368 results match your criteria Techniques in Urology[Journal]


Effect of circumcision on prostatic bacterial colonization and subsequent bacterial seeding following transrectal ultrasound-guided prostate biopsies.

Tech Urol 2001 Dec;7(4):305-9

Department of Urology, Stanford University Medical Center, Stanford, USA.

Purpose: This study was designed to compare the prevalence of prostatic bacterial growth between circumcised and uncircumcised males and determine whether the lack of circumcision results in a change in the incidence of bacterial seeding following prostate needle biopsy.

Materials And Methods: Forty-six men (21 circumcised and 25 uncircumcised) undergoing ultrasound and biopsy to rule out prostate cancer were evaluated with questionnaires regarding previous history of urinary tract infection (UTI), any symptoms suggestive of UTI, and obstructive voiding symptoms. None of the patients received preprocedure antibiotics. Read More

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December 2001
2 Reads

31-Year-old bladder diverticulocutaneous fistula with a giant stone as a complication of pelvic fracture.

Tech Urol 2001 Dec;7(4):302-4

Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.

Pelvic fractures associated with urinary bladder rupture are not rare, however, bladder fistulae are a rare complication after primary repair of bladder rupture. To our knowledge, we present the first case of a vesical diverticulocutaneous fistula after pelvic fractures. Etiology, presentation. Read More

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December 2001
3 Reads

Lower pole ureteral obstruction secondary to fecal impaction in an 8-year-old girl.

Tech Urol 2001 Dec;7(4):299-301

Urology Service, Walter Reed Army Medical Center, Washington, DC 20307-5001, USA.

An 8-year-old girl presented with frequent, nonfebrile, urinary tract infections and a lifelong history of severe constipation. Ultrasound revealed bilateral duplicated renal systems, severe right upper pole hydronephrosis, and moderate left lower pole hydronephrosis. Computerized tomographic scan revealed a large, fecal-impacted colon. Read More

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December 2001
5 Reads

Treatment of giant ancient pelvic schwannoma.

Tech Urol 2001 Dec;7(4):296-8

Department of Urology, University of Innsbruck, Innsbruck, Austria.

A 32-year-old patient presented with urinary retention and chronic constipation. Computerized tomography and magnetic resonance imaging showed a 10 x 11cm encapsulated tumor with cystic areas lying ventral to the sacrum. There was no evidence of invasion of bladder or rectum. Read More

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December 2001
3 Reads

Postradiation prostatic sarcoma: de novo carcinogenesis or dedifferentiation of prostatic adenocarcinoma?

Tech Urol 2001 Dec;7(4):294-5

Department of Urology, Mount Sinai Services, Elmhurst Hospital Center, New York, New York 10029, USA.

Postradiation sarcoma (PRS) of the prostate is rare. We describe the second case associated with brachytherapy for adenocarcinoma and review the literature on prior cases of PRS as well as carcinosarcoma, a dedifferentiated form ofadenocarcinoma that may be confused with true prostate sarcoma. It is clear that radiation to the prostate confers a significantly increased risk for subsequent sarcoma, although not within the prostate. Read More

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December 2001
3 Reads

Crural ligation surgery for the young male with venogenic erectile dysfunction: technique.

Tech Urol 2001 Dec;7(4):290-3

Department of Urology, Loyola University Medical Center, Stritch School of Medicine, Maywood, Illinois 60153, USA.

Isolated crural venous leak is an uncommon cause of erectile dysfunction. Recent data have suggested that ligation of the crura in men with this condition may result in significant improvement in erectile function. This report outlines the criteria for patient selection and the technique we use to accomplish crural ligation. Read More

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December 2001
31 Reads

Combined Doppler, blood gas, and Bennet quick test for venous leak practical for prepenile prosthesis testing in solo private offices.

Authors:
A H Horan

Tech Urol 2001 Dec;7(4):288-9

Department of Surgery, VAMC Fresno, Fresno, California 93704, USA.

Cavernosal blood gases have been widely reported but have not become routine in private practice. The method reported here employs the aspiration of blood gases 15 minutes after pharmacologic challenge followed by a quick test for venous leak followed by Doppler stethoscope observations. The results in 90 patients suggest its selective use in the subset of nonresponding, nonleakers who have open cavernous arteries by Doppler, typically diabetics. Read More

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December 2001
2 Reads

Interstitial laser therapy for benign prostatic hyperplasia in the anticoagulated patient.

