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Sarcoma botryoides: A 7 year survival
586
INTERNATIONAL
BischofI’s method
in 2.5 cases, 9 were improved.-
B. M. Henderson. OPERATIVE RESULTS IN VESICO-URETERICREFLUX. F. Kuffer, M. Bettex and M. Kropf. Helv.
Paediat. Acta. 24: 118-122, 1969. The authors compare the results obtained with nreteroneocystostomy according to LeadbetterPolitano (82 operated ureteric orifices) with other methods (Bischoff: 14 operated ureteric orifices; Vest: 26 operated ureteric orifices; Mathisen: 101 operated ureteric orifices). The Leadbetter-Politano procedure prevented reflux in all cases, but was twice followed by stenosis of the new orifice. The cure rate was 97 per cent compared to 57 per cent for the Bischoff procedure, 65 per cent for Vest, and 75 per cent for Mathisen.-M. Bettex.
ABSTRACTS
101:374-378
(March),
1969.
A patient with congenital absence of the lumbosacral spine is described who at the age of 5 years was given a loop colostomy, which was later made into a double barrel colostomy. Several procedures were required for prolapse of the colostomy and ileocecal intussusception. He was initially seen by the authors when age 8 years because of urinary incontinence, which was treated initially by suprapubic cystostomy. As there was continued leakage through the urethra the vesical neck was closed. Following another episode of intussusception the colostomy was converted to a terminal one. As the suprapubic catheter did not function satisfactorily a sigmoidocystoplasty was performed. In discussing this case the authors note that bladder hygiene by regular emptying of the bladder by CredC pressure or abdominal straining was not possible because of the presence of colostomy. This in turn led to the need of some form of bladder drainage procedure. They also wonder whether the colostomy was necessary initially as bowel dysfunction, in their experience, has not been an indication of colostomy in a large group of paraplegics. The operations that foIlowed because of complications related to the colostomy would have been avoided and, perhaps, would have saved the patient the difficulties of bladder drainage that ensued.-B. M. Henderson. MALIGNANT TUMORS OF THE SPERMATIC CORD. M. Arlen, H. Grabstold, and W. S. Whitmore, Jr.
Cancer
23:525-532
(March),
1969.
This is a report of 11 cases of malignant tumors arising in the spermatic cord, among whom there
SURGERY
were 4 children under the age of 16 years, each with a rhabdomyosarcoma. Treatment of choice in these patients is radical orchidectomy with retroperitoneal node dissection. Groin dissection is indicated when the previous local excision has been inadequate or there is evidence of local recurrence. Radiation may be of value locally. They were also treated with Actinomycin-D and cytoxan. The adult cases included leiomyosarcoma, malignant mesothelioma, teratoma, fibrosarcoma, and rhabdomyosarcoma. Three of the 4 children remain free of disease from 2 to 4 years following treatment. The fourth, a 16.year-old, died just over one year later with metastases-B. M. Henderson. SARCOMABOTRYOIDES:A 7 YEAR SURVIVAL.H. C. Miller, J. A. Benjamin, and R. K. McEvoy.
J. Urol. 101567-569 CONGENITAL ABSENCE OF THE LUMBOSACRAL SPINE. C. K. Pearlman and E. Bars. J. Urol.
OF PEDIATRIC
(April),
1969.
The case of an l&month-old boy who developed rhabdomyosarcoma of the bladder neck is described. An ileal loop urinary diversion was performed as a first stage, following which total cystoprostatoseminovesicolectomy was carried out. To this was added chemotherapy with Actinomycin-D and radiotherapy. The function of the right kidney gradually deteriorated and in the fourth postoperative year it was removed. Six years following the initial operation the youngster’s BUN was 10 mg. per cent, the hematocrit 41 per cent, and he weighed 60 pounds. Aggressive, early treatment is indicated in the management of these tumors, even if very large.-B. M. Henderson. GIANT CYST OF UTRICLE. G. H. Myers, Jr., H. B. Lynn, and P. P. Kelanis. J. Urol. 101:369-373
(March),
1969.
