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Two Cases of Adult Disorders of Sexual Differentiation Presenting as Hematometra and Adenexal Masses 成人性别化障碍以积血及腺腺肿物表现二例
Pub Date : 2013-01-01 DOI: 10.3834/UIJ.1944-5784.2013.04.12
Adittya K. Sharma, C. Ratkal, G. Nelivigi, G. Venkatesh
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引用次数: 0
Does Intravesical Prostatic Protrusion Predict Bladder Outlet Obstruction in Patients with Lower Urinary Tract Symptoms Due to Benign Prostatic Hyperplasia 膀胱内前列腺突出能否预测良性前列腺增生引起的下尿路症状患者膀胱出口梗阻
Pub Date : 2013-01-01 DOI: 10.3834/UIJ.1944-5784.2013.06.14
I. Singh, Shankar Kumar
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引用次数: 1
Does Limited Pelvic Lymphadenectomy in Low-Risk Prostate Cancer Patients Affect Biochemical Recurrence? 低危前列腺癌有限盆腔淋巴结切除术是否影响生化复发?
Pub Date : 2013-01-01 DOI: 10.3834/UIJ.1944-5784.2013.12.08
Joshua E. Logan, B. Gibbs, S. Riggs, R. Given, M. Fabrizio, P. Schellhammer, R. Lance
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引用次数: 0
Isolated Ano-vaginal Fistulae without Associated Vesicovaginal Fistulae Following Prolonged Labor: A Rare Entity 长时间分娩后无膀胱阴道瘘的孤立性阴道瘘:一种罕见的实体
Pub Date : 2013-01-01 DOI: 10.3834/UIJ.1944-5784.2013.08.07
Vishwajeet Singh, D. Gupta, R. Sinha
{"title":"Isolated Ano-vaginal Fistulae without Associated Vesicovaginal Fistulae Following Prolonged Labor: A Rare Entity","authors":"Vishwajeet Singh, D. Gupta, R. Sinha","doi":"10.3834/UIJ.1944-5784.2013.08.07","DOIUrl":"https://doi.org/10.3834/UIJ.1944-5784.2013.08.07","url":null,"abstract":"","PeriodicalId":23406,"journal":{"name":"Urotoday International Journal","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80672152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of the Feasibility and Efficacy of Ambulatory/Day Care Percutaneous Nephrolithotomy: An Initial Experience 门诊/日间护理经皮肾镜取石术的可行性及疗效分析:初步经验
Pub Date : 2013-01-01 DOI: 10.3834/UIJ.1944-5784.2013.08.03
Adittya K. Sharma, M. Nagabhushan, G. Girish, A. J. Kamath, C. Ratkal, G. Venkatesh
Purpose: Tubeless percutaneous nephrolithotomy (PCNL) is a well-accepted procedure for uncomplicated renal calculi. We prospectively evaluated the safety, feasibility, and efficacy of day care/ambulatory PCNL (totally tubeless, discharge within 24 hours) for selected patients for which only few case series have been reported. Materials and Methods: Total tubeless PCNL was planned in 40 easily accessible patients with uncomplicated renal calculi, with single infracostal punctures, normal intraoperative events, and acceptable postoperative parameters (visual analogue pain score, parenteral analgesic requirement, bleeding, urinary soakage, hemodynamic stability), allowing an early discharge within 24 hours. Parameters like pain score and analgesic requirement, any complications, and return date to normal work were evaluated at follow-up. Ultrasonography was performed after a week to document stone clearance. results: Mean patient age was 38.6 years (22 to 62), stone size was 21.4 mm (15.4 to 30), and operating time was 72 minutes (42 to 106) without blood transfusion. Regional anesthesia was used in 13 cases while general anesthesia was used in the rest of the patients. Average pain score after 6 hours of surgery was 2.3 (1.8 to 3.6) with vitals in the normal range, and hospital stay was 12.5 hours (5.5 to 23.5). Six patients were excluded due to periand postoperative events (2: multiple punctures, 1: hematuria, 1: urine leak, 2: pain). This data was taken with the intention to treat the analysis with a successful application of study protocol in 34 (85%) of preoperatively selected cases. Out of 34 patients that qualified for a complete study protocol, 11 were discharged on the same day of surgery while the rest were discharged the next morning. Postoperative USG confirmed no residual calculus, and all patients had uneventful recoveries. Three patients had minor complications (mild hematuria/ urine