Scand J Urol Nephrol
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Scand J Urol Nephrol · Jan 2002
Randomized Controlled Trial Comparative Study Clinical TrialComparison of three analgesics for extracorporeal shock wave lithotripsy.
The aim of the study was to compare the clinical efficacy of three different analgesic drugs with respect to their level of sedation, analgesia and quick mobilisation without cardiopulmonary depression, for outpatient extracorporeal shock wave lithotripsy (ESWL) procedure. ⋯ Diclofenac sodium and tramadol were found to be safe and effective analgesics with lower side-effects than fentanyl.
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Scand J Urol Nephrol · Jan 2002
Comparative StudyCalculated fast-growing benign prostatic hyperplasia--a risk factor for developing clinical prostate cancer.
Whether there is an association between the development of benign prostatic hyperplasia (BPH) and clinical prostate cancer is controversial. The present report tests the hypothesis of an association between BPH growth and the development of clinical prostate cancer by examining stage, grade and PSA-level in men with recently discovered clinical prostate cancer with slow or fast-growing BPH. If the hypothesis is true, men with fast-growing BPH would have a more advanced clinical prostate cancer. ⋯ This report confirms findings in previous studies that fast-growing BPH is a risk factor for NIDDM, hypertension, tallness, obesity, dyslipidaemia and hyperinsulinaemia. The present report extends this list of risk factors to include atherosclerotic disease manifestations, hyperuricaemia and higher ALAT levels. The study suggests that fast-growing BPH is a risk factor for developing clinical prostate cancer and, thus, supports the hypothesis of an association between the development of BPH and clinical prostate cancer. The study generates the hypothesis that clinical prostate cancer is a component of the metabolic syndrome and that insulin is a promoter of clinical prostate cancer.
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Scand J Urol Nephrol · Dec 2001
Comparative Study Clinical TrialComparative study of etofenamate and fentanyl for outpatient extracorporeal shockwave lithotripsy.
This study aimed to compare the clinical efficacy and safety of etofenamate (a non-steroidal anti-inflammatory drug) and fentanyl (an opioid analgesic) for outpatient extracorporeal shock wave lithotripsy (ESWL). ⋯ Both etofenamate and fentanyl have clinically sufficient effects on pain, and can be used safely for outpatient ESWL procedures.
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Scand J Urol Nephrol · Dec 2001
Visual analogue scale, urinary incontinence severity score and 15 D--psychometric testing of three different health-related quality-of-life instruments for urinary incontinent women.
The purpose of this study is psychometric assessment of disease-specific questionnaire, Urinary Incontinence Severity Score (UISS) and Visual Analogue Scale (VAS) in urinary incontinent women. We also investigated functional relationship between UISS, VAS and 15D-valid, generic health-related quality-of-life (HRQoL) instrument. ⋯ The UISS and VAS proved to be valid, reproducible and responsive to treatment for UI women. The functionality of the 15D was good but it demonstrated less sensitivity to changes after treatment.
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Scand J Urol Nephrol · Dec 2001
Management of postoperative obstruction after bulboprostatic anastomotic urethroplasty for membranous urethral defects secondary to pelvic fracture.
To present our experience in the management of postoperative obstruction after bulboprostatic anastomotic urethroplasty for post-traumatic membranous urethral defects secondary to pelvic fracture. ⋯ Visual urethrotomy is limited to very short passable urethral strictures, we do not recommend cutting on the light. End-to-end anastomosis was performed in obliterated strictures. Removal of the new bone formation from the pubectomy gap relieved the urethral obstruction.