Urologia internationalis
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Urologia internationalis · Jan 2007
Randomized Controlled TrialPeriprostatic nerve blockage reduces postoperative analgesic consumption and pain scores of patients undergoing transurethral prostate resection.
To evaluate the effects of periprostatic bupivacaine administration on pain control and analgesic consumption after transurethral prostate resection (TURP). ⋯ Periprostatic bupivacaine administration was a useful and safe method for postoperative pain control and reduced analgesic consumption in patients undergoing TURP.
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Urologia internationalis · Jan 2007
Comparative Study Clinical TrialImpact of additional sampling in the TRUS-guided biopsy for the diagnosis of prostate cancer.
To evaluate the diagnostic value of 10+ systematic sampling technique when performing transrectal ultrasound-guided (TRUS) prostate biopsy, compared with the sextant biopsy technique for patients with suspected prostate cancer. ⋯ The 10+ systematic TRUS-guided prostate biopsy improves the detection rate of prostate cancer compared to the sextant biopsy technique alone, especially when performed in men with positive PSA, PSA ratio, and negative DRE.
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Urologia internationalis · Jan 2007
Comparative StudyImpact factors in urology. How well do our journals stack up against other medical and surgical journals?
The purpose of our analysis was to assess the performance of urological journals in terms of the standardized measures created by the Institute of Scientific Information (ISI) Journal Citation Report (JCR) in comparison to other medical and surgical fields. Additionally, an evaluation of all original articles, clinical or experimental, published in the year 2005, assessing the time interval needed from submission to publication, submission to acceptance, and acceptance to publication of a manuscript was conducted for all urologic journals. ⋯ The impact factor is a measure of the importance of scientific journals. Urological journals stack up quite well against other medical and especially surgical journals.
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Urologia internationalis · Jan 2007
Prospective evaluation of samarium-153-EDTMP radionuclide treatment for bone metastases in patients with hormone-refractory prostate cancer.
Bone is a common site of metastatic disease and the most frequent site of metastatic spread in patients with prostate cancer. Most patients with bone metastases complain of bone pains. This pain may be alleviated or eliminated by administration of radiotherapy at the site of metastases. Currently, two forms of radiotherapy administration exist: external-beam irradiation or intravenous administration of bone-seeking therapeutic radiopharmacon such as samarium-153-ethylene-diamino-tetramethylene-phosphonate (EDTMP). This radiopharmacon produces beta-particles and concentrates in the areas of enhanced osteoblastic activity. The aim of this study was to assess the efficacy of (153)Sm-EDTMP therapy. ⋯ After (153)Sm-EDTMP administration, bone pain palliation was observed in 72% of patients for 3 months. Hematological toxicity after (153)Sm-EDTMP treatment was mild and transient.
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Urologia internationalis · Jan 2007
Case ReportsA rare case of lethal retroperitoneal abscess caused by Citrobacter koseri.
Retroperitoneal abscesses are very uncommon clinical conditions. The characteristically vague symptomatology of retroperitoneal abscess and the inherent difficulty of identifying retroperitoneal disease by physical examination contributed to these dismal therapeutic outcomes. ⋯ This case is the only reported case of C. koseri as the sole pathogen associated with a lethal retroperitoneal abscess in immunocompetent patient. The case is also notable because it confirms the recent bacterial resistance to beta-lactam antibiotics and to other antimicrobial agents, like chloramphenicol or cotrimoxazol.