The urologic Clinics of North America: Neurogenic bladder

The urologic Clinics of North America: Neurogenic bladder

particularly visible and understandable. For example, all sponges were dyed blue to minimize glare as well as to cut down on the amount of visible blo...

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particularly visible and understandable. For example, all sponges were dyed blue to minimize glare as well as to cut down on the amount of visible blood in the field. Also green or brown gloves were used. A fiberoptic light carrier held by a Babcock clamp was also freely used during the procedure to facilitate photography as well as visualization in deep holes. The film is generally satisfactory and highly recommended for a teaching program.

A Simple Effective Cystourethropexy for Urinary Stress Incontinence Pasquale A. Greco, Buffalo, New York. The film is essentially about the Marshall-Marchetti technique. The variations from the original appear to be the fact that large bites of tissue are taken, and sutures are also placed in the cartilage of the pubis in addition to the periosteum. The author has relatively little new information to impart. The editing of the film leaves much to be desired in that, toward the end, there are overlong sequences of the closure of the abdomen and the viewer is even treated to the application of the dressing and adhesive tape. In previous reviews, we have always indicated that narration by the surgeon himself is desirable. In this case the surgeon’s delivery might have better been replaced with a professional narrator.

Vasectomy Mitchell Edson, Bethesda, Maryland. This is a film originally intended for educational purposes by the United States Navy. Photography is excellent; however, the film itself is overlong and at times repetitious. This reviewer has had a failure with ligation of the vas with the chromic ties which are advocated by the author. The film, although complete in many details, would have benefited by some judicious editing.

Bifid Ureter: Modern Concepts in Diagnosis and Surgical Treatment Arjan D. Amar, Walnut Creek, California. This film is well conceived and interesting. There are several points which, however, are confusing and which detract from the over-all effect of the film. The opening of the movie shows the embryology of bifid ureter, and there are excellent animations. The author makes a considerable case for ureteroureteral reflux from one ureter to the other. However, his tine shots of this phenomenon are not convincing. The author demonstrates an operative procedure wherein a bifid ureter is converted from an incomplete to a complete duplication and then reimplanted into the bladder. The operative procedure has its confusing moments wherein the viewer is unable to tell whether the surgeon is working inside or outside the

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bladder. This confusion is specially true at the beginning of the film which deals with the opening of the bladder and the dissection of the ureter preparatory to reimplantation. Needs some careful editing.

Human Organ Transplantation: Part II (revisited) Baylor University, Houston, Texas. (One of the AUA Audio-Visual Education Committee series) Last year we had an occasion to review this film and reported that it was too long and unwieldy for proper understanding. It has been reworked with excellent results and is certainly a worthy counterpart to the film “To Preserve Life, Human Organ Transplantation, Part I,” which won a Cine Golden Eagle Award in 1973.

BOOK The Urologic Clinics of North America: Neurogenic Bladder, by Jack Lapides, Guest Editor, Philadelphia, W. B. Saunders Co., 1974, (vol. 1, no. 1) By subscription. In the past, the Surgical Clinics of North America have been offered occasional issues or parts of an issue devoted to topics of interest to the urologist. Over the years outstanding reviews of genitourinary subjects have been buried in these Clinics. Some have been memorable, as that by Whitmore on bladder cancer. Now, four times a year, issues devoted entirely to the interests of the urologist will appear in the familiar “clinics” format. If the first issue gives any indication of what the future holds, we are indeed lucky. In the foreword, Dr. Lapides observes that the appearance of these Clinics “is another indication of the growth of our specialty and its present stature among the surgical and medical sciences.” For a first issue the list of contributors and table of contents is impressive. The 173 pages of text comprise a comprehensive exposition of current thought on this vexing problem. This is preceded by several introductory chapters on the basics of bladder innervation, examination of the patient, and a valuable classification of neurogenic bladder disease. An interesting novelty is chapters written by non-U.S. authors outlining the methods of treatment used outside the confines of our own parish. This is refreshing and gives this symposium a very distinct flavor, which is good. We will look forward to seeing other I974 Symposia which will cover renal lithiasis, pediatric urology, and the prostate. UROLOGY, itself a relative newcomer to the field, welcomes the appearance of this series and wishes the publisher well in this new endeavor. (A.Z.)

UROLOGY

/ SEPTEMBER

1974

/ VOLUME

IV, NUMBER

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