The Journal of urology
-
The Journal of urology · Jun 1980
Vesicostomy for the temporary diversion of the urine in small children.
Vesicostomy was done as a means of temporary urinary diversion in 16 children less than 3 years old. Adequate urinary drainage was not present in these children yet definitive corrective measures were not considered advisable. The good results achieved sugges that this operation is ideally suited for this purpose.
-
The Journal of urology · Jun 1980
Case ReportsCushing's syndrome: complication of triamcinolone injection for urethral strictures in children.
We report 2 cases of Cushing's syndrome following intralesional triamcinolone acetonide injections of urethral strictures in children. The pharmacology of triamcinolone and its 2 parenteral forms, triamcinolone acetonide and triamcinolone diacetate, is discussed. For children we recommend the short-acting triamcinolone diacetate at 4-week intervals with dosage adjusted to age. In adults either type of triamcinolone may be used but triamcinolone acetonide should be given at 6-week intervals.
-
The Journal of urology · Feb 1980
The effect of bladder function on the dynamics of the ureterovesical junction.
Upper tract perfusion studies in suspected ureterovesical junction obstruction should always be performed with measurement of intravesical pressure and with variation in bladder volume. Obstruction observed with increasing bladder volumes may be related to a non-compliant bladder wall, mechanical obstruction at or near the junction itself or a combination of both factors.
-
The Journal of urology · Feb 1980
Prevention of obturator nerve stimulation during transurethral surgery.
The obturator nerve passes in close proximity to the inferolateral bladder wall, bladder neck and lateral prostatic urethra. During a transurethral operation resection in these areas may result in stimulation of the obturator nerve, causing violent adductor contraction and possible inadvertent bladder perforation. ⋯ Local anesthetic blockade of the obturator nerve as it passes through the obturator canal if effective for adductor spasm during spinal anesthesia. We herein describe the anatomy, pharmacology, technique and results of local obturator nerve blockade.
-
The Journal of urology · Nov 1979
Urinary tract infections occurring in recent spinal cord injury patients on intermittent catheterization.
During a 28-month interval 70 spinal cord injury patients in the initial rehabilitation hospitalization underwent 5,052 days of intermittent catheterization. Intermittent catheterization was done with a sterile technique and a neomycin-polymyxin irrigant. At the time of transfer to our facility 39 patients were using Foley catheter drainage but no difficulty was encountered when these patients were changed to intermittent cateterization. ⋯ Infections caused by organisms susceptible to the irrigant containing neomycin-polymyxin occurred almost exclusively in patients catheterized 3 or fewer times daily. Infection was rare after 3 months on intermittent catheterization. Intermittent catheterization with our technique poses little infection hazard and can be introduced readily in acute spinal cord injury patients before transfer to specialized facilities.