Urologia internationalis
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Urologia internationalis · Jan 2014
Comparative StudyEvaluating the use of prostate-specific antigen as an instrument for early detection of prostate cancer beyond urologists: results of a representative cross-sectional questionnaire study of general practitioners and internal specialists.
The aim of this cross-sectional study was to evaluate the value of prostate-specific antigen (PSA) testing as a tool for early detection of prostate cancer (PCa) applied by general practitioners (GPs) and internal specialists (ISs) as well as to assess criteria leading to the application of PSA-based early PCa detection. ⋯ GPs and ISs frequently apply PSA-based early PCa detection. In doing so, 13% would initiate specific referral to a urologist in case of pathological PSA values too late. Improvement of this situation could possibly result from specific educational activities for non-urological physicians active in fields of urological core capabilities, which should be guided by joint boards of the national associations of urology and general medicine.
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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
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.
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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 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.