[Surgery of the penile urethra].
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Biomedical subjects
Publications and source records attributed to K Bandhauer.
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Prostatic carcinoma often reveals two different forms of tumour growth: (1) vigorous, almost therapy-resistant local growth, with absent or very slow metastasis (group 1), and (2) slight local growth responsive to therapy, combined however with swiftly forming distant metastasis (group 2). Two groups of such patients were examined in relation to primary findings and clinical course. Two factors were found in which they markedly differ. (1) The histological findings: in group 1 significantly more mature cancer forms appeared. (2) TREATMENT: a strikingly higher number of transurethral resections were performed upon in group 2 patient. The difference in the clinical development of prostatic cancer seems to be due to variations in the biology (as yet unknown) but may be partly to operative interference.
On 4 male adults we demonstrated a congenital urethral diverticulum. The clinical symptomatology mainly showed the inflammatory micturition difficulties, while the obstructive micturtition symptomatology of the childhood was hardly registered by the patients. Injection and micturition urethrogram led to the diagnosis. The mostly additional obstructive effect of a diverticulum can be well diagnosed by urodynamic investigations (cystourethromanometry and uroflowmetry). We used the following treatment: removal of the membrane between diverticulum and urethra and resection of the urethral diverticulum with primary urethral obstruction. The advantages of an open approach in comparison to endoscopical therapy were pointed out.
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