Urologia internationalis
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Urologia internationalis · Jan 2006
Effects of selective alpha-1-adrenergic receptor blockers on bladder weight.
This study was undertaken to investigate the effects of two different alpha(1)-adrenergic blockers on bladder hypertrophy using ultrasound-estimated bladder weight (UEBW) and to assess the relation between changes in UEBW and other objective and subjective parameters of disease severity in patients with benign prostatic hyperplasia (BPH). ⋯ UEBW decreases with alpha(1)-adrenergic receptor blockers. When used together with the other objective and subjective parameters, UEBW is a promising quantitative parameter as a follow-up tool and can be useful in monitoring the therapeutic effects of alpha(1)-adrenergic receptor blockers.
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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.