Biomedical subjects

R Ravalli

Publications and source records attributed to R Ravalli.

8 recordsLinked to original sources

PubMed1991

Intracavernous pharmacotherapy in psychogenic impotence.

Twenty-five men with psychogenic impotence but without serious psychopathology were considered for intracavernosal therapy with papaverine hydrochloride and phentolamine mesylate. A total of 20 proved suitable and began self-injection in conjunction with sex therapy; 8 patients had return of spontaneous erections without pharmacotherapy, although one of them needs to keep the medication in his refrigerator. The other 12 patients are continuing self-injection therapy. Psychotherapy with self-injection may be helpful in the management of psychogenic erectile impotence.

Adult↗

PubMed1990

Biochemical evaluation of calcium stone patients: how soon can it be done after stone surgery/passage?

Biochemical evaluations were done two times for 29 outpatients with calcium stone disease, the first time within one month after surgical extraction or passage of stones and the second time two months or more later. Classification of the etiologic basis for the stone disease was the same after both tests in 27 patients. In the other 2 patients the diagnosis was changed from renal to absorptive hypercalciuria. Both of these patients had creatinine clearance rates less than 60 percent of normal during the first test. One also had multiple residual stones during both evaluations, and the second had a urinary tract infection during the first test that resolved with a normal creatinine clearance by the second test period. When nephrogenous cyclic adenosine monophosphate (cAMPn) assays were done on fasting specimens in these patients, the results were consistent with absorptive hypercalciuria. Almost all patients can be evaluated and placed in management programs within a few weeks after surgery. If cAMPn assays are not done, patients with decreased renal function secondary to residual stones or infection can be tested at a later time.

Adolescent↗

PubMed1990

Intermittent self-catheterization.

The geriatric population is a challenge to those health professionals who are willing enough to give them a chance. Growing old is just that, a growth process. We should break the pattern of neglecting growth and promoting regression. In 1916, Cabot and Crabtree had foresight into the future of intermittent catheterization when they said, in reference to urinary tract infections, that "there is no subject in which there is so little uniformity of opinion and so much confusion." Through continued education and research, we hope to reverse negative attitudes. With more uniformity in their care, the geriatric population can continue to live a comfortable, socially acceptable life.

Aged↗

PubMed1987