The Journal of urology
-
The Journal of urology · Feb 2002
Randomized Controlled Trial Clinical TrialEvaluation of octylcyanoacrylate for wound repair of clinical circumcision and human skin incisional healing in a nude rat model.
Alternative methods of circumcision wound closure have been studied to decrease repair time and complications, and improve cosmesis. This study includes a clinical and a laboratory research portion. Clinical parameters, wound outcome, closure time and operative time were compared for octylcyanoacrylate and suture approximation of circumcision incisions. An in vivo incisional model using human foreskin was used to compare the wound breaking strength of octylcyanoacrylate and suture repair. ⋯ Circumcision wounds may be closed by octylcyanoacrylate with shorter wound closure and operative time than by suture. In an animal model of human skin healing, wound breaking stress after octylcyanoacrylate closure was equivalent to suture repair. Octylcyanoacrylate may be a useful alternative to suture closure for circumcision incisions.
-
The natural history of stone disease in children is not well defined. We evaluated the clinical outcome in children with urinary calculi. ⋯ Younger patients are more likely to present with renal calculi and less likely to pass these stones, probably due to the relatively larger stone burden and location. The passage rate for ureteral calculi is surprisingly consistent in all age groups with stones greater than 5 mm. rarely passing spontaneously. Half of the children 10 years or younger who present with urinary calculi have an identifiable metabolic disorder. Thus, all children with stones should undergo metabolic evaluation. In addition, these children are nearly 5-fold more likely to have recurrent stones than those with no identifiable metabolic disorder. Thus, they should be followed aggressively.
-
The Journal of urology · Feb 2002
Randomized Controlled Trial Clinical TrialLocal anesthesia for prostate biopsy by periprostatic lidocaine injection: a double-blind placebo controlled study.
We determined the efficacy of anesthesia for prostate biopsy by periprostatic lidocaine injection. ⋯ Periprostatic lidocaine injection is an effective method of anesthesia for prostate biopsy.
-
The Journal of urology · Feb 2002
Biography Historical Article Classical ArticleTransurethral prostatectomy: immediate and postoperative complications. a cooperative study of 13 participating institutions evaluating 3,885 patients. 1989.