VoL lOZ, No1,Printed in U.8.A.
THHi J"ou1u,:rAL OF UROLOGY
Ccpyrigbt © 1969 by The WiHiam.s & ·wilkins Co.
AMERICAN UROLOGICAL ASSOCIATION, INC . .L JAFFAR, 15901 W. Nine Mile Rd., Southfield, Michiga.n 48075 ,r,esiaeiu-.K!nc,u--_,_J,., JOHN W. DoRSEY, 2865 Atlantic Ave., Long Beach, California 90806 Past rresiaeni---JJH RumN H. FLOCKS, University Hospitals, Iowa. City, Iowa 52240 Secritary-DR. WYLAND F. LEADBETTER, l Hawthorne Place, Boston, Massachusetts 02114 Treasurer-DR. W. E. KITTREDGE, 1514 Jefferson Hwy., New Orleans, Louisiana 70121 Historian-DR. RALPH R. 1040 Main St., Danville, Virginia 24541 Executive Secretary-RICHARD J. 1120 North Charles St., Baltimore, Maryland 21201
Admini:strative Consultant--WILLIAM P. DmuscH, 1120 North Charles St., Baltimore, Maryland 21201
EXECUTIVE COMMITTEE Mid-Atlantic Section-DR. EDWARD E. FERGUSON, 1712 Eye St., N. W., Washington, D. C. 20006
New England Section-DR. EDWIN L. ParnN, 2000 Washington St., Newton, Massachusetts 02162
New York Section-DR. JoHN K. LATTIMER, Columbia-Presbyterian Medical Center, New York, New York 10032 North Central Seclion-DR. Am_'HUR T. EVANS, 250 Wm. Howard Taft Rd., Cincinnati, Ohio 45219
Northeastern Section-DR. S. HARRIS JOHNSON, III, Suite 560, Medical Center East, 211 N. Whitfield St., Pittsburgh, Pennsylvania 15206
South Central Section-DR. A. KELLER Doss, 800 5th Ave., Fort Worth, Texas 76104 Southeastern Section-DR. ,JoHN S. RHODES, 700 vV. Morgan St., Raleigh, North Carolina 27603
Western Section-DR. THOMAS R. MONTGOMERY, 2250 N. W. Flanders St., Portland, Oregon - 97210
SECTIONS'' Mid-Atlantic PRESIDENT, DR. SAM D. GRAHAM, 2013 N. Augusta SECRETARY-TREASURER, DR. RAYMOND M. Yow, 21801
New l1ngland PRESIDENT, DR. GEORGE AusTEN, JR., 203 Commonwealth Ave.,Boston,Massachusetts 02116 SECRETARY-TREASURER, DR. JOSEPH B. Down, 605 Commonwealth Ave. ,Boston, Massachusetts 02215
New York PRESIDENT, DR. HERBERT BRENDLER, Mt. Sinai Hospital,New New York 10029 SECRETARY, DR. KEITH WATERHOUSE, 450 Clarkson Ave., Brooklyn, New ·York 11203 TREASURER, DR, REGINALD F. SEIDEL, 245 Engle St., Englewood, New Jersey 07631
N orih Central
PRESIDEN·T, DR. MYRON H. 17Il N. Capitol Ave . Indianapolis, Indiana 46207 SECRETARY, DR. LESTER PERSKY, Adelbert Rd., Cleveland, Ohio 44106 TREASlrnER, DR. LAURENCE F. GRJ
Northeastern
PRESIDENT, DR. HOBART L. BoYD, 1400 Mt. Hope Ave., H.ochester, New SECRETARY, Du. LLOYD N. MCANINCH, 111 Waterloo St., London, TREASURER, DR. WILLIAM J. STAUB!TZ, 462 Grider St., Buffalo, New
South Central PRESIDENT,
Di:t.
HJALMAR
E.
