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Biomedical subjects

H H Henry

Publications and source records attributed to H H Henry.

6 recordsLinked to original sources

Urological applications of butorphanol tartrate: postoperative pain and renal colic.

The analgesic efficacy and safety of butorphanol tartrate are discussed in 2 groups of patients who underwent urological procedures. The first group of 83 patients is presented as a retrospective review of the postoperative use of butorphanol. The second group of patients was involved in a double-blind, randomized comparative trial of butorphanol (2 or 4 mg) and meperidine (80 mg) for the relief of moderate to severe pain due to renal colic. Eighty-three patients with documented upper urinary tract calculi were evaluated for efficacy; 120 patients were evaluated for safety. Butorphanol 4 mg (i.m.) was more effective than butorphanol 2 mg (i.m.) and equivalent to meperidine 80 mg (i.m.). There were no statistically significant differences among the three treatment groups in regard to side effects. Overall, in the urology patients studied, butorphanol was found to be an effective and well tolerated agent that possesses important safety advantages when compared with the narcotic analgesics.

Adolescent↗

Megalourethra.

Two cases of megalourethra are presented, the ninth and tenth cases to be documented in the literature. Both patients exhibited mesodermal abnormalities which justify categorization among the minor forms of prune belly syndrome. One patient, the youngest to have undergone surgical correction, presented with azotemia, dilated posterior urethra, megacystis, and megaureters. The second patient with incomplete or scaphoid form of megalourethra also exhibited undescended testis, corrected by orchiopexy at the time of urethoplasty. In all instances the goal of treatment is preservation of renal function with subsequent functional and anatomic reconstruction of the urinary tract.

Child, Preschool↗

Ureteral calculi: review of 17 years of experience at a community hospital.

In the last 17 years 3,150 patients have been treated by one or both of us for ureteral calculous disease. Our operative mortality is zero and our operative morbidity is 0.68 per cent, with an over-all morbidity of 0.8 per cent. We believe that stone extractions decrease the length of hospital stay and the time lost from industry, home or school. Thus, it is a worthwhile, effective and safe procedure. We agree with other investigators who believe that ureteral catheters and antibiotics are not necessary for routine stone extraction. We will await further word on the etiology of this endemic disease.

Adolescent↗