Search PubMed⌕ Search

Biomedical subjects

C J Devine

Publications and source records attributed to C J Devine.

At least 73 records · Page 4Linked to original sources
PubMed1979

Utricular configuration in hypospadias and intersex.

To evaluate the incidence and significance of an enlarged prostatic utricle in hypospadiac patients without underlying intersex 44 patients with the meatus located in the perineum, penoscrotal junction or proximal two-thirds of the penis were evaluated with cystourethroscopy immediately before the operation. There was an abnormally enlarged utricle in 57% of the perineal, 10% of the penoscrotal and none of penile hypospadiacs, for an over-all incidence of 14%. Concurrent analysis of a series of phenotypic male patients with hypospadias and intersex revealed a high incidence of enlarged utricle or the presence of a vagina masculinus. Utricular enlargement in itself does not indicate intersexuality but careful cystoscopic examination of its vault needs to be undertaken, searching for a cervix. An enlarged utricle can be a manifestation of delayed müllerian duct regression or decreased androgenic stimulation of the urogenital sinus.

Disorders of Sex Development↗
PubMed1978

Evaluation and treatment of patients with failed hypospadias repair.

Hypospadias repair is often accompanied by complications, some of which may be major. We herein analyze 70 patients whom we have seen and enumerate the defects, list the operative procedures that have been necessary to correct the lesions and illustrate the use of some of these techniques. Surgeons treating patients with hypospadias should have command of many techniques and use them aggressively with imagination and great care.

Humans↗
PubMed1978

The use of microsurgical denervation of the spermatic cord for orchialgia.

Orchialgia is a term that can only lead to confusion with regard to symptoms and etiology of the symptoms. It implies testicular discomfort or testicular pain that is intrascrotal. Testicular pain per se probably is appreciated in the lower abdomen and internal ring and not in the testicular body. Therefore, true orchialgia, namely testicular pain of unknown etiology, would be more appropriately described as lower abdominal pain (in the absence of any inflammatory ailments), which is worsened by testicular pressure or palpation. Treatment of the patient with orchialgia has been a difficult and often unrewarding clinical situation. Return to gainful activity without significant use of analgesics is the desired goal. Microsurgical testicular denervation has been used in 2 patients in an effort to achieve this goal without sacrifice of the testes.

Abdomen↗
PubMed1977

Hypospadias repair.

When we began our association for the purpose of treating hypospadias in the early 1950s we used a tube graft of full thickness skin in a 1-stage procedure. We have made modifications to improve the appearance of the glans and now use 1 of 4 procedures, dependent on the location of the urethral meatus. The procedures are described and our results are tabulated.

Child, Preschool↗
PubMed1977

Anterior urethral injuries: secondary reconstruction.

Secondary reconstruction of anterior urethral injuries should be delayed for 6 to 12 weeks after injury. Traumatic strictures of the urethra are repaired by application of full-thickness skin grafts by either incision of the stricture and patch graft or by excision of the urethra and tube graft, depending on the density of the urethral scar or defect.

Humans↗
PubMed1977

The adaptability of the glans flap in hypospadias repair.

In severe cases of hypospadias where a multiple-stage repair has been selected, a more functional repair has been selected, a more functional and cosmetic result is possible, without an associated higher complication rate, if the glans flap is incorporated into the final stage of the repair.

Humans↗
PubMed1977

Evaluation and treatment of patients with failed hypospadias repair.

Hypospadias repair is often accompanied by complications, some of which may be major. We herein analyze 70 patients whom we have seen and enumerate the defects, list the operative procedures that have been necessary to correct the lesions and illustrate the use of some of these techniques. Surgeons treating patients with hypospadias should have command of many techniques and use them aggressively with imagination and great care.

Abnormalities, Multiple↗
PubMed1977

Anterior urethral injury: etiology, diagnosis, and initial management.

Urethral injuries below the urogenital diaphragm may result from external trauma or instrumentation. The most severe complication is the development of a urethral stricture. Proper care of the acute injury will diminish this possibility. In the hands of an experienced perineal surgeon repair of the externally traumatized urethra should consist of urethral debridement, mobilization, spatulation, and primary anastomosis. If an experienced surgeon is not immediately available, a suprapubic tube should be placed after draining the perineum. When major injuries occur requiring life-saving procedures and immediate care of other problems, the urine should be diverted with a suprapubic tube and urethral repair carried out later.

Amputation, Traumatic↗
PubMed1976

Congenital anomalies associated with hypospadias.

We did a retrospective survey on 200 patients with hypospadias to determine what other congenital anomalies were present. The 56 patients with associated anomalies included 16 who had abnormal excretory urograms and 10 of these 16 patients had defects requiring surgical correction.

Abnormalities, Multiple↗
PubMed1976

Pyelocancerous backflow: a radiologic finding in renal malignancy.

Pyelocancerous backflow is a radiologic finding strongly suggestive of renal malignancy that has had little attention in the urologic literature. Its appearance is an ominous sign and, when present, renal adenocarcinoma invading the collecting system or infiltrating transitional cell carcinoma with parenchymal extension must be suspected. An illustrative case is presented and its significance is discussed.

Adenocarcinoma↗