摘要:

SummaryBetween 1983 and 1989,484 men (46–82 years old) underwent radical retropubic prostatectomy for prostate cancer. Six months after surgery, 434 patients (90%) achieved complete urinary control; stress incontinence was present in 50 patients (10%) and no patient was totally incontinent. Of the 398 patients who were followed up for more than 1 year, 377 (95%) achieved complete urinary control and 21 (5%) experienced stress incontinence.Prior open prostatectomy or transurethral resection of the prostate had no influence on the return of urinary control. Pathological stage and preservation or not of the neurovascular bundles also had no significant influence on the long‐term state of continence. Age was the only factor that adversely affected the return of urinary continence. The average interval between surgery and return of continence was shorter in patients less than 70 years old. When the impact of age was examined 1 year or more after surgery, no significant difference was noted between the age groups.Several technical considerations that contribute to these results are discussed, especially the use of a gradual approach to the apex of the prostate to facilitate exposure and haemostasis and to preserve as much of the striated urethral sphincter as possi

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1993.tb15879.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

SummaryA group of 150 consecutive male patients with erectile dysfunction and proven venous leakage were randomised either to surgery or to a pelvic floor training programme. The operative procedure consisted of dissection and removal of the deep dorsal vein of the penis and its tributaries or large veins that drain into the internal or external pudendal system. The training programme was given 5 times, in weekly sessions, and the patients were supervised by trained physiotherapists. Surgery was not superior to the pelvic floor training programme either subjectively or objectively. Moreover, a significant improvement was found following the training programme; 42% were satisfied with the outcome and refused surgery. Pelvic floor exercise is a realistic alternative to surgery in patients with mild degrees of venous leakage.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1993.tb15880.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

SummaryAn analysis of lipids and histological examination were performed on tissues resected from 2 patients with sclerosing lipogranuloma of the scrotum. The clinical course and histological characteristics were consistent with those reported previously for typical primary sclerosing lipogranuloma of the male genitalia. There was no history of the injection or topical application of oils or fats. Both of our patients had eosinophilia and the lesions snowed eosinophilic infiltration. Complete natural regression occurred several months after partial resection of the lesion in both cases, and no recurrence has been noted during follow‐up. This lipid analysis and histological study revealed that no exogenous fatty elements were present and suggested that degeneration of endogenous fat due to some allergic mechanism might be involved in the development of sclerosing lipogranuloma. The eosinophilia associated with this disease and its spontaneous regression after partial resection also support this assumptio

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1993.tb15881.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

SummaryAnomalies of the vesicoureteric junction are important, particularly obstruction and reflux, as they may predispose to urinary tract infection. Over a 5‐year period, 52 babies were referred with dilatation of the urinary tract detected antenatally or/and postnatally by ultrasound. Sixteen had an anomaly of the vesicoureteric junction: 9 had vesicoureteric reflux, 3 had ureteroceles, 1 had urethral stenosis with secondary reflux and 3 had stenosis of the vesicoureteric junction. Ten patients underwent 14 surgical procedures. The mean time to reconstructive surgery was 9·3 months. Ultrasonography showed regression of the dilatation in all patients who underwent surgery. Seven patients with minor dilatation are still under observation. In only 1 case was there loss of renal parenchyma. With conservative medical treatment the patients are 1 year old before reconstructive surgery is undertaken; with reflux, however, progression may indicate earlier surge

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1993.tb15882.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

摘要:

The 45th Annual Scientific Meeting of the Urological Society of Australasia was held between 29 March and 2 April 1992 at the Adelaide Convention Centre, South Australia. The meeting was organised by Professor Villis Marshall, President of the Society, and a committee of local urologists. Invited guests included the R.A.C.S. Foundation Visitor Professor E. Tanagho from San Francisco, together with Professor Donald Coffey from Baltimore, Professor Urs Studer from Berne and Professor John Blandy from London.The Harry Harris Memorial Oration was given by Professor Donald Coffey on the subject “Science, creativity and human destiny”. The Keith Kirkland Prize was won by R. Thomas for his presentation on “Oral N‐acetyl cysteine in urinary tract mucolysis”. The Alban Gee prize for the best poster was won by P. K. Grover for his poster on the promotion of calcium oxalate crystallisation by urate: epitaxy is not its cause.Each of the invited guests gave keynote presentations on his work. The meeting again encompassed sections on C.M.E. and the entire membership agreed to undertake a multiple choice “Practice profile” examination during the meeting. This will be repeated after 2–3 years to assess whether a selection of C.M.E. measures can alter “practice profiles” and the urological knowledgebase of members.The 46th Annual Scientific Meeting of the Society will be held between 28 February and 5 March 1993 at the Sheraton Hote

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1993.tb15883.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1993.tb15885.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1993.tb15886.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1993.tb15887.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1993.tb15889.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1993.tb15890.x

出版商:Blackwell Publishing Ltd    

年代:1993

数据来源: WILEY