Insertion of bladder pacemaker in treatment of neurogenic bladder

well shown. The insertion appears to be less traumatic and performed with ease following preparation of the prosthetic bed with the dilator. A Simple Artificial Sphincter Michael Rosen This film demonstrates the use of a relatively simple device designed for urethral compression which can be controlled at will. The device made of Silastic is inserted in a way similar to the Kaufman prosthesis. The device surrounds the bulbous urethra and is connected to an “activator” which is imbedded in the scrotal wall. This procedure seems to be a simple way of managing postoprostatectomy incontinence. This reviewer recommends the film. Treatment of Erectile Impotence by an Implantable Hydraulic Prosthesis F. Brantley Scott This film illustrates the surgical technique for the implantation of an inflatable prosthesis in the treatment of erectile impotence and is the counterpart of the author’s anti-incontinence prosthesis, using the same principle. The technique appears to be relatively simple, and the results in 120 cases of the author’s experience is good. The advantage is controllable erection compared to the conventional penile prosthesis which leads to the permanent stiffness. The film is well made and is recommended. Implantation of Electronic Bladder Stimulator H. Sommenkampf, and W. Bischoff This film, made without narration, concerns the implantation of electrodes for the management of hypotonic neurogenic bladder. The pressure measurement during the operation shows good detrusor response. The peritoneum was inadvertently opened in the dissection of peritoneum off the bladder wall. Electrical Stimulation of the Bladder Using the Mentor Pacemaker Stanley J. Kandzari and D. Franklin Milam The technique of insertion of the Mentor pacemaker in a four-year-old child with neurogenic bladder secondary to meningomyelocele is shown. The electrode is inserted into the inferolateral aspect of the bladder around the neurovascular bundle, one on each side. Intravesical pressures of 60 cm. of water are obtained postoperatively. This is basically designed for a lower motor neuron type bladder. Insertion of Bladder Pacemaker in Treatment of Neurogenic Bladder Seymour Kilstein This film is also concerned with the use of a Mentor pacemaker for the lower motor neuron bladder. The contraindications stated include vesicoureteral reflux and creatinine clearance less than 60 ml./min. Visibility at operation was somewhat obscured due to bloody operative field. The result was impressive in

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that the preoperative residual of 1,700 ml. was diminished to 150 ml. postoperatively. Six of 8 cases were successful. One failure occurred in a patient with multiple sclerosis. Radical Retropubic Prostatectomy: A Modified Surgical Approach Bernhard T. Mittemeyer A technical modification of radical retropubic prostatectomy is shown. The surgeon uses the transverse skin incision, ligates the vascular and lymphatic channels prior to tumor manipulation, and divides the bladder neck first and then dissects down toward the apex. The emphasis was also put on a tensionfree vesicourethral anastomosis. The idea was well reflected in the movie. Functional Closure of Exstrophy of the Bladder Robert D. Jeffs This film demonstrates the surgical management of exstrophy of the bladder which includes bilateral iliac osteotomy and primary closure of bladder without continence. In this series, 56 cases were suitable for primary closure compared with 17 unsuitable cases. Continuous Flow Transurethral Resection James F. Glenn This silent film was intended to depict the advantage of uninterrupted transurethral resection by using continuous flow over the conventional method. There was no endoscopic view of the resection shown in the film. The Use of the Ileal Ureter for Recurrent Renal Calculi Donald G. Skinner and Willard E. Goodwin This film concerns replacement of the ureter with an ileal segment for the treatment of recurrent renal stone formation in selected cases. The ileal segment is rotated 180 degrees in order to be isoperistaltic and is retroperitonealized at the end. Interestingly, the original ureter was left in situ. The importance of Y-V-plasty to decrease bladder outlet resistance was emphasized. The scenes of operation are excellent, and all the steps are clearly shown. This film is certainly recommended for viewing. Electrohydraulic Nephrolithotripsy Alex M. Raney The author demonstrates that electrohydraulic stone disintegration can be utilized for renal stone. His technique was shown in three parts: in vitro, in the dog, and in the human. Electrohydraulic Cystolithotripsy Alex M. Raney Electrohydraulic disintegration is used for bladder calculi in vitro, in vivo, and in patients. The color is poor, and the endoscopic view is not clear.

UROLOGY

/ FEBRUARY

1979 / VOLUME

XIII,

NUMBER

2