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Biomedical subjects

J E Binard

Publications and source records attributed to J E Binard.

5 recordsLinked to original sources

Balloon dilation of the prostate. Critical evaluation.

We describe the results of prostatic balloon dilation in 7 patients with a follow-up of 9 months. Symptom scores dramatically fell in 5 patients (success rate 71%), which is confirmed by a significant improvement in peak flow in 4 of them. Two patients failed to improve and needed a subsequent intervention which revealed a stage A2 prostatic carcinoma in one. During subsequent open prostatectomy, a condition analogous to dilation with the Deisting dilator was seen. We conclude that the indications and results obtained with the balloon dilator are similar to those with the Deisting dilator.

Aged

Balloon dilatation of the external urethral sphincter: a case study.

A new and simple endoscopic treatment procedure of external urethral sphincters is described. The external urethral sphincter was dilated with a balloon catheter 25mm in diameter in a multiple sclerosis patient; the sphincter spasticity made intermittent catheterization impossible. Post dilatation, the resistance to catheterization completely disappeared and the urethral pressure profile showed a dramatic fall in sphincteric pressure. This fall in sphincteric pressure has remained at a normal post dilatation level at the time of submission of this article (7 months).

Adult

Transurethral sphincteric stimulation.

Electrical stimulation of the external urethral sphincter is a valuable aid in teaching sphincterotomies and transurethral procedures. It helps accurately locate the external urethral sphincter which should be transected totally during a sphincterotomy and left intact in a transurethral procedure.

Electric Stimulation