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Biomedical subjects

S J Foley

Publications and source records attributed to S J Foley.

22 records · Page 2Linked to original sources

Long-term outcome of permanent urethral stents in the treatment of detrusor-sphincter dyssynergia.

OBJECTIVES: To evaluate the long-term efficacy of a permanently implanted urethral stent in the treatment of spinally injured patients with detrusor-sphincter dyssynergia. PATIENTS AND METHODS: Twelve patients underwent external sphincter stenting in our institution between 1988 and 1990. They were reviewed at least annually and investigated with serial urodynamic and ultrasonographic studies. RESULTS: Ten patients were followed for at least 5 years. Two patients required stent removal and five patients developed bladder neck obstruction requiring surgical intervention. There were no problems with stent migration, ulceration or infection. CONCLUSION: Stenting is an effective alternative to sphincterotomy in the long-term, although secondary bladder neck obstruction is a frequent problem.

Adult↗

Metastatic squamous cell carcinoma of the hand and review of the literature.

New cases of cancer amongst medical workers arising as a result of X-ray exposure are now rare. We record a case of a dentist who presented 11 years ago with a radiation induced squamous cell carcinoma of the ring finger of his left hand with massive axillary lymphadenopathy. Repeated exposure of his hands to diagnostic dental irradiation in his surgery had lead 16 years previously to a troublesome radiodermatitis which had been mistakenly diagnosed and had itself been treated with radiotherapy without effect. Management by amputation of the distal phalanx of the ring finger, debulking of the axillary lymphadenopathy with adjunctive radiotherapy to the axilla and chemotherapy, have been successful in achieving a prolonged disease free interval and satisfactory hand function.

Carcinoma, Squamous Cell↗

Partial excision of the clavicle for nonunion in National Hunt Jockeys.

National Hunt jockeys suffer a disproportionate number of clavicular fractures and their return to riding may be considerably delayed by refracture and symptomatic nonunion, with obvious implications. We report six such cases in which excision of the clavicular fragment distal to the fracture was associated with an early return to work and no recurrent injury to the shoulder.

Accidents, Occupational↗