The Journal of urology
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The Journal of urology · Sep 1992
Review Case ReportsFemale fertility following extracorporeal shock wave lithotripsy of distal ureteral calculi.
This study was prompted by a spontaneous abortion in a 21-year-old woman following extracorporeal shock wave lithotripsy (ESWL ) of a distal ureteral calculus. To our knowledge, it is the first clinical retrospective study on the possible adverse effects of ESWL to the female reproductive tract. We analyzed treatment data and radiation exposure of 84 women in the reproductive period, and surveyed the patients by questionnaire, to which 67 (79.8%) responded. ⋯ Overall 7 children with no malformations or chromosomal anomalies were born to 6 patients. Miscarriages were noted in 3 patients (4.5%) but they occurred at least 1 year after ESWL. Our data suggest that ESWL of lower ureteral calculi is a safe and effective procedure, and does not affect female fertility or lead to increased teratogenic risk.
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The Journal of urology · May 1992
Review Case ReportsLaparoscopic orchiectomy and contralateral vasectomy in a patient with an abdominal testicle: a case report.
We present a case of a 38-year-old man with a unilateral intra-abdominal testicle and undesired fertility in whom orchiectomy and contralateral vasectomy were performed laparoscopically. Urologists have been using diagnostic laparoscopy in patients with nonpalpable testes to plan the definitive procedure when the testicle is present, and to avoid laparotomy in cases of testicular absence. This case of laparoscopic orchiectomy and vasectomy demonstrates that operative laparoscopy allows another subset of patients with cryptorchidism to avoid open laparotomy.
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The Journal of urology · Jun 1988
Review Case ReportsPenile plexiform neurofibroma: case report and review of the literature.
We report a rare case of a solitary plexiform neurofibroma of the penis. The patient had no other manifestations of von Recklinghausen's disease. The literature pertaining to neurofibroma of the penis is reviewed.
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The Journal of urology · Jan 1988
Review Case ReportsInverted papilloma of renal pelvis associated with contralateral ureteral malignancy and bladder recurrence.
We report a case of an inverted papilloma of the renal pelvis diagnosed at the same time as transitional cell carcinoma of the contralateral ureter. The diagnostic studies and surgical management are presented. Recurrence of an inverted papilloma in the bladder 1 year after treatment was confirmed histologically. Recurrence of this lesion and the association with urothelial malignancy suggest the need for close followup of patients with an inverted papilloma.