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1.
J Endourol ; 33(11): 914-919, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31596612

RESUMO

Objective: To demonstrate the safety and efficacy of flexible ureteroscopy lithotripsy (FURL) and miniaturized percutaneous nephrolithotomy (MPCNL) through the comparative studies in treating medium-sized lower-pole renal calculi. Methods: Two hundred and twenty eligible patients with lower-pole renal calculi (1-2 cm) were enrolled and further randomly assigned into FURL group and MPCNL group. Patients' demographics, preoperative characteristics, intraoperative and postoperative complications, stone-free rate, and comfort and pain indicated by Bruggrmann Comfort Scale (BCS) and visual analog scale (VAS) were evaluated and recorded. Trauma index such as white blood cells, C-reactive protein (CRP), and interleukin (IL)-6 were also detected. Results: The stone-free rate and the operating time were comparable in FURL and MPCNL groups. Intraoperative and postoperative complication analysis showed that blood loss and hospital stay were significantly lower in the FURL group compared with MPCNL group. No significant difference in minor pelvic perforation, false passage, hemoglobin drop, persistent hematuria, ureteral perforation, moderate fever, urosepsis, and postoperative serum creatinine level was observed. However, as to comfort and pain indicated by BCS and VAS and stress indicated by CRP and IL-6, FURL was superior to MPCNL. Conclusion: FURL could be a better alternative surgical method to MPCNL with similar curative effect and less blood loss and hospital stay.

2.
Int. braz. j. urol ; 44(6): 1156-1165, Nov.-Dec. 2018. tab, graf
Artigo em Inglês | LILACS-Express | ID: biblio-975653

RESUMO

ABSTRACT Purpose: To describe our technique and outcomes for laparoscopic intracorporeal ileal neobladder (ICNB) reconstruction. Materials and Methods: From April 2014 to November 2016, 21 patients underwent laparoscopic ICNB at our tertiary referral centre. ICNB with bilateral isoperistaltic afferent limbs and several technique improvements were introduced. Demographics, clinical, and pathological data were collected. Perioperative, 1-year oncologic, 1-year Quality of life and 1-year functional outcomes were reported. Results: ICNB was successfully performed in all 21 patients without open conversion and transfusion. Mean operative time was 345.6±66.9 min, including 106±22 min for LRC and PLND and 204±46.4 min for ICNB, respectively. Mean established blood loss was 192±146 mL. The overall incidence of 90-d complication was 33.3%, while major complication occurred in 4.8%. One-year daytime and night-time continence rates were 85.7% and 57.1%, respectively. One patient died from myocardial infarction six months postoperatively, and two patients had lung metastasis five months and six months respectively. Conclusions: We described our experience of 3D LRC with a novel intracorporeal orthotopic ileal neobladder, and the technique improvements facilitate the procedure. However, further studies are required to evaluate long-term outcomes of the intracorporeal neobladder with bilateral isoperistaltic afferent limbs.

3.
Int Braz J Urol ; 44(6): 1156-1165, 2018 Nov-Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30325614

RESUMO

PURPOSE: To describe our technique and outcomes for laparoscopic intracorporeal ileal neobladder (ICNB) reconstruction. MATERIALS AND METHODS: From April 2014 to November 2016, 21 patients underwent laparoscopic ICNB at our tertiary referral centre. ICNB with bilateral isoperistaltic afferent limbs and several technique improvements were introduced. Demographics, clinical, and pathological data were collected. Perioperative, 1-year oncologic, 1-year Quality of life and 1-year functional outcomes were reported. RESULTS: ICNB was successfully performed in all 21 patients without open conversion and transfusion. Mean operative time was 345.6±66.9 min, including 106±22 min for LRC and PLND and 204±46.4 min for ICNB, respectively. Mean established blood loss was 192±146 mL. The overall incidence of 90-d complication was 33.3%, while major complication occurred in 4.8%. One-year daytime and night-time continence rates were 85.7% and 57.1%, respectively. One patient died from myocardial infarction six months postoperatively, and two patients had lung metastasis five months and six months respectively. CONCLUSIONS: We described our experience of 3D LRC with a novel intracorporeal orthotopic ileal neobladder, and the technique improvements facilitate the procedure. However, further studies are required to evaluate long-term outcomes of the intracorporeal neobladder with bilateral isoperistaltic afferent limbs.

4.
Urology ; 82(5): 1103-7, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23953604

RESUMO

OBJECTIVE: To investigate the association between metabolic syndrome (MetS) and the National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI) in a population-based sample of Chinese men. METHODS: From October 2010 to July 2011, 1896 men, aged between 20 and 50 years, residing in Shijingshan district of Beijing, China, were selected to participate in the Male Reproductive Health Program (a random cross-sectional survey). The Chinese version of the NIH-CPSI questionnaire was used to identify men with prostatitis-like symptoms. The presence of MetS was determined according to the 2005 National Cholesterol Education Program-Adult Treatment Panel III criteria for Asian Americans. RESULTS: Complete data were available for 1673 men. The major domains of NIH-CPSI scores were significantly different among different body mass index (BMI) groups (P <.05). No significant differences were identified in the incidence of prostatitis-like symptoms or each NIH-CPSI scores between patients with MetS and those without MetS. When the age and BMI were adjusted, there was no significant correlation between the components of MetS and each NIH-CPSI scores. CONCLUSION: There was no significant correlation between MetS or components of MetS and chronic prostatitis/chronic pelvic pain syndrome. Age and BMI were identified as a risk factor for chronic prostatitis/chronic pelvic pain syndrome. Further studies are necessary to confirm our results.


Assuntos
Síndrome Metabólica/diagnóstico , Prostatite/complicações , Prostatite/diagnóstico , Adulto , Índice de Massa Corporal , China , Dor Crônica , Estudos Transversais , Humanos , Masculino , Síndrome Metabólica/etnologia , Pessoa de Meia-Idade , National Institutes of Health (U.S.) , Prostatite/etnologia , Qualidade de Vida , Índice de Gravidade de Doença , Inquéritos e Questionários , Estados Unidos , Adulto Jovem
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