PubMed Health⌕ Search

Biomedical subjects

S C Evins

Publications and source records attributed to S C Evins.

13 recordsLinked to original sources
PubMed1989

Nonoperative management of iatrogenic prostatorectal fistula.

Iatrogenic prostatorectal fistula is a rarely seen urologic complication of transurethral resection of the prostate and stricture dilatation with sounds. In the past, such cases have been managed with colostomy diversion of the fecal stream and suprapubic cystostomy diversion of the urinary stream and in most cases operative closure of the fistula. This case illustrates that a more conservative nonoperative approach can lead to successful closure of such a fistula in selected cases. The management of the case described here utilizes low residue dietary supplements, Foley catheter drainage, and broad-spectrum antibiotics to allow the fistula to heal.

Fistula↗
PubMed1979

Renal adenoma -- a misnomer.

Because it is difficult histologically to differentiate between a renal cell carcinoma and a renal adenoma, their differentiation has been based on size. Lesions less than 3 cm. have been called adenomas and those greater than 3 cm. carcinomas. It is a widely accepted concept that adenomas evolve into adenocarcinomas, and it is true that lesions less than 3 cm. rarely metastasize. However, as demonstrated by this case and others, metastasis can occur, therefore, it is suggested that the term renal adenoma no longer be used.

Adenocarcinoma↗
PubMed1979

Ureteral colic secondary to blood clot in hemophiliac.

Cryoprecipitate therapy replaces necessary clotting factors in a patient with factor VIII deficient hemophilia. In such a patient with hematuria, cryoprecipitate therapy can initiate the formation of a massive blood clot in the urinary collecting system. A case is reported of a factor VIII-deficient hemophiliac in whom ureteral colic and poor function of the right kidney developed because of a blood clot formed shortly after cryoprecipitate therapy.

Adolescent↗
PubMed1979

Posterior urethral valves: current concepts in diagnosis and treatment.

Since 1969 we have treated 10 pediatric cases of posterior urethral valves. Of these patients 5 underwent early upper tract diversion and 5 underwent valve resection and observation. There were no deaths and no patients with permanent urinary diversion. All patients in whom blood pressure was recorded were hypertensive preoperatively and normotensive postoperatively. Creatinine clearances stabilized or improved in all but 1 case, although the urogram findings did not correlate well with improved clearance. Dilatation of the upper tracts resolved slowly in all cases. The current treatment should include early valve resection or fulguration followed by observation with emphasis on renal function, blood pressure and infection as opposed to the urographic appearance of the collecting system.

Adolescent↗
PubMed1977

Self-emasculation: review of the literature, report of a case and outline of the objectives of management.

Self-emasculation is the end result of an unusual psychiatric disorder, which initially requires surgical treatment. Only 51 cases have been reported in the English literature since 1900. No previous attempt to preserve testicular androgen function by reimplantation or grafting has been reported. We describe an unsuccessful attempt to graft the testicles in subcutaneous thigh pockets. Microscopically, the biopsied autografts showed no viable interstitial or germinal testicular tissue. The objectives of the treatment of self-emasculation injury are restoration of anatomical and functional continuity of the urethra as a urinary channel, preservation of the capacity for sustained penile erection, preservation of testicular androgen activity, prompt psychiatric evaluation and treatment of the underlying illness, and restoration of the normal appearance of the scrotum.

Adult↗