Academic literature on the topic 'Urology'

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Journal articles on the topic "Urology"

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Kim, Philip H. "Urologic Robotic SurgeryRobotic Urology." JAMA 301, no. 8 (February 25, 2009): 884. http://dx.doi.org/10.1001/jama.2009.191.

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Kadi, N., M. Isherwood, M. Al-Akraa, and S. Williams. "Port-Site Metastasis after Laparoscopic Surgery for Urological Malignancy: Forgotten or Missed." Advances in Urology 2012 (2012): 1–5. http://dx.doi.org/10.1155/2012/609531.

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Purpose. Port-site metastasis has been a concern with the common use of laparoscopy in urologic oncology. We conducted this study to provide a review of port-site metastases reported after the laparoscopy in managing urologic malignancies, possible contributing factors and preventative measures.Materials and Methods.An electronic search of MEDLINE using the combined MESH key words “port-site metastasis” and “Urology”.Results. 51 articles addressing port-site metastasis after laparoscopic surgery for urolo¬gical malignancy were identified.Conclusion. Port-site metastasis after laparoscopic surgery for urolo¬gical malignancy is rare. The incidence is comparable to the rate for surgical wound metastases.
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Yudovich, Max Samuel, Elizaveta Makarova, Christian Michael Hague, and Jay Dilip Raman. "Performance of GPT-3.5 and GPT-4 on standardized urology knowledge assessment items in the United States: a descriptive study." Journal of Educational Evaluation for Health Professions 21 (July 8, 2024): 17. http://dx.doi.org/10.3352/jeehp.2024.21.17.

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Purpose: This study aimed to evaluate the performance of Chat Generative Pre-Trained Transformer (ChatGPT) with respect to standardized urology multiple-choice items in the United States.Methods: In total, 700 multiple-choice urology board exam-style items were submitted to GPT-3.5 and GPT-4, and responses were recorded. Items were categorized based on topic and question complexity (recall, interpretation, and problem-solving). The accuracy of GPT-3.5 and GPT-4 was compared across item types in February 2024.Results: GPT-4 answered 44.4% of items correctly compared to 30.9% for GPT-3.5 (P>0.0001). GPT-4 (vs. GPT-3.5) had higher accuracy with urologic oncology (43.8% vs. 33.9%, P=0.03), sexual medicine (44.3% vs. 27.8%, P=0.046), and pediatric urology (47.1% vs. 27.1%, P=0.012) items. Endourology (38.0% vs. 25.7%, P=0.15), reconstruction and trauma (29.0% vs. 21.0%, P=0.41), and neurourology (49.0% vs. 33.3%, P=0.11) items did not show significant differences in performance across versions. GPT-4 also outperformed GPT-3.5 with respect to recall (45.9% vs. 27.4%, P<0.00001), interpretation (45.6% vs. 31.5%, P=0.0005), and problem-solving (41.8% vs. 34.5%, P=0.56) type items. This difference was not significant for the higher-complexity items.Conclusions: ChatGPT performs relatively poorly on standardized multiple-choice urology board exam-style items, with GPT-4 outperforming GPT-3.5. The accuracy was below the proposed minimum passing standards for the American Board of Urology’s Continuing Urologic Certification knowledge reinforcement activity (60%). As artificial intelligence progresses in complexity, ChatGPT may become more capable and accurate with respect to board examination items. For now, its responses should be scrutinized.
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Autrán-Gomez, Ana María, Ignacio Pablo Tobia, Rafael Sánchez-Salas, Nahuel Paesano, Juan Ignacio Martínez-Salamanca, Herney Andres García-Perdomo, Marcelo Torrico De la Reza, and Alejandro Rodríguez. "Urologic research in the COVID-19 Era: Challenges and Opportunities." Revista Mexicana de Urología 82, no. 5 (November 23, 2022): 1–8. http://dx.doi.org/10.48193/revistamexicanadeurologa.v82i5.888.

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The Coronavirus (COVID-19) pandemic, typified as such in March 2020 by the World Health Organization (WHO), has exceeded the capacity of health systems to aid victims, and triggered a radical change in medical research, and in the monitoring of the enrollment for clinical trials in urologic fields around the world. Last year, almost 90% of clinical sites closed patient enrollment, while at the same time, researchers around the world initiated almost 1000 COVID-19 clinical trials. This catastrophic pandemic has allowed us to expand our medical knowledge exponentially. The global urological community has created and published an infinity of scientific articles: establishing guideline reactions for diagnosis, treatment, and follow-up of the different urologic conditions across all areas of the field, reporting the experiences at urology services, and putting forward new strategies. The Confederación Americana de Urología (CAU) has promoted international collaborative projects that have led to gaining insight into how the Latin American Urology Services faced the pandemic, including the challenges, strengths, and the areas of opportunity for urologic care. It also allowed us to increase the number and quality of publications. Also, we have created new virtual platforms and international networks to exchange our knowledge. We have as well transformed this social, economic and health crisis brought upon us by COVID-19, into a source of opportunities for the growth and promotion of research in Latin America. Urologic patients, require researchers to work on favoring their goals. A collaborative network, the established and coordinated protocols, the safety of patients and researchers, assertive and constant communication, and effective technology use, are the essential tools to resume institutional investigation under these critical conditions.
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Cho, Sung Tae, and Hae Ri Na. "Urology and Geriatrics in Korea: Present Status and Future Directions." International Neurourology Journal 26, no. 1 (March 31, 2022): 20–25. http://dx.doi.org/10.5213/inj.2142046.023.

