Diagnosis and Treatment of Concealed Penis in Children: a 16 Case Report / 中国康复理论与实践

@#ObjectiveTo explore the diagnosis and the surgical operation of concealed penis, and raise the therapeutic efficacy.Methods16 cases of concealed penis were reviewed retrospectively.ResultsAll 16 cases were treated by Devine surgery and got the satisfactory effect, the penis recovered to its good external appearance. All 16 cases had been followed up for four months to two years. The revelation of penis and its external appearance were all satisfied. No complications such as hydrophallus, skin ischemia, haematoma and erection ache occurred.ConclusionThe real concealed penis should be strictly distinguished from buried penis, microphallus and redundant prepuce, and suitable operation pattern can obtain satisfactory effect.

Diagnosis and treatment of renal trauma in 298 patients / 中华创伤杂志(英文版)

<p><b>OBJECTIVE</b>To investigate the diagnosis and treatment of renal trauma.</p><p><b>METHODS</b>Retrospective analysis of 298 patients with renal trauma was carried out. Among them, 272 (91.3%) had blunt renal injuries and 26 (8.7%) had penetrating injuries; 123 (41.3%) had multiple complicated intraabdominal injuries and 56 (18.8%) had concomitant shock. Normal-dose-IVU examination was used in 39 patients and double-dose-IVU in 44 patients, ultrasonography in 109 patients, and CT in 45 patients. Conservative and supportive therapy was done in 193 patients (64.8%) and operation in 105 patients (35.2%).</p><p><b>RESULTS</b>The positive rate was 48.7% by the normal-dose-I VU examination and 90.9% by double-dose-IVU, 78.8% by ultrasonography, and 95.6% by CT. One hundred and eighty-three patients were cured by conservative therapy and 101 by operation. Fourteen patients died.</p><p><b>CONCLUSIONS</b>B-ultrasound can be conveniently used for primary assessment of renal injuries, while CT shows rapid, accurate and proper condition of a renal trauma patient. The treatment depends on the severity of the injury. The conservative therapy is employed in most cases which present slight or moderate injury and no evident massive bleeding. Severe injury requires surgical exploration. The operative approach is by using a transabdominal incision, which makes it relatively easy to explore intraabdominal organs and control the injured kidney. It is also very important to control shock and prevent other severe complications in the early stage of the treatment.</p>

A comparative study and evaluations of open prostatectomy,transurethral electrovaporization-ablation prostatectomy and interstitial laser coagulation for the treatments of symptomatic BPH / 中华泌尿外科杂志

Objective To evaluate and compare the therapeutic effects of the open prostatectomy(OP)?transurethral electrovaporization ablation prostatectomy (TUEVAP) and interstitial laser coagulation(ILC) for the treatments of symptomatic BPH. Methods 282 symptomatic BPH patients randomly underwent OP (n=98)?TUEVAP(n=91) or ILC(n=93) respectively and the therapeutic effects were evaluated. Results There are significant improvements in symptoms and physical signs in each group after the procedure.The average catheterization time following OP?TUEVAP and ILC was 185 h?76 h and 362 h,the immediate morbidity rate being 28.9%?16.7%? 14.8 % and the retreatment rate 1.0%?6.6% and 16.1% respectively. OP group showed the longest average operative time and the most blood loss both of which were the least in ILC group. Conclusions OP is the most effective of the three procedures, but the trauma to the patient is the most.The therapeutic effect of TUEVAP is similar to OP's,with less injure.ILC is the easiest and safest procedure with the least side effects.