By U. Jonas (auth.), Professor Dr. Udo Jonas, Professor Dr. N. F. Dabhoiwala, Professor Dr. Frans M. J. Debruyne (eds.)
Endourology offers a precis of the various endourological modalitites, specifically the extra complex and arguable innovations, equivalent to the antegrade resection of urethral valves, the transperineal I one hundred twenty five seed implanations, the spoonloop resectoscope, versatile endoscopy, teflon injection to right vesicoureteral reflux, stone manipulation in calyceal diverticula, in addition to the extraperitoneal pelvioscopy. those innovations are supported via descriptions of the normal endourological tactics.
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Extra info for Endourology: New and Approved Techniques
Sample text
The scanner is firmly fixed in this position. The scanner is now equipped with a special multichannel puncture attachment (Fig. 2). The attachment is a 2-cm thick metal template measuring 8 x 8 cm. 3-mm canals spaced by 10 mm are drilled in the puncture attachment Transperineal 0 (") <0 ;:0 0· ::J lJ z 0 3 CD 125 1 Seed Implantation in Prostatic Cancer Guided Mean Number dim. 4 Grid lOcm Date ........ f1c:J.. 7. Herlev modification ofI. A ndersons's nomogram. 57 mCi and grid size 1 cm is shown parallel to the scanner axis.
Rectal symptoms have until now been few. Two patients claimed reduced potency. In one of them the sexual function returned to normal after a few months, but in the other sexual function was still markedly reduced after 15 months. Immediately following the procedure, frequency and urgency were temporarily seen in many patients, and three patients developed cystitis succesfully treated with antibiotics. Three patients developed increased signs ofintravesical obstruction and one of the patients required a TOR Discussion When choosing a treatment modality for the patient with prostatic cancer, side effects and complications must be taken into account as well as local tumor control efficiency.
9. Bladder tumor U 1; on histologic examination it proved to be a T 1 tumor Fig. to. n. Deeply invasive bladder tumor involving full thickness of bladder wall. Evidence of perivesical involvement not present (U 3). 8 cm Fig. U. Superficial bladder tumor with calcifications causing shadowing behind. M. Strijbos and N. F. Dabhoiwala Scans of the prostatic urethra can usually be obtained by withdrawing the cystoscope until the transducer is at the level of the prostatic urethra: However, more and better information about the prostate can be obtained with transrectal scanning.