TRANSURETHRAL VESICAL COLD BIOPSY FORCEPS.
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Biomedical subjects
Publications and source records attributed to R B MULLENIX.
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Reports of three patients with malignant and one with benign urachal tumor are presented. Survival of one patient in good health 11 years after removal of adenocarcinoma of a urachal cyst with vesical invasion is reported. Methods of diagnosis and treatment are discussed.
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Prostatectomy was done in 589 cases in a five-year period. The operation was done transurethrally in 530 cases of benign disease and in 50 cases of malignant lesions. In six cases of malignant disease and three of benign, open procedures were used. Results of transurethral prostatectomy were considered good or excellent in 94.4 per cent of the cases of benign hypertrophy and in 92 per cent of the cases of carcinoma. It was felt that radical perineal prostatectomy was advisable for early operable cases of carcinoma, but that the transurethral procedure was more suitable in almost all cases of benign hypertrophy.
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General practitioners are usually the first to observe a patient with ureteral stone, and often they practice in communities where consultation with a urologist is not immediately available. Study of the records of 423 patients with ureteral stone observed in private practice indicates that by following a definite system for diagnosis, relief of pain, determination of contralateral function, control of infection, and prophylaxis, general practitioners can manage the disease in the great majority of cases, and can determine when treatment by a specialist is imperative.
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