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Penile prosthesis: Patient satisfaction, use and preference for malleable vs inflatable

World Journal of Clinical Urology 2014年第2期3卷 134-138页

作者： Ramón Rogel Bertó jose Daniel López-Acón Saturnino Luján Marco domingo Guzmán Ordaz Jurado Francisco Delgado Oliva María Angeles Conca Baenas Francisco Boronat Tormo Urology Department University and Polytechnic Hospital La Fe46026 ValenciaSpain

AIM: To evaluate and compare long-term patient satisfaction and use after either malleable penile prosthesis(MPP) or inflatable penile prosthesis(IPP) implantation. METHODS: we present a retrospective unicenter study of 108 patients implanted with either 2 or 3-piece American Medical System^(TM)(AMS^(TM)) or Coloplast^(TM) inflatable penile prosthesis(AMS 700CX^(TM), AMS 700CXR^(TM), AMS Ambicor^(TM) or Coloplast TITAN^(TM)) or malleable(AMS Spectra^(TM) or Coloplast Genesis^(TM)) in our Centre between 1993 and 2011. We collected data from the medical record including follow-up, age and type of prosthesis. We used a four-question telephone surveydesigned ad hoc by urologist in our Department, with three multiple choice questions and a grading answer. After verbal consent was obtained, proposed questions concerned global satisfaction regarding to the procedure, quality of sexual intercourses graded from 0 to 10, frequency of sexual intercourse and about undergoing the same procedure again. SPSS^(TM) version 20.0 was used for the descriptive analysis of the data. RESULTS: Sixty seven(64%) patients underwent a MPP and 41(36%) an IPP. The mean age was 52.6 ± 3.6 years in the MPP group and 57.2 ± 2.8 years in the IPP group(P = 0.02). Total respond rate was 55.5%(60/108). Twenty six out of 33 MPP patients(78.9%) and 19 of the 27 IPP subjects(70.3%) were satisfied or very satisfied with the procedure. The quality of sexual intercourse was rated 7.13 ± 0.39 points in the MPP group and 6.16 ± 0.47 points in the IPP group. Frequency of sexual intercourse was 1 or more times per week in 15(46.9%) patients with MPP and in 12(46.1%) of the IPP patients. Twenty-eight(84.9%) patients who received a MPP would undergo the procedure for the same device again as well as 24(88.9%) of the IPP group. There were no statistical differences between groups regarding the four items in the ***: Patients show high satisfaction rate and no statistical differences exist regarding to

关键词： Penile prosthesis Patient satisfaction Erectile dysfunction Medical survey

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Approaches on the Major Predictors of Blood Transfusion in Cardiovascular Surgery: A Systematic Review

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Health 2019年第4期11卷 371-379页

作者： Maria Christiane Valéria Braga Braile-Sternieri Eliana Migliorini Mustafa Victor Rodrigues Ribeiro Ferreira Sofia Braile Sabino Cibele Olegário Vianna Queiroz Bethina Canaroli Sbardellini Giovanni Braile Sternieri Lúcia Angélica Buffulin de Faria Idiberto José Zotarelli Filho domingo Marcolino Braile domingo Braile Institute of Sao jose do Rio Preto (SP) Rua Luiz Vaz de Camoes Sao Jose do Rio Preto Sao Paulo Brazil Faceres Medical School of Sao Jose do Rio Preto Sao Jose do Rio Preto Sao Paulo Brazil

Introduction: Experimental Clinical studies have shown that loss of up to 77.0% of red cell mass can be tolerated as long as it kept the blood volume. However, the blood volume loss of about 34.0% is fatal. The initial attention in patients with bleeding should be given to maintaining blood volume and oxygen transport. Thus, transfusions of allogeneic blood products are associated with an increased risk of morbidity and mortality in cardiac surgery. Some transfusion risk scores have been proposed for cardiac surgery patients. Objective: To review and discuss literature blood transfusion (blood components gradient) in cardiovascular surgery versus polytrauma, gastrointestinal bleeding, and neoplastic diseases. Methods: The model followed for the review was PRISMA. We used the databases as Scielo, Lilacs, Google Scholar, PubMed articles and works of scientific and doctoral theses master. Results: According to the discussion in the literature, the acute bleeding of large volumes is challenging to emergency services. Accordingly, the need to support hemotherapeutics led to the development of protocols for more rational utilization of the monitored blood components. Conclusion: Hemotherapy services have adopted a very dynamic approach to the clinical condition presented by patients, the need for four or more red blood cell units.

关键词： Cardiovascular Surgery Polytrauma Transfusion Blood Components Survival Epidemiologic Data Time to Hemostasis Derivatives Volume

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