LONG-TERM FOLLOWUP OF THE NORTH AMERICAN MULTICENTER UROLUME* TRIAL FOR THE TREATMENT OF EXTERNAL DETRUSOR-SPHINCTER DYSSYNERGIA
| Autor: | Timothy B. Boone, Michael P. Chetner, Suk Young Jung, Anthony R. Stone, C. F Douglas Ackman, Alfred Defalco, Bruce Green, Robert MacMillan, Joseph Binard, Albert Vazquez, Michael B. Chancellor, Hideo Ozawa, Michael E. Mayo, Todd A. Linsenmeyer, Saad Juma, Julie Ann Crewalk, Patrick J. Shenot, Wylly Killorin, Jerzy B. Gajewski, David A. Rivas, Rodney A. Appell, Jenelle Foote, Claus G. Roehrborn, James K. Bennett |
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| Rok vydání: | 1999 |
| Předmět: |
medicine.medical_specialty
business.industry Urology medicine.medical_treatment Stent Urinary incontinence Neurological disorder medicine.disease Spinal cord Urinary catheterization Surgery Dyssynergia medicine.anatomical_structure medicine medicine.symptom Detrusor sphincter dyssynergia business Hydronephrosis |
| Zdroj: | Journal of Urology. 161:1545-1550 |
| ISSN: | 1527-3792 0022-5347 |
| DOI: | 10.1016/s0022-5347(05)68950-1 |
| Popis: | Purpose: We determine the long-term efficacy and safety of the UroLume stent as minimally invasive treatment for external detrusor-sphincter dyssynergia in spinal cord injured men.Materials and Methods: A total of 160 spinal cord injured men with a mean age plus or minus standard deviation of 36.3 +/− 12.1 years (range 16 to 74) were prospectively treated with an endoprosthesis at 15 centers as part of the North American UroLume trial for external detrusor-sphincter dyssynergia. Urodynamic parameters, including voiding pressure, residual urine volume and bladder capacity, were compared before treatment and at 1, 2, 3, 4 and 5 years after treatment.Results: Mean voiding pressure was 75.1 +/− 28.2 cm. water before treatment in the 160 patients, and 37.4 +/− 23.9 at year 1 in 97, 39.5 +/− 22.2 at year 2 in 84, 42.6 +/− 27.3 at year 3 in 61, 46.3 +/− 33.2 at year 4 in 57 and 44.2 +/− 28.9 cm. at year 5 in 41 after stent insertion (p |
| Databáze: | OpenAIRE |
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