PubMed HealthSearch

Biomedical subjects

H G Kudish

Publications and source records attributed to H G Kudish.

7 recordsLinked to original sources

Treatment of impotence. Proven and promising methods.

During the past decade or so, considerable progress has been made in treatment of erectile dysfunction. Implantation of a penile prosthesis, either semirigid or inflatable, has enabled men made impotent by organic disease or, in some cases, psychologic problems to resume sexual intercourse. Although both types of implants have disadvantages as well as advantages, the disadvantages are being minimized by continuing improvement in the devices. Microsurgical techniques are being devised for correcting impotence due to arterial insufficiency or abnormal venous drainage of the penis. Until these techniques are perfected, however, penile implants remain the surgical treatment of choice. Drugs and electrostimulation are being investigated for treatment of impotence, and further experience will better establish their place in therapeutic management.

Erectile Dysfunction

Testicular tumors of germ cell origin. 1. Epidemiology, pathogenesis, clinical presentation, and diagnosis.

Germinal testicular tumors occur in all age-groups but are most prevalent in men 20 to 34 years old. Tumor development has been associated with incompletely descended testis, "dysgenetic" testis, tumor in the contralateral testis, and trauma. Testicular tumor most often presents as a painless enlargement and induration. Examination should be meticulous and thorough. Any testicular or scrotal mass should be considered neoplastic until proven otherwise. When a testicular or intrascrotal mass presents a diagnostic dilemma, the lesion should be explored through an inguinal exposure. This surgical maneuver spares the patient an unnecessarily long and uncertain follow-up.

Adolescent

Testicular tumors of germ cell origin.

Testicular tumors may be classified as seminoma, embryonal carcinoma, teratocarcinoma, teratoma, and choriocarcinoma. Staging is valuable to determine the extent and natural progression of disease, to select an appropriate treatment regimen, and to provide prognostic guidelines. Megavoltage irradiation to the retroperitoneal and ipsilateral pelvic node-bearing locations is the basis of treatment for patients with pure seminoma diagnosed by radical orchiectomy. Survival rates range from up to 100% for stage I to as low as 20% for stage III. Regional therapy is appropriate for management of nonseminomatous germinal malignancies. Prognosis depends somewhat on treatment, which consists of inguinal orchiectomy combined with either retroperitoneal lymphadenectomy or retroperitoneal radiation therapy alone, or with retroperitoneal lymphadenectomy plus either radiation therapy or chemotherapy.

Antineoplastic Agents

Determining the cause of hematuria.

Hematuria must always be regarded as a serious symptom. A careful history and physical examination are important in determining the source and cause of the bleeding. Procedures useful in evaluating hematuria include roentgenography, cystoscopy, angiography, ultrasound, and urinary cytology. Of these, cystoscopy is the most important, particularly during periods of active bleeding. Renal biopsy is not routinely advised but is useful in certain cases. A diagnosis of idiopathic hematuria, or hematuria of unknown origin, is warranted only after careful, complete, and repeated examinations.

Hematuria