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Transseptal orchiopexy for cryptorchism
INTERFATIONAL
ABSTRACTS
OF
PEDIATRIC
moved in 48 hours. The sutures were removed after 14 days. No antibiotics were used. Urinary diversion was not used.-_I. Corkery. THE TREATMENT OF INCONTINENCE BY ELECTROSIC IMPLAXTS. K. P. S. Caldwell. Ann. Roy. Coil. Surg. Eng. 41:447459, December 1967. The implant is placed subcutaneously in the abdominal wall and the stimulating electrodes are placed in the region of the anal sphincter in cases with anal incontinence. For bladder incontinence they are placed at the bladder neck, though, in males they can also be placed in the perineum. The external unit is worn over the implant. In general, a pulse width of 1 millisecond at a frequency of 25 per second at 4-5 volts is satisfactory. Too great a current causes pain. Eighteen cases. I5 female and 3 male, have been treated for anal incontinence; 2 have been complete failures and 1 is still dissatisfied. Thirty-six cases, 29 female and 7 male have been treated for urinary incontinence; 24 have had a good result, one has improved, and 11 are failures. Eleven cases of myelomeningocele and one case who had a spmal tumor excised at 2 years of age were also treated for urinary incontinence. There was a marked improvement in 8, some improvement in 3, and no effect in one. There was no death throughout the series. Reuicwcr’s Note: This method is designed for true incontinence, an uncommon finding in myelomeningocele.-.I. 1. Cotktr!/ and R. B. Zachary. TORSION
OF
THE
SpERsfATIC CORD
1.37
SUHGERY
IN UTERO:
CASE REPORT. H. Gelband and M. A. Wulfsohn. J. Urol. 98:506-507, October 1967. This is a case report of an infant presenting with torsion of the testicle as a newborn. Microscopic examination of the testicle, which was removed, showed fibroblasts and connective tissue in the tunica suggesting that the process had occurred several days prior to birth. Prophylactic fixation of the opposite testicle was performed. -W. H. Hen&en. TAE POUCH TECHSIQUE IN THE SURGICAL CoRECTION OF CRYPTORCHIDIShf IN INFANTS AND CIIILDREN. C. D. Benson and M. W. Lotf. Srugery 62:967-973, November 1967. The authors’ experience with 371 undescended testes in 332 infants and children is given. Operation is advised between the age of 4 and 6 years because spontaneous descent may occur in the first year of lift, preschool surgery is desirable,
and there
is histologic
evidence
of fibrosis
in the
nondescended testis starting at about 7 years of age. A transverse inguinal incision is used and the posterior wall of the inguinal canal is opened if retroperitoneal dissection is felt advisable. The testis is positioned in a pouch created in the scrotum between the skin and dartos muscle. A rubber band fixation device is employed. Hormone therapy was not used and is considered contraindicated. The results were excellent in 297 patients, good in 41, and poor in 31. Excellent illustrations of the operative procedrtrc are given.-Daniel T. Cloud. TRANSSEPTAL ORCHIOPEXY FOR H. C. Miller. J. Urol. 98:503-505,
CRYPTORCHIS\I. October 1967.
A technic of orchidopexy is described in which the testicle, after thorough mobilization, is passed down into the scrotum through the scrotal septum, Closing the septum keeps the testicle fixed without need for a temporary traction device. The procedure has been employed in 13 cases with satisfactory results.-W. H. Hen&en. THE HIGH FREQUENCY OF ABNORMAL EXCRETORY UROGRAMS IN YOUNG PATIENTS WITH CONADAL DYSGENESIS. W. Hung and J. LV. Lopresti. J. Urol. 98:697-700, December 1967. In a report from the Children’s Hospital of the District of Columbia, 16 children with gonadal dysgenesis were seen, none with a previous history of urinary tract disease. Excretory and retrograde pyelography in these children showed abnormalities of the urinary tract in 13; 6 had incomplete kidney rotation, 2 had ureteropelvic obstruction, 2 had horsehoe kidney, 1 had a renal cyst, and 1 had an extrarenal pelvis on one side (2 patients had 2 abnormalities). The authors believe that the frequency with which anomalies of the urinary tract occurs in these patients suggests that roiltine urography is warranted.-W. H. Hen&en. SURGICAL CORRECTION OF FEMALE PSEXJDOHERMAP~ODITISM DuE TO ADRENAL HYPERPLASIA. A. J. C. Huff&a&. Brit. J. of Plas. Surg. 20:339363, October 1967. In females with congenital adrenal hyperplasia the high level of androgenic hormones during embryonic life causes hypertrophy of the clitoris and a variable degree of fusion of the labio-scrotal folds. Although the clitoris may decrease in size with medical treatment operation is usually necessary. The best time to operate is during the second year. Clitorectomy should be avoided except in