CARLSON,
Missouri 64106 SECRETARY, DR. WILLIAM F. TREASURER, DR. DoN ALD D. ALBERS,
1316 Professional Building, Ka.nsas City,
Ave., St. Oklahoma.
DR. HENRY C. HUDSON, 152.9 N. 25th Alabama. 35234 SECRETARY, DR. R, PROSSER MORROW, JR., 407 Bldg., New Orleallil, Louisiana. 70115 TREASURER, DR, CHARLTON P. ARMSTRONG, JR., 413 Vasdry St., Greenviile, South Ca.rnlina 29601
Western PRESIDENT, DR. EARL
F.
8ECRETARY-TREASURl'JR, DR. California, 90057
112 N. Madison Ave., Pasadena, Ca.lifomi&, 91101 STEW ART, 1893 Wilshire Blvd., Los Angeles,
• The February 1969 issue of the Journal of l.:rology (pp. 221)-228) contains a 1ist o( executive committee members of the Sections and also officers and ©xecutive committoo members of the Branch Societies.
TuE JOURNAL OF UROLOGY
Copyright @ 1969 by The Williams & Wilkins Co.
Vol. 102, Nov.
Printed in U.S.A.
SECTION MEETINGS Mid-Atlantic-The Homestead, Hot Springs, Virginia, October 28-November l, 1970 New England-Dorado Beach Hotel, Puerto Rico, October 12-17, 1969 New York-Yale Club, New York, New York, November 19, 1969, and January 21 am! March 25, 1970 Nortn C'entral-.Nether1and-tillton uoteJ, \Jmcm11at1, umo, ceptemoer ::;..,-.,o, ic1ii1 Northeastern-Hershey Hotel, Hershey, Pennsylvania, September 20--23, 1970 South Central--Dallas, Texas, October 4-8, 1970 Southeastern-Caribbean cruise on board the T.S. Hanseatic departing from Port Everglades, Florida, April 10-19, 1970 Western-Camelback Inn, Phoenix, Arizona, April 12-17, 1970 ACTIVE MEMBERSHIP IN AMERICAN UROLOGICAL ASSOCIATION Application for membership should be made on forms which may be obtained from the Executive Secretary of the Association, 1120 North Charles Street, Baltimore, Maryland 21201. Basic requirements for active membership are: 1. Graduation from a medical school approved by the Council on Medical Education and Hospitals of the American Medical Association or a medical school of comparable standing. 2. Receipt of an M.D. degree, or its equivalent, at least 5 years before election to membership. The applicant must have been engaged in active practice or in the teaching of medicine during this 5-year period. 3. An internship of at least 1 year in a hospital approved by the Council on Medical Education and Hospitals of the American Medical Association. The 1 year of internship to be followed by not less than 3 years of a urological residency in one of the approved hospitals, 1 year of which may be served in general surgery. 4. Limitation of the applicant's practice to 100 per cent urology for not less than 2 years prior to admission. 5. The applicant's training and the evidence he submits of his work must cover all phases of urology. 6. Active membership in the Section of the American Urological Association within whose jurisdiction the applicant resides, and endorsement by the Section. 7. Unconditional certification by American Board of Urology, Inc., or certification in urology by the Royal College of Surgeons of Canada. Those applicants not certified by one or the other of these boards are required to submit 10 records of major urological cases which have been under the applicant's supervision. Physicians in permanent governmental service who can fulfill all requirements for admission except active membership in a Section may apply for membership in the American Urological Association under the classification of members-at-large. ASSOCIATE MEMBERSHIP AND ACTIVE MEMBERSHIP IN SECTIONS OF AMERICAN UROLOGICAL ASSOCIATION Details may be obtained from the Secretary of the Section in which you are currently residing: Mid-Atlantic: DR. RAYMOND M. Yow, Medical Center, Salisbury, Maryland 21801 (Section comprises eastern portion of State of Pennsylvania, southern portion of State of New Jersey, and States of Maryland, Delaware, Virginia and West Virginia, and the District of Columbia.) New England: DR.JOSEPH B. DowD, 605 Commonweal th Ave., Boston, Massachusetts 02215 (Section comprises States of Maine, Vermont, New Hampshire, Massachusetts, Connecticut and Rhode Island.) DR. KEITH WATERHOUSE, 450 Clarkson Ave., Brooklyn, New York 11203 New York: (Section comprises the southeastern part of the State of New York, including Long Island, and the northern part of the State of New J«usey.) North Central: DR. LESTER PERSKY, 2065 Adelbert