The Journal of urology
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The Journal of urology · Dec 1998
Case ReportsLimitations of routine spiral computerized tomography in the evaluation of blunt renal trauma.
We have observed that injury to the renal collecting system may be missed during routine abdominal spiral computerized tomography (CT) for trauma. A definitive protocol for spiral CT has been established to identify all cases of renal collecting system injury. ⋯ Injury to the renal collecting system may be missed during routine spiral CT, thereby incorrectly under staging renal trauma. In all cases of suspected blunt renal trauma evaluated with spiral CT repeat scans of the kidneys should be performed.
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The Journal of urology · Dec 1998
Comparative StudyCost comparison of orchiectomy and leuprolide in metastatic prostate cancer.
We objectively compare the costs associated with the medical and surgical treatment of metastatic prostate cancer. ⋯ Medical management of metastatic prostate cancer is expensive. With broadening applications and androgen deprivation being initiated earlier in the course of disease, the amount spent on medical therapy will continue to escalate. For patients with a life expectancy of more than 9 months orchiectomy is the most cost-effective treatment option.