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Biomedical subjects

J C Hulbert

Publications and source records attributed to J C Hulbert.

At least 37 records · Page 2Linked to original sources
PubMed1990

Perineal abscess after prostatic urethroplasty with balloon catheter: report of a case.

A 72-year-old patient underwent uneventful prostatic urethroplasty by means of a balloon catheter. The immediate follow-up retrograde urethrogram failed to demonstrate any areas of extravasation and showed a significant increase in prostatic urethral caliber. Three weeks after the patient was discharged, computed tomography demonstrated a large perineal abscess that was attributed to either the prostatic urethroplasty or subsequent Foley catheter manipulations. The abscess was drained percutaneously, and the patient recovered uneventfully. It was concluded that the abscess was a possible isolated complication and that the procedure is warranted in an adequate clinical setting.

Abscess↗
PubMed1989

The importance of separation of prostatic lobes in relief of prostatic obstruction by balloon catheter urethroplasty: studies in dogs and humans.

We performed balloon urethroplasty in six older normal dogs and 10 patients with benign prostatic hypertrophy to establish the mechanism by which this technique results in relief of bladder outlet obstruction. Thirty-millimeter balloon catheters were used in both the animal and human studies. Autopsy studies showed disruption of the anterior prostatic commissure in four of the six dogs, disruption of both anterior and posterior commissures in one dog, and no disruption in the remaining dog. In all 10 patients, cystoscopy and urethrography showed disruption of the anterior commissure. Separation of the prostatic lobes by disruption of the prostatic commissures may be the most important mechanism by which balloon urethroplasty relieves urethral obstruction.

Animals↗
PubMed1988

Classification of and techniques for the reconstitution of acquired strictures in the region of the ureteropelvic junction.

We performed percutaneous intrarenal surgery on 22 patients with acquired strictures of various degrees of severity in the region of the ureteropelvic junction. Of 17 patients with strictures through which a guide wire could be passed (type 1) 8 (47 per cent) had good or excellent long-term results. Of 4 patients with strictures that were patent radiologically but through which a guide wire could not be passed (type 2) only 1 (25 per cent) had good long-term results. The patient with a stricture that totally obliterated the lumen (type 3) suffered recurrence. We conclude that percutaneous techniques for the management of acquired strictures in the region of the ureteropelvic junction can be difficult technically and currently are most successful in the treatment of strictures of short duration that occur after pyeloplasty.

Adult↗
PubMed1988

Percutaneous intrarenal marsupialization of a perirenal cystic collection--endocystolysis.

We report a case of a recurrent perirenal cyst after 4 previous attempts to obliterate the cyst by more conventional means percutaneously and by open surgery. Endocystolysis, a technique for the internal marsupialization of a cyst into the renal collecting system, was used successfully to obliterate the cyst. This case and the technique of endocystolysis are described in detail.

Adult↗
PubMed1988

Spermatic vein embolization with hot contrast material: fertility results.

Spermatic venography with hot contrast material embolization was undertaken in 81 patients with varicoceles and infertility. Long-term follow-up information was available in 91% of the patients, and there was an overall conception rate of 40.5%. Embolization with hot contrast material was easily performed without special embolization devices and proved to be a safe and effective technique.

Adolescent↗
PubMed1987

Percutaneous transhepatic biliary endoscopic procedures.

Two cases are presented to demonstrate the acceptability of the percutaneous route for performing endoscopic procedures in the biliary tree. They involved debridement of an atypical villoglandular polyp and ultrasonic lithotripsy of intrahepatic stones. Both cases serve to introduce percutaneous biliary endoscopy as a viable alternative for diagnosis and therapy in selected cases.

Adult↗
PubMed1987

Percutaneous endoscopic fulguration of a large volume caliceal diverticulum.

Currently, the optimal approach to a caliceal diverticulum appears to be direct puncture into the diverticulum with subsequent dilation and stenting of the narrow ostium with a large nephrostomy tube. However, further maneuvers might be necessary in cases of large volume caliceal diverticula. We describe a patient with a large caliceal diverticulum (7.5 cm.) in whom percutaneous endoscopic fulguration was used successfully as an additional technique to assure obliteration of the diverticulum.

Adult↗
PubMed1986

Retrograde pyelogram using the flexible cystoscope.

A retrograde pyelogram was performed on 2 men with the flexible choledochonephroscope and a 5F whistle-tip ureteral catheter. The procedure was done on an outpatient basis with topical anesthesia and patient tolerance was good. The technique is simple and is a useful alternative to the classical rigid cystoscopic technique.

Adult↗
PubMed1986

Percutaneous techniques for the management of caliceal diverticula containing calculi.

Most frequently caliceal diverticula are found incidentally on routine excretory urograms. Smaller diverticula are associated with a low incidence of complications but larger diverticula with a narrow communication to the main collecting system will predispose to calculous formation as a result of stasis of urine within the diverticulum. The techniques used and results achieved in 10 patients with such calculi who have been successfully managed percutaneously are discussed. Particular reference is made to techniques used specifically to obliterate the diverticula.

Adult↗
PubMed1986

The double puncture: an effective percutaneous technique for removing complex, multiple renal calculi.

Percutaneous nephrostolithotomy, which can require a double puncture, is presently the method of choice in our institution for the removal of renal stones. Patients that underwent this procedure were evaluated to identify the possible reasons for the double puncture. Of 200 patients evaluated, 14 needed a second tract. The three variables that determined whether a second puncture was needed, in order of importance, were number and size of the stones, with second tracts needed in patients with multiple stones and staghorn calculi; anatomical variations of the renal collecting system itself, with bifid systems the most significant anatomic variation; and the dexterity of the radiologist in performing the puncture and the ability of the urologist to extract the stone. Second tracts were needed more frequently in patients who presented with stones in both the lower and middle poles of the collecting systems.

Humans↗
PubMed1986

Urine-compatible polymer for long-term ureteral stenting.

Internal double-J ureteral stents were designed from a urine-compatible polymer (C-Flex), and 35 stents were placed in patients. The overall patency rate for the stents was 80%, with most stent failures occurring before 2 months; the follow-up period ranged from 2 to 16 months, with a mean follow-up for all stents of 5.0 months. Stents were considered patent at last follow-up only if they had been in place for at least 2 months. No migration or fracture of the stents occurred. Physical properties of urine-exposed stents were compared with those of virgin tubing and tubing exposed for 1 year to shelf conditions. Stent patency was optimized by increasing urine flow by increasing the patient's voluntary oral intake, administering prophylactic oral antibiotics, and avoiding placement of stents into grossly bloody or infected collecting systems.

Adult↗
PubMed1985

Percutaneous management of ureteral calculi facilitated by retrograde flushing with carbon dioxide or diluted radiopaque dye.

Of 356 patients in whom percutaneous nephrostomy was performed at this institution 59 had ureteral stones. In our experience with the first 36 patients antegrade techniques for ureteral stone extraction had many assets but sometimes they were difficult. Recently, we incorporated a retrograde flushing technique, using carbon dioxide and diluted radiopaque dye, into our percutaneous approach to ureteral stones. Based on our experience with this technique in the next 23 consecutive patients, we believe that percutaneous nephrostolithotomy and retrograde flushing should be added to the armamentarium of urologists committed to the percutaneous endourological approach to ureteral stones.

Carbon Dioxide↗