Urologia internationalis
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Urologia internationalis · Jan 2016
ReviewFournier's Gangrene: Epidemiology and Outcomes in the General US Population.
Case series reported 20-40% mortality rates for patients with Fournier's gangrene with some series as high as 88%. This literature comes almost exclusively from referral centers. ⋯ Most hospitals rarely care for Fournier's gangrene patients. The population-based mortality rate (7.5%) was substantially lower than the case series from tertiary care centers. Hospitals that treated more number of Fournier's gangrene patients had lower mortality rates, thereby supporting the rationale that regionalized care worked well for patients with this rare disease.
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Urologia internationalis · Jan 2014
Review Meta AnalysisRetrograde intrarenal surgery versus percutaneous nephrolithotomy for treatment of renal stones >2 cm: a meta-analysis.
To systematically review the efficacy and safety of retrograde intrarenal surgery (RIRS) versus percutaneous nephrolithotomy (PCNL) for the treatment of renal calculi >2 cm. ⋯ RIRS is a safe and effective procedure. It can successfully treat patients with stones >2 cm with a high stone-free rate and significantly reduce hospital stay without increasing complications. RIRS can be used as an alternative treatment to PCNL in selected cases with larger renal stones. However, further randomized trials are needed to confirm these findings.
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Urologia internationalis · Jan 2013
Review Case ReportsRetroperitoneal laparoscopic radical nephrectomy for renal cell carcinoma during pregnancy.
Renal cell carcinoma (RCC) during pregnancy is rare. We present a case of retroperitoneal laparoscopic radical nephrectomy for RCC in a 32-year-old pregnant female. The tumor was excised en bloc. Retroperitoneal laparoscopic radical nephrectomy appears to be a feasible and safe treatment option for RCC in pregnancy.
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Urologia internationalis · Jan 2010
Review Randomized Controlled Trial Meta AnalysisTreatment of ureteral lithiasis with tamsulosin: literature review and meta-analysis.
Ninety percent of ureteral calculi <4 mm are expelled over a period of 3 months; if they are >6 mm the elimination possibilities are reduced to 30%. Presently, investigations in the treatment of ureteral lithiasis have the objective of modifying ureter contractibility with the aid of calcium antagonist and alpha-blocking drugs. The objective of this study is to analyze the effect of tamsulosin in the treatment of the distal ureter lithiasis and to make a systematic analysis of the literature. ⋯ Tamsulosin increases the elimination of distal ureter lithiasis of <10 mm.
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Although untreated/undertreated pain leads to a variety of somatic, psychological and socioeconomic harm, the knowledge of its physiology, diagnosis and adequate treatment is generally low among urologists. This review has the primary goal to sensitize us urologists to this underrated topic.