Urologia internationalis
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Urologia internationalis · Jan 2005
Randomized Controlled Trial Comparative Study Clinical TrialLocal anesthesia reduces pain associated with transrectal prostatic biopsy. A prospective randomized study.
To test the hypothesis that periprostatic block could completely relief prostatic biopsy-associated pain. ⋯ The use of bilateral periprostatic block is a very effective and useful technique, well tolerated by the patient, which almost completely abolishes the pain and discomfort associated with the prostatic biopsy procedure.
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Urologia internationalis · Jan 2005
Randomized Controlled Trial Comparative StudyLumbar plexus blockade with ropivacaine for postoperative pain management in elderly patients undergoing urologic surgeries.
We evaluated the effectiveness and safety of lumbar plexus blockade with ropivacaine for postoperative pain relief in elderly patients undergoing flank incision for urological surgery. ⋯ In elderly patients, lumbar plexus blockade with ropivacaine can be a simple, safe and effective analgesic technique especially in the early postoperative period after urologic surgeries with flank incision.
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Urologia internationalis · Jan 2005
Randomized Controlled Trial Comparative Study Clinical TrialGeneral anesthesia versus epidural and general anesthesia in radical cystectomy.
The aim of this study is to compare two different anesthetic techniques in radical cystectomy with regard to blood loss, transfusional requirements, intraoperative complications and the quality of analgesia. ⋯ Statistically significant differences in intraoperative bleeding were observed between the two groups: CEGA provides lower intraoperative bleeding and a better postoperative analgesia. Major operations such as radical cystectomy, which also is associated with considerable blood loss, a combination of general and epidural anesthesia may allow for less blood loss, with a better postoperative analgesia and without any increase in complications.
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Urologia internationalis · Jan 2005
Comparative StudyRecurrence and progression of T1G3 transitional cell carcinoma of the bladder treated with intravesical bacillus Calmette-Guérin.
To examine the incidence of recurrence and progression in patients with stage T1, grade-3 carcinoma of the bladder treated with endovesical bacillus Calmette-Guérin (BCG) after complete transurethral resection. ⋯ Adjuvant immunotherapy with BCG after complete transurethral resection of the bladder tumor represents a highly effective treatment for bladder preservation in stage pT1, grade-3 carcinoma of the bladder. pT1G3 tumors with early high-grade recurrence after failed immunotherapy should be regarded as candidates for early radical cystectomy.
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Urologia internationalis · Jan 2005
Comparative StudyIs Fournier's gangrene severity index useful for predicting outcome of Fournier's gangrene?
Fournier's gangrene (FG) is a rare but life-threatening disease. Although antibiotics and aggressive debridement have been broadly accepted as the standard treatment, the mortality rate remains high. We conducted a retrospective study to analyze the outcome and identify the risk factors and prognostic indicators. ⋯ The survival rate of younger patients with FG was higher. We agree that a FG severity index cutoff value of 9 is an excellent predictor of outcome.