ABSTRACT
Diagnostic potential of infrared extracorporeal thermography (IET) was studied in 334 males: 167 with testicular tumors, 42 with acute or chronic epididimitis, 33 with orchitis, 17 with hydrocele and 75 controls. To assess thermography more objectively in large-size testicular tumors and bilateral lesions, a new thermographic criterium T3 was used. IET sensitivity, specificity and efficacy in testicular cancer made up 92.9%, 89.8% and 91.4%, respectively. In view of its safety, high efficacy, noninvasiveness and simplicity this method has perspectives in diagnosis of testicular diseases.
Subject(s)
Testicular Neoplasms/diagnosis , Thermography/methods , Adolescent , Adult , Aged , Diagnosis, Differential , Epididymitis/diagnosis , Evaluation Studies as Topic , Humans , Male , Middle Aged , Neoplasm Staging , Orchitis/diagnosis , Testicular Hydrocele/diagnosis , Testicular Neoplasms/pathology , Testis/pathology , Thermography/instrumentationABSTRACT
An original procedure for supravesical urinary diversion to a small intestine pouch, intended to facilitate urination following pelvic exenteration, is suggested. Post-operative complications are minimized due to formation of a "dry" urinostomy, reduced pressure in the pouch and absence of reflux-pyelonephritis. If required, urine flow can be channeled to the pouch by connecting the sigmoid colon to the anal canal. Said procedure offers optimal advantage of rehabilitation as far as urine channeling is concerned.
Subject(s)
Pelvic Exenteration , Urinary Reservoirs, Continent/methods , HumansABSTRACT
Five hundred and sixty-two males, aged 15-50 years, were questionnaired to assess their knowledge about testicular cancer, its early symptoms, treatment and role of self-examination in early diagnosis of tumor. Only 25 (4.5%) respondents answered all 9 questions correctly whereas 93 (16.6i%) failed completely. On the average, each respondent gave a correct answer to four questions out of nine. The study pointed to very poor knowledge about testicular cancer among young males. This calls for making educational effort to improve the situation.
Subject(s)
Health Knowledge, Attitudes, Practice , Testicular Neoplasms/diagnosis , Adolescent , Adult , Chi-Square Distribution , Georgia (Republic)/epidemiology , Humans , Male , Middle Aged , Surveys and Questionnaires , Testicular Neoplasms/epidemiology , Time FactorsABSTRACT
Cystectomy with derivation of urine into large bowel reservoir was performed in 35 cases of bladder cancer including five females. Four patients (11.4%) died postoperatively. In patients with partial or complete ileocecal valve failure, the best functional results were obtained with formation of intussusceptum in the area of the ileum stoma. The reservoir volume increased with time, reaching 750 +/- 57.9 ml by the end of the second year. Within the same period, pressure in the totally filled reservoir decreased from 32 +/- 1.7 to 18 +/- 4.3 un. Postoperative monitoring of anatomic structure of the kidneys showed improvement in urine passage. Wide integration of the procedure discussed with practice will improve results of bladder cancer treatment.
Subject(s)
Cystectomy , Urinary Bladder Neoplasms/surgery , Urinary Diversion , Female , Follow-Up Studies , Humans , Male , Middle Aged , Postoperative Complications , Time Factors , UrodynamicsABSTRACT
Eighteen patients with cancer of the urinary bladder underwent cystectomy with formation of a large intestinal reservoir for urine. The terminal large intestinal portion, 15-20 cm, the cecum, the ascending colon, and the hepatic angle of the colon were excluded to produce a reservoir from the intestinal tube. Appendectomy was performed. The continuity of the intestinal tube was restored via ileotransversostomy. The ureters were retroperitoneally grafted into the cecum by using antireflux and antistricture techniques. The ileocecal valve was clinico-anatomically examined. A device restraining urine was formed on an individual basis in relation to the function of Bauhin's valve. Cutaneous urinostoma ("dry") was formed epicutaneously in the right iliac region below the umbilicus. Three patients died in the postoperative period. Complete urine keeping was observed in 14 of 15 patients. The maximal capacity of the reservoir is 500 ml, the pressure is 30-40 cm H2O. Homeostasis and intestinal function were found to be normal.
Subject(s)
Urinary Diversion/methods , Adult , Aged , Cadaver , Cystectomy , Female , Humans , Ileocecal Valve/surgery , Intestine, Large/surgery , Male , Middle Aged , Suture Techniques , Urinary Bladder Neoplasms/surgeryABSTRACT
Thermographic examination of the scrotum was performed in 55 healthy males, 64 patients with nonspecific inflammatory lesions of the testicles and 44 cases of testicular tumor. In thermograms of the normal scrotum, cold zones provided the background for homogeneous isothermic images corresponding to the testicles. Inflammatory lesions showed atypical diffuse zones of increased thermogenic activity which were in some cases associated with hyperthermic stem foci in the inguinal-scrotal area. Tumors presented with atypical well-defined hot or cold zones. Values of temperature indexes for normal testicles, inflammatory and tumor lesions of the organ are given.
Subject(s)
Dysgerminoma/diagnosis , Neoplasms, Germ Cell and Embryonal/diagnosis , Orchitis/diagnosis , Testicular Neoplasms/diagnosis , Thermography , Adolescent , Adult , Chronic Disease , Diagnosis, Differential , Humans , Male , Middle AgedABSTRACT
Dissemination to regional lymph nodes was verified in 49 (18.8%) out of 260 cases of penile carcinoma. The frequency of metastasis in poorly differentiated squamous cell carcinoma was 2.2 times that in well-differentiated tumor. Similarly, in endophytic growth patients, it was 2.7 times that of exophytic tumors. Also, a significant correlation was established between the frequency of dissemination to lymph nodes and primary tumor size: 4.6% for T1, 19.3%--T2 and 30.9%--T3, respectively, and T4 was identified in 3 out of 5 patients.
