Biomedical subjects
Publications and source records attributed to A C Gellman.
We report a case of calculi in a Skene's gland abscess produced by Ureaplasma urealyticum. The enzyme urease, produced by the Ureaplasma urealyticum, is thought to be the etiological factor in stone production, vaginitis and urethritis.
Testicular malignancies in closely related family members rarely occur. Only 18 cases have been reported in the literature. Our cases concern two families with testicular tumors occurring in cousins. This is the first such incidence reported. The need for a thorough checkup of other family members is reiterated.
The new Iglesias resectoscope that allows simultaneous suction, continuous irrigation and low intravesical pressure is described. Advantages of this instrument include no interruption, better endoscopic vision by a continuous clear inflow of more than 600 ml. per minute, a low intravesical pressure less than 10 mm. Hg during the transurethral resection, shorter operating time, less bleeding, easier teaching and no more wet floor and wet surgeon. Since the entire amount of irrigating fluid is collected blood loss can be calculated and the amount of absorption can be determined.
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The continuous flow resectoscope (CFR), as initially reported by Iglesias et al., has been used in clinical community practice for four years. It has provided a most effective and efficient method of performing transurethral resection without incurring mortality, morbidity or other problems. It is stressed that the important factor in its successful use is that resection must be performed as initially described by Iglesias, if it is to be used successfully.