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Biomedical subjects

G H Badlani

Publications and source records attributed to G H Badlani.

At least 19 recordsLinked to original sources
PubMed1991

Intracavernous pharmacotherapy in psychogenic impotence.

Twenty-five men with psychogenic impotence but without serious psychopathology were considered for intracavernosal therapy with papaverine hydrochloride and phentolamine mesylate. A total of 20 proved suitable and began self-injection in conjunction with sex therapy; 8 patients had return of spontaneous erections without pharmacotherapy, although one of them needs to keep the medication in his refrigerator. The other 12 patients are continuing self-injection therapy. Psychotherapy with self-injection may be helpful in the management of psychogenic erectile impotence.

Adult↗
PubMed1991

Type IX Ehlers-Danlos syndrome: bladder diverticula with transitional cell carcinoma.

Patients with type IX Ehlers-Danlos syndrome have a tendency for development of diverticulae of the urinary bladder, and these often recur after surgical excision. We report on a patient with this syndrome in whom an extensively infiltrating transitional cell carcinoma developed in a diverticulum. To our knowledge, this is the first reported case of malignancy developing in a patient with type IX Ehlers-Danlos syndrome. The highly aggressive nature of the neoplasm is discussed in relation to the dampened desmoplastic response to the tumor, observed in this patient.

Carcinoma, Transitional Cell↗
PubMed1991

Endourology of lower urinary tract.

Two methods for obtaining percutaneous access to the bladder are described. Depending on whether or not urethral access is available an endoscopic or fluoroscopic technique may be applied. We have successfully performed suprapubic percutaneous cystolitholapaxy, antegrade fulguration of posterior urethral valves, antegrade cystourethroscopy as an adjunct for urethroplasty, and internal drainage of a bulbar urethral abscess. Endourologic techniques may be readily applied to the lower urinary tract and may be specifically indicated in certain situations.

Abscess↗
PubMed1991

Endopyelotomy.

Explore the source record for details and available documents.

Humans↗
PubMed1990

Management of benign prostatic hyperplasia. Alternatives to standard therapy.

Benign prostatic hyperplasia is a significant cause of morbidity in the elderly male population. The standard therapy for symptomatic prostatic obstruction has been prostatectomy by transurethral resection (TURP) or, less frequently, by open surgery. Innovative alternative treatments of benign prostatic hyperplasia, both surgical and nonsurgical, will be discussed. Additionally, an appraisal of TURP will be made.

Adrenergic alpha-Antagonists↗
PubMed1990

Intraoperative endourologic urethral manipulation.

These simple techniques are rapid and efficient ways to deal with intraoperative difficulties. The equipment required is readily available in most operating rooms where endourologic procedures are performed. The techniques can obviate open surgical procedures, thus decreasing the morbidity to the patient and creating significant cost savings for the provider.

Catheters, Indwelling↗
PubMed1990

Percutaneous bladder procedures.

Endourology must now include lower urinary tract pathology. The above techniques utilize equipment that is readily available in most centers performing percutaneous procedures. As with the upper tract endourology, the procedures performed in the bladder are likely to reduce morbidity and hospital stay, and in fact, many of these procedures are performed in the office setting under local anesthesia. Our experience was initially in the geriatric population but has now expanded widely, and we use this approach primarily in many bladder cases.

Abscess↗
PubMed1990

Assessment of urinary dysfunction in the elderly.

This article discusses the significance of specific signs and symptoms in the history and physical examination as they apply to the lower urinary tract in the geriatric population. The relevant use of urodynamics, cystoscopy, and other innovative techniques that aid in the assessment of urinary dysfunction will be covered.

Aged↗
PubMed1990

Cerebrovascular accidents. Urological effects and management.

Advanced age should not be a contraindication to the evaluation of a geriatric patient who presents with bladder dysfunction after a cerebrovascular accident. A team approach consisting of the geriatrician and the urologist is beneficial to the care of the patient. Once a problem has been identified, the pathophysiology can be worked out and a rational approach can be formulated for the patient. A return to continence in most patients is possible with a combination of medical and surgical treatment.

Aged↗
PubMed1988

Utility of Rigiscan and papaverine in diagnosis of erectile impotence.

The Rigiscan machine was used to measure nocturnal penile tumescence and rigidity in 41 men referred for evaluation of erectile impotence. In 6 patients, the Rigiscan was compared with the Tumistore and Snap-Gauge bands. Two patients achieved significant tumescence as measured by Tumistore, and 3 had significant tumescence as indicated by the breaking of two or three of the Snap-Gauge bands. None of these men achieved sufficient rigidity for intercourse as measured by the Rigiscan. Fourteen patients with organic impotence received intracorporeal injections of papaverine and were then monitored by Rigiscan. Six of the 14 were noted to have a Peyronie plaque. Of the remaining 8, 6 of these men achieved lasting erections sufficient for intercourse. The other 2 had erections that lasted ten minutes and were considered to have venous leak impotence. All patients with Peyronie disease had tumescence after papaverine injection, but in 5 the penis became rigid only at the base. Complications of papaverine injection were uncommon and minor. The Rigiscan and papaverine are useful in the diagnosis and management of erectile impotency.

