The Journal of urology
-
The Journal of urology · Oct 2009
Randomized Controlled Trial Comparative StudyContinuous epidural versus nonepidural analgesia for post-pyeloplasty pain in children.
We compared the effectiveness of post-pyeloplasty epidural and nonepidural analgesia in children. ⋯ Nonepidural analgesia is as effective as continuous epidural analgesia to control post-pyeloplasty pain in children. A noninvasive analgesic regimen is recommended when there is a relative contraindication to line insertion, a less experienced anesthetist is available or parents prefer it.
-
The Journal of urology · Oct 2009
Multicenter StudyLocation, extent and number of positive surgical margins do not improve accuracy of predicting prostate cancer recurrence after radical prostatectomy.
Positive surgical margins increase the risk of biochemical recurrence after radical prostatectomy by 2 to 4-fold. The risk of biochemical recurrence may be influenced by the anatomical location and extent of positive surgical margins. In a multicenter study we analyzed the predictive usefulness of several subclassifications of positive surgical margins. ⋯ The number and extent of positive surgical margin significantly influence the risk of biochemical recurrence after radical prostatectomy. However, the empirical prognostic usefulness of subclassifications of positive surgical margins is limited.
-
The Journal of urology · Oct 2009
Comparative StudyUltrasound versus computerized tomography for evaluating urolithiasis.
We prospectively evaluated the precision of ultrasound and computerized tomography to diagnose urinary stones in children and determined whether these differences in radiological findings have any impact on clinical management. ⋯ Although computerized tomography is more sensitive for detecting urolithiasis than ultrasound, the difference in usefulness between the 2 radiological tests may not be clinically significant. Given concerns for the potentially harmful cumulative long-term effect of radiation, ultrasound should be considered the first imaging test in children with suspected urolithiasis.
-
The Journal of urology · Oct 2009
Do oral antimuscarinic drugs carry an increased risk of acute urinary retention?
We determined whether men treated with oral antimuscarinics are at increased risk for acute urinary retention. ⋯ Men prescribed antimuscarinics, particularly for a urogenital condition, should be closely monitored during the first 30 days of treatment for signs or symptoms of urinary retention.
-
The Journal of urology · Oct 2009
Renal transplant recipients and patients with end stage renal disease present with more advanced bladder cancer.
Renal transplant recipients have an increased incidence of bladder cancer. It is unknown whether these cancers are more aggressive than those in nontransplanted cases and whether this is also true for cases with end stage renal disease without renal transplantation. ⋯ Renal transplant recipients and patients with end stage renal disease present with higher stage bladder cancer than those without these conditions despite closer medical supervision. Since most renal transplant recipients were diagnosed with bladder cancer within 4 years of undergoing renal transplantation, consideration should be given to bladder cancer screening of such patients in this period.