British journal of urology
-
From 1962 to 1990, 231 inguinal and 174 ilio-inguinal lymphadenectomies were performed on 234 patients with penile carcinoma. The morbidity of inguinal lymphadenectomy included wound infection in 18%, skin edge necrosis in 61%, seroma formation in 5% of dissections, and lymphoedema in 25% of limbs. ⋯ Pre-operative radiation to the groin significantly increased the healing complications. The routine use of a myocutaneous flap for primary reconstruction of the groin following ilio-inguinal lymphadenectomy resulted in 100% primary wound healing and significantly reduced the post-operative hospital stay to a mean of 10 days.
-
The management of major renal lacerations after blunt trauma is still a matter of controversy. In this study, conservative treatment of major renal lacerations failed in 7 of 18 patients, leading to delayed surgery. ⋯ Computed tomography had a greater degree of accuracy than urography and ultrasonography in determining the extent of the injury and was more practical to perform than angiography. The results indicate that patients with significant extrarenal leakage on urography, angiography or CT should receive immediate surgical management.
-
Thirty-six radical prostatectomies were performed over an 8-year period; 25 suitable patients (70%) presented with symptoms of bladder outflow obstruction. In 15 cases (44%), initial digital rectal examination was not indicative of malignancy. ⋯ In 14 cases (41%) the pre-operative biopsy grade was different from the grade assigned to the tumour following radical prostatectomy. Radical prostatectomy is being performed with increasing frequency: trends in morbidity have been identified.
-
Sonography was performed in 7 patients with fracture of the penis and in 6 cases it demonstrated the exact site of a tear in the tunica albuginea. It was useful in the diagnosis and management of these patients.
-
The relationship between the presence of post-micturition residual urine and urinary tract infection is unclear. We have performed a retrospective analysis of 342 studies on bladder emptying and compared the incidence of bacterial infection and pyuria in patients with residual urinary volumes of more or less than 100 ml. ⋯ In cases where the residuals were > 100 ml 33/123 had evidence of pyuria and 19/109 infection. There was no significant increase in the rate of infection in patients with large residual urinary volumes, suggesting that there is no definite correlation between post-micturition residues and urinary tract infection.