The efficiency of cavernospongiosum shunt in the management of priapism was evaluated in 10 patients. Technical details such as the "Z" perineal incision and the opening followed by closure of the contralateral corpus cavernosum, at the time of corpora evacuation, can improve the local exposure and permits a more complete drainage of the corpus cavernosum, but did not improve our results when they were compared with other techniques for treatment of priapism. Penile flaccidity and preservation of sexual potency occurred in 6 (60%) and 5 (50%) patients, respectively, and no surgical complications were observed. Immediate penile flaccidity and regaining of physiologic erection were, however, not complete even in the successfully treated patients. The cavernospongiosum shunt does not seem to represent the definitive form of treating priapism. New knowledge about mechanisms involved in priapism has to be obtained, in order to improve the approach and the prognosis of this disabling condition.

Adolescent↗

PubMed1978

Bladder training and surgical correction of vesicoureteral reflux: useful association.

18 children, from 1 year of age to 15, presenting lower motor neuron bladder (myelomeningocele) were studied. All had overflow incontinence and urinary infection resistant to all trials of treatment, attributed to severe vesicoureteral reflux. The failure of training on bladder emptying for urinary infection control and/or the severity of reflux and its consequences over upper urinary tract, motivated the reflux surgical correction associated to bladder training as a first step alternative treatment to urinary diversion.

Adolescent↗

PubMed1977

Urinary incontinence: two cases of electronic stimulation after failing the Leadbetter technique.

Two cases of urinary incontinence treated by electrical stimulation after failing the Leadbetter technique are presented. Both were first seen bearing imperforated anus. They suffered several operations for correcting this pathology and further attempting to relieve complete urinary incontinence. After a trial with intrarectal stimulation one of them received an implant. The other continued to use the anal plug. In both cases the result has been satisfactory. Cine radiological documentation of the sphincteric action of the stimulated muscles was performed.

Child↗

PubMed1977

[Priapism].

Explore the source record for details and available documents.

Erectile Dysfunction↗

PubMed1975

Vesicoureteral reflux in patients in end-stage chronic renal failure.

Vesicoureteral reflux was observed in 19 of 180 patients (10.5%) with end-stage chronic renal failure. The underlying disease in the patients with reflux was chronic glomerulonephritis in 8.3%, chronic pyelonephritis in 28.5% and renal hypoplasia in 40%. Reflux was bilateral in 13 patients and unilateral in six. Most likely bladder dysfunction due to uremia may have been the cause of the reflux.

Adolescent↗

PubMed1975