ABSTRACT
Ten patients, three to fifteen years postvasectomy, underwent vasovasostomy. Using 2-0 nylon, stents were brought to the scrotal surface. Vas anastomosis was accomplished with a single transmural layer of 6-0 or 7-0 proline or chromic sutures under loupe magnification. Stents were removed in seven to ten days. After two years, a pregnancy rate of 70% was achieved, comparing favorably with other more difficult operative techniques.
Subject(s)
Sterilization Reversal/methods , Sutures , Vasectomy , Adult , Female , Fertility , Follow-Up Studies , Humans , Male , Methods , Middle Aged , Pregnancy , Suture TechniquesABSTRACT
The Dunning animal model was used to evaluate endocrine management of prostatic adenocarcinoma. Hypophysectomy, alone or in combination, and orchiectomy plus stilbestrol were the most effective means of suppressing tumor growth. Medical adrenalectomy by aminoglutethimide administration was as effective as surgical ablation. Accessary organ weights bore no direct relationship to the inhibition of tumor growth.
Subject(s)
Adenocarcinoma/therapy , Diethylstilbestrol/therapeutic use , Endocrine Glands/surgery , Prostatic Neoplasms/therapy , Adrenalectomy , Aminoglutethimide/therapeutic use , Animals , Castration , Disease Models, Animal , Female , Hybridization, Genetic , Hypophysectomy , Male , Neoplasm Transplantation , Neoplasms, Experimental/therapy , Organ Size , RatsABSTRACT
There were 10 patients with cervical spinal cord lesions and hyperhidrosis treated with the alpha-adrenergic blocking agent, phenoxybenzamine. Five of the 7 patients completing the study experienced marked diminution or elimination of the profuse sweating pattern.
Subject(s)
Hyperhidrosis/drug therapy , Phenoxybenzamine/therapeutic use , Spinal Cord Injuries/complications , Adolescent , Adult , Humans , Hyperhidrosis/etiology , Hyperhidrosis/physiopathology , Male , Spinal Cord Injuries/physiopathologyABSTRACT
A case of sickle cell (HbSS) disease is presented in a patient with a history of recurrent admissions for abdominal pain, jaundice, and abnormal liver function tests. Although he was believed to have a sickle cell abdominal crisis, his abdominal X-ray films revealed three calcified stones. Each of these stones progressively passed through the common duct and into the duodenum while awaiting surgery. He has been followed for two years since his cholecystectomy without further hospitalizations. This case led to the investigation of cholelithiasis in sickle cell disease to dispel the following misconceptions. Some physicians and pediatricians believe that (1) cholelithiasis and cholecystitis are uncommon in sickle cell disease; (2) the complications of gallstones are not significant; (3) the operative risk in patients with sickle cell disease is high; (4) these patients with HbSS disease do not live long enough to get into trouble with gallstones. A review of the literature on cholelithiasis and HbSS disease presents adequate evidence to cause us to urge investigation of the gallbladder in all patients with HbSS disease and abdominal crises, and cholecystectomy as an elective procedure should stones be present.
