[A case of auto-emasculation].
We present a case of genital self emasculation in a non-psychotic patient. We discuss here the few problems (surgical, psychiatric, legal and sociologic) that this rare case suggest.
Biomedical subjects
Publications and source records attributed to E Ziede.
We present a case of genital self emasculation in a non-psychotic patient. We discuss here the few problems (surgical, psychiatric, legal and sociologic) that this rare case suggest.
Two hundred and forty four patients were treated by transurethral resection of the prostate (68% for adenomas and 32% for epitheliomas) between June 1980 and August 1982. The indications for surgery are based on obstruction of the urinary outflow tract, and the weight of prostatic tissue, which can best be assessed by ultrasound. TURP is the technique of choice for small and medium-size prostates. Hemorrhage is the most frequent complication at operation. Resorption TURP syndrome is extremely rare if an isotonic liquid is used. Urinary tract infections are best treated preoperatively. 2.6% of the patients suffered from urethral stricture despite the use of a 24 French resectoscope and early removal of the catheter. The greater the surgeon's experience, the lower the incidence of definitive urinary incontinence.
Ninety patients presenting with urethral stenosis were treated surgically at the Strasbourg Hospital, involving 100 internal urethrotomies and sixteen urethroplasties. The authors consider that short bulbous stenosis, with no previous treatment, should be treated endoscopically; that, if the stenosis recurs after two internal urethrotomies, or if the stenosis is infected or located in the pendulous or membranous urethra, a urethroplasty is indicated, as in cases of long bulbous stenosis; and that, even though the rate of complications is high following Johansson's urethroplasty, this procedure is indicated in cases of infection. The use of free full-thickness grafts led to a 100% success rate.
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A homogeneous sery dealing with 80 cases of staghorn calculi in adult patients is examined from clinical and therapeutic points of view. Among 75 operated patients, 8 bilaterally, 67 conservative operations were performed. Enlarged intra-sinusal pyelotomy gives the best short and long-term results and is the surgical procedure of choice.
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