Biomedical subjects
Publications and source records attributed to M I Resnick.
Two children with priapism are presented; one case was secondary to trauma and the other was idiopathic in nature. Both boys were effectively treated by bilateral corporosaphenous shunts. The mechanism of normal erection and the pathophysiology of priapism are discussed.
Two patients with eye metastases from widely disseminated transitional cell carcinoma of the bladder are described. Factors relating to patient survival and the rate of metastases of transitional cell malignancies are discussed.
Accurate diagnosis and staging of carcinoma of the prostate is essential to rational management of this disease. Once dissemination outside the periprostatic area is established, treatment is essentially limited to systemic efforts to control or suppress tumor growth and local efforts to minimize secondary effects of tumor deposits. Disseminated tumor limited to pelvic nodes constitute a possible exception to this statement since excisional and radiotherapeutic efforts to eradicate these foci may be successful. At the present time, changes in a number of objective and subjective parameters are utilized to assess the effect of therapeutic endeavors. When these are taken as a group and combined with a clinical judgement, they undoubtedly have merit. On the other hand, when utilized in a relative fashion as isolated indicators of tumor responsiveness or recurrence, their value is limited. Since most patients with disseminated carcinoma of the prostate die from their disease, critical analysis of survival data is at present likely to provide the most accurate assessment of a therapeutic endeavor. Estrogen administration or orchiectomy seem to be the systemic measures which combine relatively limited risk of morbidity with the greatest hope of initially controlling disseminated carcinoma of the prostate. Of these, evidence suggests that low dose estrogen therapy, 1 mg stilbestrol daily, provides the best opportunity for long-term control. Although length of survival does not seem to depend on the time at which the therapy is instituted, our prejudice is usually to start treatment when dissemination is recognized. The hope of providing a longer period of a better life by this practice requires evaluation. Combining local measures such as transurethral resection with systemic measures may add to patient comfort and longevity. Recurrent progression of tumor after initial hormonal measures in often difficult to recognize and accept. In patients with recurrent tumor activity, measures based on the concept of persistence of hormone dependence have produced disappointing results. More sophisticated selection techniques may identify a small group of patients in whom this approach is likely to produce desirable changes. For the most part chemotherapeutic agents hold greater promise of effective therapy in this group of patients.
An experimental model has been developed for perfusing intact canine prostates in vitro. The glands maintain normal anatomic and histologic appearance and function in a physiologic fashion. Estradiol has been shown to augment testosterone uptake by the prostatic cell. The implications of these findings are discussed.
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Sexual medicine is unique in that it permeates throughout various medical specialties, without having its own defined borders. Urology, gynecology, primary care, endocrinology and cardiology are connected to sexual medicine to varying degrees. Should sexual medicine be a requisite part of the aforementioned teaching programs? Dr Martin Resnick, Lester Persky Professor and Chairman, Department of Urology, Case Western Reserve University, provides a perspective on this topic.