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Biomedical subjects

S N Rous

Publications and source records attributed to S N Rous.

At least 37 records · Page 2Linked to original sources
PubMed1978

A report on the present status of undergraduate urologic teaching in medical schools and some resulting recommendations.

At the request of the Education Council of the American Urological Association a survey of urologic teaching in America's medical schools was done. The most startling and distressing finding, based upon the study of 99 medical schools, was that more than half (52 per cent) of the schools do not require any clinical exposure to urology before graduation. Suggestions are offered, based upon the documented importance of urology in the delivery of primary care, for an approach to medical school curriculum committees to mandate the return of urology as a required subject in our schools.

Curriculum↗
PubMed1978

Ultrastructure and pathogenesis of human urinary calculi.

The ultrastructure of human urinary calculi was studied using scanning and transmission electron microscopy. The hydroxyapatite constituent of the stones was often present in the form of sperical aggregates of the minute apatite crystallites (1 to 10 mu in diameter). In most cases, the sperical apatite deposits consisted of concentric lamellae of crystallites. The spherical apatite deposits, described in detail for the first time in urolithiasis, were similar to those found in a variety of calcified tissues including nephrocalcinosis and malakoplakia.

Apatites↗
PubMed1977

Bladder outlet obstruction and inguinal hernia: incidence in males over fifty years of age.

Increased intra-abdominal pressure secondary to prostatic obstruction of the bladder outlet is frequently cited as an important factor in the formation of inguinal hernias in middle-aged and elderly males. However, as far as can be determined, the correlation of these two conditions has never been evaluated. Twenty-five male patients, aged fifty years or older, presenting for repair of inguinal hernia, were evaluated urologically, and the results are presented.

Aged↗
PubMed1977

Mesotheliomas of spermatic cord.

Mesotheliomas of the spermatic cord are exceedingly rare and scarcely mentioned in the urologic literature. An additional case of spermatic cord mesothelioma is presented and the literature reviewed.

Adult↗
PubMed1977

Self-emasculation: review of the literature, report of a case and outline of the objectives of management.

Self-emasculation is the end result of an unusual psychiatric disorder, which initially requires surgical treatment. Only 51 cases have been reported in the English literature since 1900. No previous attempt to preserve testicular androgen function by reimplantation or grafting has been reported. We describe an unsuccessful attempt to graft the testicles in subcutaneous thigh pockets. Microscopically, the biopsied autografts showed no viable interstitial or germinal testicular tissue. The objectives of the treatment of self-emasculation injury are restoration of anatomical and functional continuity of the urethra as a urinary channel, preservation of the capacity for sustained penile erection, preservation of testicular androgen activity, prompt psychiatric evaluation and treatment of the underlying illness, and restoration of the normal appearance of the scrotum.

Adult↗
PubMed1977

Retrospective study of 95 patients with staghorn calculus disease.

Medical records were reviewed for 95 consecutive patients hospitalized with a diagnosis of staghorn calculus disease. Of those patients in whom a conservative, non-operative approach was taken 30 per cent ultimately died of renal failure and/or sepsis. It is concluded that surgical intervention is the treatment of choice for patients with staghorn calculus disease.

Female↗
PubMed1977

Perinephric abscess: a review of 26 cases.

Herein we review 26 cases of perinephric abscess, analyzed according to incidence, etiology, laboratory findings, signs and symptoms, diagnosis, radiographic findings, operative procedures, mortality and associated diseases. Of the abscess cultures 67 per cent were gram-negative organisms, most commonly Proteus, and 76 per cent of the abscesses were directly attributable to renal causes, mainly nephrolithiasis. Diabetes mellitus occurred in only 3 of the 26 cases.

Abscess↗
PubMed1977

Severe metabolic acidosis as a complication of intravenous tetracycline therapy.

Tetracycline generally is believed to be a safe drug with relatively minor side effects. Serious irreversible renal damage and metabolic acidosis can occur in patients with azotemia. While the exact mechanism is unknown, the commonly reported nephrotoxic and metabolic effects of tetracycline are reviewed and an illustrative case is presented.

Acidosis↗
PubMed1977

Benign lesions of the tunica albuginea.

Although most testicular masses are malignant we present 7 cases to demonstrate that benign lesions of the tunica albuginea do occur and that these may be a source of diagnostic confusion. Consideration should be given to the possibility of a benign lesion of the tunica albuginea when the lesion is small, discrete, painless and projecting above the surface of the tunica albuginea. All of our patients were referred to us with a tentative diagnosis of testicular malignancy. We do not wish to decrease the importance of vigilance concerning testicular masses but the cases presented herein demonstrate that all masses of the testis are not malignant.

Adult↗