Authors:
S Polepalle M Monga

Tech Urol 2001 Dec;7(4):285-7

Division of Urology, University of California, San Diego, and Veterans Affairs Medical Center, San Diego, California, 92103-8897, USA.

Purpose: Interstitial laser therapy (ILT) was performed without discontinuing warfarin anticoagulation therapy in eight patients (mean international normalized ratio 2.8 +/- 0.8) with benign prostatic hyperplasia. Read More

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December 2001
2 Reads

Effective renal plasma flow calculated from a single blood sample following Technetium-99m mercaptoacetyltriglycine renal scan can predict delayed graft function in renal transplantation.

Tech Urol 2001 Dec;7(4):281-4

Department of Urology, UCLA School of Medicine, Harbor- UCLA Medical Center, Los Angeles, California, USA.

Purpose: Effective renal plasma flow (ERPF) can be calculated by obtaining a single blood sample at a fixed time after injection in a patient undergoing a technetium-99m mercaptoacetyltriglycine (99mTc MAG3) renal scan. The purpose of this study was to determine whether the calculated ERPF following cadaveric renal transplantation could accurately predict the need fordialysis within the first 10 postoperative days or the serum creatinine at postoperative day 10.

Materials And Methods: Between February 1994 and September 1998, 41 patients underwent 45 99mTc MAG3 renal scans within the first 10 days following a cadaveric renal transplantation at Harbor-UCLA Medical Center. Read More

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December 2001
2 Reads

Renal ultrasound changes after internal double-J stented pyeloplasty for ureteropelvic junction obstruction.

Tech Urol 2001 Dec;7(4):276-80

Section of Urology, Department of' Surgery, University of Medicine and Dentistry of New Jersey, USA.

Purpose: Renal ultrasound changes after pediatric pyeloplasty were reported recently in the literature, mainly on unstented pyeloplasties. We evaluated the time to improvement or resolution of hydronephrosis in pediatric patients who underwent double-J stented pyeloplasty for ureteropelvic junction (UPJ) obstruction and compared our results to unstented pyeloplasties.

Materials And Methods: Ultrasonic grading of hydronephrosis after double-J stented pyeloplasty was performed according to the Society for Fetal Urology criteria at intervals of 0 to 3. Read More

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December 2001
2 Reads

Coagulating intermittent cutting: improved high-frequency surgery in transurethral prostatectomy.

Tech Urol 2001 Dec;7(4):271-5

Department of Urology, Techn. Universität München, Munich, Germany.

Purpose: Despite the good long-term results of transurethral resection of the prostate (TURP), intraoperative blood loss and TUR syndrome produce morbidity. Thus, TURP is still considered invasive therapy. Many minor invasive alternative treatment modalities have been developed in recent years. Read More

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December 2001
2 Reads

Obliterated urethra: holmium:yttrium-aluminum-garnet cut-to-light with urolume stenting.

Tech Urol 2001 Dec;7(4):266-70

Division of Urology, University of California, San Diego, California 92103-8897, USA.

Antegrade-retrograde urethrotomy, or the cut-to-light procedure, performed for obliterated urethra is associated with a high rate of recurrence of urethra] stricture. With the goal of reducing the stricture recurrence rate, we performed a modified cut-to-light procedure using a holmium:yttrium-aluminum-garnet laser and UroLume stenting in a 76-year-old man with urethral obliteration. Read More

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December 2001
2 Reads

United States experience with tension-free vaginal tape procedure for urinary stress incontinence: assessment of safety and tolerability.

Tech Urol 2001 Dec;7(4):261-5

Division of Urology, Washington University itv Schoof Medicineine, St. Louis, Misso .

Purpose: The tension-free vaginal tape (TVT) procedure is an operation for treatment of stress urinary incontinence. A polypropylene mesh tape is placed to support the midurethra through a small vaginal incision. In this study, we present our preliminary results evaluating the safety, tolerability, and perioperative morbidity of this procedure. Read More

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December 2001
6 Reads

Results of treatment with tamsulosin in men with acute urinary retention.

Tech Urol 2001 Dec;7(4):256-60

Section Urology, Department of Surgery, University of Chicago Pritzker School of Medicine, Chicago, Illinois 60637, USA.

Purpose: The aim of this study was to prospectively assess the outcome in men treated with temporary catheter drainage and tamsulosin after an episode of acute urinary retention (AUR).