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Globally, the population aged 65 years and over is growing faster than all other age groups. South Korea, in particular, is one of the most rapidly aging societies worldwide. With the increase in the older population, the incidence of urologic diseases has increased significantly along with that of chronic diseases. Urologic diseases are an important component of the health problems faced by an aging society. Among those, urinary incontinence and voiding dysfunction cause significant health and quality of life problems in older adults. To properly manage these diseases, especially in the field of urology, it is necessary to propose appropriate policies for the health care of older people. Accordingly, the significance of geriatrics, particularly geriatric urology, has increased. Although geriatric urology in South Korea began relatively recently, the founding of the Korean Society of Geriatric Urological Care represents a significant step in the development of geriatric urology as a subspecialty. The goal of this review is to elaborate on the concept of geriatrics and to provide an overview of geriatric urology with a focus on its current status in South Korea. Furthermore, future challenges in the face of rapid demographic changes are reviewed.
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Bachir, Bassel G., Armen G. Aprikian, Sidney Radomski, and Wassim Kassouf. "Human resource assessment of academic urology across Canada: What are the future job prospects?" Canadian Urological Association Journal 7, no. 5-6 (June 12, 2013): 162. http://dx.doi.org/10.5489/cuaj.198.

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Introduction: Our objective was to capture an overview of anticipated staffing needs at Canadian urology academic centres over the next 5 years to help guide and counsel urology residents in their respective programs.Methods: A 30-question survey was sent by email to all chairmen of academic urology divisions/departments during fall 2012. The first part of the survey solicited basic demographic information regarding number of residents, number of fellows and fellowships, and number of attending staff and affiliated hospitals. The second part of the survey included detailed questions on the number and sub-specialty of urologists needed at each respective institution, as well as the appropriate year of recruitment.Results: The response rate was 100%. There are 13 urology training programs across Canada located in 6 out of the 10 provinces. Robotic surgery is available at 9 out of the 13 centres. A total of 68 urologists need to be recruited by academic institutions throughout Canada within the next 5 years. The greatest need is for general urologists, with a total of 13 required. This is followed by 12 urologic oncologists needed, 11 female urology, 7 reconstructive urologists, 6 pediatric urologists, 6 endourologists, 5 transplant surgeons, 4 infertility/andrology, and 4 experts in advanced laparoscopy/robotics. There was no need for any urologic trauma surgeons in any academic institution surveyed.Conclusions: A total of 68 urologists need to be recruited into academic urology across Canada within the next 5 years. This crucial information can be used to help guide urology residents in choosing the most appropriate fellowship, in addition to providing them with an overview of future job prospects at academic institutions throughout the country.
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Antunes, Alberto Azoubel. "JOURNALS ANALYSIS IN UROLOGY AND PLASTIC SURGERY." Revista do Colégio Brasileiro de Cirurgiões 42, suppl 1 (2015): 68–69. http://dx.doi.org/10.1590/0100-69912015s01024.

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Objective: Find out the main journals used in Urology and Plastic Surgery. Methods: Was consulted the WebQualis database and selected the "consult" after the "rating" and finally by "journal title." Also was crossed the following keywords: urology, urologic, urological, prostate, prostatic, plastic, reconstructive, aesthetic. The journals classified in the field of Capes Medicine III were selected, and registered their respective strata. To confirm the 2014 impact factor, was consulted the http://www.impactfactorsearch.com/ database; simply typing the journal title its impact factor appears automatically. Results: Was found 23 journals in Urology and 12 in Plastic Surgery. The average impact factor of urological journals was 2,256 and in Plastic Surgery 1,060. Among the urological journals, seven (30.4%) were in the A WebQualis rating and among Plastic Surgery only one (8.3%) was found in this stratum. Conclusion: There are quantitative and qualitative differences between journals in Urology and Plastic Surgery. These data can help to develop appropriate assessment methods for each specialty, considering the different features of the presented papers.
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Hoag, Nathan A., Reza Hamidizadeh, and Andrew E. MacNeily. "Undergraduate exposure to urology: impact of the distributed model of medical education in British Columbia." Canadian Urological Association Journal 7, no. 1-2 (February 20, 2013): 20. http://dx.doi.org/10.5489/cuaj.277.

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Background: With the increased development of distributed sites for medical education across Canada, it is imperative we ensure that the quality of education is comparable between the different campuses. Our objective was to assess medical student experience and comfort with common urologic clinical encounters and to determine whether any differences exist between the distributed education sites at the University of British Columbia (UBC).Methods: Questionnaires assessing urologic education were delivered simultaneously to all final-year UBC medical students attending campuses in Vancouver, Victoria and Prince George. Results were analyzed using descriptive statistics.Results: Overall, 55.8% of students felt their exposure to urology was adequate in the medical curriculum; learners in the Northern Program (Prince George) ranked their clinical and didactic experiences significantly higher. Areas requiring improvement include teaching of the male genitourinary exam, digital rectal exam and sexual history, in which learners rated teaching “good/outstanding” in only 18.2%, 47.7% and 43.2% of cases, respectively. Overall, students were most comfortable with the following clinical encounters: urinary tract infection, nephrolithiasis, benign prostatic hyperplasia, hematuria, incontinence and prostate cancer. Few differences in student experience or comfort were noted related to campus site, gender or urology clerkship exposure.Conclusion: A significant minority of learners perceived that theyhad inadequate exposure to urology in the undergraduate curriculum. Experience in urology was comparable across the distributed sites and was congruent with teaching objectives. Students were comfortable with the clinical scenarios deemed most important in the literature. Learners in the Northern Program were significantly more satisfied with their urologic teaching, which potentially highlights the advantages of learning in a smaller academic setting.
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Ramonas, Henrikas, and Edmundas Štarolis. "Lietuvos urologų draugijai – 40 metų." Lietuvos chirurgija 3, no. 4 (January 1, 2005): 0. http://dx.doi.org/10.15388/lietchirur.2005.4.2287.