leaks), which were managed conservatively. conclusion: Our experience with ambulatory PCNL in properly selected cases suggests it as a feasible and effective option that can safely be offered to patients, providing uncomplicated surgery and favorable postoperative parameters. KEYWOrDs: Percutaneous nephrolithotomy, nephrolithiasis, kidney calculi cOrrEsPONDENcE: Adittya K. Sharma, MCh, Institute of Nephro-Urology, Victoria Hospital Campus, Bangalore, Karnataka, India (dradityaonline@gmail.com, dradityaks@gmail.com) cItAtION: UroToday Int J. 2013 August;6(4):art 44. http://dx.doi.org/10.3834/uij.1944-5784.2013.08.03 UroToday International Journal® ©2013 Digital Science Press, Inc. UIJ / Vol 6 / Iss 4 / August / http://dx.doi.org/10.3834/uij.1944-5784.2013.08.03 http://www.urotodayinternationaljournal.com ISSN 1944-5792 (print), ISSN 1944-5784 (online) INtrODuctION Renal calculi pose major health issues in our society with percutaneous nephrolithotomy (PCNL) and shock wave lithotripsy (SWL) being standard treatments of choice. SWL is the procedure of choice
目的:无管经皮肾镜取石术(PCNL)是治疗无并发症肾结石的常用方法。我们前瞻性地评估了日托/门诊PCNL(完全无管,24小时内出院)的安全性、可行性和有效性,这些患者只有少数病例系列报道。材料与方法:对40例易接近、单次肋下穿刺、术中事件正常、术后参数可接受(视觉模拟疼痛评分、肠外镇痛需求、出血、尿浸、血流动力学稳定性)的无管全肾穿刺患者进行全无管PCNL, 24小时内尽早出院。随访时评估疼痛评分、镇痛需求、并发症及恢复正常工作时间等参数。一周后超声检查结石清除情况。结果:患者平均年龄38.6岁(22 ~ 62岁),结石大小21.4 mm(15.4 ~ 30),手术时间72分钟(42 ~ 106),无输血。局部麻醉13例,全麻13例。术后6小时的平均疼痛评分为2.3(1.8 ~ 3.6),生命体征在正常范围内,住院时间为12.5小时(5.5 ~ 23.5)。6例患者因术后周围事件(2例:多次穿刺,1例:血尿,1例:尿漏,2例:疼痛)被排除。收集这些数据的目的是在34例(85%)的术前选择病例中成功应用研究方案进行分析。在34名符合完整研究方案的患者中,11名患者在手术当天出院,其余患者在第二天早上出院。术后USG证实无结石残留,所有患者均顺利恢复。3例患者有轻微的并发症(轻度血尿/尿漏),采用保守治疗。结论:我们在适当选择的病例中进行门诊PCNL的经验表明,它是一种可行有效的选择,可以安全地提供给患者,提供简单的手术和良好的术后参数。关键词:经皮肾镜取石术,肾结石,肾结石通信:Adittya K. Sharma, MCh,肾泌尿科研究所,维多利亚医院校区,班加罗尔,卡纳塔克邦,印度(dradityaonline@gmail.com, dradityaks@gmail.com)引文:UroToday Int J. 2013 August;6(4):第44条。http://dx.doi.org/10.3834/uij.1944-5784.2013.08.03 UroToday International Journal®©2013 Digital Science Press, Inc。UIJ / Vol 6 / Iss 4/ August / http://dx.doi.org/10.3834/uij.1944-5784.2013.08.03 http://www.urotodayinternationaljournal.com ISSN 1944-5792(印刷),ISSN 1944-5784(在线)简介肾结石是我们社会的主要健康问题,经皮肾镜取石术(PCNL)和冲击波碎石术(SWL)是标准的治疗选择。除了一些有不利因素的病例外,SWL是大多数2厘米以下肾结石的首选手术。对于结石大于2 cm的患者可选择PCNL,无绝对禁忌症[1]。前者具有非侵入性的优势,而日托后一种方式只需坐一次就能清除可预测的结石。传统俯卧位PCNL的各种改良(仰卧位PCNL、侧卧位PCNL)[2,3]已被尝试,以减少手术时间、术后发病率,并允许早期出院。在Preminger等人[4]首次报道门诊PCNL后,在过去的几年里,有各种病例系列报道了日间/门诊PCNL,并在同一天或第二天24小时内出院[5-8]。我们决定评估…的可行性和有效性
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引用次数: 3
Preventing Catheter-Associated Urinary Tract Infections 预防导尿管相关性尿路感染
Pub Date : 2013-01-01 DOI: 10.3834/UIJ.1944-5784.2013.10.11
D. Newman, R. Strauss
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引用次数: 2
Adenosquamous Carcinoma of the Prostate: A Rare Aggressive Tumor with a Review of the Literature 前列腺腺鳞癌:一种罕见的侵袭性肿瘤及文献综述
Pub Date : 2013-01-01 DOI: 10.3834/UIJ.1944-5784.2013.02.03
J. Singh, K. Sarkar, M. Vijay, Debashish Chakraborty, D. Pal, A. Kundu
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引用次数: 0
Hypertrophied Column of Bertin: A Mimicker of a Renal Mass 贝尔坦肥大柱:肾脏肿块的模拟物
Pub Date : 2013-01-01 DOI: 10.3834/UIJ.1944-5784.2013.02.04
D. Vincent, Hari Ps
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引用次数: 0
Short-term Change in Renal Function in Patients Undergoing Continent vs Noncontinent Urinary Diversions 尿潴留与非尿潴留患者肾功能的短期变化
Pub Date : 2013-01-01 DOI: 10.3834/UIJ.1944-5784.2013.04.07
B. Winters, Jie Cai, S. Daneshmand
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引用次数: 3
Complete Isolated Transection of a Distal Female Urethra Following a Bull Horn Injury: A Rare Urological Emergency 公牛角损伤后女性远端尿道完全孤立横断:罕见的泌尿外科急诊
Pub Date : 2013-01-01 DOI: 10.3834/UIJ.1944-5784.2013.04.06
R. Tanwar, S. Singh, D. Pawar
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引用次数: 1
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Urotoday International Journal
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