ABSTRACT
A review was done of 100 consecutive patients with carcinoma of the bladder treated by 1 physician at 1 hospital from June 1982 to December 1986. Special reference was made to the possible effect of cigarette smoking on initial stage, initial grade and recurrences. There was no significant difference in terms of initial tumor stage or grade but smokers had significantly more recurrent tumors. Also, smokers had bladder recurrences after partial cystectomy and urethral recurrences after total cystectomy. The biochemical aspects of smoking as a risk factor in bladder carcinoma are reviewed briefly.
Subject(s)
Carcinoma, Transitional Cell/etiology , Neoplasm Recurrence, Local/etiology , Smoking/adverse effects , Urinary Bladder Neoplasms/etiology , Humans , Middle Aged , Risk FactorsABSTRACT
Hypothermia during transurethral resection of the prostate has received relatively little attention in the urologic literature. Allen in 1973 found that with the use of room-temperature solutions the temperature drop was linear and time related up to 105 minutes. The study did not record temperatures beyond that time. In the present study, the temperatures of 16 patients were monitored for at least six hours after onset of surgery. Some patients were mildly hypothermic (35 degrees C or 95 degrees F), but the average patient's temperature continued to drop for three hours after onset of surgery. At this time, the mean nadir was 35.6 degrees C (96 degrees F). The pathophysiology of cold in the elderly with specific reference to the cardiovascular system is discussed. Warm solutions are recommended for TURP.
Subject(s)
Body Temperature , Hypothermia, Induced , Prostatectomy/methods , Humans , Male , Postoperative Complications/prevention & control , Therapeutic IrrigationABSTRACT
A case is presented in which a patient had persistent pain in one hip after bilateral total hip replacement for rheumatoid arthritis. The diagnosis was elusive until at intrapelvic exploration the obturator nerve was found to be markedly stretched over a large bolus of intrapelvic methylmethacrylate. The patient was completely relieved postoperatively after the cement mass was removed.
