- Email: [email protected]
III. Renal calculi
Exstrophy of the Urinary Bladder, Surgical Closure with Repair of Inguinal Hernia and Excision of Meckel’s Diverticulum, Plus Ureterosigmoidostomy for Urinary Diversion Willard E. Goodwin and J. J. Kaufman This film demonstrates the routine repair of exstrophy of the bladder and epispadias. In this case, incidental repair of inguinal hernia and excision of Meckel’s diverticulum were done. Ureterosigmoidostomy utilizing submucosal tunnel and stenting of ureters through the rectum with pediatric feeding tubes are illustrated. The film has excellent photography and sound, and is well edited. The technique is well displayed and would be useful to urology residents. Moments of humor add to our enjoyment of the film.
By Adrian Zorgniotti,
M.D.
Visits in Urology Eaton Laboratories III. Renal Calculi William H. Boyce and Ralph A. Straffon IV. Management of Ureteropelvic Obstruction Ormond S. Culp and Clarence V. Hodges
The film opens with the arrival of Dr. Ralph Straffon, the visitor for Eaton’s excellent film. The welcome is so effusive that this reviewer almost expected everyone to sit down to mint juleps and to forget about the serious business at hand. Instead we are treated to a very clear presentation of Dr. Boyce’s philosophy of stone management. There is an excellent demonstration of the blood supply of the kidney using injected and cleared specimens. This is followed by tips on workup and operation: do a complete workup, culture stones at operation, avoid mattress sutures, understand the anatomy of the blood supply, avoid the nephrostomy tube, stay away from the ureteropelvic juncture, and so on. Dr. Boyce then proceeds to operate showing with clarity and detail his surgical approach free the kidney completely before packing in ice, use of blood-flow probe, use of methylene blue, how to cut through the parenchyma with the back of the knife, calyceal incision, use of nerve hook to inspect calyces, careful removal of stone, use of X-ray, insertion of a Silastic catheter which is passed by the patient, closure of pyelotomy and capsule, and many other details too numerous to cover except for one more detail. Dr. Boyce reminds us to stent the ureter while removing small stones so as not to lose one down the ureter. This film is very satisfying to watch and should prove to be durable over the coming years. The technical quality of the film is that which we expect from this series.
/ SEPTEMBER 1976 / VOLUME
Obstruction
This Eaton visit is a warm and delightful experience. The film is a gift from this era to future generations of urologists who, certainly, will view it with curiosity about our surgical methods and the pleasure which can be derived from a genuine historic experience. Here we see one of the Mayo Clinic “greats” in action with flashes of humor, a steady hand in the O.R., and a master of the subject. The “visitor” is Clarence V. Hodges, a surgeon of considerable achievement himself, whose serene demeanor balances Dr. Culp’s magisterial approach. Whereas Dr. Culp states that there has been a changeover to the dismembered, the main emphasis is on the Foley “Y” pyeloplasty and some of its variations. There are several excellent illustrations foltwo lowed by an operative clinic which presented interesting cases including a patient with vague gastrointestinal symptoms and hydronephrotic kidney. As stated, this film will surely be screened fifty and one hundred years from now. Indeed, a program chairman for the A.U.A. meeting at the Nation’s Tricentennial will certainly include it as an example of what was going on during the Bicentennial!
Urethral Valves: Diagnosis and Endoscopic Resection W. Hardy Hendren
Renal Calculi
UROLOGY
Ureteropelvic
The author has created an excellent film from both the standpoint of content and technical quality. After showing a classification of posterior urethral valves and a review of basic pediatric cystoscopy, the Bugbee electrode and the no. 3 ureteral catheter with stylet as electrode (the eyes must be cut off or otherwise sealed), the author goes on to demonstrate the various types of valves .encountered. Pertinent clinical history, findings, and treatment are all clearly demonstrated. The result is an excellent film with good demonstration of the endoscopic findings. The film is well done and is worthy of study. The author’s message is also clear: The transurethral approach is preferred over the suprapubic route provided the operator has learned the requisite skills.
