In what is to our knowledge the largest study of its kind date we retrospectively reviewed records 3,152 semen retrieval procedures in a total 500 men with spinal cord injury make recommendations medical field on ejaculatory dysfunction treatment this specialized patient population.We studied data from 1991 2009 Miami Project Cure Paralysis male fertility research program at institution. We assessed success rate and quality.Of 9% could ejaculate by masturbation. Penile vibratory stimulation...

Active surveillance is an established management option for patients with low risk prostate cancer. However, little known about the characteristics associated increased probability of progression in on active surveillance. We analyzed our cohort search such features.A total 272 men cancer have enrolled program since 1994, whom 249 underwent at least 1 biopsy and were included analysis. Our inclusion criteria are Gleason grade less than 7, 2 or fewer positive cores, 20% tumor any core...

BACKGROUND Many patients with low‐risk prostate cancer (PC) who are diagnosed Gleason score 6 at biopsy ultimately found to harbor higher grade PC (Gleason ≥ 7) radical prostatectomy. This finding increases risk of recurrence and cancer‐specific mortality. Validated clinical tools that available preoperatively needed improve the ability recognize likelihood upgrading in PC. METHODS More than 30 clinicopathologic parameters were assessed consecutive upon underwent A nomogram for predicting on...

We analyzed the impact of residual stone fragments seen on abdominal x-ray after ureteroscopy and laser lithotripsy risk repeat surgical intervention.Our study included 781 patients (802 renal units) who underwent with within 3 months postoperatively had at least 1 year followup. Ureteroscopy were performed using dusting technique. association between recurrence-free survival size largest fragment.During a median followup 4.2 years surgery was 161 units (20%). Of interventions 75% done for...

Objectives: Influence of renal anatomy on success rates for shockwave lithotripsy has been reported in the literature with emphasis lower pole anatomy. not evaluated setting ureteroscopy and laser stone treatment. This study analyzed influence infundibulopelvic angle (IPA) outcomes respect to stone-free rate surgical recurrence. Materials Methods: We retrospectively 735 units undergoing retrograde flexible (fURS) between January 2009 December 2016. All cases were performed at a single...

What's known on the subject? and What does study add? A significant proportion of patients diagnosed with prostate cancer do not require immediate treatment could be managed by active surveillance, which usually includes serial measurements prostate‐specific antigen ( PSA ) levels regular biopsies. The rate rise in levels, calculated as velocity or doubling time, was previously suggested to associated biological aggressiveness cancer. Although these parameters are obvious candidates for...

Objective To develop a clinical tool that integrates different risk factors and provides individual predictions of the biopsy progression in patients with prostate cancer managed by active surveillance. Materials Methods Our analysis included 205 on surveillance, each whom had at least two surveillance biopsies. We used C ox proportional hazard regression model to analyse association between progression‐free survival over successive This multivariate was then nomogram. Discrimination...

No AccessJournal of UrologyAdult Urology1 Nov 2010Semen Quality Remains Stable During the Chronic Phase Spinal Cord Injury: A Longitudinal Study Viacheslav Iremashvili, Nancy L. Brackett, Emad Ibrahim, Teodoro C. Aballa, and Charles M. Lynne IremashviliViacheslav Iremashvili More articles by this author , BrackettNancy Brackett IbrahimEmad Ibrahim AballaTeodoro Aballa LynneCharles View All Author Informationhttps://doi.org/10.1016/j.juro.2010.06.112AboutFull TextPDF ToolsAdd to...

Currently there is no global agreement as to how extensively a radical prostatectomy specimen should be sectioned and histologically examined. We analyzed the ability of different methods partial sampling in detecting positive margin (PM) extraprostatic extension (EPE)-2 pathologic features prostate cancer that are most easily missed by prostate. Radical specimens from 617 patients treated with open between 1992 2011 were analyzed. Examination entirely submitted detected only PM 370 (60%),...

What's known on the subject? and What does study add? Active surveillance is an established management option for patients with favourable‐risk prostate cancer. However, about 25–30% of active demonstrate biopsy progression within first 3–5 years follow‐up. Although several factors, such as results diagnostic biopsies, are to be associated risk progression, our ability accurately predict this remains limited. Our analysis demonstrated that overall number positive cores in biopsies strongly...

Objective: To assess the performance of recurrence kidney stone (ROKS) nomogram in identifying first-time formers who will require future procedures. Materials and Methods: From January 2009 to February 2016, 2287 patients underwent surgical treatment for nephrolithiasis at our institution 498 them were eligible this study. We defined as repeat surgery symptomatic nephrolithiasis. analyzed with respect discrimination, calibration, clinical net benefit. also examined each individual variable...

Abstract BACKGROUND: Several nomograms have been developed for the purpose of predicting likelihood an increase in Gleason sum (GS) from biopsy information compared with GS determined after examination “entire prostate” patients prostate cancer. In this study, authors evaluated and ability 4 (published by Capitanio et al, Chun Kulkarni Moussa al) to predict upgrades ≤6 cancer who underwent radical prostatectomy (RP) at their center. METHODS: The entire study cohort included 942 a ≤6....

Abstract BACKGROUND The purpose of our analysis was to determine if delays in treatment caused by active surveillance result significant pathological changes when patients no longer meet the criteria on repeat biopsy and study whether or not these may affect outcomes. METHODS Out 207 men who were surveillance, 47 (23%) met after one biopsies. Twenty‐two underwent radical prostatectomy at institution formed main group (Group 1) this study. One hundred sixty‐four for but immediate surgery. Of...

Our objective was to identify the best of existing definitions Gleason score (GS) at a positive surgical margin (PSM) by validating them in our radical prostatectomy cohort. We analyzed 251 patients who had mixed (3+4, 3+5, 4+3 or 5+3) pathologic GS and PSM. used 5 record Univariate multivariate analyses were study association between each definition risk biochemical recurrence (BCR). also tested prognostic value models including established predictors studied 3+3 seen PSM 57.4% cases more...

To identify the clinical and demographic predictors of repeat stone surgery.We retrospectively analysed 1496 consecutive patients, aged > 18 years, who underwent surgery at our institution in period from January 2009 to May 2017 had least 12 months postoperative follow-up. We defined surgical recurrence as on same renal unit or opposite if original imaging did not demonstrate significant stones that side. Characteristics associated with risk univariate Cox regression analysis were entered...

Abstract BACKGROUND The clinical and prognostic significance of unifocal prostatic carcinoma is not clearly understood. In the current study, we sought to characterize pathologic characteristics multifocal prostate cancers investigate effects tumor focality on biochemical outcome after radical prostatectomy. METHODS Our analysis included 1,444 prostatectomy patients with available information concerning number location foci in specimen. Each patient was assigned one three groups depending...