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Henrikas Ramonas1, Edmundas Štarolis21 Vilniaus universiteto ligoninėsSantariškių klinikų I nefrourologijos skyrius,Santariškių g. 2, LT-08661 VilniusEl paštas: henrikas.ramonas@santa.lt2 Vilniaus universiteto Gastroenterologijos,nefrologijos, urologijos ir pilvo chirurgijos klinika,Vilniaus universitetinės miesto ligoninės Urologijos skyrius Lietuvos urologų draugija įkurta 1965 metais steigiamajame susirinkime Klaipėdoje. Jos narių skaičius išaugo nuo 23 iki 152. Draugijos nariai yra apgynę 30 disertacijų medicinos mokslo laipsniui įgyti, daugiausia inkstų ir priešinės liaukos ligų temomis. Pastaruoju dešimtmečiu, ypač suaktyvėjus Urologų draugijos narių tarptautiniam bendradarbiavimui, pagausėjo mokslinių darbų, vis daugiau diegiama naujų urologinių ligų gydymo būdų. Lietuvos urologų draugija sistemingai organizuoja respublikines ir tarptautines urologų mokslines konferencijas. Dėl įvairių objektyvių ir subjektyvių priežasčių šiuo metu urologų trūksta, jų pasiskirstymas mūsų valstybėje netolygus. Ateityje svarbu išlaikyti susiformavusias draugijos tradicijas, daugiau dėmesio skirti urologinei pagalbai optimizuoti, jauniems urologams mokyti. Reikšminiai žodžiai: urologija, istorija 40 years of the Lithuanian Society of Urologists Henrikas Ramonas1, Edmundas Štarolis21 Vilnius University Hospital "Santariškių klinikos",1st Department of Nephrology,Santariškių str. 2, LT-08661 Vilnius, LithuaniaE-mail: henrikas.ramonas@santa.lt2 Vilnius University, Clinic of Gastroenterology,Nephrology, Urology and Abdominal Surgery,Department of Urology of Vilnius University Hospital,LT-08661 Vilnius, Lithuania The Lithuanian Society of Urologists was founded at the Constituent Assembly which took place in 1965 in Klaipėda. The number of Society members increased from 23 to 152 during those four decades. Thirty members of the Society defended their theses and acquired scientific degrees, mostly in kidney and prostate diseases. With the developing of international contacts, the number of scientific works as well as new advanced treatment modalities increased significantly during the last decade. Local and international scientific conferences of urologists are regularly organized by the Society. For some objective and subjective reasons, there is a shortage of urologists in our country, and their distribution is not equal by the regions. It is an important task for the future to keep traditions of the Society, focusing attention on the optimization of urological services, as well as on postgraduate studies for young urologists. Keywords: urology, history
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Jeong, Hye-Ran, Jee-Hee Pyo, Eun-Young Choi, Ju-Young Kim, Young-Kwon Park, Min-Su Ock, Won Lee, and Sang-Il Lee. "Stakeholders' Perception of the Introduction of Specialized Hospitals for Urologic Diseases: Qualitative Study." Quality Improvement in Health Care 27, no. 2 (December 31, 2021): 2–17. http://dx.doi.org/10.14371/qih.2021.27.2.2.

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Purpose: The purpose of this study is to seek in-depth perspectives of stakeholders on the necessity and specific criteria for designating a specialized hospital for urologic diseases.Methods: Eight participants experts in urology medicine and specialized hospital system were divided into four groups. Following the semi-structured guidelines, an in-depth interview was conducted twice and a focus group discussion was conducted three times. All the interviews were transcribed verbatim and analyzed. Results: The majority of participants predicted that there would be demand for specialized hospitals for urologic diseases. The criteria of designating a specialized hospital, such as the number of hospital beds and quality of health care, have to be modified in consideration of the specificity of urology. The introduction of a specialized hospital would improve the healthcare delivery system, positively affecting hospitals and patients. Furthermore, government support is essential for the maintenance of specialized hospital systems as urology hospitals experience difficulties in generating profits. Conclusion: This study is expected to be used as base data for introducing and operating a specialized hospital for urologic diseases. In addition, it is expected that the methodology and results of this study would encourage follow-up studies on specialized hospitals and provide guidelines to evaluate the effectiveness of such hospitals in other medical fields.
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Dissertations / Theses on the topic "Urology"

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Stocks, Tanja. "Metabolic factors and cancer risk : prospective studies on prostate cancer, colorectal cancer, and cancer overall." Doctoral thesis, Umeå universitet, Urologi och andrologi, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-22567.

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Background: A large number of prospective studies have shown that overweight and diabetes are related to an increased risk of many cancers, including colorectal cancer. In contrast, diabetes has been related to a decreased risk of prostate cancer, and overweight has been related to an increased risk of fatal, but not of incident, prostate cancer. Data from studies on metabolic factors related to overweight and diabetes, and the association with cancer risk, are limited.  Aim: The aim of this thesis was to study metabolic factors in relation to risk of prostate cancer (paper I and III), colorectal cancer (paper II and V), and cancer overall (paper VI).  Methods: Study designs were i) case-control studies, nested within the Northern Sweden Health and Disease Cohort (paper I and II), and ii) cohort studies of the Swedish Construction Workers cohort (paper III), and the Metabolic syndrome and Cancer project (Me-Can) comprising seven European cohorts (paper V and VI). Paper IV was a descriptive paper of Me-Can.  Results, prostate cancer: In paper I, increasing levels of several factors related to insulin resistance (insulin, insulin resistance index, leptin, HbA1c, and glucose) were associated with a decreased risk of overall incident prostate cancer, and the associations were stronger for non-aggressive tumours. In paper III, increasing levels of blood pressure was associated with a significant decreased risk of overall incident prostate cancer and of non-aggressive tumours. Body mass index (BMI) was significantly positively related to fatal prostate cancer.   Results, colorectal cancer: In paper II, obesity, hypertension, and hyperglycaemia, were associated with an increased risk of colorectal cancer, and presence of two or three of these factors was associated with a higher risk than the presence of one single factor. In paper V, BMI was associated with a significant linear positive association with risk of colorectal cancer in men and women, and significant positive associations were also found in men for blood pressure and triglycerides. A high metabolic syndrome score, based on levels of BMI, blood pressure, glucose, cholesterol, and triglycerides, was associated with a significant increased risk of colorectal cancer in men and women. The association was stronger than for any of the factors in single, but there was no evidence of a positive interaction between these metabolic factors.  Results, cancer overall: Blood glucose was significantly positively associated with risk of incident and fatal cancer overall, and at several specific sites. The associations were stronger in women than in men, and for fatal than for incident cancer.  Conclusions: Results from these studies indicate that elevated blood glucose is related to an increased risk of cancer overall and at several specific sites, and further, that overweight and metabolic aberrations increase the risk of colorectal cancer in an additive way. The association with prostate cancer seems to be more complex; insulin resistance and high blood pressure were in our studies related to a decreased risk of overall incident prostate cancer and of non-aggressive tumours, whereas overweight increased the risk of fatal prostate cancer.
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Johansson, Mattias. "Prostate cancer aetiology : epidemiological studies of the IGF- and one-carbon metabolism pathways." Doctoral thesis, Umeå universitet, Institutionen för kirurgisk och perioperativ vetenskap, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1645.

