Cuaj Can Urol Assoc
-
Cuaj Can Urol Assoc · Jun 2012
Duplicate publications: A sample of redundancy in the Journal of Urology.
: Redundant publications occur when authors publish a partial or complete duplicate of data from an existing manuscript. The push for academic advancement in medicine may result in redundant publications that erode the quality of literature. We sampled the extent of redundancy within the Journal of Urology. ⋯ : Detection of redundant publications is a laborious process for reviewers and editors. This sampling of the Journal of Urology revealed that the duplication rate in this journal is small, but significant. Further assessment of the urological literature is warranted.
-
Cuaj Can Urol Assoc · Feb 2012
Intrathecal clonidine added to small-dose bupivacaine prolongs postoperative analgesia in patients undergoing transurethral surgery.
The aim of this prospective, double-blinded study was to investigate the effects of clonidine in co-administration with bupivacaine during spinal anesthesia, regarding the onset and regression of motor and sensory block, postoperative analgesia and possible side effects. ⋯ The intrathecal application of clonidine in combination with bupivacaine improves the duration and quality of spinal anesthesia; it also provides longer duration of postoperative analgesia, without significant side effects.
-
Cuaj Can Urol Assoc · Oct 2011
A feasibility trial of a cognitive-behavioural symptom management program for chronic pelvic pain for men with refractory chronic prostatitis/chronic pelvic pain syndrome.
Our objective was to determine the feasibility of a cognitive behavioural symptom management program for the acute improvement of psychosocial risk factors of diminished quality of life (QoL) in men suffering from chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). ⋯ The psychosocial management program targets and significantly reduces several empirically supported psychosocial risk factors associated with poorer CP/CPPS outcomes. Psychosocial management for CP/CPPS is feasible, but requires a randomized controlled trial with longitudinal follow-up.
-
Cuaj Can Urol Assoc · Oct 2011
Enhanced recovery after surgery (ERAS) protocols: Time to change practice?
Radical cystectomy with pelvic lymph node dissection remains the standard treatment for patients with muscle invasive bladder cancer. Despite improvements in surgical technique, anesthesia and perioperative care, radical cystectomy is still associated with greater morbidity and prolonged in-patient stay after surgery than other urological procedures. ⋯ Despite the significant body of evidence indicating that ERAS protocols lead to improved outcomes, they challenge traditional surgical doctrine, and as a result their implementation has been slow. The present article discusses particular aspects of ERAS protocols which represent fundamental shifts in surgical practice, including perioperative nutrition, management of postoperative ileus and the use of mechanical bowel preparation.