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Microwave thermotherapy: long-term follow-up of 67 patients from a single centre. 微波热疗:对来自同一中心的67例患者进行长期随访。
Pub Date : 1998-08-01
A N Ghanem
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引用次数: 0
Penile perfusion and functional scintigraphy: preliminary clinical results before and after microsurgical revascularization. 阴茎灌注和功能显像:显微手术血运重建术前后的初步临床结果。
Pub Date : 1998-08-01
B Drawz, G Drawz, C Kittner, H Seiter, C Schuemichen

Objective: To determine the effect on penile haemodynamics of vascularization using the Hauri method for the treatment of erectile dysfunction of vascular aetiology, as assessed by penile perfusion and functional scintigraphy.

Patients and methods: Penile perfusion and functional scintigraphy were performed before and after penile revascularization by the Hauri method in 13 patients. The established method of scintigraphy was carried out using 10 MBq/kg body weight of 99m technetium pertechnetate for in vivo labelling of erythrocytes, modified by including an estimate of mean virtual blood inflow rate.

Results: In 10 of the 13 patients there was a significant increase in the mean virtual blood inflow rate after surgery (P < 0.01, Wilcoxon test). In three patients, the inflow rate was lower after surgery than before; Doppler ultrasonography showed an occluded anastomosis in these patients.

Conclusions: Penile vascularization using the Hauri method provides an objectively demonstrable improvement in penile haemodynamics in man. It is thus a sufficiently therapeutic procedure for treating erectile dysfunction of vascular aetiology and its effect greatly exceeds any 'psychological influence'.

目的:探讨Hauri法血管化治疗勃起功能障碍对阴茎血流动力学的影响,并通过阴茎血流灌注和功能显像评估其血管病因。患者与方法:对13例患者行Hauri法阴茎血运重建术前后进行阴茎灌注及功能显像检查。采用10 MBq/kg体重99m高技术酸锝对红细胞进行体内标记,并通过估计平均虚拟血流入率进行修改。结果:13例患者中有10例术后平均虚血流入率显著升高(P < 0.01, Wilcoxon检验)。3例患者术后血流流入率低于术前;多普勒超声显示吻合口闭塞。结论:使用Hauri方法的阴茎血管化提供了一个客观证明的改善男性阴茎血流动力学。因此,它是治疗血管病因性勃起功能障碍的一种充分的治疗方法,其效果大大超过任何“心理影响”。
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引用次数: 0
Idiopathic non-adrenal female pseudohermaphroditism. 特发性非肾上腺性女性假两性畸形。
Pub Date : 1998-08-01
Y Kojima, Y Hayashi, N Asai, S Sasaki, K Kohri
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引用次数: 0
Orthotopic bladder substitution by detubularized sigmoid using a new method of neovesicourethral anastomosis. 乙状结肠去管原位膀胱置换新膀胱尿道吻合术的新方法。
Pub Date : 1998-08-01
C R Bell, R Persad, M Moody
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引用次数: 0
The meandering collateral. An alternative for renal revascularization. 曲曲折折的侧枝。肾血运重建术的另一种选择。
Pub Date : 1998-08-01
G Gopalakrishnan
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引用次数: 0
A wall-incorporated valve for preserving continence: an experimental evaluation of a new technique. 一种用于保持自制的壁合阀:一种新技术的实验评价。
Pub Date : 1998-08-01
A Elbakry, H Gohar, I Khalaf

Objective: To describe a new continent valve incorporated as part of the wall of a urinary reservoir constructed from bowel.

Materials and methods: The technique was evaluated experimentally in 12 dogs; 40 cm of the distal ileum were isolated and the proximal 30 cm detubularized. The adjacent distal 7 cm of the intact ileum (valvular segment) was tailored around an 18 F catheter. The opened ileum plus the valve were doubly folded to form a pouch and the valvular segment incorporated as part of the pouch wall. The pouch was anastomosed to the trigone after subtotal cystectomy; the ureters were not manipulated. The pressure profile of the valve and ascending cystography were assessed 20 weeks after surgery and the inner layer of the valve examined histopathologically after the animals were killed.