A 2-month-old male infant with bilaterally undescended testes and severe hypospadias, who initially was thought to be female, is described. Buccal smear was chromatin negative. Karyotype analysis showed the chromosome complex of a normal male. The child did well until he developed urinary tract infection. Excretory urography revealed lateral deviation of both ureters with the bladder displaced to the right by a large rounded pelvic mass. At endoscopy the verumontanum was absent and arising posteriorly and proximal to the external sphincter was an orifice into a large diverticulum. Because of the angulation of the posterior urethra, visualization of the bladder was impossible. The child was then explored and the cyst was removed down to its insertion into the urethra. A right intra-abdominal testis was found, attached to which was a long wormlike structure which on mcroscopic examination was similar to normal epi-
INTERNATIONAL
BischofI’s method
in 2.5 cases, 9 were improved.-
B. M. Henderson. OPERATIVE RESULTS IN VESICO-URETERICREFLUX. F. Kuffer, M. Bettex and M. Kropf. Helv.
Paediat. Acta. 24: 118-122, 1969. The authors compare the results obtained with nreteroneocystostomy according to LeadbetterPolitano (82 operated ureteric orifices) with other methods (Bischoff: 14 operated ureteric orifices; Vest: 26 operated ureteric orifices; Mathisen: 101 operated ureteric orifices). The Leadbetter-Politano procedure prevented reflux in all cases, but was twice followed by stenosis of the new orifice. The cure rate was 97 per cent compared to 57 per cent for the Bischoff procedure, 65 per cent for Vest, and 75 per cent for Mathisen.-M. Bettex.
ABSTRACTS
101:374-378
(March),
1969.
A patient with congenital absence of the lumbosacral spine is described who at the age of 5 years was given a loop colostomy, which was later made into a double barrel colostomy. Several procedures were required for prolapse of the colostomy and ileocecal intussusception. He was initially seen by the authors when age 8 years because of urinary incontinence, which was treated initially by suprapubic cystostomy. As there was continued leakage through the urethra the vesical neck was closed. Following another episode of intussusception the colostomy was converted to a terminal one. As the suprapubic catheter did not function satisfactorily a sigmoidocystoplasty was performed. In discussing this case the authors note that bladder hygiene by regular emptying of the bladder by CredC pressure or abdominal straining was not possible because of the presence of colostomy. This in turn led to the need of some form of bladder drainage procedure. They also wonder whether the colostomy was necessary initially as bowel dysfunction, in their experience, has not been an indication of colostomy in a large group of paraplegics. The operations that foIlowed because of complications related to the colostomy would have been avoided and, perhaps, would have saved the patient the difficulties of bladder drainage that ensued.-B. M. Henderson. MALIGNANT TUMORS OF THE SPERMATIC CORD. M. Arlen, H. Grabstold, and W. S. Whitmore, Jr.
Cancer
23:525-532
(March),
1969.
This is a report of 11 cases of malignant tumors arising in the spermatic cord, among whom there
SURGERY
were 4 children under the age of 16 years, each with a rhabdomyosarcoma. Treatment of choice in these patients is radical orchidectomy with retroperitoneal node dissection. Groin dissection is indicated when the previous local excision has been inadequate or there is evidence of local recurrence. Radiation may be of value locally. They were also treated with Actinomycin-D and cytoxan. The adult cases included leiomyosarcoma, malignant mesothelioma, teratoma, fibrosarcoma, and rhabdomyosarcoma. Three of the 4 children remain free of disease from 2 to 4 years following treatment. The fourth, a 16.year-old, died just over one year later with metastases-B. M. Henderson. SARCOMABOTRYOIDES:A 7 YEAR SURVIVAL.H. C. Miller, J. A. Benjamin, and R. K. McEvoy.
J. Urol. 101567-569 CONGENITAL ABSENCE OF THE LUMBOSACRAL SPINE. C. K. Pearlman and E. Bars. J. Urol.
OF PEDIATRIC
(April),
1969.
The case of an l&month-old boy who developed rhabdomyosarcoma of the bladder neck is described. An ileal loop urinary diversion was performed as a first stage, following which total cystoprostatoseminovesicolectomy was carried out. To this was added chemotherapy with Actinomycin-D and radiotherapy. The function of the right kidney gradually deteriorated and in the fourth postoperative year it was removed. Six years following the initial operation the youngster’s BUN was 10 mg. per cent, the hematocrit 41 per cent, and he weighed 60 pounds. Aggressive, early treatment is indicated in the management of these tumors, even if very large.-B. M. Henderson. GIANT CYST OF UTRICLE. G. H. Myers, Jr., H. B. Lynn, and P. P. Kelanis. J. Urol. 101:369-373
(March),
1969.
A 2-month-old male infant with bilaterally undescended testes and severe hypospadias, who initially was thought to be female, is described. Buccal smear was chromatin negative. Karyotype analysis showed the chromosome complex of a normal male. The child did well until he developed urinary tract infection. Excretory urography revealed lateral deviation of both ureters with the bladder displaced to the right by a large rounded pelvic mass. At endoscopy the verumontanum was absent and arising posteriorly and proximal to the external sphincter was an orifice into a large diverticulum. Because of the angulation of the posterior urethra, visualization of the bladder was impossible. The child was then explored and the cyst was removed down to its insertion into the urethra. A right intra-abdominal testis was found, attached to which was a long wormlike structure which on mcroscopic examination was similar to normal epi-