Comment diagnostiquer une hypertrophie prostatique ?

Un examen clinique, un dosage du PSA et une échographie peuvent être réalisés.

Quels tests pour les calculs urinaires ?

Une échographie, une radiographie et une analyse d'urine sont couramment utilisés.

Comment détecter un cancer de la prostate ?

Le dosage du PSA et une biopsie prostatique sont essentiels pour le diagnostic.

Quels symptômes indiquent une infection urinaire ?

Brûlures, besoin fréquent d'uriner et douleurs pelviennes sont des signes courants.

Quel rôle joue l'IRM dans le diagnostic urologique ?

L'IRM aide à visualiser les tumeurs et à évaluer l'extension des maladies.

Quels sont les symptômes d'une prostatite ?

Douleurs pelviennes, difficultés urinaires et fièvre peuvent se manifester.

Comment reconnaître une obstruction urinaire ?

Difficulté à uriner, jet faible et douleurs abdominales peuvent indiquer une obstruction.

Quels signes d'un cancer testiculaire ?

Une masse dans le testicule, douleur ou gonflement sont des signes d'alerte.

Quels symptômes d'une lithiase urinaire ?

Douleurs intenses dans le bas du dos et sang dans les urines sont fréquents.

Quels symptômes d'une torsion testiculaire ?

Douleur aiguë, gonflement et nausées sont des signes d'une torsion testiculaire.

Comment prévenir les infections urinaires ?

Boire beaucoup d'eau et uriner après les rapports sexuels aide à prévenir les infections.

Quelles mesures pour éviter les calculs urinaires ?

Une hydratation adéquate et une alimentation équilibrée peuvent réduire le risque.

Comment réduire le risque de cancer de la prostate ?

Une alimentation saine et l'exercice régulier peuvent diminuer le risque de cancer.

Quelles habitudes pour une bonne santé prostatique ?

Éviter l'alcool et le tabac, et faire des examens réguliers sont bénéfiques.

Comment prévenir la torsion testiculaire ?

Il n'existe pas de méthode de prévention, mais une attention aux symptômes est cruciale.

Quels traitements pour l'hyperplasie prostatique ?

Les médicaments, la thérapie au laser et la chirurgie sont des options de traitement.

Comment traiter les calculs urinaires ?

Les traitements incluent la lithotripsie, la chirurgie et l'hydratation accrue.

Quelles options pour le cancer de la prostate ?

Chirurgie, radiothérapie et hormonothérapie sont des traitements courants.

Quel est le traitement de la prostatite ?

Antibiotiques et anti-inflammatoires sont souvent prescrits pour la prostatite.

Comment se déroule une vasectomie ?

La vasectomie est une intervention chirurgicale pour rendre un homme stérile.

Quelles complications après une chirurgie prostatique ?

Les complications peuvent inclure des saignements, des infections et des troubles urinaires.

Quels risques après une vasectomie ?

Les complications peuvent inclure des douleurs, des infections et des granulomes.

Quelles complications des calculs urinaires ?

Les complications incluent des infections urinaires et des lésions rénales.

Quels effets secondaires de la radiothérapie ?

Fatigue, irritations cutanées et troubles urinaires peuvent survenir après la radiothérapie.

Quelles complications d'une infection urinaire non traitée ?

Une infection non traitée peut entraîner des complications rénales graves.

Quels facteurs de risque pour le cancer de la prostate ?

L'âge, les antécédents familiaux et l'obésité augmentent le risque de cancer prostatique.

Quels facteurs de risque pour les calculs urinaires ?

Déshydratation, régime alimentaire riche en sodium et antécédents familiaux sont des facteurs de risque.

Quels risques liés à l'hyperplasie prostatique ?

L'âge avancé et les antécédents familiaux sont des facteurs de risque pour l'hyperplasie prostatique.

Quels facteurs de risque pour la prostatite ?

Les infections urinaires fréquentes et les antécédents de maladies sexuellement transmissibles augmentent le risque.

Quels facteurs de risque pour la torsion testiculaire ?

Les jeunes hommes et les antécédents de torsion testiculaire sont à risque accru.

Procédures de chirurgie urologique masculine - Informations médicales vérifiées

Cystectomy for Benign Indications.

Sep 2022

DOI: 10.1007/s11934-022-01100-1 PMID: 36057019

This article evaluates the historical influences, current use, surgical techniques, and recent evidence on outcomes for cystectomy performed for benign indications.... At the population level, cystectomy for benign indications has similar perioperative morbidity to radical cystectomy for cancer. Postoperative patient satisfaction is high and functional outcomes appe...