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The aim of this thesis was to investigate the involvement of the insulin-like growth factor- and the one-carbon metabolism pathways in prostate cancer aetiology, studying both circulating biomarkers and genetic variation. Papers included in the thesis were conducted within the case-control study CAncer Prostate in Sweden (CAPS), and the two prospective studies European Prospective Investigation into nutrition and Cancer (EPIC), and Northern Sweden Health and Disease Cohort (NSHDC). In paper I, we investigated the relation between genetic variants of the IGF1 gene and prostate cancer risk within the CAPS study. We found that a common haplotype within the 3’ region of the IGF1 gene is associated with increased prostate cancer risk. In paper II, we investigated if the variants of the IGF1 gene that were associated with prostate cancer risk in paper I, are also associated with circulating levels of IGF1. Circulating levels of IGF1 were analysed in controls from the CAPS study and three haplotype tagging SNPs (htSNPs) were genotyped in subjects from the NSHDC study in which circulating IGF1 had previously been analysed. The genetic variants previously associated with increased prostate cancer risk were now also found to be associated with elevated levels of circulating IGF1. We concluded that variation in the 3’ region of the IGF1 gene affects prostate cancer risk by influencing circulating levels of IGF1. In paper III, we investigated if variants of the IGFBP1, IGFBP3 and IGFALS genes are associated with i) prostate cancer risk, ii) circulating concentrations of total and intact IGFBP3, and iii) prostate cancer-specific survival probability. In addition, we investigated if circulating concentrations of total and intact IGFBP3 are associated with prostate cancer-specific survival probability. No association between genetic variation and overall prostate cancer risk or survival was observed, but we found a strong association between elevated levels of intact IGFBP3 and increased risk of prostate cancer-specific death. We could, however, not exclude that this association was confounded by treatment or by the tumour. In paper IV, we investigated if circulating levels of folate and vitamin B12 are associated with prostate cancer risk within the EPIC study. We observed no associations between levels of folate, vitamin B12 and overall prostate cancer risk, but elevated levels of vitamin B12 were associated with increased risk of advanced stage disease. In paper V, we investigated if circulating levels of ten B-vitamins and related metabolites within the one-carbon metabolism pathway are associated with prostate cancer risk within the NSHDC study. Overall positive associations with prostate cancer risk were observed for levels of choline, vitamin B2 and vitamin B12, and inverse associations were observed for levels of homocysteine and MMA. We also observed a biologically plausible risk modification by smoking status on the association between vitamin B12 and risk; in non-smokers vitamin B12 was positively associated with risk, whereas the association between vitamin B12 and risk was inverse or null in ever/current-smokers. In summary, our results suggest that genetic variation of the IGF1 gene affects prostate cancer risk by affecting circulating levels of IGF1. The association between circulating concentrations of intact IGFBP3 and prostate cancer-specific survival is intriguing, but further studies are needed to conclude if this association is caused by confounding. We also observed associations between several factors of one-carbon metabolism and risk, but these associations were statistically week and require confirmation in other prospective studies.
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Borges, Cláudio Ferreira 1980. "Nefrolitotripsia percutânea com ou sem nefrostomia = revisão sistemática com metanálise." [s.n.], 2010. http://repositorio.unicamp.br/jspui/handle/REPOSIP/313710.

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Orientadores: Adriano Fregonesi, André Deeke Sasse
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas
Made available in DSpace on 2018-08-16T02:08:25Z (GMT). No. of bitstreams: 1 Borges_ClaudioFerreira_M.pdf: 4164710 bytes, checksum: 9f518f9bfaf2ebc75a3dd5241d26cdcf (MD5) Previous issue date: 2010
Resumo: Propósito: Comparar a segurança e efetividade da realização de nefrolitotripsia percutânea (NPC) com e sem a inserção de nefrostomia, através de revisão sistemática e metanálise de estudos Materiais e métodos: Uma revisão sistemática da literatura foi realizada. Foi feita busca nos bancos de dados PUBMED, EMBASE, LILACS e Cochrane para identificação de estudos clínicos prospectivos randomizados que compararam a NPC com e sem inserção de nefrostomia. Os desfechos avaliados foram os índices de remoção total de cálculos, dor pós-operatória, necessidades de analgésicos, tempo cirúrgico, tempo de internação, perda de sangue e complicações. Resultados: Um total de dez estudos clínicos prospectivos randomizados (ECR) foram identificados somando 621 pacientes. Sete estudos analisaram os índices de remoção total de cálculos. A metanálise dos dados resultou em ausência de diferença entre os grupos de NPC sem nefrostomia e convencional. Quando avaliados o tempo cirúrgico, transfusão sanguínea, queda de hemoglobina e febre pós-operatória não houve diferença entre os grupos. A metanálise do tempo de internação hospitalar e da drenagem prolongada de urina pela região lombar favoreceu o grupo de NPC sem o uso de nefrostomia. Conclusão: Em pacientes selecionados, a NPC sem nefrostomia é um procedimento seguro e eficaz com taxas de remoção total de cálculo comparáveis a NPC convencional. A NPC sem nefrostomia apresentou um menor tempo de internação hospitalar e menos casos de drenagem prolongada de urina. Não foi possível realização de metanálise na avaliação da redução da dor pós-operatória e minimização das necessidades analgésicas. Entretanto, a maioria do estudos avaliados apresentaram benefícios nestes parâmetros para o grupo de NPC sem nefrostomia
Abstract: Purpose: We performed a systemic review with meta-analysis to compare tubeless versus conventional percutaneous nephrolithotripsy and assess the effectiveness and safety of this innovative procedure. Material and Methods: A systematic review of PUBMED, EMBASE, LILACS and Cochrane Library was done to identify all randomized controlled trials comparing tubeless PCNL versus conventional PCNL. The outcomes analyzed were stone free rate, pain assessment, analgesic medication requirements, operative time, hospitalization time, blood loss, stone-free rates and complications. Results: A total of 10 RCT were identified reporting 621 patients. Seven studies analyzed stone free rates. Meta-analysis of the data resulted in no difference between tubeless and conventional PCNL. Operative time, blood transfusion, hemoglobin drop and postoperative fever did not differ between the groups. Meta-analysis of length of hospitalization and prolonged urinary drainage was analyzed and favoured the tubeless PCNL group. Conclusions: Tubeless PCNL is a safe and effective procedure with a stone free rate compared to conventional PCNL. Tubeless PCNL presented a shorter hospital stay and less postoperative urinary leakage. Pain reduction and minimization of analgesic requirements also were demonstrated
Mestrado
Cirurgia
Mestre em Cirurgia
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Hart, Prieto Maria Consuelo. "Applications of Raman spectroscopy to urology." Thesis, Cranfield University, 2006. http://dspace.lib.cranfield.ac.uk/handle/1826/8540.

