Urologii︠a︡ (Moscow, Russia : 1999)
-
Randomized Controlled Trial
[Efficacy of spinal-epidural anesthesia in elderly urologic patients].
Comparative efficacy of spinal anesthesia (SA), epidural anesthesia (EA) and spinal-epidural anesthesia (SEA) during surgery was studied in 72 urologic patients aged from 66 to 92 years. By the method of anesthesia the patients were divided into three groups: SA was used in group 1 (n = 24), EA--in group 2 (n = 27), SEA--in group 3 (n = 20). ⋯ The results of the comparison of the anesthesia method showed that SEA combines advantages of EA and SA and is a useful technique for urologic geriatric surgery as it is characterized by a rapid onset, complete analgesia, absence of toxicity of local anesthetics, adequate muscle relaxation of the spinal block; catheterization of the epidural space extends the area of anesthesia, prolongs the time of anesthesia and provides continuous postoperative analgesia. No cases of postdural puncture headache were observed.
-
The article reviews the defects of a statistical classification of urolithiasis in ICD-10. The main defect is the discrepancy of clinical diagnoses in case histories with statistical codes of ICD-10. A new coded classification of urolithiasis reflecting basic clinical characteristics of urolithiasis (a type and size of the stones, function of the kidneys, x-ray positivity and infection of the stones, chemical structure of the stones) is proposed. This coded classification can raise significance of statistical information about urolithiasis and optimize standards of the diagnosis and treatment of this disease.
-
Sixteen patients have undergone thickening phalloplasty with allogenic transplant alloplant. As the result of phalloplasty penis thickness increased by 16.7%. ⋯ The transplant showed excellent engraftment. Thus, allogenic transplant alloplant is an appropriate biomaterial for thickening phalloplasty.
-
The authors analyse treatment of 3235 patients with prepuce pathology aged from 8 days to 16 years, the results of the treatment of preputial sac pathology; describe clinical manifestations of phimosis (physiological, hypertrophic, cicatricial) in children; formulate treatment policy, indications and contraindications for conservative and surgical treatment; provide practical recommendations on hygiene and care for infant and young age boys.