ABSTRACT
Prostakath represents a new idea. The spiral shaped spring inserted in the prostatic urethra keeps the enlarged prostatic lobes compressing the urethra so far apart that self voiding is possible. The physiologic function of the external sphincter is maintained due to the special form of the spiral. Prostakath was inserted in 13 patients with benign prostatic hypertrophy who had long-term indwelling bladder catheters and anesthetic contraindications to an operation. Of the 13 patients 1 did not reach 3 months of follow-up due to removal of Prostakath. The remaining 12 patients were followed with clinical evaluation. urine cultures, retrograde urethrography and urine flow rates at 1 day and 3 months. Final evaluation at 3 months showed normal voiding in 83% of the patients with an absence of significant residual urine in all. In 8 patients (67%) urinary flow rates varied between 10 and 20cc per second and in the remaining it was less than 10cc per second. In 92 % of the patients follow up urine cultures were negative. We believe that placement of Prostakath permits selected patients to be freed from long-term indwelling bladder catheters. This is a valid alternatives a prostatic operation in high risk patients with benign prostatic hypertrophy.
Subject(s)
Humans , Catheters , Follow-Up Studies , Prostatic Hyperplasia , Urethra , Urinary BladderABSTRACT
Schwannoma also referred to as neurilemmoma, neurinoma, and perineural fibroblastoma, is an encapsulated nerve sheath tumor consisting of two components :a highly ordered cellular component (Antoni A area) and a loose, myxoid component (Antoni B area). It is usually solitary and may be benign or malignant, solid or cystic, encapsulated or diffuse. It is rarely occur in the retroperitoneal space. The term cellular Schwannoma is indicative of a Schwannoma composed predominantly of Antoni A type tissue. We report one case of retroperitoneal with brief review of literatures.
Subject(s)
Neurilemmoma , Retroperitoneal SpaceABSTRACT
Schwannoma also referred to as neurilemmoma, neurinoma, and perineural fibroblastoma, is an encapsulated nerve sheath tumor consisting of two components :a highly ordered cellular component (Antoni A area) and a loose, myxoid component (Antoni B area). It is usually solitary and may be benign or malignant, solid or cystic, encapsulated or diffuse. It is rarely occur in the retroperitoneal space. The term cellular Schwannoma is indicative of a Schwannoma composed predominantly of Antoni A type tissue. We report one case of retroperitoneal with brief review of literatures.
Subject(s)
Neurilemmoma , Retroperitoneal SpaceABSTRACT
The hyperprolactinemia is one of the common endocrinologic cause of impotence. If hyperprolactinemia is noted in serum of an impotence patient, the pituitary adenoma should be suspected. Recently we experienced a case of pituitary adenoma combined with impotence in 65 year old male. Herein we report this case with brief review of the literatures.