Publications by authors named "Nestor Lalak"

Objectives: To assess the role of music in reducing the pain and anxiety associated with flexible cystoscopy using a blinded trial design.

Patients And Methods: A patient-blinded randomised control trial of music during flexible cystoscopy was performed comparing the pain, measured by visual analogue scale (VAS), anxiety, measured by the State-Trait Anxiety Inventory (STAI), and vital signs of 109 patients across two public hospitals in New South Wales, Australia. The purpose and hypothesis of the study was concealed from patients until after results had been collected.

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Background: Current guidelines highlight the importance of accurate staging in the management and prognostication of high risk primary prostate cancer. Conventional radiologic imaging techniques are insufficient to reliably detect lymph node metastases in prostate cancer. Despite promising results, there is limited published data on the diagnostic accuracy of PSMA PET-CT to assess local nodal metastases prior to radical prostatectomy.

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This is a case report on a patient with an unusual presentation and clinical course of priapism. It further discusses treatment options with reflection on current literatures and guidelines. 48 year old patient presented with a history of more than 50 episodes of priapism, each lasting for five minutes.

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Context: Carcinoid tumors are exceedingly rare in the genitourinary tract and may occur in the kidney, urinary bladder, urethra, or prostate.

Objective: To review the clinical and pathologic features of carcinoid tumors occurring in the urinary tract and prostate.

Data Sources: We searched the English language literature using MEDLINE and Ovid.

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Background And Purpose: Shockwave lithotripsy (SWL) is the least invasive treatment for ureteral calculi and is the best accepted by patients and clinicians. This prospective study was performed to evaluate the results of SWL for all ureteral calculi.

Patients And Methods: Between April 1999 and May 2000, there were 150 SWL treatments for ureteral calculi at our center.

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Background And Purpose: Extracorporeal Shockwave Lithotripsy (SWL) is now the best noninvasive treatment for renal calculi, rendering many patients stone free. This prospective study was performed to evaluate the short-term results of patients undergoing SWL with the Dornier Compact Delta lithotripter for all renal calculi.

Patients And Methods: Between April 1999 and May 2000, there were 500 renal calculi treated in 166 female and 334 male patients with a mean age of 53 +/- 15 years.

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