Rd., Cleveland, Ohio 44106 (Section comprises States of Ohio, Indiana, Illinois, Wisconsin, Iowa, Minnesota, North Dakota, South Dakota, Michigan, and the Province of Manitoba in Canada.) Northeastern: DR. LLOYD N. McANINCH, 111 Waterloo St., London, Ontario, Canada (Section comprises the State of New York, except the southea.stern portion, the western portion of the State of Pennsylvania, and the eastern section of Canada, including the Provinces of Ontario, Quebec, New Brunswick, Nova Scotia, Prince Edward Island and Newfoundland.) South Central: DR. WILLIAM F. MELICK, 3720 Washington Ave., St. Louis, Missouri 63108 (Section comprises the States of Nebraska, Kansas, Missouri, Arkansas,
2. The subject matter of the clinical or research, not necessarily in urology. Those been uo.;uom,u or been submitted for publication will be disqualified. also be entered in local branch contests but the winning essays become the property American Urnlogical Association and must be withdrawn from other contests. 3. The manuscript shall be in proper form for publication in Journal of Urology; detailed case reports, extra pictures and explanations can be included an appendix. Publication in the Journal is subject to the decision of the editorial board. 4. Five copies of all material {manuscript, bibliography, tabulated data, photographs, charts and drawings) shall be submitted. In the case of an artist's drawings, photographic copies may be submitted instead of the originals. 5. The offering shall be distinguished by legend, and in a sealed envelope with the distinguishing legend on the outside must be the name, address and institutional affiliation of the competitor. 6. The essayist shall also give the following information: l,l,) Name of medical school from which he graduated, and date when he received his medical degree. b) Urological training: in what clinic or with what urologist and for how long. (Be specific as to dates, positiona held, whether in a hospital or in an outpatient department, etc.; name of hospital and location.) c) Length of time in private of urology. (Please be specific as to dates and location.) d) Percentage of present practice which is urological. 7. Essays shall be in the hands of the Secretary of the American Urological Association on or before January 2, 1970. 8. At the discretion of the Program Committee, the winners of the first prizes shall have a place, with special designation, on the program of the 1970 meeting of the Association to be held at the Bellevue Stratford, Philadelphia, Pennsylvania, May 10-14, 1970. 9. The Prize Essay Committee shall decide which of the essays shall receive the prizes; and also is privileged to omit any or all awards if the essays submitted are not deemed Please send essays to Wyland F. Leadbetter, M.D., secretary, American Urological Association, 1120 N. Charles St., Baltimore, Maryland 2120L
ANNUAL MEETINGS OF AMERICAN UROLOGICAL ASSOCIATION May 10-14, 1970-Bellevue Stratford, Philadelphia,, Pennsylvania May 16-20, 1971·-Pa.lmer House, Chicago, Illinois Ma,y 21--25, 1972-Washington Hilton, Washington, D.C. May 13-17, 1973-New York Hilton, New York, New York May 19-23, 1974-Chase-Park Plaza, St. Louis, Mi@souri May 11-15, 1975-Fontainebleau Hotel, rviiami Beach, Florida May l.6-20, 1976-lnternational Hotel, Las Vegas, Nevada 1970 UROLOGICAL NURSES AND TECHNICIAN CONVENTION l\fay 15-16, Hl70. BeHevue-Stratford lfotel, Philadelphia, Pennsylvania. The American Urological Association will sponsor a 2·day convention for urologica.J nurses and techimmediately following the AUA meeting. Dr. Arthur T. Evans will serve as program for Lhis meeting. Attendance will be limited to GOO. Assisting Dr. Evans in T. pla.nning for the meeting of urological nurses a.nd technicians will be: Drs. . Mellinger, A. Richard Kendall, Robert K. Rhamy, Kei1h Waterhouse, Donald J. ex-officio, and Wyland F. Leadbetter, ex-officio. AMERICAN UROLOGYCAL ASSOCIATION FILM LIBRARY COMMITTEE The Film Library Committee is diagnosis, patient care meets these specifications which not been ,,R,.R1;00·11,,n Association or the American College of Surgeons, please Evans, Director of Urology, University of Cincinnati ""''"u''"" 45229, the title, running time, whether the film is in color or black s.nd is sound or silent.
