TRANSURETHRAL VESICAL COLD BIOPSY FORCEPS.
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Biomedical subjects
Publications and source records attributed to M J FEENEY.
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The cases of 50 patients in whom ileac segments were utilized in urological operations were reviewed. The complications were more prevalent in patients with malignant disease. The results were particularly gratifying in children with neurogenic vesical dysfunction. Evisceration was the most common of the serious immediate complications. The results were as good in cases in which the ureters were not "splinted" as they were when splinting catheters were used. Four deaths were recorded during the hospital stay. Overall, the procedure was thought to be satisfactory in the management of otherwise serious, and often hopeless, urologic problems.
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Reports of three patients with malignant and one with benign urachal tumor are presented. Survival of one patient in good health 11 years after removal of adenocarcinoma of a urachal cyst with vesical invasion is reported. Methods of diagnosis and treatment are discussed.
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Prostatectomy was done in 589 cases in a five-year period. The operation was done transurethrally in 530 cases of benign disease and in 50 cases of malignant lesions. In six cases of malignant disease and three of benign, open procedures were used. Results of transurethral prostatectomy were considered good or excellent in 94.4 per cent of the cases of benign hypertrophy and in 92 per cent of the cases of carcinoma. It was felt that radical perineal prostatectomy was advisable for early operable cases of carcinoma, but that the transurethral procedure was more suitable in almost all cases of benign hypertrophy.
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