The Journal of urology
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The Journal of urology · Feb 2012
Association of neuropathic pain with bladder, bowel and catastrophizing symptoms in women with bladder pain syndrome.
In this study we determined if there is an association of neuropathic pain with urinary, bowel and catastrophizing symptoms in women with bladder pain syndrome. ⋯ In women with bladder pain syndrome the presence of neuropathic pain is significantly associated with the severity of bladder and bowel pain, urinary urgency and diarrhea. Women with features of neuropathic pain also have worse pain catastrophizing and quality of life than those without features of neuropathic pain.
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The Journal of urology · Feb 2012
Medical malpractice in endourology: analysis of closed cases from the State of New York.
Medical malpractice indemnity payments continue to rise, resulting in increased insurance premiums. We reviewed closed malpractice claims pertaining to endourological procedures with the goal of helping urologists mitigate their risk of lawsuit. ⋯ Urologists are not immune to the current medical malpractice crisis. Endourology and urological oncology generate the greatest number of lawsuits against urologists. Most malpractice claims involving endourological procedures result from urolithiasis and alleged technical errors. Therefore, careful attention to surgical technique is essential during stone procedures to reduce the risk of malpractice litigation.
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The Journal of urology · Jan 2012
Postoperative complications and long-term survival among patients treated surgically for renal cell carcinoma.
In addition to their acute implications, adverse events after oncological surgery may have late or long-term consequences for patient outcomes. We assessed the relationship between postoperative complications and long-term survival among patients treated surgically for kidney cancer. ⋯ The occurrence of a postoperative complication is associated with decreased long-term survival after surgery for kidney cancer. Clarification of the cascade of events underlying this relationship may lead to new strategies to improve outcomes among cancer survivors.
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The Journal of urology · Dec 2011
Randomized Controlled TrialA double-blind randomized controlled clinical trial to assess the effect of Doppler optimized intraoperative fluid management on outcome following radical cystectomy.
Cardiovascular optimization via esophageal Doppler can minimize gastrointestinal hypoperfusion, reducing the risk of multiple organ dysfunction and postoperative complications during major surgery. We assessed the effect of esophageal Doppler guided cardiovascular optimization in patients undergoing radical cystectomy. ⋯ Cardiovascular optimization using esophageal Doppler significantly improved postoperative markers of gastrointestinal function.
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The Journal of urology · Dec 2011
Trends in imaging use during the emergency department evaluation of flank pain.
Patients with acute flank pain or kidney pain are most commonly evaluated in the emergency department with computerized tomography. Currently our understanding of radiographic practice patterns in emergency imaging for flank pain is limited. We characterized the use of conventional radiography (x-ray), ultrasound and computerized tomography in the emergency department evaluation of patients with acute flank pain. ⋯ Between 2000 and 2008 there was a significant increase in computerized tomography use for the emergency evaluation of patients with flank pain.