AMERICAN UROLOGICAL ASSOCIATION RESEARCH FUND Limited funds are granted annually fo:r support of pilot. research projects related to urology. Application forms may be obtained from: Dr. Frank Hinman, Jr., chairman, American Urological Association Research Committee, University of California Medical Center. San Francisco, California 94122.
Southeastern:
Oklahoma, Texas, Colorado and New Mexico, and the Republics of Costa Rica, El Salvador, Guatemala, Honduras, Mexico and Nicaragua, and the Crown Colony of British Honduras.) DR. R. PROSSER MORROW, JR., 407 Medical Art~ Bldg., New Orleans, Louisiana 70115 (Section comprises the States of Kentucky, North Carolina, South Carolina, Tennessee, Louisiana, Mississippi, Alabama, Georgia and Florida, and UH0~i-,0 p~,...0_ 'l:_T.;.,...,...;n T<'.!ln7:.J':
western:
C:fn~ql '7.n.rio <::.nrl ~nhq \
Di~ -B-. LY~A'.N STEWART' 139'3 Wilshire Blvd., Los Angeles, California 90057
(Section comprises the States of Alaska, Arizona, Hawaii, Idaho, Utah,Montana, California, Oregon, Washington, Nevada and Wyoming,and the Provinces of Saskatchewan, Alberta and British Columbia in Canada, Republic of the Philippines and the island possessions in t.he Pacific Ocean.)
PROGRAM OF 1970 MEETING OF AMERICAN UROLOGICAL ASSOCIATION The annual convention of the American Urological Association will be held at the Bellevue Stratford, Philadelphia, Pennsylvania, May 10-14, 1970. Those who wish to apply for a place on the program should send, in duplicate, to Dr. Wyland F. Leadbetter, secretary of the AUA, 1 Hawthorne Place, Boston, Massachusetts 02114, a title of the presentation and an abstract of the paper of 50 words or less. This abstra.ct will be printed in the program if the title is accepted by the Program Committee. Only those titles that are submitted with abstracts will be considered by the Program Committee. Besides the customary 50-word abstract, it is requested that each applicant submit an extensive explanation of his presentation for use by the Program Committee in evaluating titles. If more than one person has participated in the work, please state by whom the paper will be read at the meeting. Please give the name and address of the person to whom communications should be sent regarding the presentation. Applications for a place on the program must be submitted to Dr. Leadbetter on or before January 9, 1970. It is understood that any papers accepted for presentation at the Pennsylvania meeting have not and will not be submitted for consideration by any other program committee.
ANNUAL HISTORY OF UROLOGY FORUM May 10, 1970 (in conjunction with meeting of American Urological Association in Philadelphia, May 10-14). Those who wish to present a paper should submit title and a 50-word abstract on or before January 15 to Dr. Ralph R. Landes, 1040 Main Street, Danville, Virginia 24541.