Materials And Methods: Thirty-three consecutive men with AUR were treated with tamsulosin 0.4 mg daily for at least 4 days before a trial of voiding. Read More

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December 2001
2 Reads

Holmium laser resection of the prostate (HoLRP): 2-year follow-up data.

Tech Urol 2001 Dec;7(4):252-5

Department of Urology, New York Medical College, Valhalla, New York 10595, USA.

Purpose: The aim of this study was to evaluate the 2-year clinical outcome of patients who underwent holmium laser resection of the prostate (HoLRP) for management of benign prostatic hyperplasia (BPH).

Materials And Methods: All patients who underwent HoLRP before October 1995 were contacted by mail. Each patient completed an American Urological Association (AUA) symptom score index, a questionnaire, and a urinary flow rate. Read More

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December 2001
2 Reads

Corporoscopic-assisted removal of ruptured inflatable penile prosthesis.

Tech Urol 2001 Sep;7(3):249-50

Temple University Hospital, Philadelphia, Pennsylvania, USA.

Despite the recent availability of effective oral agents for treatment of erectile dysfunction, many patients do not respond to oral therapy and do not desire injection therapy. For some of these patients, inflatable prostheses remain an effective form of treatment for erectile dysfunction; however, prostheses are not without their own set of complications. The most common complications are infection and mechanical failure. Read More

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September 2001
2 Reads

Use of a urethral occlusion device for treatment of incontinence in a patient with heterotopic urinary diversion.

Tech Urol 2001 Sep;7(3):246-8

Department of Surgery, Medical College of Pennsylvania, Philadelphia, USA.

Incontinence is a frequent complication of continent cutaneous urinary diversion that usually requires surgical intervention for correction. We report a novel nonsurgical therapy for reservoir incontinence in a woman who underwent anterior pelvic exenteration with formation of an Indiana pouch urinary diversion for treatment of adenocarcinoma of the urethra. When she subsequently developed urinary incontinence that was only partially responsive to anticholinergic therapy, stomal continence was restored by using a disposable urethral occlusion device. Read More

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September 2001
5 Reads

Hypospadias repair using a modified Foley catheter (hole-end catheter).

Tech Urol 2001 Sep;7(3):241-5

Surgical Department, Menoufiya University, Cairo, Egypt.

Purpose: The aim of this study was to test the effectiveness of a modified Foley catheter for improving the results of hypospadias repair by decreasing the incidence of obstruction.

Materials And Methods: Seventy-two patients (age 3 to 21 years) with variable types of hypospadias were treated. Bladder drainage was performed by urethral catheter insertion. Read More

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September 2001
2 Reads

Effect of prostate size and isotope selection on dosimetric quality following permanent seed implantation.

Tech Urol 2001 Sep;7(3):233-40

Schiffler Cancer Center, Wheeling Hospital, West Virginia 26003-6300, USA.

Purpose: The aim of this study was to assess retrospectively the influence of prostate size and the effect of isotope selection on implant quality in patients undergoing transperineal ultrasound-guided permanent prostate brachytherapy.

Patients And Methods: Two hundred forty-eight consecutive patients without prior transurethral resection of the prostate gland underwent permanent seed implantation using either iodine 125 or palladium 103 as monotherapy or a boost following moderate doses of external-beam radiation therapy from January 1998 through November 1999. Postimplant dosimetry was obtained on day 0 using thin slice computed tomography (CT) scans. Read More

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September 2001
3 Reads

Male perineal sling.

Authors:
G M Ghoniem W Bryan

Tech Urol 2001 Sep;7(3):229-32

Section of Voiding Dysfunction, Female Urology & Reconstruction, Cleveland Clinic, Ft. Lauderdale, Florid, USA.

Purpose: Postprostatectomy incontinence remains a significant problem for both patients and their urologists. Treatment options include placement of an artificial urinary sphincter or collagen injections. Many patients with only minimal or moderate stress incontinence after prostatectomy shy away from AUS placement and do not benefit from collagen injections. Read More

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September 2001
4 Reads

Spiral ileal neobladder substitution with orthotopic ureteral reimplantation: early results.

Authors:
S D Beck M O Koch

Tech Urol 2001 Sep;7(3):223-8

Department of Urology, Indiana University School of Medicine, Indianapolis, USA.

Purpose: The aim of this report is to present our experience with the spiral ileal neobladder.