Surgical Treatment A New Approach Joseph J. Kaufman
of Peyronie’s Disease:
The author narrates his own film authoritatively, and the photography is excellent. The idea is to select patients with Peyronie’s disease whose disability is severe enough to incapacitate them. The operative plan requires the insertion of a penile prosthesis and then to make a transverse incision in the placque. The author claims that penile erection is still present with marked diminution or even complete resolution of the deformity. Dr. Kaufman is to be complimented for his imaginative approach to this problem. The film quality is first rate, as one would expect from Hollywood.
VIII, NUMBER 3
307
By Adrian Zorgniotti,
M.D.
Visits in Urology Eaton Laboratories III. Renal Calculi William H. Boyce and Ralph A. Straffon IV. Management of Ureteropelvic Obstruction Ormond S. Culp and Clarence V. Hodges
The film opens with the arrival of Dr. Ralph Straffon, the visitor for Eaton’s excellent film. The welcome is so effusive that this reviewer almost expected everyone to sit down to mint juleps and to forget about the serious business at hand. Instead we are treated to a very clear presentation of Dr. Boyce’s philosophy of stone management. There is an excellent demonstration of the blood supply of the kidney using injected and cleared specimens. This is followed by tips on workup and operation: do a complete workup, culture stones at operation, avoid mattress sutures, understand the anatomy of the blood supply, avoid the nephrostomy tube, stay away from the ureteropelvic juncture, and so on. Dr. Boyce then proceeds to operate showing with clarity and detail his surgical approach free the kidney completely before packing in ice, use of blood-flow probe, use of methylene blue, how to cut through the parenchyma with the back of the knife, calyceal incision, use of nerve hook to inspect calyces, careful removal of stone, use of X-ray, insertion of a Silastic catheter which is passed by the patient, closure of pyelotomy and capsule, and many other details too numerous to cover except for one more detail. Dr. Boyce reminds us to stent the ureter while removing small stones so as not to lose one down the ureter. This film is very satisfying to watch and should prove to be durable over the coming years. The technical quality of the film is that which we expect from this series.
/ SEPTEMBER 1976 / VOLUME
Obstruction
This Eaton visit is a warm and delightful experience. The film is a gift from this era to future generations of urologists who, certainly, will view it with curiosity about our surgical methods and the pleasure which can be derived from a genuine historic experience. Here we see one of the Mayo Clinic “greats” in action with flashes of humor, a steady hand in the O.R., and a master of the subject. The “visitor” is Clarence V. Hodges, a surgeon of considerable achievement himself, whose serene demeanor balances Dr. Culp’s magisterial approach. Whereas Dr. Culp states that there has been a changeover to the dismembered, the main emphasis is on the Foley “Y” pyeloplasty and some of its variations. There are several excellent illustrations foltwo lowed by an operative clinic which presented interesting cases including a patient with vague gastrointestinal symptoms and hydronephrotic kidney. As stated, this film will surely be screened fifty and one hundred years from now. Indeed, a program chairman for the A.U.A. meeting at the Nation’s Tricentennial will certainly include it as an example of what was going on during the Bicentennial!
Urethral Valves: Diagnosis and Endoscopic Resection W. Hardy Hendren
Renal Calculi
UROLOGY
Ureteropelvic
The author has created an excellent film from both the standpoint of content and technical quality. After showing a classification of posterior urethral valves and a review of basic pediatric cystoscopy, the Bugbee electrode and the no. 3 ureteral catheter with stylet as electrode (the eyes must be cut off or otherwise sealed), the author goes on to demonstrate the various types of valves .encountered. Pertinent clinical history, findings, and treatment are all clearly demonstrated. The result is an excellent film with good demonstration of the endoscopic findings. The film is well done and is worthy of study. The author’s message is also clear: The transurethral approach is preferred over the suprapubic route provided the operator has learned the requisite skills.
Surgical Treatment A New Approach Joseph J. Kaufman
of Peyronie’s Disease:
The author narrates his own film authoritatively, and the photography is excellent. The idea is to select patients with Peyronie’s disease whose disability is severe enough to incapacitate them. The operative plan requires the insertion of a penile prosthesis and then to make a transverse incision in the placque. The author claims that penile erection is still present with marked diminution or even complete resolution of the deformity. Dr. Kaufman is to be complimented for his imaginative approach to this problem. The film quality is first rate, as one would expect from Hollywood.
VIII, NUMBER 3
307