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October 1985
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11 Reads
The Journal of Urology
A new long cystoresectoscope system recently has become available. This instrument has the distinct advantage of allowing cystoscopy and endoscopic surgery of the lower urinary tract in men with an unusually long urethra, or a semirigid or intracorporeal inflatable prosthesis.
August 1985
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2 Reads
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2 Citations
The Journal of Urology
May 1985
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2 Reads
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1 Citation
The Journal of Urology
August 1984
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8 Reads
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12 Citations
Urology
Les corps caverneux peuvent devenir fortement fibreux a la suite d'un priapisme, d'une maladie de Peyronie, d'un traumatisme ou d'une infection. Cette fibrose peut etre si grave que la dilatation des corps caverneux pour une prothese penienne est impossible ou possible seulement a un degre limite. Un nouveau procede chirurgical qui permet l'ablation d'un cylindre de tissu erectile fibreux a ete mise au point pour pallier ce probleme difficile
June 1984
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9 Reads
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22 Citations
Urology
The experience gained from the implantation of 763 Flexirod Prosthesis is described. Special features of this design include a tapered distal tip which provides for better glans stability, a soft hinge which allows for improved penile concealment, and a trimmable tail which, together with preoperative measurement of the penis, allows the surgeon to determine the correct prothesis size well in advance of surgery. The surgical procedure is not difficult, the complication rate is low, device failure is extremely rare, and most patients are restored to a satisfactory sex life.
November 1983
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2 Reads
The Journal of Urology
March 1983
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4 Reads
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25 Citations
The Journal of Urology
Intraoperative frozen section diagnoses were compared to permanent section results in 42 patients with localized prostatic cancer undergoing staging pelvic lymph node biopsies. A Gleason data analysis was compared to conventional histologic classification. The 7 per cent falsely negative rate found in our series compares favorably to the 11 per cent average rate reported previously.
March 1982
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4 Reads
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1 Citation
Urology
March 1982
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22 Reads
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85 Citations
Urologic Clinics of North America
For many years, there was controversy over whether stents should be used after ureteral surgery. The argument was nowhere more evident than in discussions of pyeloplasty or repair of ureteral injury because the results were often poor whether or not a stent was used. The early stents were standard ureteral catheters or, in some cases, small urethral catheters with only two holes in the distal end, and these did not provide adequate urine drainage. The smooth muscles of the calyces and renal pelvis push a bolus of urine into the upper ureter with a rather strong peristaltic contractions, and small-caliber ureteral catheters cannot drain this sudden increase in volume. Thus, in the case of a pyeloplasty, some urine was forced out of the ureteropelvic anastomosis. In the case of injury farther down the ureter, once the bolus of urine had passed the ureteropelvic junction, it had no way of reentering the catheter lumen and so was carried under pressure along the outside of the stent to the site of the injury, where, again, leakage occurred. In either case, the leakage of urine into the periureteral tissues caused fibrosis, contracture, and stricture. Also, these stents were rarely left indwelling and therefore served as an avenue for infection. Further, because these stents drained to the outside and so required external collection devices, patients were eager to have them removed on the earliest possible date. Most urologists arbitrarily removed the stents after only 10 days, long before healing was complete.
March 1982
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7 Reads
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32 Citations
The Journal of Urology
After routine cleansing enemas 80 patients were randomized to undergo irrigation of the rectal vault with either povidone-iodine or saline. A transrectal prostatic needle biopsy then was performed. Antimicrobials were not used before biopsy and were only ordered after biopsy if fever developed or a positive urine culture was obtained. Over-all, 41 per cent of the patients had positive urine cultures post-biopsy and 44 per cent had febrile episodes. There was no significant difference between the group receiving the povidone-iodine versus those receiving saline irrigations.
... reteral double-J stent (DJS) serves as a reliable adjunct in managing urinary tract obstruction . 1 Various urological procedures routinely implement these stents to ensure the continued patency of the ureters post-operatively. 2 Additionally, DJSs facilitate the resolution of postoperative edoema and promote the healing of ureteral injuries . 3 Although there have been significant improvements in stents' material quality, length, flexibility, and double-J design, their insertion can lead to a wide range of complications . ...