Materials And Methods: From September 1996 to August 1999, 39 patients (35 men and 4 women) underwent radical cystectomy and spiral ileal orthotopic substitution for muscle invasive bladder cancer. Seventy ureters in 37 patients were reimplanted orthotopically using the nonrefluxing Ghoneim technique. Read More

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September 2001
2 Reads

T-mechanism applied to urinary diversion: the orthotopic T-pouch ileal neobladder and cutaneous double-T-pouch ileal reservoir.

Tech Urol 2001 Sep;7(3):209-22

Department of Urology, Norris Comprehensive Cancer Center, University of Southern California, Los Angeles 90089, USA.

Purpose: As the evolution of lower urinary tract reconstruction continues, newer and improved forms of urinary diversion have developed. Critical components of continent urinary reservoirs included an antireflux and continent mechanism that is effective, durable, easily constructed, and associated with little morbidity.

Materials And Methods: We describe the flap valve known as the T-mechanism as it applies to an afferent antireflux mechanism in an orthotopic ileal reservoir (T-pouch) and as an antireflux and efferent continence mechanism in the continent cutaneous ileal reservoir (double T-pouch). Read More

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September 2001
3 Reads

Ureterointestinal anastomosis in continent urinary diversion: an antirefluxing procedure--is it necessary?

Authors:
M A Ghoneim

Tech Urol 2001 Sep;7(3):203-8

Urology-Nephrology Center, El Mansoura, Egypt.

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September 2001
2 Reads

Orthotopic urinary diversion with the ileal neobladder.

Tech Urol 2001 Sep;7(3):196-202

Department of Urology, University of California, San Francisco 94143-0738, USA.

Orthotopic lower urinary tract reconstruction is the procedure of choice in appropriately selected men and women requiring cystectomy. Despite extensive experience with this technique, no consensus exists regarding which intestinal segment or reservoir configuration provides the best results. Consequently, various bowel segments and neobladder designs have been described. Read More

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September 2001
2 Reads

Ureteroileal anastomosis in orthotopic urinary diversion: how much or how little is necessary?

Tech Urol 2001 Sep;7(3):188-95

Department of Urology, University of Innsbruck Medical School, Austria.

Purpose: An increasing number of patients with an orthotopic neobladder and their expanding life expectancy necessitate an effective antireflux protection of the upper urinary tract. During the evolution of urinary diversion in the 20th century, several techniques to perform an ureteroileal anastomosis have been introduced. Those techniques most commonly used for orthotopic neobladders are discussed. Read More

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September 2001
2 Reads

Contemporary concepts of urinary diversion.

Authors:
J P Stein

Tech Urol 2001 Sep;7(3):185-7

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September 2001
3 Reads

Tension-free vaginal tape and percutaneous vaginal tape sling procedures.

Tech Urol 2001 Jun;7(2):90-100

Section of Voiding Dysfunction and Female Urology, Urological Institute, Cleveland Clinic Foundation, Ohio 44195, USA.

Purpose: Midurethral synthetic sling procedures for treatment of stress urinary incontinence (SUI) are gaining increased attention from surgeons specializing in female pelvic reconstructive techniques seeking successful patient outcomes through reproducible simplicity. This report describes the procedural steps and methods used to maximize the potential for successful outcomes using techniques of midurethral synthetic sling placement. Reported complications and surgical outcomes are reviewed with respect to patient selection and minimizing the potential for morbidity and mortality as long-term clinical experience is accumulated. Read More

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June 2001
7 Reads

Polypropylene sling for treatment of stress urinary incontinence: an alternative to tension-free vaginal tape.

Tech Urol 2001 Jun;7(2):87-9

Department of Urology, University of California Los Angeles, 90024, USA.

Purpose: Sling procedures have been used successfully to treat stress urinary incontinence (SUI). We report our initial experience with the use of a synthetic polypropylene mesh for treatment of SUI. Based on similar surgical principles of cadaveric fascia sling, we describe placement of a thinly woven polypropylene mesh under the distal urethra. Read More

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June 2001
4 Reads

Current status of fascia lata allograft slings treating urinary incontinence: effective or ephemeral?

Authors:
E J Wright

Tech Urol 2001 Jun;7(2):81-6

Urology Department, Johns Hopkins Bayview Medical Center, Baltimore, Maryland 21224, USA.

Purpose: The aim of this article is to review the current state and technique of pubovaginal sling construction using cadaveric allograft fascia lata.

