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Showing papers in "Urology in 1977"


Journal ArticleDOI
01 Nov 1977-Urology
TL;DR: Over a twelve-year period, surgical correction of varicocele was performed on 986 selected subfertile men, and the empirical use of postoperative human chorionic gonadotropin therapy improved results significantly.

262 citations


Journal ArticleDOI
01 Jan 1977-Urology
TL;DR: A functional organization of the integral reflexes which includes a modern concept of their role in the physiology of urine storage and micturition is presented and it is implicit that overactivity or functional failure of any one or combination of theintegral reflexes may cause a significant disorder of lower urinary tract function.

198 citations


Journal ArticleDOI
01 Jan 1977-Urology
TL;DR: Physiologic data indicate that bladder mucose can resist bacterial attachment, a function that is also disrupted by acid and recovers in less than twenty-four hours.

191 citations


Journal ArticleDOI
01 Dec 1977-Urology
TL;DR: It was concluded that stones larger than 8 mm. in width on x-ray films should be removed surgically, while in those smaller than 8 millimetre in width higher chances of spontaneous passage by expectant treatment would be anticipated.

190 citations


Journal ArticleDOI
01 Dec 1977-Urology
TL;DR: It is suggested that a new trial of pyridoxine should be undertaken in which the tryptophan metabolites are measured and that further study of intravesical instillation of chemotherapeutic agents is warranted.

179 citations


Journal ArticleDOI
01 Apr 1977-Urology
TL;DR: It is suggested that the areas of the bladder most frequently affected by precancerous lesions are the left and right lateral walls and the posterior wall, while the trigone and the dome are less frequently involved.

85 citations


Journal ArticleDOI
01 Apr 1977-Urology
TL;DR: Limited ureteroscopy can be carried out in adults, using a regular pediatric cystoscope, using this equipment now available in many hospitals.

84 citations


Journal ArticleDOI
01 Jun 1977-Urology
TL;DR: A case of gangrene of the bladder is reported which subsequently developed after embolization of the hypogastric artery and thrombophlebitis and Regeneration ofThe bladder occurred after temporary urinary diversion.

83 citations



Journal ArticleDOI
01 Feb 1977-Urology
TL;DR: This anomaly presumably develops secondary to faulty division or abnormal migration of the embryonic labioscrotal swellings and is associated with ectopic scrotum.

70 citations


Journal ArticleDOI
01 May 1977-Urology
TL;DR: To implicate further the surface mucoprotein as the factor responsible for preventing bacterial attachment to the bladder mucosa, rabbit urothelium was severely disrupted and allowed to regenerate for varying periods of time.

Journal ArticleDOI
01 Jan 1977-Urology
TL;DR: A review of the literature yielded 65 cases of malignant degeneration of this type of tumor and supports the concept that either condyloma acuminatum or the Buschke-Lowenstein tumor may precede or be associated with squamous cell carcinoma.

Journal ArticleDOI
01 Aug 1977-Urology
TL;DR: Review of ureteral injuries treated in the past ten years at the Los Angeles County-University of Souther California Medical Center revealed 9 cases of traumatic injury which escaped immediate recognition.

Journal ArticleDOI
01 Oct 1977-Urology
TL;DR: Urodynamic evaluation helped define the etiology of outlet obstruction when it was present in the boy with myelodysplasia, and a classification of bladder sphincter function is proposed.

Journal ArticleDOI
01 Apr 1977-Urology
TL;DR: Pressure studies revealed that the site of maximal urethral pressure was in the prostatic segment, the bladder neck was not tightly closed, and the normal tone of the external sphincter was inhibited, and alpha-adrenergic blockade produced a reduction in all pressure parameters in the posterior urethra.

Journal ArticleDOI
01 Nov 1977-Urology
TL;DR: Most lymphoceles may be managed conservatively initially, however, if surgery is required, open drainage and packing would appear to be the most reliable procedure.


Journal ArticleDOI
01 Jul 1977-Urology
TL;DR: Since July, 1975, 17 patients have had TUFD at the time of transurethral resection of the prostate; the diverticulum has shrunk in 9 cases and has totally disappeared in 5; follow-up is incomplete in 3 cases.

Journal ArticleDOI
01 Oct 1977-Urology
TL;DR: The role of persistent hyperactivity of detrusor and sphincter in recurrent urinary infection of childhood needs to be defined by a long-term longitudinal study; the high over-all recurrence rates of both covert bacteriuria and overt infection in girls still constitute a major medical problem.

Journal ArticleDOI
01 Mar 1977-Urology
TL;DR: Pelvic lymphadenectomy as a staging procedure in clinically apparent prostatic adenocarcinoma has long been recognized and its value appreciated and experience indicated this modality should be employed in selected cases of incidental adenOCarcinomas of the prostate.

Journal ArticleDOI
01 Jul 1977-Urology
TL;DR: A double blind balanced Latin-square study was conducted on 20 adult patients with decompensated bladders to determine the relative effectiveness of oral and parenteral bethanechol chloride (Urecholine) on the stretch response of bladder muscle.

Journal ArticleDOI
01 Feb 1977-Urology
TL;DR: Treatment with intravenous hydralazine was required to restore systemic blood pressure to a safe level and the reported association of indigo carmine with hypertension is reviewed.

Journal ArticleDOI
01 Oct 1977-Urology
TL;DR: The history, clinical findings, endoscopic appearance, and physiopathology of this disease is reviewed and the importance of the cancer incidence in the male patient is also stressed.

Journal ArticleDOI
01 Apr 1977-Urology
TL;DR: As a consequence of missile-tissue energy exchange, high-velocity missile wounds necessitate wide surgical debridement because of severe tissue contusion distant from the wound tract.

Journal ArticleDOI
01 Oct 1977-Urology
TL;DR: It appears that histamine effect is not mediated through either a cholinergic or an adrenergic mechanism, and was most marked in the body of the bladder, comparatively moderate in the base, and slight in the proximal urethra.

Journal ArticleDOI
01 Jan 1977-Urology
TL;DR: The anticholinergic and antispasmodic activity of atropine, propantheline, imipramine, and flavoxate were judged by each drug's ability to inhibit bethanechol chloride and barium chloride-induced canine detrusor contractions.

Journal ArticleDOI
01 Jun 1977-Urology
TL;DR: It is concluded, depending on several variables, that the advantages of nephrectomy usually justify the procedure.

Journal ArticleDOI
01 Jul 1977-Urology
TL;DR: A patient with mesonephric adenocarcinoma of the bladder is described, who is now apparently free of disease two years after a radical cystectomy and ileal conduit.

Journal ArticleDOI
01 Aug 1977-Urology
TL;DR: Percutaneous ureteral splinting using a modified catheter technique is described, and experience in treating 5 patients (4 with postoperative fistulas and 1 with stricture) is reported, suggesting the method offers an effective alternative to surgery in achieving uretersplinting and renal drainage.

Journal ArticleDOI
01 Aug 1977-Urology
TL;DR: In patients with Henoch-Schölein purpura and scrotal pain and swelling, a conservative approach with cautious observation appears justified.