Urology
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To analyze the biochemical and survival outcomes after permanent low-dose-rate prostate brachytherapy in a large, consecutive, population-based cohort of patients. ⋯ When consistently planned and delivered, low-dose-rate brachytherapy, without supplemental external beam radiotherapy or intraoperative planning, can produce cancer-specific outcomes for men with low- and "low-tier" intermediate-risk prostate cancer at least equal to that produced by dose-escalated external beam radiotherapy or surgical prostatectomy.
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To report our experience in the diagnosis and surgical treatment of the nutcracker syndrome, which is uncommon, with few larger series published. ⋯ The diagnosis of the nutcracker syndrome is determined from the clinical examination and radiographic findings. In patients who require surgical treatment, LRV transposition is an efficient surgical approach with an acceptable risk of complications. However, in some cases, pelvic pain may persist despite removal of the obstruction of the renal venous backflow.
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To determine the incidence and predictors of complications with sacral nerve stimulation (SNS). ⋯ The results of our study have shown that SNS is an effective treatment for patients with intractable voiding dysfunction. Complications are not uncommon but can be minimized with better patient selection.
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To perform a retrospective study to evaluate the circumstances, extent of trauma, and modalities of treatment for penile injuries caused by firearms in a large metropolitan area. The management of civilian injuries differs significantly from that of the military, and experience with penetrating trauma to the external male genitalia in civilian life has been minimally reported. ⋯ Gunshot wounds to the penis are rare and are commonly associated with injuries of other organs. In sharp contrast to military injuries, minimal tissue destruction is seen, and minimal debridement is needed. If corporal injuries are suspected, penile exploration is warranted. If, in addition, the suspicion for testicular injury is high, penile and scrotal exploration can be performed using a penoscrotal approach.