Materials And Methods: A MEDLINE search was conducted to identify articles in the current literature addressing applications of cadaveric allograft fascia lata for surgical reconstructive procedures.

Results: Current series evaluating cadaveric fascia lata allografts for pubovaginal sling find equivalent short-term outcomes when compared to autograft fascia. Read More

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June 2001
2 Reads

Male slings for postprostatectomy incontinence.

Tech Urol 2001 Jun;7(2):176-83

Department of Urology (MCSU), Wilford Hall Medical Center, Lackland, AFB, Texas 78236, USA.

Purpose: Over the past few years, there has been increasing interest in using male slings for postprostatectomy incontinence (PPI). Currently, three different forms of the male sling has been described: one using synthetic materials and two using human fascia or dermis. This article will give a historical perspective on the male sling and describe the surgical techniques and early results using two different types of male slings using fascia or dermis. Read More

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June 2001
2 Reads

Evaluation and management of female urethral diverticulum.

Tech Urol 2001 Jun;7(2):169-75

Department of Urology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.

The urethral diverticulum has many varied presentations; therefore, ultimate diagnosis may be difficult. Until recently, radiographic evaluation was difficult to perform, was uncomfortable for the patient, and had poor sensitivity. The increasingly widespread use of magnetic resonance imaging coupled with heightened awareness of the problem has enhanced the overall detection of urethral diverticula. Read More

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June 2001
2 Reads

Posterior vaginal wall prolapse: transvaginal repair of pelvic floor relaxation, rectocele, and perineal laxity.

Tech Urol 2001 Jun;7(2):161-8

Department of Urology, University of Pennsylvania School of Medicine, Philadelphia, USA.

Purpose: Posterior vaginal wall laxity is one manifestation of pelvic organ prolapse in the female. Recognition and repair of the inherent anatomical defects present in this condition are essential in order to ensure a satisfactory surgical result.

Methods And Materials: A successful operation for posterior vaginal wall prolapse will often involve repair of three discreet abnormalities in support of the posterior vaginal wall, including the pelvic floor, posterior vaginal wall fascia, and perineal musculature. Read More

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June 2001
4 Reads

Colpocleisis for the treatment of vaginal vault prolapse.

Tech Urol 2001 Jun;7(2):152-60

Department of Urology (MCSU), Wilford Hall Medical Center, Lackland, AFB, Texas 78236, USA.

Most females with total vault prolapse undergo reconstructive procedures to restore normal anatomy and function; however, elderly patients who no longer desire sexual intercourse or are medically unstable can be treated effectively with a vaginal closure or colpocleisis. The traditional approach to colpocleisis has been to simply invert the vagina using pursestring sutures after removing the vaginal mucosa. Although simple to perform, after repairing referred treatment failures who used this approach, we began to use a different approach that emphasizes the strength of an anterior repair and extensive posterior repair that then is sutured together. Read More

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June 2001
23 Reads

Repair of enterocele and vault prolapse: transvaginal culdosuspension.

Authors:
C V Comiter

Tech Urol 2001 Jun;7(2):146-51

Department of Urology, University of Arizona, Tucson, USA.

Purpose: Transvaginal culdosuspension for treatment of enterocele and vaginal vault prolapse is described. Surgical principles include high ligation of the hernia sac, obliteration of the cul-de-sac, and support of the vaginal cuff high on the levator plate. The normal vaginal axis is restored, and adequate vaginal depth is provided for normal sexual activity. Read More

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June 2001
2 Reads

Transabdominal approach to repair of vaginal vault prolapse.

Tech Urol 2001 Jun;7(2):139-45

Department of Urology, Louisiana State University Medical Center, Ochsner Clinic, New Orleans 70121, USA.

Purpose: To review the preoperative evaluation of women with vaginal vault prolapse and describe the surgical methods of treatment using a transabdominal approach.

Methods: Abdominal sacral colpopexy is the most widely performed method of transabdominal correction of vaginal vault prolapse. The procedure is completed by securing the apex to the vagina to the periosteum of the sacrum with mesh. Read More

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June 2001
7 Reads

Fast magnetic resonance imaging of pelvic organ prolapse.

Tech Urol 2001 Jun;7(2):133-8

Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Pelvic organ prolapse is abnormal displacement of the pelvic organs from their normal anatomical position. Patients may present with a variety of symptoms, including pain, incontinence, constipation, urinary retention, and defecatory dysfunction. Any combination of cystocele, rectocele, enterocele, sigmoidocele, peritoneocele, and prolapse of the vagina and uterus may occur. Read More

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June 2001
10 Reads

Surgical procedures for the treatment of urge incontinence.

