PubMed Health⌕ Search

Biomedical subjects

A Orandi

Publications and source records attributed to A Orandi.

10 recordsLinked to original sources
PubMed1990

Transurethral resection versus transurethral incision of the prostate.

A new operation, transurethral incision of prostate (TUIP), performed on 846 patients in 20 years, is offered primarily for the management of bladder outlet obstruction in young, middle-aged, and those old men with small prostates who otherwise would be subjected for years to dilatation, massage, and drugs with only partial and temporary relief. In matched cases, results and complications are the same for TUIP and TURP except for the troublesome bladder neck contracture and the higher incidence of reflex into the seminal vesicles and sexual complications after resection of the prostate. Transurethral incision is unsuitable for large prostates. As for economics, compassion and wisdom in fee collection are justified. Cost reduction in health care may be necessary, but it hurts everyone involved. There is no such thing as unnecessary surgery when the critics are charged with decision making about the health and life of the patient before surgery. Finally, before the advent of the third-party payment, operations were avoided because of the financial burden. The surgeon, the patient, and the relatives silently consented to no care. This "silent consent" did not improve the quality of life but did contain costs--as well as longevity.

Adult↗
PubMed1987

Transurethral incision of prostate compared with transurethral resection of prostate in 132 matching cases.

In a prospective project during a 2-year period 132 patients with bladder outlet obstruction who were candidates for transurethral incision of the prostate were managed alternately by transurethral incision and transurethral resection of the prostate. Both operations were compared in matched patients. The results and complications favored transurethral incision, although there was no statistical significance except for the high incidence of bladder neck contracture after transurethral resection (p equals 0.028).

Adult↗
PubMed1985

Transurethral incision of prostate (TUIP): 646 cases in 15 years--a chronological appraisal.

Transurethral incision of the prostate was performed on 646 patients in 15 years. This operation is offered as a surgical cure for bladder outlet obstruction in men of all ages and different sized prostates. In large glands TUIP may not be desirable. Deep incisions cause surgical and sexual complications and may fuse by adhesions. In matched cases this method provided better results and fewer complications than the standard transurethral resection.

Adult↗
PubMed1978

Transurethral incision of prostate. Seven-year follow-up.

The first transurethral incision of the prostate (TUIP) by the author was done in 1969. An analysis of 150 TUIPs performed thus far is given and compared with 150 concomitant patients with transurethral resection of the prostate (TURP). Only 1 TUIP patient has required subsequent resection, whereas 8 patients in th TURP group have had reresection. There has been no contracture of the bladder neck, no incontinence of urine, fewer strictures, and less sexual changes associated with this new method.

Adult↗
PubMed1978

A new method for treating prostatic hypertrophy.

Since 1969, when I did the first transurethral prostatic incision on a 51-year old man with bladder neck obstruction, 245 patients have undergone this procedure; 220 have been followed for 3 months to 8 years. Almost one-half of these patients were between 70 and 90 years old. Comparison of the first 220 patients who had transurethral incision with 220 patients who had transurethral prostatic resection showed that only two who underwent incision required subsequent resection, while 8 patients in the resection group had to have repeat resection. Contracture of the bladder neck and urinary incontinence did not occur with transurethral incision, and the incidence of epididymo-orchitis and stricture is lower with this method than with resection.

Adult↗
PubMed1977

Transurethral fulguration of bladder diverticulum: new procedure.

Transurethral fulguration of bladder diverticulum (TUFD) is a new and simple procedure. Since July, 1975, 17 patients have had TUFD at the time of transurethral resection of the prostate. Cystograms have been obtained from one week to twelve months after surgery. The diverticulum has shrunk in 9 cases and has totally disappeared in 5; follow-up is incomplete in 3 cases.

Aged↗
PubMed1976

Urine cytology in the detection of bladder tumor recurrence.

Of 118 patients with primary bladder tumors seen since 1966, 73 have been followed with urine cytology since 1969. Of the 406 tests there have been 85 positive, 296 negative and 25 ambiguous reports. The incidence of falsely positive results is estimated at 4% but the incidence of falsely negative results cannot be assessed in this study. Currently, 51 patients are living, 2 of whom had been seen in 1966. Of the 51 patients 43 are being followed with urine cytology. Bimonthly urine cytology has been found to be a relaible, convenient, safe, less hazardous and less costly method for the detection of bladder tumor recurrence.

Aged↗
PubMed1975

Changes in the male urethra produced by instrumentation for transurethral resection of the prostate.

Radiographic changes produced in the male urethra by instrumentation were studied by pre- and postoperative urethrograms in 50 consecutive men as well as in several hundred selected patients. All 50 patients showed postoperative changes in the urethra. Obvious findings developed in 30% without symptoms while 14% of the men suffered severe symptomatic strictures. In our total operated cases, patients who were entered through the urethral meatus showed a 17.2% rate of stricture formation, while those entered transperineally showed only an 8.5% stricture rate. We conclude that all transurethral instrumentation produces trauma as evidenced by varying degrees of radiographic change.

Aged↗