January 1979
The Journal of Urology
... ERMS, the most common malignant prostatic tumor in infancy and childhood, is the rarest type of sarcoma in adulthood. The current classification of rhabdomyosarcoma, which includes pleomorphic, alveolar, and embryonal subtytpes, was adopted in 1958, and in a systematic review of the literature, from 1958 to 1988 Waring and Newland 1 found only 6 cases in the prostate in adults, [2][3][4][5][6][7] to which these authors added 3 cases of their own. Waring and Newland 1 excluded from their review all cases of ERMS occurring in individuals younger than 18 years of age, 11 cases in which the histological subtype was not stated by the authors (rhabdomyosarcoma not otherwise specified [NOS]), 1 case of mixed sarcoma (leiomyosarcoma and ERMS), "several additional possible cases of ERMS reported with childhood or nonembryonal rhabdomyosarcomas" with "insufficient clinical information to identify," and 3 cases in which "distinction from bladder origin could not be made." ...
February 1977
The Journal of Urology
... But since the above mentioned criterias were not fulfilled, the results were not encouraging. A new development has been the introduction of semi-rigid penile prosthesis (Small, 1976;Finney, 1977). This type of prosthesis is more acceptable in terms of defined criterias. ...
Reference:
USE OF PENILE IMPLANT
November 1977
The Journal of Urology
... Likewise, topical or injectable steroid application decreases scar formation by reducing collagen and glycosaminoglycan synthesis and expression of inflammatory mediators [28], and has been shown in animal models to reduce up to 30% of wound contraction occurring by day 28 [29]. Local steroid injections were first described in the 1960s by Göthlin and Akerlund [30] and Ekström and Hultengren [31], and later again in the 1970s by Hebert [32], and finally Sharpe and Finney [33] who suggested that this monotherapy treatment was especially helpful in cases with strictures in the distal urethra or the meatus, and in those occurring post-radical prostatectomy. ...
November 1976
The Journal of Urology
... The device consisted of paired semi-rigid silicone rods placed in each cavernosal body (Simmons & Montague, 2008). Additional features included a soft hinge placed beneath the pubis for concealment, a tapered distal end that allowed for better glans stability, and a trimmable tail for size adjustment (Finney, 1984). ...
June 1984
Urology
... In the interim, inflammation secondary to the infectious process would lead to scarring and fibrosis of the corpora, limiting their ability to accept the cylinders of a new device without additional procedures. 46 A recent observational study showed that those men undergoing delayed reimplant of a prosthetic device experienced a mean loss of 3.7 cm in total corporal length, compared to 0.6 cm loss in length in patients undergoing salvage therapy. 47 In 1996, Brant et al. ...
Reference:
Updates in penile prosthesis infections
August 1984
Urology
... Furthermore, the efficacy of frozen section analysis of pelvic nodes has also been questioned [21] . Reported false-negative results are 100% [22] , 40% [23] , 33% [1,[24][25][26][27][28] , 30% [4,29] , 23% [30] , 19-7% [31] . ...
Reference:
MR imaging of pelvic lymph nodes
March 1983
The Journal of Urology
... 731,777 Penile necrosis/ischemia is a serious complication that has been noted in a number of case reports and case series. 6,660,704,718,746,763,776,[778][779][780][781][782][783][784][785][786][787][788][789][790][791][792][793][794][795] In one series the rate of necrosis was 0.8%. 776 Amputation of the penis and glans: Since several of the devices used to perform circumcision involve a "blind" amputation of the foreskin, there are multiple case reports and case series reported in the medical literature related to partial or complete amputations of the glans. ...
March 1982
Urology
... Our initial search identified 127 records of which 94 were screened for title and abstract after removing duplicates. Overall 27 articles were retrieved and 9 RCTs with 3,075 met our inclusion criteria ( Fig. 1) [2,[5][6][7][8][13][14][15][16]. All studies were prospective RCTs. ...
March 1982
The Journal of Urology
... It may be necessary to remove the encrusted stents and associated stone burden in single or numerous sessions or open surgery in exceptional cases [39]. A predominance of encrustation at the stent's upper coil could be explained by the fact that the stent's lower coil has more effective peristalsis, which sweeps any deposits of the stent, decreasing encrustation [40]. ...
March 1982
Urologic Clinics of North America