Tech Urol 2001 Jun;7(2):126-32

Division of Urology, University of Texas-Houston Health Science Center, Houston 77030, USA.

Purpose: Cure of urge incontinence refractory to conservative management may require the application of several surgical techniques. The Ingelman-Sundberg bladder denervation procedure, detrusor myectomy, and augmentation cystoplasty are among the surgical possibilities aimed at dealing with severe urgency and uninhibited detrusor contractions.

Methods And Materials: A review of the literature was performed to evaluate surgical treatments for refractory urgency and urge incontinence with a focus on the Ingelman-Sundberg bladder denervation procedure, detrusor myectomy, and augmentation cystoplasty. Read More

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June 2001
3 Reads

Treatment options for outlet obstruction following anti-incontinence surgery in females.

Authors:
R D Cespedes

Tech Urol 2001 Jun;7(2):118-25

Department of Urology (MCSU), Wilford Hall Medical Center, Lackland, AFB, Texas 78236, USA.

Urethral obstruction following surgical treatment of stress incontinence can result in a wide spectrum of symptoms ranging from mild urgency to complete retention at its most extreme. Management of these symptoms can be challenging and requires a careful history, pelvic examination, and urodynamics in some instances. In patients refractory to medications or conservative measures, urethrolysis is commonly used to treat the underlying outlet obstruction. Read More

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June 2001
2 Reads

Delivery of injectable agents for treatment of stress urinary incontinence in women: evolving techniques.

Tech Urol 2001 Jun;7(2):110-7

North Texas Center for Urinary Control, Fort Worth, USA.

Purpose: Periurethral bulking agents continue to be used as a minimally invasive alternative for management of stress urinary incontinence in men and women. Agents and delivery techniques will be evaluated and compared.

Materials And Methods: The only agents currently approved by the United States Food and Drug Administration (FDA) include glutaraldehyde cross-linked collagen, autologous fat, and carbon bead/carrier gel technology. Read More

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June 2001
4 Reads

Inguinovaginal sling procedure for female stress incontinence: introduction of a minimally invasive technique.

Tech Urol 2001 Jun;7(2):105-9

Department of Urology, Medical School Magdeburg, Germany.

Purpose: The inguinovaginal sling procedure is well accepted for surgical treatment of female stress urinary incontinence. Although the functional results are excellent, the operative trauma is higher compared to that of more recently used minimally invasive techniques.

Materials And Methods: A modified inguinovaginal sling procedure was performed in 15 patients with urodynamically diagnosed intrinsic sphincter deficiency. Read More

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June 2001
2 Reads

In situ anterior vaginal wall sling.

Authors:
H B Goldman

Tech Urol 2001 Jun;7(2):101-4

Department of Urology, Case Western Reserve University, University Hospitals of Cleveland, Ohio 44106-5046, USA.

Purpose: The aim of this article is to review the indications, technique, and outcomes of the in situ anterior vaginal wall sling (AVWS) for treatment of female stress urinary incontinence.

Materials And Methods: The operative techniques and the published literature on outcomes of the AVWS were reviewed.

Results: Success rates in the range from 70% to 95% were noted. Read More

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June 2001
2 Reads

Effectiveness of denuding the intestinal mucosa by submucosal injection in the porcine model.

Tech Urol 2001 Mar;7(1):70-4

Section of Urology, Veterans Affairs Palo Alto Health Care System, California 94304, USA.

Purpose: Lack of mucosal regrowth on denuded bowel segments is considered a prerequisite for successful grafting of cultured urothelial cells for bladder augmentation. This study was designed to establish a technique for clean and complete de-epithelialization of the intestinal mucosa.

Materials And Methods: A segment of the small bowel was isolated in six microminipigs. Read More

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March 2001
2 Reads

Hand-assisted laparoscopic nephroureterectomy: description of technique.

Tech Urol 2001 Mar;7(1):7-11

Department of Urology, Thomas Jefferson University, Philadelphia, PA, USA.

Purpose: Traditional treatment of transitional cell carcinoma of the upper urinary tract (UTTCC) has been nephroureterectomy by open surgical techniques, often requiring two incisions. Our experience and technique for hand-assisted laparoscopic nephroureterectomy (HALNU) is reviewed.

