Pathology and genetics of tumours of the urinary system and male genital organs

Transurethral prostatectomy: Immediate and postoperative complications. A cooperative study of 13 participating institutions evaluating 3,885 patients

https://www.fertstert.org/article/S0015-0282(02)03105-9/pdf

Best practice policies for male infertility

A methods and apparatuses for ablation or hyperthermic treatment of body tissue are disclosed, wherein the application of radio-frequency ablative or hyperthermic energy is accompanied by the infusion of a conductive solution into the tissue, such that a virtual electrode is created. The virtual electrode results from the increased conductivity of the tissue in the area being treated due to the presence of conductive solution, such that the area of tissue being treated is enlarged as compared with non-fluid-assisted application of energy. In one embodiment, a catheter having a hollow helical electrode/needle on the distal end thereof is provided, such that the electrode/needle can be screwed into the tissue to be treated. A conductive fluid, such as saline, saturated saline, or Ringer's solution, is infused into the tissue to be treated via the hollow electrode and a lumen extending along the length of the catheter. In another embodiment of the invention, an implantable infusion port for fluid-assisted ablation and/or hyperthermia is provided with an elongate catheter having a hollow electrode/needle on the distal end thereof. The port is subcutaneously implanted with the electrode/needle situated within the tissue to be treated. A percutaneous needle facilitates the introduction of conductive fluid and/or chemotherapeutic agents into the tissue via a lumen in the catheter and the hollow electrode/needle. The percutaneous needle also makes electrical contact with a conductor in the catheter, such that as fluid is being introduced into the tissue, radio-frequency energy may be applied to the tissue being treated.

Method and apparatus for RF ablation and hyperthermia

Introduction The use of imaging techniques such as ultrasound (US) and computed tomography (CT) has increased the detection of asymptomatic renal cell cancer (RCC). In addition, during the last 10 years, mortality rates have stabilised and even declined in some European countries. The peak incidence of RCC occurs between 60 and 70 years of age, with a 3:2 ratio of men to women. Aetiological factors include lifestyle, such as smoking, obesity and hypertension. The most effective prophylaxis is to avoid cigarette smoking and obesity.

https://uroweb.org/wp-content/uploads/10-Renal-Cell-Carcinoma_LR1.pdf

Guidelines on Renal Cell Carcinoma

Controlled trial of high spermatic vein ligation for varicocele in infertile men

Dissatisfaction with the long-term results of cutaneous urinary diversion and a demand for a more socially acceptable solution have prompted the development of procedures that allow continent urinary diversion. Creation of an internal reservoir from reconstructed bowel segments, which is anastomosed to the patient's urethra and allows continence and urination through the urethra, is a particularly attractive option. We describe a technique that is relatively easy to perform and that incorporates a detubularized right colonic segment. The advantages of this procedure are discussed.

Bladder Replacement With Use of a Detubularized Right Colonic Segment: Preliminary Report of a New Technique

We describe a 61-year-old patient with primitive neuroectodermal tumor (PNET) arising from the kidney. Despite intensive treatment including surgery, combination chemotherapy and radiotherapy, rapid progression of the tumor was encountered and the patient died within six months with widespread disease. This appears to be the first recorded case of PNET of the kidney. © 1994 Wiley-Liss, Inc.

Malignant peripheral primitive neuroectodermal tumor (PNET) of the kidney

Reconsidering the necessity of ipsilateral adrenalectomy during radical nephrectomy for renal cell carcinoma.

Spermatic venography was performed in 140 patients; the main indications were subfertility and abnormal spermatogenesis. Of these 140 patients, 113 had positive examinations, with 33 of them having bilateral varicoceles. Of 146 total varicoceles demonstrated, 42 were found on the right side; the advantage of using the jugular vein approach in both the diagnosis and percutaneous treatment of these cases is stressed. Of the 146 varicoceles, 128 were successfully occluded using spring coils. Because of the frequency of bilateral subclinical varicoceles, spermatic venography and percutaneous embolization is recommended in all men with subfertility and oligoteratoasthenospermia.

Benad Goldwasser

Papers

Controlled trial of high spermatic vein ligation for varicocele in infertile men

Bladder Replacement With Use of a Detubularized Right Colonic Segment: Preliminary Report of a New Technique

Malignant peripheral primitive neuroectodermal tumor (PNET) of the kidney

Reconsidering the necessity of ipsilateral adrenalectomy during radical nephrectomy for renal cell carcinoma.

Percutaneous venography and occlusion in the management of spermatic varicoceles.