REGISTRATION LIMITED FOR AUA 1970 MEETING Space will be limited at Bellevue-Stratford. Therefore anyone who wishes to attend scientific sessions and social functions must register in advance. Priority will be given AUA members who pre--register prior to March 15, 1970. After that date applications from non-members will be accepted with priority according to date of application. A refund of the registration fee will be made to anyone who pre-registers and subsequently finds that he is unable to come to Philadelphia, provided application for a refund is made prior to June 15, 1970. For details, write American Urological Association headquarters, 1120 North Charles Street, Baltimore, Maryland 21202.
1970 PRIZE ESSAY CONTEST The American Urological Association offers an annual award of $1,500 for essays on the result of some clinical or laboratory research in urology (first prize of $250 for clinical research, fir.it prize of $250 for laboratory research; second prize of $150 for clinical research, second prize of $150 for laboratory research; third prize of $100 for clinical research, third prize of $100 for laboratory research). In the event that a urological resident is not a first prize winner in either category, separate residents' prizes of $250 each will be awarded. 1. Contestants are limited to those who have been graduated not more than ten years, exclusive of time served in armed forces, and hospital interns or residents doing research in urology whose work shall be sponsored by their mentor, a member of the American Urological Association. Foreign physicians are eligible, provided that they are sponsored by a member of the American Urological Association. The offering is to represent the individual work of the essayist, or if done by a group, the candidate shall state the percentage of the problem he had personally done and the names of those who have directed or taken part in the study.
AMERICAN UROLOGICAL ASSOCIATION NOMENCLATURE AND SUGGESTED RELATIVE UNIT VALUES FOR UROLOGICAL
PROCEDURES
Relative unit values for u:rological procedures been recommended by Association's Professional Relations Committee, Copies of September 1, 1968 of the nomenclature and relative unit values may be obtained from the headquarters American Urological Association, 1120 North Charles Street, Baltimore, Ma,ry!and 21201 at the rate of $2 per copy, PLACEMENT REGISTRY The American Medical Association and the American Urological Association are beginning the second year of their pilot placement registry which offers assistance to physicians seeking residencies and to approved hospitals seeking residents to fill urologic vacancies. The registry is being tried on a special pilot basis and marks expansion of the AMA's est,ablished Placement Service since formerly all registrations were limited to positions beyond the training leveL The Service is developing 1) a, roster of approved residencies available and 2) a list of physicians seeking training in Urology. Further inquiries are encouraged so that the Placement Service may be of assistance to those who ha.ve already registered with ua and so that we may expand the program to increase its effectiveness. For more information write the American :Medical Association, 535 North Dearborn Street, Chicago, Illinois ·60610. RESEARCH TRAINING FELLOWSHIPS OF INTEREST TO UROLOGISTS A list of Rese:i,rch Training Grants has been assembled by Dr. Joseph M. Malin, Jr. of the Division of Urology, Duke University Medical Center, Durham, North Carolina under the sponsorship of the Committee for Urology, Research Training Programs of the National Institute of Arthritis and Metabolic Disease. Copies of the list are available at headquarters of American Urological Association, 1120 North Charles Street, Baltimore, Maryland 21201. AMERICAN BOARD OF UROLOGY, INC. For information write Dr. James H. McDonald, secretary of the Board, Apt. lC, Glover Landing, Bracket Place, Marblehead, MMsaohusetts 01945. The following resolution was adopted by the Board during its annual meeting on February 12, 1967: After January 1, 1969, except in unusual instances and at the discretion of the Board, applicants will be required to make application within 5 years of completion of the training required by the Board. After a 5-year period, additional training may