ABSTRACTS
OF
PEDIATRIC
moved in 48 hours. The sutures were removed after 14 days. No antibiotics were used. Urinary diversion was not used.-_I. Corkery. THE TREATMENT OF INCONTINENCE BY ELECTROSIC IMPLAXTS. K. P. S. Caldwell. Ann. Roy. Coil. Surg. Eng. 41:447459, December 1967. The implant is placed subcutaneously in the abdominal wall and the stimulating electrodes are placed in the region of the anal sphincter in cases with anal incontinence. For bladder incontinence they are placed at the bladder neck, though, in males they can also be placed in the perineum. The external unit is worn over the implant. In general, a pulse width of 1 millisecond at a frequency of 25 per second at 4-5 volts is satisfactory. Too great a current causes pain. Eighteen cases. I5 female and 3 male, have been treated for anal incontinence; 2 have been complete failures and 1 is still dissatisfied. Thirty-six cases, 29 female and 7 male have been treated for urinary incontinence; 24 have had a good result, one has improved, and 11 are failures. Eleven cases of myelomeningocele and one case who had a spmal tumor excised at 2 years of age were also treated for urinary incontinence. There was a marked improvement in 8, some improvement in 3, and no effect in one. There was no death throughout the series. Reuicwcr’s Note: This method is designed for true incontinence, an uncommon finding in myelomeningocele.-.I. 1. Cotktr!/ and R. B. Zachary. TORSION
OF
THE
SpERsfATIC CORD
1.37
SUHGERY
IN UTERO:
CASE REPORT. H. Gelband and M. A. Wulfsohn. J. Urol. 98:506-507, October 1967. This is a case report of an infant presenting with torsion of the testicle as a newborn. Microscopic examination of the testicle, which was removed, showed fibroblasts and connective tissue in the tunica suggesting that the process had occurred several days prior to birth. Prophylactic fixation of the opposite testicle was performed. -W. H. Hen&en. TAE POUCH TECHSIQUE IN THE SURGICAL CoRECTION OF CRYPTORCHIDIShf IN INFANTS AND CIIILDREN. C. D. Benson and M. W. Lotf. Srugery 62:967-973, November 1967. The authors’ experience with 371 undescended testes in 332 infants and children is given. Operation is advised between the age of 4 and 6 years because spontaneous descent may occur in the first year of lift, preschool surgery is desirable,
and there
is histologic
evidence
of fibrosis
in the
nondescended testis starting at about 7 years of age. A transverse inguinal incision is used and the posterior wall of the inguinal canal is opened if retroperitoneal dissection is felt advisable. The testis is positioned in a pouch created in the scrotum between the skin and dartos muscle. A rubber band fixation device is employed. Hormone therapy was not used and is considered contraindicated. The results were excellent in 297 patients, good in 41, and poor in 31. Excellent illustrations of the operative procedrtrc are given.-Daniel T. Cloud. TRANSSEPTAL ORCHIOPEXY FOR H. C. Miller. J. Urol. 98:503-505,
CRYPTORCHIS\I. October 1967.
A technic of orchidopexy is described in which the testicle, after thorough mobilization, is passed down into the scrotum through the scrotal septum, Closing the septum keeps the testicle fixed without need for a temporary traction device. The procedure has been employed in 13 cases with satisfactory results.-W. H. Hen&en. THE HIGH FREQUENCY OF ABNORMAL EXCRETORY UROGRAMS IN YOUNG PATIENTS WITH CONADAL DYSGENESIS. W. Hung and J. LV. Lopresti. J. Urol. 98:697-700, December 1967. In a report from the Children’s Hospital of the District of Columbia, 16 children with gonadal dysgenesis were seen, none with a previous history of urinary tract disease. Excretory and retrograde pyelography in these children showed abnormalities of the urinary tract in 13; 6 had incomplete kidney rotation, 2 had ureteropelvic obstruction, 2 had horsehoe kidney, 1 had a renal cyst, and 1 had an extrarenal pelvis on one side (2 patients had 2 abnormalities). The authors believe that the frequency with which anomalies of the urinary tract occurs in these patients suggests that roiltine urography is warranted.-W. H. Hen&en. SURGICAL CORRECTION OF FEMALE PSEXJDOHERMAP~ODITISM DuE TO ADRENAL HYPERPLASIA. A. J. C. Huff&a&. Brit. J. of Plas. Surg. 20:339363, October 1967. In females with congenital adrenal hyperplasia the high level of androgenic hormones during embryonic life causes hypertrophy of the clitoris and a variable degree of fusion of the labio-scrotal folds. Although the clitoris may decrease in size with medical treatment operation is usually necessary. The best time to operate is during the second year. Clitorectomy should be avoided except in