RESUMEN
Oral calcium tolerance and urinary cyclic AMP testing was used in the evaluation of 61 unselected patients with stones. The oral calcium tolerance test was easy to perform and was useful in defining several distinct metabolic abnormalities contributing to calculous formation. Oral calcium tolerance testing is more precise than twenty-four-hour urinary calcium determination and should provide a means of determining proper medical treatment of urolithiasis. Urinary cyclic AMP was disappointing as a measure of parathormone activity.
Asunto(s)
Trastornos del Metabolismo del Calcio/diagnóstico , Calcio , AMP Cíclico/orina , Cálculos Urinarios/etiología , Adolescente , Adulto , Anciano , Trastornos del Metabolismo del Calcio/complicaciones , Diagnóstico Diferencial , Femenino , Humanos , Hiperparatiroidismo/complicaciones , Hiperparatiroidismo/diagnóstico , Masculino , Persona de Mediana Edad , Hormona Paratiroidea/sangre , Estudios ProspectivosAsunto(s)
Neoplasias Esofágicas/cirugía , Hemangioma Cavernoso/cirugía , Adulto , Anciano , Diagnóstico Diferencial , Neoplasias Esofágicas/diagnóstico por imagen , Esofagoscopía , Femenino , Hemangioma Cavernoso/diagnóstico , Hemangioma Cavernoso/diagnóstico por imagen , Humanos , Leiomioma/diagnóstico , Masculino , Persona de Mediana Edad , RadiografíaAsunto(s)
Prótesis e Implantes , Vejiga Urinaria , Incontinencia Urinaria/cirugía , Humanos , MasculinoRESUMEN
Transrectal ultrasound and TRUS-guided needle biopsy was studied in office practice to detect prostate cancer in men with palpably irregular prostates or elevated tumor markers (PAP/PSA). Of 330 men examined, 118 had TRUS biopsy: 33 were positive for adenocarcinoma, 13 were small volume, low stage lesions treated by R.R.P. Twenty-eight percent of all patients biopsied had adenocarcinoma: 11% (13) had low volume, low stage disease potentially curable by radical surgery, representing 4% of the total studied. TRUS in combination with markers does aid in the diagnosis of low stage prostatic adenocarcinoma. It is a practical, useful, office-based urologic procedure.
Asunto(s)
Adenocarcinoma/diagnóstico , Neoplasias de la Próstata/diagnóstico , Ultrasonografía/métodos , Adenocarcinoma/cirugía , Procedimientos Quirúrgicos Ambulatorios , Masculino , Neoplasias de la Próstata/cirugía , RectoRESUMEN
Erectile impotence has been a problem for the patient and a frustration for the physician since the beginning of medical history. The inflatable penile prosthesis rapidly is becoming the standard for treatment of organic erectile impotence. A technique is described for implantation through a single midline scrotal incision. Intra-abdominal reservoir placement is possible through this incision. The technique shortens operative time and hospital stay, and minimizes postoperative patient discomfort. Of the 31 patients who have been managed in this way the postoperative course for 18 is more than 12 months. The results as judged by patient and sexual partner have been excellent to date.