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Raman spectroscopy is an optical technique that can interrogate biological tissues. In doing so it gives us an understanding of the changes in the molecular structure that are associated with disease development. The Kerr gating technique uses a picosecond pulsed laser and fast temporal gating of inelastically (Raman) scattered light. The tissue samples used were taken following fully informed consent and ethics approval. Bladder samples were obtained by taking a biopsy during a TURBT or TURP, prostate samples were taken during TURP and the liver and kidney (pigs) were bought at a supermarket. The bladder and prostate samples were snap frozen in liquid nitrogen and stored in an -80°C freezer until required for experimentation. The liver and kidney tissue were used fresh. The constituent samples were bought from Sigma – Aldrich. Multivariate and least squares analysis were used to ascertain the biochemical basis of the differing pathologies within the bladder and the prostate gland, as well as to test diagnostic algorithms produced by a colleague in our group. Depth profiling through the bladder and prostate gland was shown to be feasible by utilizing the Kerr gating technique as was the suppression of fluorescence from dark tissue (liver and kidney). We have shown for the first time, that we can utilise Raman spectroscopy to determine the biochemical basis of pathologies of the bladder and the prostate gland. With the help of the Kerr gating technique we also obtained spectra from different depths through them. We also suppressed fluorescence and resonantly enhanced Raman spectra from dark tissue. These have major implications in terms of understanding pathogenesis and disease progression and also the potential to accurately assess depth of tumour invasion.
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Vargas, Blasco César. "Responsabilidad profesional médica en urología." Doctoral thesis, Universitat de Barcelona, 2016. http://hdl.handle.net/10803/396281.

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INTRODUCCIÓN La responsabilidad profesional médica (RPM) tiene repercusiones innegables en la praxis médica. Existen tasas especialmente elevadas de reclamaciones por presunto defecto de praxis en el ámbito quirúrgico, afectando a especialidades médico-quirúrgicas como la urología. En nuestro entorno la urología ocupa el décimo lugar de las especialidades en el número de reclamaciones, el riesgo de reclamación no es desdeñable, existiendo áreas de especial litigiosidad en las que resulta recomendable implementar mejoras en materia de seguridad clínica. HIPÓTESIS Las reclamaciones en urología presentan una frecuencia media de reclamación por responsabilidad profesional médica respecto al conjunto de especialidades. Existen determinadas áreas de la actividad asistencial en urología de elevada frecuencia de reclamación. Existen defectos de praxis en urología que por su incidencia precisan la implantación de medidas de seguridad clínica específicas. Una praxis médica adecuada clínicamente no implica necesariamente una ausencia de responsabilidad profesional médica. OBJETIVOS Determinar la frecuencia de reclamación en urología por responsabilidad profesional médica. Identificar las áreas de actividad asistencial de mayor frecuencia de reclamación en urología. Detectar los defectos de praxis frecuentes en urología y guiar el desarrollo de medidas de seguridad clínica específicas. Identificar los factores diferentes de la praxis clínica que se asocian a responsabilidad profesional médica. MATERIAL Y MÉTODO En esta tesis, se analizan las reclamaciones interpuestas ante el CCMC entre los años 1990 y 2012, identificando los procedimientos correspondientes a todas las reclamaciones relacionadas con la especialidad de urología. Se identifican en la base de datos los casos en los que el acto médico reclamado se haya asignado a la especialidad de urología. Los expedientes revisados corresponden a la especialidad de urología y registrando diferentes variables clínicas, asistenciales y legales del caso. Se ha realizado un análisis descriptivo de la muestra, así como el estudio de asociaciones significativas (p<0.05), mediante el paquete estadístico para ciencias sociales (SPSS). RESULTADOS Se identifican áreas concretas en Urología de elevada frecuencia de reclamación y se detectan áreas en que existen defectos de praxis recomendándose modificaciones en la praxis que minimicen el riesgo de eventos adversos. Se contribuye a clarificar los criterios jurídicos que predominan frente a los clínicos en la valoración de los casos de urología. La resección de próstata transuretral, la litiasis y la patología testicular están entre las patologías más implicadas en reclamaciones, alegándose con frecuencia una deficiente ejecución técnica, un error de diagnóstico o un defecto de seguimiento. En general los procedimientos quirúrgicos generan el mayor número de reclamaciones en urología. Las frecuencias más elevadas de reclamación son las consecuentes a la patología escroto-testicular (34%), especialmente la torsión testicular (7,5%) y la vasectomía (19,6%), y a la patología prostática (26%), más específicamente el tratamiento quirúrgico de la hiperplasia benigna de próstata (17,9%). Se analizan todas ellas.
Introduction There is a particularly high rate of claims for alleged defects in the surgical field, affecting specialties such as urology. Urology ranks tenth in number of claims, with a risk that is not negligible, existing areas of special litigation in which it is advisable to implement improvements in clinical safety. Aim To determine the frequency of claims in urology, identify the areas of greatest demand and detect defects in praxis. Methods Cases in which the medical act in question was identified in the database were assigned to the specialty of urology. 182 cases (1990 – 2012) registering different clinics, legal assistance and instance variables were included. Results Transurethral resection of the prostate, lithiasis and testicular pathology are amongst the areas most frequently involved in complaints, being alleged often poor technical implementation, an error in diagnosis or defect tracking. In general, surgical procedures generate the highest number of complaints in urology. The biggest proportion of claims was related to scrotum and testicular pathology (34%), especially testicular torsion (7.5%) and vasectomy (19.6%). In second place, prostatic surgery (26%), with 17.9% related to benign prostatic hyperplasia.
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Thompson, Stephen Alexander. "Image guidance in telemanipulator assisted urology surgery." Thesis, University College London (University of London), 2011. http://discovery.ucl.ac.uk/1475351/.