Cystectomy Humans Quality of Life Urinary Bladder Urinary Bladder Neoplasms +1 autres

Initial experience with 161 extraperitoneal laparoscopic radical cystectomy procedures: Comparison with transabdominal laparoscopic radical cystectomy.

02 2023

DOI: 10.1111/iju.15076 PMID: 36349911

There is substantial concern about traditional transperitoneal laparoscopic radical cystectomy (TLRC) due to multiple postoperative complications. In contrast, extraperitoneal laparoscopic radical cys... The clinical data of patients undergoing laparoscopic radical cystectomy for BCa from April 2018 to October 2021 were retrospectively analyzed, as ELRC and TLRC groups. The postoperative follow-up dat... Surgery was successfully completed in all patients without conversion to open surgery. There was no significant difference in the duration of cystectomy surgery (67.32 ± 23.53 vs 72.17 ± 25.72 min, p ... ELRC is a safe procedure that can reduce the incidence of postoperative complications, shorten postoperative hospital stay, reduce the duration of recovery of patients, and, therefore, should be promo...

Humans Cystectomy Urinary Diversion Retrospective Studies Laparoscopy +3 autres

Cost-Effectiveness of Robot-Assisted Radical Cystectomy vs Open Radical Cystectomy for Patients With Bladder Cancer.

01 Jun 2023

DOI: 10.1001/jamanetworkopen.2023.17255 PMID: 37389878

The value to payers of robot-assisted radical cystectomy with intracorporeal urinary diversion (iRARC) when compared with open radical cystectomy (ORC) for patients with bladder cancer is unclear.... To compare the cost-effectiveness of iRARC with that of ORC.... This economic evaluation used individual patient data from a randomized clinical trial at 9 surgical centers in the United Kingdom. Patients with nonmetastatic bladder cancer were recruited from March... Patients were randomized to receive either iRARC (n = 169) or ORC (n = 169).... Costs of surgery were calculated using surgery timings and equipment costs, with other hospital data based on counts of activity. Quality-adjusted life-years were calculated from European Quality of L... A total of 305 patients with available outcome data were included in the analysis, with a mean (SD) age of 68.3 (8.1) years, and of whom 241 (79.0%) were men. Robot-assisted radical cystectomy was ass... In this economic evaluation of surgery for patients with bladder cancer, iRARC reduced short-term morbidity and some associated costs. While the resulting cost-effectiveness ratio was in excess of thr... ClinicalTrials.gov Identifier: NCT03049410....

Male Humans Aged Female Cystectomy +4 autres

Pelvic organ-preserving radical cystectomy versus standard radical cystectomy in female patients diagnosed with bladder cancer.

24 Aug 2024

DOI: 10.1186/s12957-024-03502-6 PMID: 39182105

Pelvic organ-preserving radical cystectomy (POPRC) has been reported to result in a better postoperative quality of life in female with bladder cancer compared to standard radical cystectomy (SRC). Ho... Female patients with bladder cancer who underwent POPRC or SRC were identified from the Surveillance, Epidemiology, and End Results (SEER) database. Logistic regression was used to identify predictors... A total of 2193 patients were included with a median follow-up of 53 months, of whom 233 (10.6%) received POPRC and 1960 (89.4%) received SRC. No definitive predictors of POPRC were identified. Before... Currently, patients undergoing POPRC have not undergone strict screening, and candidates for POPRC should have more stringent criteria in the future to achieve satisfactory oncological outcomes. Howev...

Humans Female Urinary Bladder Neoplasms Cystectomy Aged +11 autres

Centralization and prospective audit of cystectomy are necessary: a commentary on the case for centralization, supported by a contemporary series utilizing the ANZUP cystectomy database.

Jun 2023

DOI: 10.1111/ajco.13883 PMID: 36352543

Bladder cancer (BC) outcomes are unacceptably poor. In Australia, BC survival is actually deteriorating. There is an urgent need to improve outcomes in BC patients, which requires a multipronged appro...

Male Humans Cystectomy Treatment Outcome Urinary Bladder Neoplasms +2 autres

Cost-utility analysis of robotic-assisted radical cystectomy for bladder cancer compared to open radical cystectomy in the United Kingdom.

2022

DOI: 10.1371/journal.pone.0270368 PMID: 36174057

Bladder cancer is the tenth most common cancer in the United Kingdom. Currently, open radical cystectomy (ORC) is the gold standard. Due to the risk of complications and a 2.3-8% mortality rate1, ther... A three-stage decision tree: surgery, post-surgery transfusions and complications, in a 90-day time horizon, was produced to simulate possible pathways of patients. The incremental cost-effectiveness ... The ICER for RARC compared to ORC resulted in £25,536/QALY. At the lower threshold of £20,000/QALY, RARC resulted in a negative NMB (£-4,843.32) and at the upper threshold of £30,000/QALY, a positive ... As the resultant ICER did not fall below the £20,000/QALY threshold, our study did not provide a definitive recommendation for RARC for bladder cancer. Negative values for the NMB at the lower thresho...

