Aims: To identify the definition for urinary continence (UC) after radical prostatectomy (RP) which reflects best patients' perception of quality of life (QoL). Methods: Continence was prospectively assessed in 634 patients, 12 months after RP using the International Consultation on Incontinence Questionnaire Short-Form (ICIQ-SF) and the number of pads employed in a 24-hour period (pad usage). We used the one-way ANOVA technique with posthoc pairwise comparisons according to Scheffé's method (homogeneous subsets) for assessing the degree of QoL deficit related to urinary incontinence (UI). Results: The continence prevalence is 64.4%, 74.1%, 88.3%, and 35.8% using "0 pads," "1 safety pad," "1 pad," and "ICIQ score 0" definitions, respectively. Pad usage is moderately strongly associated with ICIQ 1, 2, and 3 (ρ = 0.744, 0.677, and 0.711, respectively; p < 0.001). Concordance between classical UC definitions is acceptable between "0 pads-ICIQ score 0" (K = 0.466), but poor for "1 safety pad" and "1 pad" (K = 0.326 and 0.137, respectively). Patients with "0 pad usage" have better QoL related to urine leakage than patients with "1 safety pad" or "1 pad" (1.41 vs. 2.44 and 3.11, respectively; p < 0.05). There were no significant differences found regarding QoL between patients with ICIQ score 0 and ICIQ score 2 (1.01 vs. 1.63; p = 0.63). Conclusions: Pad usage and the ICIQ-SF's answers provide useful information. We propose a combined definition (0 pads and ICIQ score ≤2) as it is the definition with the least impact on daily QoL.
pathological stage, lymph node (LN) status, histological grade, vascular-lymphatic invasion, and SXR expression.• In multivariate analysis, independent predictors of OS were LN status (odds ratio [OR], 2.96; P = 0.034), vascular-lymphatic invasion (OR, 2.50; P = 0.029), and SXR expression (OR, 1.05, P = 0.03).• Among the 51 patients with negative LNs (pN0), univariate predictors of OS were SXR expression, MDR1 expression, and pathological stage. In multivariate analysis, SXR expression (OR, 1.06; P = 0.01) and MDR1 expression (OR, 3.27; P = 0.03) were independently associated with survival.• Within the pN0 group, patients with SXR expression had shorter progression-free survival than did those without expression ( P = 0.004). This association persisted in the N0 subgroup with stage pT3-pT4 disease ( P = 0.028). However, in the pN1 group SXR expression did not have any influence.
Complicaciones quirú rgicas en el trasplante renal y su influencia en la supervivencia del injerto J. Barba Abad à , A. Rincó n Mayans, E. Tolosa Eizaguirre, L. Romero Vargas, D. Rosell Costa, J.E. Robles García, J.J. Zudaire Bergera, J.M. Beriá n Polo e I. Pascual Piédrola Departamento de Urología, Clínica Universidad de Navarra, Navarra, Españ a informació n del artí culo El estudio multivariado de la supervivencia del injerto de todo el grupo pone de manifiesto que la reintervenció n precoz es un factor de influencia independiente (odds ratio: 4,7; IC 95%: 2,2-10; po0,0001). La funció n diferida y la edad del donante mayor de 60 añ os son los otros factores influyentes.Conclusiones: Las complicaciones quirú rgicas influyen en la supervivencia del injerto. La necesidad de cirugía precoz es una variable con valor pronó stico independiente sobre supervivencia del injerto junto con la funció n diferida y la edad del donante.
Metastases in the kidney are rare, evenmore if primary source is thyroid. We report the tenth case of metastases in the kidney from thyroid, and it is the first to be follicular type and absolutely asymptom. Sonography and computerized tomography with suspicion of renal tumour are showed in a asymtom female 75 years old. Left partial nephrectomy was perfomed, initially it has been pathologically diagnosed as renal clear cells tumour, however the definitive pathologic report showed follicular tumour of thyroid. Local and systemic stage was discovered with complementary techniques. Sources of metastases in kidney and diagnoses techniques are discussed.
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