interaction between PSA and ACT in extracellular compartments.

TL;DR: It is suggested that nonpalpable prostate cancers identified by an elevated serum PSA level can be of clinical significance and warrant therapeutic consideration and is proposed to be classified as clinical Stage B0 in the Whitmore-Jewett staging system; in the new TNM staging system, they are designated asclinical Stage T1c.

TL;DR: It is concluded that when treatment failure is defined in biochemical as well as clinical terms postoperative irradiation reduces the rate of relapse at five years relative to recently reported series in which adjuvant irradiation was not given.

TL;DR: Retrograde and antegrade dissections from the penile hilum to the prostatic area and the glans penis were performed to improve the ability to preserve erectile function during pelvic, urethral, and penile surgery.

TL;DR: Of 2,212 patients who underwent radical retropubic prostatectomy for the treatment of prostate cancer, 27 had documented rectal injuries; all but one were detected immediately at the time of surgery and were repaired; a temporary diverting colostomy was established in 6 patients.

TL;DR: The concept that a PSA level which rises more than that attributable to assay variation indicates the need for invasive testing for prostate cancer is questionable.

TL;DR: A point-monitoring fluorescence diagnostic system based on a low-energy pulsed laser, fiber transmission optics, and an optical multichannel analyzer provided excellent demarcation between papillary tumors and normal bladder wall.

TL;DR: Computerized tomography scans demonstrated the most information about intra-abdominal solid organ injuries but was inaccurate in detecting bladder or urethral injuries, and CT scan is the best study to determine extent of solid-organ injury but is inferior to cystourethrography to diagnose bladder or Urethrals injuries.

TL;DR: It is believed this technique may play a role in preservation of continence after radical prostatectomy and probably decreases the likelihood of anastomotic stricture, by allowing for a circumferential mucosa-to-mucosaAnastomosis without the need for bladder neck reconstruction.