Results: None of the 12 dogs showed leakage through the valve at maximum filling on ascending cystography. The urodynamic assessment verified the reliability of the valve in maintaining continence and there were no problems catheterizing the valve. The histopathological examination showed that the valve was covered by intestinal mucosa. The new continent valve is technically easy to construct: the procedure is not time-consuming. staples are unnecessary and the mesenteric vascular pedicle is not manipulated. A shorter ileal segment is used in constructing this valve than is required for the intussuscepted valve. The wall-incorporated valve seems to provide a reliable and easily catheterizable continent stoma.

目的:描述一种新的大陆阀合并作为尿库的一部分,从肠构建。材料与方法:对12只狗进行实验评价;回肠远端40cm分离,近端30cm去管。邻近的完整回肠远端7cm(瓣膜段)在18f导管周围进行裁剪。打开的回肠和瓣膜被双重折叠形成一个小袋,瓣膜段作为小袋壁的一部分。膀胱次全切除术后,将眼袋与三角区吻合;输尿管未被操作。手术后20周评估瓣膜的压力分布和上升膀胱造影,并在动物死亡后对瓣膜内层进行组织病理学检查。结果:12只犬在最大充盈时均未见瓣膜渗漏。尿动力学评估证实了瓣膜在维持尿失禁方面的可靠性,并且瓣膜置管没有问题。组织病理学检查显示瓣膜被肠黏膜覆盖。新的大陆阀在技术上很容易建造:这个过程并不耗时。不需要钉钉,肠系膜血管蒂不需要操作。在构造这种瓣膜时,回肠段要比肠套瓣膜短。结合壁的瓣膜似乎提供了一个可靠的和容易插管的大陆造口。
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引用次数: 0
Is the timing of post vasectomy seminal analysis important? 输精管结扎后精液分析的时机重要吗?
Pub Date : 1998-07-01
S J Foley, J M Lewin, A Adamson
{"title":"Is the timing of post vasectomy seminal analysis important?","authors":"S J Foley,&nbsp;J M Lewin,&nbsp;A Adamson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":9303,"journal":{"name":"British journal of urology","volume":"82 1","pages":"166"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20613962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The role of neoadjuvant chemotherapy for invasive bladder cancer. 侵袭性膀胱癌新辅助化疗的作用。
Pub Date : 1998-07-01
J A Martínez-Piñeiro, L Martínez-Piñeiro
{"title":"The role of neoadjuvant chemotherapy for invasive bladder cancer.","authors":"J A Martínez-Piñeiro,&nbsp;L Martínez-Piñeiro","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":9303,"journal":{"name":"British journal of urology","volume":"82 1","pages":"33-42"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20614154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A novel therapy for nocturnal polyuria: a double-blind randomized trial of frusemide against placebo. 一种治疗夜间多尿症的新方法:一项双盲随机对照试验。
Pub Date : 1998-07-01
G Williams, R Donaldson
{"title":"A novel therapy for nocturnal polyuria: a double-blind randomized trial of frusemide against placebo.","authors":"G Williams,&nbsp;R Donaldson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":9303,"journal":{"name":"British journal of urology","volume":"82 1","pages":"165-6"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20613961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pathological staging and biochemical recurrence after neoadjuvant androgen deprivation therapy in combination with radical prostatectomy in clinically localized prostate cancer. 临床局限性前列腺癌新辅助雄激素剥夺联合根治性前列腺切除术后病理分期及生化复发。
Pub Date : 1998-07-01
B R Hennenfent
{"title":"Pathological staging and biochemical recurrence after neoadjuvant androgen deprivation therapy in combination with radical prostatectomy in clinically localized prostate cancer.","authors":"B R Hennenfent","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":9303,"journal":{"name":"British journal of urology","volume":"82 1","pages":"166"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20613963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
British journal of urology
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