be required, Applicants will be required to submit case reports within 3 years of the date of formal application. FELLOWSHIPS IN PEDIATRIC UROLOGY Pediatric Urology Fellowship (Irene Heinz Given and John La Porte Given Foundation) availahle at Columbia University. United States citizens!:.ip and New York license to practice medicine required, Apply to Dr. John K. Lattimer, 630 West 168th Street, New York, New York 10032. GRADUATE SEMINAR IN UROLOGY October 31-November 2, 1970, Hotel Commodore, New York, New York. Sponsored by the American Urological Association. Details may be obtained from Dr, Herbert Brenrller, Department of Urology, Mount Sinai Medical Center, ".\few York, New York 10029 ELEVENTH UROLOGY CONGRESS OF THE AMERICAS November 30-December 4, 1969, Fontainebleau Hotel, Mia.mi Beach, Florida For Dr. Victor A, Politano, Jackson Memorial Hospital, 1700 N.W. Tenth Avenue, 33136, UROLOGIC SYMPOSIUM December 7-11, 1969. Shernton Four Ambassadors Hotel, Dr, Victor A. Politano, Department of Urology, University of cine, Box 875, Biscayne Annex, Miami, Florida 33152, POSTGRADUATE COURSE IN UROLOGICAL PATHOLOGY January 5-February 5, 1970, ten days, Monday and Thursday, 3 to 6:30 p.m., Colu,mbia, University College of Physicians and Surgeons, under direction of Drs. Meyer M. Melicow
and Myron Tannenbaum, preparatory for Board examinations. Gross, light and electron microscopic pathology of urinary tract, including adrenal gland and retroperitoneum. Class limited to 35. In addition to $150 fee, students must make a $200 deposit at first class for two boxes of slides and descriptive book. Money will be refunded when slides and book are returned in good condition. Students must furnish microscope and lamps. For information, write Dr. Melvin D. Yahr, 630 W. 168th Street, New York, New York 10032. -T"!""'>r-_-.r
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January 22-24, 1970. Netherland-Hilton Hotel, Cincinnati, Ohio. For details write Dr. Arthur T. Evans, Division of Urology, Cincinnati General Hospital, Cincinnati, Ohio ,15229. COURSE IN GENITOURINARY PATHOLOGY January 26-30, 1970. Armed Forces lnstitute of Pathology, Washington, D. C. Applicants must be qualified for the American Board of Urology examination in 1970, or Boardcertified. For details write Dr. F. K. Mostofi, Armed Forces Institute of Pathology, Washington, D.C. 20305. UROLOGICAL SOCIETY OF AUSTRALASIA March 1-5, 1970. Adelaide, Australia. For details write Dr. P. A. Harbison, 326 South Terrace, Adelaide, S. A. 5000, Australia. TENTH INTERNATIONAL CANCER CONGRESS May 22-29, 1970. Houston, Texas. For details write to Dr. Murray M. Copeland, M. D. Anderson Hospital and Tumor Institute, Texas Medical Center, Houston, Texas 77025. CANADIAN UROLOGICAL ASSOCIATION June :tl-25, 1970. Chateau Frontenac, Quebec City, Quebec, Canada. For details write Dr. A.H. Irvine, 1105 Carling Avenue, Suite 207, Ottawa 3, Ontario, Canada. SECOND ANNUAL UROLOGIC OUTING June 29-July 1, 1970, Burr Oak State Park, Ohio. Sponsored by The Ohio State University Division of Urology. JVIodern, air-cohlditioned facilities. Fee of $60 will be charged. For information write Dr. Chester C. Winter, Division of Urology, Ohio State University Medical Center, 410 W. 10th Avenue, Columbus, Ohio 43210. INFORMATION FOR AUTHORS Because of the increasing number of manuscripts of varying length and complexity submitted to the Journal of Urology, the Board of Editors have listed for the benefit of authors the principal requirements for the acceptability of a paper. This information is presented on p. 3 of the advertising section. The Editors wish to offer to as many authors as possible an opportunity to publish their work if it meets the established standards of excellence. The Editors will judge a paper primarily on the basis of originality and accuracy of content, and after that on the simplicity, clarity and brevity of a good grammatical style. PROPRIETARY NAMES Many of the words appearing in the JOUR:'-, AL OF UROLOGY are proprietary names even though no reference to this fact is made in the text. The appearance of any name without designation as proprietary is therefore not to be regarded as a representation by the editorial committee or publisher that it is not a proprietary name or is not the subject of proprietary rights.