Urologia internationalis
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Urologia internationalis · Jan 2014
Observational StudyFast track surgery to reduce short-term complications following radical cystectomy and intestinal urinary diversion with Vescica Ileale Padovana neobladder: proposal for a tailored enhanced recovery protocol and preliminary report from a pilot study.
Different fast track programs for patients undergoing radical cystectomy (RC) can be found in the current literature. The aim of this work was to develop a new enhanced recovery protocol (ERP). ⋯ The introduction of our ERP was proven to be feasible in the management of patients undergoing RC and intestinal urinary diversion with VIP neobladder. The postoperative course was enhanced by a significant reduction in both nasogastric tube insertion and parenteral nutrition support, with early postoperative feeding. All these findings were associated with no deleterious effect on morbidity or mortality, indeed there was a reduced occurrence of postoperative complication rates.
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Urologia internationalis · Jan 2014
Observational StudyEvaluation of prostate-specific antigen isoform p2PSA and its derivates, %p2PSA, prostate health index and prostate dimension-adjusted related index in the detection of prostate cancer at first biopsy: an exploratory, prospective study.
To confirm the accuracy of serum proPSA (p2PSA) and its derivatives, percentage of p2PSA to free PSA (%p2PSA) and Prostate Health Index (PHI) and to test the value of prostate dimension-adjusted related index p2PSA density (p2PSAD), %p2PSA density (%p2PSAD) and PHI density (PHID) in discriminating between patients with and without prostate cancer (PCa). ⋯ Considering patients suited for initial prostate biopsy by a tPSA range of 2-10 ng/ml, PSA isoforms were confirmed to be strong predictors of PCa. The prostate dimension-adjusted PSA isoforms have been shown to differentiate between patients with or without PCa, with an AUC of 0.71-0.77, p2PSAD offering a gain in accuracy with respect to tPSA, %fPSA and PSAD.
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Urologia internationalis · Jan 2014
Urodynamic after-contraction waves: a large observational study in an adult female population and correlation with bladder and ureter emptying functions in women.
To evaluate different patterns of after-contraction (A-C) waves detected during urodynamic evaluation in women. ⋯ A-C waves are a real urodynamic entity with different patterns of presentation and with clinical and morphological alterations.
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Urologia internationalis · Jan 2014
Seminal vesicle invasion: accuracy and analysis of infiltration patterns with high-spatial resolution T2-weighted sequences on endorectal magnetic resonance imaging.
To evaluate the accuracy of high-spatial resolution T2-weighted endorectal magnetic resonance imaging (eMRI) for detection and pattern depiction of seminal vesicle invasion (SVI) in patients with prostate cancer (PCa). ⋯ eMRI with high-spatial resolution T2-weighted imaging is accurate for assessment of SVI. Depiction of different infiltration types of SVI is feasible. By adding information about the extent of SVI, diagnostic reporting and risk stratification could be improved.
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Urologia internationalis · Jan 2014
Multifunctional use of an operating theatre: is floor drainage posing an increased risk of infection?
For transurethral urologic surgery floor drainage is necessary for disposal of large amounts of fluid; for skin incision surgery floor drainage is unnecessary. The presence of floor drainage in an operating theatre may have a negative impact on the surgical site infection (SSI) rate after skin incision surgery due to aerosol contamination. We examined whether multifunctional use of an operating theatre would increase the SSI rate after skin incision surgery. ⋯ Multifunctional use of an operating theatre with floor drainage for transurethral and skin incision surgery does not increase SSI rates. Thus, multifunctional use of theatres with floor drainage might lead to a gain in flexibility in the use of operating theatre capacity.