Showing papers in "BJUI in 1937"

THE PROSTATE AND THE ENDOCRINES: A Control Series*

Abstract: Summary 1 A number of theories have been devised to explain prostatic hypertrophy on an endocrine basis. None of these have been proved. 2 A number of endocrine preparations are in use in an attempt to replace surgery. 3 Such therapy is still in the experimental stage, and as in other experimental work, accurate controls are desirable. 4 A series of 93 cases of prostatic obstruction, treated by neither prostatectomy nor endocrines, is presented. 5 These cases had been followed over an average period of over four years. 6 A large number showed a sustained improvement after instrumentation alone. 7 This series may be regarded, (a) as a control series, (b) as a brief summary of the variability of the course of the disease without prostatectomy and as a reminder of the frequent apparent “cure” after minimal instrumentation. 8 Conclusions as to the efficacy of endocrine or other new methods of treatment are only valid if cases are followed up for a considerable period of time. 9 The period suggested is five years.

Carcinoma of the Penis

Abstract: Sixty-three patients with squamous cell carcinoma of the penis have been reviewed. The 3 year survival was 77%, and the 5 year survival was 59%. Prognosis was related to both clinical staging and histological grading. Stage I and II carcinomas were best treated by surgery alone. Stage III and IV carcinomas were best treated by local amputation of the penis combined with radiotherapy to the inguinal nodes. Surgery as a primary treatment for clinically positive nodes was successful in less than half the cases treated, and in this series was always followed by wound infection and lymphoedema. Tender, enlarged inguinal lymph nodes should be observed for up to 3 months following primary treatment, as a large percentage of these nodes are inflammatory and subside spontaneously.

Three unusual primary kidney tumours

Abstract: rounded mass was felt in the right lower abdomen and the left ureteric catheter passed across the midline towards the mass. Pyelograms by the intravenous and retrograde methods gave normal pictures of the right kidney pelvis and 110 picture of the left. The mass was removed by transperitoneal operation and proved to be almost entirely tumour tissue with only a small quantity of kidney tissue. Other cases of crossed ectopia are described from the literature. The writer

A case of pelvic single kidney

Abstract: Summary A case of pelvic single kidney with anuria is described; caused by an obstructing ureteric calculus. The patient was sixty-eight years of age and had had no complaints related to his urinary tract until two months before his death. He died five days after removing the stone, of post-operative lobular pneumonia.