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This thesis describes an image guided surgery system for use during telemanipulator assisted radical prostatectomy. The thesis is primarily concerned with determining the system accuracy. We first defined a method to present the component errors as an on-screen projection error in pixels. This allowed the error due to each component to be compared and then summed to give a system error. An MRI image of the patient is transformed into the intraoperative coordinate system, defined by the coordinate system of an optical tracking system. The endoscope is calibrated and tracked during surgery, defining a transformation to the endoscope screen. This transform is used to project the MRI image onto the endoscope video display. A novel algorithm for registering MRI to ultrasound images of pelvic bone was used to transform the MRI image to the intraoperative coordinate system. This algorithm localises the prostate to within 7 mm, giving an on-screen error of 28 pixels. The on-screen error due to endoscope tracking was found to be 65 pixels. The high tracking error is caused by a non-normally distributed marker tracking error, highlighting an important shortcoming in the bulk of the image guided surgery literature. Due to the high tracking errors we implemented a limited image guidance system that does not use endoscope tracking. The final part of the thesis details our experience in implementing this system on 5 patients. The main contributions of this thesis are: • A robust error analysis of an image guided endoscopic surgery system. • A novel algorithm for fitting inter patient CT data to an MRI image. The algorithm compares well in with the state of the art for segmenting pelvic bone from MRI images. • A method to analyse the endoscope tracking error that does not depend on the assumption of normally distributed, homogeneous marker tracking error.
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Boyle, Peter. "Successes and failures of evidence based urology." Thesis, University of Glasgow, 2005. http://theses.gla.ac.uk/30972/.

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I have conceived, undertaken and published a body of work in Urology which has applied an evidence-based approach to different aspects with widely varying success in modifying the impact on treatment choices and outcome. On the positive side, the research work I have led has demonstrated that the era when death statistics could be used to the occurrence of benign prostatic hyperplasia was gone and that we had moved to an epoch where symptomatic disease and quality of life were the key issues. I have worked on the creation of the questionnaire-based approach necessary for evaluating the presence of various urological conditions for use in different populations clearly identified and quantified the extent and inter-relationships between the various benign urological conditions in communities. This work has made it quite clear that such benign conditions as benign prostatic hyperplasia, erectile dysfunction, incontinence, prostatitis and cystitis are remarkably common conditions world-wide in ageing populations. Since 1990, treatment options for men and symptomatic BPH have moved from an essentially surgical approach to an increasing introduction of pharmacologic options and less invasive approaches to disease management. The meta-analysis of the Phase III clinical trials of finasteride which I undertook, demonstrated that this drug was effective only in men with enlarged prostates and justified the biological approach taken in the development of this drug which was an inhibitor of 5-alpha reductase, the enzyme which converts Testosterone (T) to Dihydrotestosterone (DHT) the metabolite which made the prostate hyperplastic. I then demonstrated that serum PSA was a good indicator of prostate volume thus making identification of men who would most likely respond to this drug easily identifiable. Using this same dataset, I was able to demonstrate that finasteride reduced the risk of Acute Urinary Retention (AUR) and that it was superior to alpha-blockers, the other major class of drugs used to treat symptomatic BPH, in this regard. I designed the phase III trials of dutasteride, a new five-alpha reductase inhibitor, and the findings lay on the regression line demonstrated in the meta-analysis of finasteride and also had the identical effect on reducing the risk of AUR. I was able to develop a method of predicting individual risk of AUR in men who were diagnosed with benign prostatic hyperplasia.
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Jehle, Karlheinz. "A review of transrectal ultrasound guided prostate biopsies is there still a role for finger-guided prostate biopsies?" Master's thesis, University of Cape Town, 2012. http://hdl.handle.net/11427/2907.

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Includes abstract.
Includes bibliographical references.
Prostate cancer is the most common male malignancy amongst black males in South Africa and the second commonest amongst white males (1,2). Prostate biopsy, via the rectum, is an essential part of diagnosing and treating this disease. Traditionally needle biopsies of the prostate were performed blindly by digital palpation of the gland per rectum.
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Moolman, Conray. "Non-operative versus operative management of penetrating kidney injuries : a prospective audit." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/10690.

