Evaluation of impotent male by doppler ultrasound and cavernosography

Examination of the penile artery by duplex scanning in the assessement of impotence was evaluated in 140 impotent men. Scanning was by Technicare, Diasonic DRF400, and penile artery measurements were taken before and after intra-corporeal injection of papaverin hydrochloride 60 mg. The penile brachial index was measured in 80 patients and its predictive value compared with the resuls of duplex scanning and papaverine induced erection. On scanning evidence of good arterial in flow but poor erections, indirect evidence of venous leakage was assumed. The results showed that the deep artery responses best characterised the erectile response, with the dorsal artery being less helpful. All 30 patients with full erections following papavrine exhibited bilateral deep artery peak Velocities of > 25 cm/s, of the remaining 110 sub-optimal responders, 20 also has this finding; all had undergone dynamic cavernosograpliy, with 19 exhibited venous leakae. A critical value of deep artery response to attain erection is postulated, enabling more logical use of cavernosogrpahy. The penile/brachial index was shown to be suspected and it was concluded that duplex scanning is a useful, non-invasive method in the assessment of imptence

Single incision for prostatectomy and repair of inguinal hernia

Inguinal hernia has high incidence with benign enlargement of the prostate among elderly patients. The anatomical relation of inguinal hernia to the enlarged prostate raises the possibility of joint, concurrent surgical treatment of both disorders. A successful repair via a Pfannenstiel incision of 52 inguinal hernias [both direct and indirect] was reported in 50 patients who underwent retropubic prostatectomy, owing to benign enlargement of the prostate and/or operation on the urinary bladder and lower ureters. The results showed recurrence in one patient and no major complications in the wake of the combined operation. So, prostatectomy combined with inguinal hernia repair via retropubic approach can be safely used in urological and general surgical practice provided

Oxidized regenerated cellulose effect on local wound infection following surgery

This controlled prospective study was carried out to investigate the potential local antibacterial activity of a local hemostatic agent, oxidized regenerated cellulose [ORC-Surgicel]. One hundred and two cases were operated upon for various indications. Selected cases were located with ORC for local haemostasis of their surgical wounds. Results were compared with a control group for bacterial counts pre- and postoperatively. Preliminary reports suggested superior local antibacterial effect whenever ORC was used

Doppler stethoscope for evaluation of varicoceles in infertile men

The Doppler stethoscope was used to evaluate twenty-eight infertile patients with oligo-asthenospermia suspected of having varicoceles but with inconclusive physical examination, as well as two control groups: 38 infertile patients with clinically detectable varicoceles and a third group of normal fertile men [20]. The results obtained showed high accuracy and sensitivity rates. So we can recommend the pre and post operative use of Doppler stethoscope for evaluation of subclinical varicoceles as it is an easy, non invasive non time consuming and inexpensive diagnostic tool