Cost-Benefit Analysis Cystectomy Humans Robotic Surgical Procedures State Medicine +2 autres

Robotic radical cystectomy - more precision needed?

01 03 2023

DOI: 10.1097/MOU.0000000000001072 PMID: 36710596

Recently, several trials as well as registry-data analyses investigating the role of robot-assisted radical cystectomy with extra or intracorporal urinary diversion were completed and follow up mature... Numerous trials and registry-data analyses revealed no significant differences in progression-free and overall survival after open radical cystectomy or robot-assisted radical cystectomy irrespective ... Taken together, the total intracorporal approach in radical cystectomy holds the potential to improve perioperative parameters and reduces hospitalization without impairing oncological performance of ...

Humans Cystectomy Robotics Robotic Surgical Procedures Quality of Life +4 autres

Discharge Opioids are Unnecessary Following Radical Cystectomy.

12 2022

DOI: 10.1016/j.urology.2022.08.025 PMID: 36055420

To show that zero-opioid discharges after both open and robotic cystectomy are feasible and to examine the impact of zero-opioid discharges on patient interaction with the physician's office.... One hundred seven patients who underwent either open or robotic radical cystectomy from March 1, 2020 to December 30, 2020 were identified. Patient demographics, perioperative data, and 30 day pain re... Thirty-two patients were discharged with an opioid prescription (Median Oral Morphine Equivalents Prescribed = 90) and 75 were discharged without an opioid prescription. On regression analysis, age (O... Patients can safely be discharged home without opioids following cystectomy, regardless of robotic or open approach. Age and pathology are predictors of the need for an opioid prescription on discharg...

Humans Analgesics, Opioid Patient Discharge Drug Prescriptions Cystectomy +4 autres

Predicting perioperative outcomes of robot-assisted radical cystectomy: Data from the Asian Robot-Assisted Radical Cystectomy Consortium.

09 2022

DOI: 10.1111/iju.14937 PMID: 35613922

To report the perioperative outcomes of robot-assisted radical cystectomy and elucidate their risk factors.... A review of the Asian Robot-Assisted Radical Cystectomy Consortium database from 2007 to 2020 was performed. The perioperative outcomes studied included complication rates, time to solid food intake, ... Of 568 patients, the overall complication rate was 49.2%, comprising major complications in 15.6%. Preoperative hydronephrosis was associated with an increased risk of major complications (odds ratio ... There are preoperative conditions which are significant risk factors for adverse perioperative outcomes in robot-assisted radical cystectomy. Most are potentially modifiable and can direct strategies ...

Cystectomy Humans Hydronephrosis Postoperative Complications Retrospective Studies +5 autres

Nutritional Prehabilitation in Patients Undergoing Cystectomy: A Systematic Review.

29 May 2024

DOI: 10.3390/nu16111682 PMID: 38892615

Nutrition is a key element of the prehabilitation process prior to surgery. The aim of this study was to identify the clinical pathways of nutritional prehabilitation before cystectomy.... A systematic literature review was conducted in PubMed, the Cochrane Library, CINAHL, Scopus and the Web of Science databases. Quality and risk of bias assessment was conducted adhering to the JBI fra... Out of 586 records identified, six studies were included. Among them, only two were randomized controlled trials. Immunonutrition has been shown to improve postoperative bowel function (3.12 vs. 3.74 ... Nutritional prehabilitation demonstrates potential in enhancing postoperative outcomes following radical cystectomy. Oral supplements, immunonutrition, and counseling exhibit efficacy in improving pos...

Humans Cystectomy Postoperative Complications Preoperative Care Length of Stay +5 autres

Procédures de chirurgie urologique masculine : Questions médicales fréquentes

Termes MeSH sélectionnés :

Questions fréquentes et termes MeSH associés

Diagnostic 5

Symptômes 5

Prévention 5

Traitements 5

Complications 5

Facteurs de risque 5

Contenu validé par Dr Olivier Menir

Sous-catégories

Circoncision masculine

Orchidectomie

Orchidopexie

Implantation de prothèse pénienne

Prostatectomie

Vasectomie

Vasovasostomie

Résection transuréthrale de prostate

Ablation par ultrasons focalisés de haute intensité par voie rectale

Auteurs principaux

Sources (943 au total)