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Prostatic abscess owing to anaerobic bacteria.

Abscess of the prostate is seen infrequently. We report a prostatic abscess owing to anaerobic bacteria in a 46-year-old man with a 10-year history of irritable voiding symptoms. Preoperative computerized tomography confirmed the diagnosis of prostatic abscess, which was treated with transurethral resection and broad-spectrum antibiotics.

Abscess↗

Urologic complications of ileal bypass operation for morbid obesity.

Preoperative, operative and postoperative data from a sampling group of 435 ileal bypass patients have been tabulated and computer-analyzed. Genitourinary disorders other than stone disease have been insignificant. Patients with stones and those without stones have been compared and the significant data tabulated. The incidence of stone disease is 6 per cent. All but 1 stone consisted of calcium oxalate. Oxalate levels were normal preoperatively and elevated in 60 per cent postoperatively. The stone formers are among the heaviest members of the studied population, they have the greatest amount of ileum bypassed and the greatest amount of 1 year weight loss. Correlations between these observations and possible pathways of metabolic stone disease are made.

Body Weight↗

Horseshoe kidneys: a 40-year experience.

The results presented show that horseshoe kidney is a non-fatal anomaly of renal development that can be managed successfully by standard urologic procedures. Most clinical problems are caused by hydronephrosis and renal calculi. Careful attention to the anatomy, vasculature and drainage from renal pelves at the time of operation will assure good postoperative results. The Foley Y-V pyeloplasty is a highly effective procedure for relief of ureteropelvic junction obstruction in horseshoe kidneys. As with other genitourinary anomalies the presence of a horseshoe kidney should prompt a thorough urologic evaluation.

Adolescent↗