Materials And Methods: Thirty-two patients had HALNU performed by one of three surgeons from August 1998 to October 2000. Read More

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March 2001
4 Reads

Practical approach to terminate urinary extravasation: percutaneous fistula tract embolization with N-butyl cyanoacrylate in a case with partial nephrectomy.

Tech Urol 2001 Mar;7(1):67-9

Department of Urology, Başkent University School of Medicine, Ankara, Turkey.

A 35-year-old woman who underwent partial nephrectomy had prolonged postsurgical urinary extravasation that led to a percutaneous fistula. A double-J catheter used as a ureteral stent during surgery was in place. A percutaneous pigtail nephrostomy was inserted on the 15th postoperative day but drainage continued. Read More

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March 2001
3 Reads

Use of in situ spermatic cord patch for inguinal lymph node dissection.

Tech Urol 2001 Mar;7(1):64-6

Department of Surgery, University of Maryland Medical Center, Baltimore 21201, USA.

Inguinal lymph node dissection for diagnosis of metastatic squamous cell carcinoma of the penis can cause significant morbidity and mortality for patients due to local wound breakdown, lymphedema, and vascular erosion. Various methods have been described to cover exposed femoral vessels to preserve their integrity, the most common being transposition of the sartorius muscle. We describe the successful use of in situ spermatic cord for coverage of the femoral artery and vein after inguinal lymph node dissection for squamous cell carcinoma of the penis in two patients. Read More

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March 2001
2 Reads

Southern Illinois University (SIU) sling-bone anchored semitendinosus.

Authors:
D E Neal L Foster

Tech Urol 2001 Mar;7(1):62-3

Division of Urology, SIU School of Medicine, Springfield, Illinois, USA.

We describe a new type of pubovaginal sling that uses autologous fascia and minimizes the discomfort of harvest. The harvest is technically easy. The results are comparable to those of other slings previously described. Read More

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March 2001
2 Reads

Comparison and clinical evaluation of hand-assist devices for hand-assisted laparoscopy.

Tech Urol 2001 Mar;7(1):57-61

Department of Urology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Hand-assisted laparoscopic surgery (HALS) is being used increasingly in urologic laparoscopy, particularly for laparoscopic nephrectomy. Hand-assist devices (HADs) facilitate the intra-abdominal placement of the hand during laparoscopy. There are currently three HADs available in the United States: the Pneumo Sleeve, the Handport, and the Intromit. Read More

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March 2001
44 Reads

Postoperative cystography is unnecessary following renal transplantation with parallel incision extravesical ureteroneocystostomy.

Tech Urol 2001 Mar;7(1):55-6

Department of Surgery, Oregon Health Sciences University, Portland 97201-3098, USA.

Purpose: To determine the need for postoperative cystography following extravesical ureteroneocystostomy for renal transplantation.

Materials And Methods: The clinical courses of 200 consecutive kidney transplant recipients who underwent urinary tract reconstruction by parallel incision extravesical ureteroneocystostomy were reviewed.

Results: Five of the 200 recipients did not have the study because of early mortality (1) or medical problems (4). Read More

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March 2001
3 Reads

Vesicoureteral reflux after ureteroneocystostomy: indications for postoperative voiding cystography.

Tech Urol 2001 Mar;7(1):50-4

Hasbro Children's Hospital, Brown University, Division of Urology, School of Medicine, Providence, Rhode Island, USA.

Purpose: The aim of this study was to determine the risk factors for vesicoureteral reflux following ureteral reimplantation to identify a population that can be safely excluded from postoperative voiding cystography.

Materials And Methods: We retrospectively reviewed the medical records of 273 patients who underwent ureteroneocystostomy for vesicoureteral reflux between 1990 and 1998 and recorded the postoperative renal ultrasonography and voiding cystography results.

Results: There were 273 patients (534 ureters) who underwent ureteral reimplantation. Read More

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March 2001
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Oral gabapentin (neurontin) treatment of refractory genitourinary tract pain.

Tech Urol 2001 Mar;7(1):47-9

Department of Urology, University of Pittsburgh School of Medicine, Pennsylvania, USA.

Purpose: Refractory genitourinary pain is a common but difficult condition to treat. Examples of chronic genitourinary pain include orchalgia, interstitial cystitis, pain after bladder suspension surgery, nonbacterial prostatitis, and genital pain related to lumbosacral neuropathy. We report our experience with oral gabapentin treatment for this condition. Read More

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March 2001
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