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To date there is little data on conservative management of penetrating renal trauma. The aim of this study was to review the management and outcome of a large patient cohort presenting with penetrating renal trauma to a tertiary referral centre in South Africa. All patients presenting with penetrating abdominal trauma and haematuria admitted to the Trauma Centre at Groote Schuur Hospital over a 19-month period was prospectively evaluated. Patients demographics, mechanism of injury, microscopic versus macroscopic haematuria, grade of injury, management decision (non-operative, laparotomy for other reasons without renal exploration or true renal surgery with Gerotas fascia opened), nonsurgical success rate, complications, hospital stay, transfusion requirements and nephrectomy rate were analysed.
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Govender, Prenevin. "Retrospective review of radical cystectomies at GSH 1993-2007." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/10503.

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Includes bibliographical references (leaves 54-59).
The objective of the thesis was to look at the epidemiology of patients needing this procedure, clinical presentation and investigation, pathology, complications related to the procedure, adjuvant and neoadjuvant treatment, and survival.
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Books on the topic "Urology"

1

1929-, Tanagho Emil A., and McAninch Jack W, eds. Smithʼs general urology. Norwalk, Conn: Appleton & Lange, 1992.

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1929-, Tanagho Emil A., and McAninch Jack W, eds. Smith's general urology. New York: Lange Medical Books/McGraw-Hill, Health Professions Division, 2000.

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R, Smith Donald. Smithʼs general urology. Norwalk, Conn: Appleton & Lange, 1988.

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1909-, Smith Donald R., Tanagho Emil A. 1929-, and McAninch Jack W, eds. Smith's general urology. New York: Lange Medical Books/McGraw-Hill, Health Professions Division, 2000.

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R, Smith Donald. Smith's general urology. Norwalk, Conn: Appleton & Lange, 1995.

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C, Walsh Patrick, and Campbell Meredith, eds. Campbell's Urology. 5th ed. Philadelphia: Saunders, 1985.

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1909-, Smith Donald R., Tanagho Emil A. 1929-, and McAninch Jack W, eds. Smith's general urology. New York: Lange Medical Books/McGraw-Hill, 2004.

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Macfarlane, Michael T. Urology. 4th ed. Philadelphia: Lippincott Williams & Wilkins, 2006.

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Macfarlane, Michael T. Urology. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2001.

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1903-, Patton John F., United States Surgeon-General's Office, and Center of Military History, eds. Urology. Washington, D.C: Office of the Surgeon General and Center of Military History, U.S. Army, 1987.

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Book chapters on the topic "Urology"

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Parekattil, Sijo Joseph. "Urology." In Telemicrosurgery, 175–86. Paris: Springer Paris, 2012. http://dx.doi.org/10.1007/978-2-8178-0391-3_19.

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Presti, Joseph C. "Urology." In Surgery, 1903–22. Berlin, Heidelberg: Springer Berlin Heidelberg, 2001. http://dx.doi.org/10.1007/978-3-642-57282-1_87.

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Lange, Volker. "Urology." In Medicynical, 189–93. Heidelberg: Steinkopff, 2003. http://dx.doi.org/10.1007/978-3-642-57366-8_19.

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Lovegrove, Catherine E., Andrea Tay, and Majed Shabbir. "Urology." In Introduction to Surgery for Students, 261–72. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-43210-6_20.

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Okegawa, Takatsugu, and Kikuo Nutahara. "Urology." In Reduced Port Laparoscopic Surgery, 491–97. Tokyo: Springer Japan, 2014. http://dx.doi.org/10.1007/978-4-431-54601-6_40.

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Hirsch, Jeffrey G. "Urology." In Oklahoma Notes, 135–50. New York, NY: Springer New York, 1996. http://dx.doi.org/10.1007/978-1-4612-4010-5_8.

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Griebling, Tomas L. "Urology." In Geriatrics for Specialists, 197–214. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-31831-8_18.

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Hirsch, Jeffrey G. "Urology." In Oklahoma Notes, 128–41. New York, NY: Springer US, 1994. http://dx.doi.org/10.1007/978-1-4684-0476-0_8.

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Spernat, Dan. "Urology." In Palliative Surgery, 269–74. Berlin, Heidelberg: Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-53709-7_23.

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Goltra, Peter S. "Urology." In Medcin, 469–70. New York, NY: Springer New York, 1997. http://dx.doi.org/10.1007/978-1-4612-2286-6_62.

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Conference papers on the topic "Urology"

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Hofstetter, Alfons G. "The laser in urology." In Laser Florence 2001: a Window on the Laser Medicine World, edited by Leonardo Longo, Alfons G. Hofstetter, Mihail-Lucian Pascu, and Wilhelm R. A. Waidelich. SPIE, 2002. http://dx.doi.org/10.1117/12.486636.

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Jelínková, H., M. Němec, P. Koranda, J. Pokorný, O. Kőhler, P. Drlík, M. Miyagi, K. Iwai, and Y. Matsuura. "Hollow waveguide for urology treatment." In BiOS, edited by Israel Gannot. SPIE, 2010. http://dx.doi.org/10.1117/12.840916.

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Sam, Richard C., and Victor C. Esch. "Diode laser applications in urology." In Photonics West '95, edited by R. Rox Anderson, Graham M. Watson, Rudolf W. Steiner, Douglas E. Johnson, Stanley M. Shapshay, Michail M. Pankratov, George S. Abela, et al. SPIE, 1995. http://dx.doi.org/10.1117/12.209081.

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"Urology and Obstetrics&Gynaecology." In Proceedings of UK Radiological Conference 2017. The British Institute of Radiology, 2017. http://dx.doi.org/10.1259/conf-pukrc.2017.uro-obs-gyn.

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Thomas, Emily Simon, Rachel Hawthorne, Ayah Babiker, and Kai Chi Chan. "112 New rapid access urology clinic." In Leaders in Healthcare Conference, Poster Abstracts, 4–6 November 2019, Birmingham, UK. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/leader-2019-fmlm.112.

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Wu, Jia-Jun. "Recent advance of lasers in urology." In 1997 Shanghai International Conference on Laser Medicine and Surgery, edited by Jing Zhu. SPIE, 1998. http://dx.doi.org/10.1117/12.330138.

