Men's Health in Siberia

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    04-Sep-2016

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  • WCMH Abstracts

    13HOW RELEVANT IS THE EXPERIENCE OF THE UROLOGIST INTRANSRECTAL ULTRASOUND FOR AN ACCURATE PREOPERA-TIVE STAGING OF PROSTATE CANCER?

    A. Bannowsky , A. Probst, L. Burle, T. Loch

    Department ofE-mail address:

    Background:sound (TRUS)tectomy and tvalue of TRUS

    Methods: Theprostatectomycorrelated. Thdifined as fol2 = between 1than 5 years.all patients unhistopathologi(n = 55; 18.3%),

    Results: Overawith TRUS inin organ-confidictive valueTRUS for stagtification of tfinal histologycomparison togroups (gp1: S0.41, 0.76; gp4

    Conclusion: Otumors but atumors due toa significant cof the physicilong as the oof additional s

    doi:10.1016/j.jo

    KIEL CONSILDENAFILAFTER NETWO YEAR

    A. BannowskJnemann2

    1 Ev.-Luth. DiakoHospital SchleswE-mail address:

    Background:after nerve-spavious prospect(NPTR) in 95%

    Methods: 43radical prostaterectile functiried out in thenocturnal erecat night. A coIIEF-5 questionoperation.

    Results: 41 ofcatheter remopreoperative 210.4 at 36 weeweeks after p21.2 decreasedweeks, 9.3 atuation showederectile functi

    Conclusion: Teven at the fthe cavernousintegrity. Dailyrecovery of er

    doi:10.1016/j.jo

    15WHY MEN DIE AND SUFFER MORE THAN WOMENJames Achanyi-Fontem

    Douala, Littoral Region, CameroonE-mail address: camlink2001@yahoo.com, http://cameroonlink.blogspot.com.

    Womens health has always an important part of national priority in most countries of thet unfornumbersilentlyd sufferity betwg at thng centrwoulds healtists haveore wo

    er agesetes, sialso st

    . In partional eother, but tortality

    our alsore aggrdrink mre accid. They and, as texpertsrs, but tred or mefore mesult, ever menstudy caalysis oit abouts maturg?eory isomen haat evenup, Drthat mirdy conists andtake thand maring men Goldbis works. Men/camero

    16/j.jom

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    23% o% weren-smok(16%).in spoof thears oldelf-estimd theirand 7n of liught itf menadal. Tsumersl in thtients wevery 1nctionhigh.

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    232 jmhUrology, Ev.-Luth. Diakonissen Hospital, Flensburg, Germanyabannowsky@gmx.de (A. Bannowsky).

    The aim of the study was to compare preoperative transrectal ultra-findings with the final histopathological stage after radical prosta-he dependence to the experience of the physician to determine thein preoperative staging of prostate cancer.

    evaluation was performed as a prospective study. In 300 radicalspecimens the histopathological and ultrasound findings were

    e TRUS was performed by 20 physicians. Experience levels werelows: group 1= less than one year of TRUS experience, groupand 3 years, group 3=between 3 and 5 years, group 4=moreThe mean age of the patients was 66.7 years (5281 years) andderwent radical retropubic prostatectomy. The distribution of thecal results showed: pT2a (n = 78; 26%), pT2b (n = 128; 42.7%), pT3apT3b (n = 36; 12%), pT4 (n = 3, 1%).

    ll organ-confined prostate cancer (T2a/b) was correctly identified81% and capsular penetration (T3/T4) in 37%. Sensitivity of TRUSned prostate cancer was 0.81, specificity 0.43 and the positive pre-0.76. Sensitivity, specificity and positive predictive value (PPV) ofe T3 were 0.37, 0.87 and 0.56 respectively. Concerning the iden-he tumor site, the correspondence of the TRUS results with thewas 56%. Statistical evaluation of sensitivity, specificity and PPV inthe experience levels showed significant difference between theens.: 0.90, spec.: 0.23, PPV: 0.70; gp2: 0.81, 0.36, 0.67; gp3: 0.79,: 0.91, 0.45, 0.83) (p