Erectile Dysfunction↗
PubMed1988

Endopyelotomy versus open pyeloplasty: comparison in 88 patients.

We compared the results of the first 56 consecutive percutaneous corrections of ureteropelvic junction obstruction (endopyelotomy) at our institution with the most recent 32 consecutive cases of open pyeloplasty. The percutaneous procedure required less time (average 89.4 minutes versus 106.4 minutes for an open operation) and entailed less postoperative pain (60 per cent of the patients required an average of 4.7 unit doses of narcotics, whereas 88 per cent of the pyeloplasty patients required an average of 10.3 unit doses). The average hospital stay was less after endopyelotomy (average 6.2 versus 10.0 days) and return to normal activity occurred more quickly (average 19.8 versus 41.5 days). Endopyelotomy was successful in 87.5 per cent of the patients, with all failures being apparent within 6 weeks and they were easily correctable by traditional methods. Reported success rates of pyeloplasty ranged from 95 to 98 per cent.

Adolescent↗
PubMed1988

Treatment of ureteropelvic strictures with percutaneous pyelotomy: experience in 62 patients.

Percutaneous pyelotomy (endopyelotomy) is an endoscopic technique for the management of ureteropelvic junction obstruction. In a series of 62 consecutive patients, the success rate (measured by symptom-free status and improved uroradiographic findings) was 85%, including both primary and secondary obstructions. All failures were apparent within 3 months of the procedure and required open surgery. There were two major complications during the procedure. Our experience indicates that percutaneous pyelotomy is an effective alternative to traditional open pyeloplasty and has a similar success rate, lower morbidity, and a shorter recovery time.

Adolescent↗
PubMed1988

Stent for endopyelotomy.

There can be no single ideal stent, as each individual need requires a different type of stent. For endopyelotomy, at the present time, we think we have a stent that meets most of the criteria we set. From past experience, we are sure there will be further modifications and improvements in our quest for the ideal stent for this indication.

Catheters, Indwelling↗
PubMed1988

Complications of endopyelotomy.

Endopyelotomy is safe with a low risk of complications and a high chance of success given satisfactory percutaneous access to the kidney, adequate incision of the ureteropelvic junction, and proper stenting. The benefits of endopyelotomy are considerable. The postoperative morbidity is much less than that of an open operation, and the technique requires much less time, which may reduce the cost. Furthermore, the ureteral blood supply is undisturbed, which is an important advantage should open pyeloplasty be necessary. Complications of endopyelotomy will be further reduced as urologists gain experience and familiarity with the various endourologic techniques required.

Catheters, Indwelling↗
PubMed1987

Complications of percutaneous nephrolithotomy.

Of 582 patients who underwent percutaneous nephrolithotomy, 4% had complications. The most common complications were fever (23%) and bleeding necessitating transfusion (12%). Extravasation was seen in 7% of patients and transient ureteral obstruction in 6%. Other complications included pneumothorax or hydrothorax, pneumonia/atelectasis, paralytic ileus, nephrostomy-tube dislodgment or urine drainage from the flank lasting more than 1 week, significant infection, urinoma formation, renal pelvic laceration, ureteral avulsion, ureteropelvic or ureteral stricture, bowel injury, or escape of stone fragments into the retroperitoneum. Seven patients (1%) required immediate surgery: four to repair renal pelvic lacerations, one to repair a ureteral avulsion, and two to control bleeding after nephrostomy-tube removal when embolization failed. Four patients required delayed surgery for ureteral or ureteropelvic junction strictures, which may have been caused by a tissue reaction to the stones rather than by the procedure itself. There were two deaths--one from respiratory failure in a patient with severe interstitial pulmonary fibrosis and chronic renal failure and the other from myocardial infarction in an obese diabetic patient with hypertension.

Adult↗
PubMed1987

Percutaneous nephrostomy for endopyelotomy.

Percutaneous full-thickness incision and stenting of the ureteropelvic junction (endopyelotomy) relieved obstruction in 33 (87%) of 38 patients treated over a 2-year period. Proper placement of the percutaneous nephrostomy tract through a posterior middle calyx and of a guidewire across the ureteropelvic junction is necessary in order to gain access to the narrowed area with a rigid cutting instrument. Except in patients with long lesions, high insertion of the ureter, or an enormously redundant renal pelvis, endopyelotomy gives excellent results with less morbidity and a shorter recovery time than open pyeloplasty.

Humans↗