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"Front Matter: Volume 11619." In Advanced Photonics in Urology, edited by Hyun Wook Kang and Ronald Sroka. SPIE, 2021. http://dx.doi.org/10.1117/12.2596646.

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South, Austin, Nicholas Giglio, and Nathaniel M. Fried. "Simulating manual manipulation of small optical fibers within flexible ureteroscopes for potential application in thulium fiber laser lithotripsy." In Advanced Photonics in Urology, edited by Hyun Wook Kang and Ronald Sroka. SPIE, 2021. http://dx.doi.org/10.1117/12.2576799.

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Macnab, Andrew J., Jennifer Locke, Saurabh Garg, Martin McKeown, and Lynn Stothers. "A novel magnetic resonance imaging protocol to investigate how visual triggers impact urgency urinary incontinence." In Advanced Photonics in Urology, edited by Hyun Wook Kang and Ronald Sroka. SPIE, 2021. http://dx.doi.org/10.1117/12.2582786.

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Xie, Weisi, Adam Glaser, Funda Vakar-Lopez, Nicholas Reder, Lawrence True, and Jonathan T. C. Liu. "Method development and feasibility assessment for diagnosing 12 prostate needle cores within an hour of biopsy." In Advanced Photonics in Urology, edited by Hyun Wook Kang and Ronald Sroka. SPIE, 2021. http://dx.doi.org/10.1117/12.2576959.

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Reports on the topic "Urology"

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Richardson, M. R. NCCU/BBRI-Duke/Urology Partnership in Prostate Cancer Research. Fort Belvoir, VA: Defense Technical Information Center, June 2008. http://dx.doi.org/10.21236/ada495771.

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Richardson, M. R. NCCU/BBRI-Duke/Urology Partnership in Prostate Cancer Research. Fort Belvoir, VA: Defense Technical Information Center, June 2009. http://dx.doi.org/10.21236/ada510980.

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Richardson, M. R. NCCU/BBRI-Duke/Urology Partnership In Prostate Cancer Research. Fort Belvoir, VA: Defense Technical Information Center, June 2011. http://dx.doi.org/10.21236/ada549485.

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Datta, Soumentra, James Worsfold, and Zafar Maan. Understanding direct oral anticoagulants: an update for urology practice. BJUI Knowledge, July 2019. http://dx.doi.org/10.18591/bjuik.0315.

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Biswas, Krishnendu, and Soumendra Datta. Understanding direct oral anticoagulants: an update for urology practice. BJUI Knowledge, January 2023. http://dx.doi.org/10.18591/bjuik.0315.v2.

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Nix, Ralph, Curtis Hopkins, and Vern Wing. Air Force Operational Medicine: Using the Enterprise Estimating Supplies Program to Develop Materiel Solutions for the Medical Urology Team (FFPPT). Fort Belvoir, VA: Defense Technical Information Center, November 2010. http://dx.doi.org/10.21236/ada562856.

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Sander, Paul M. A Study to Determine the Tripler Army Medical Center Urology Clinic's FY 2001 Outpatient Service Charges to the Veterans Administration. Fort Belvoir, VA: Defense Technical Information Center, April 2001. http://dx.doi.org/10.21236/ada420409.

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Travis, Amanda, Margaret Harvey, and Michelle Rickard. Adverse Childhood Experiences and Urinary Incontinence in Elementary School Aged Children. University of Tennessee Health Science Center, October 2021. http://dx.doi.org/10.21007/con.dnp.2021.0012.

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Purpose/Background: Adverse Childhood Experiences (ACEs) have an impact on health throughout the lifespan (Filletti et al., 1999; Hughes et al., 2017). These experiences range from physical and mental abuse, substance abuse in the home, parental separation or loss, financial instability, acute illness or injury, witnessing violence in the home or community, and incarceration of family members (Hughes et al., 2017). Understanding and screening for ACEs in children with urinary incontinence can help practitioners identify psychological stress as a potentially modifiable risk factor. Methods: A 5-month chart review was performed identifying English speaking patients ages 6-11 years presenting to the outpatient urology office for an initial visit with a primary diagnosis of urinary incontinence. Charts were reviewed for documentation of individual or family risk factors for ACEs exposure, community risk factors for ACEs exposures, and records where no related documentation was included. Results: For the thirty-nine patients identified, no community risk factors were noted in the charts. Seventy-nine percent of patients had one or more individual or family risk factors documented. Implications for Nursing Practice This chart review indicates that a significant percentage of pediatric, school-aged patients presenting with urinary incontinence have exposure to ACEs. A formal assessment for ACEs at the time of initial presentation would be helpful to identify those at highest risk. References: Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. Am J Prev Med. 1998;14:245–258 Hughes, K., Bellis, M.A., Hardcastle, K.A., Sethi, D., Butchart, D., Mikton, C., Jones, L., Dunne, M.P. (2017) The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis. Lancet Public Health, 2(8): e356–e366. Published online 2017 Jul 31.doi: 10.1016/S2468-2667(17)30118-4 Lai, H., Gardner, V., Vetter, J., & Andriole, G. L. (2015). Correlation between psychological stress levels and the severity of overactive bladder symptoms. BMC urology, 15, 14. doi:10.1186/s12894-015-0009-6
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Alvarino, Alvarino, Aidil Rahman Novesar, and Zovanka Fastabiqulkhairat. A Complication of Orchidopexy Surgery and Its Impact on Testis in the Management of Cryptorchidism in Pediatric Urology: A Systematic Review and Meta Analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, July 2024. http://dx.doi.org/10.37766/inplasy2024.7.0078.

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Noble, Linda J., Christopher J. Sontag, Alpa Mahuvakar, Thomas Fandel, and Aida F. Martinez. Targeting L-Selectin to Improve Neurologic and Urologic Function After Spinal Cord Injury. Fort Belvoir, VA: Defense Technical Information Center, October 2013. http://dx.doi.org/10.21236/ada599594.

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