Biomedical subjects
Publications and source records attributed to U B Patil.
Inverted papilloma of the urinary bladder is not uncommon in adults. In children, only two cases had been reported to our knowledge. Another pediatric case is described herein, in which the lesion occurred in a 9-year-old boy; he is the youngest patient reported to have this condition.
The creation of an effective flap-valve continent stoma requires use of supple, catheterizable conduit that is implanted in a submucosal bed having adequate backing. In some patients the backing that has been routinely used, colonic teniae or bladder detrusor for instance, is deficient or unavailable. As an alternative, the seromuscular layers of the recipient urinary reservoir can be simply reconfigured to provide the support required of a continent stoma. The technique has been effective in 4 patients and offers additional flexibility with challenging cases of continent urinary reconstruction.
Explore the source record for details and available documents.
The male lower urinary tract, which comprises the bladder neck, prostate and membranous urethra, is well hidden behind the pubic symphysis. Historically, surgeons have attempted to expose this part of the anatomy by removing the pubic symphysis, in part or in total, during the surgical procedure. In 1923, for the first time, Walker from Australia attempted to obtain better access to the prostate to treat prostatic cancer. Since the surgeons have utilized transpubic approach in a variety of surgical pathologies. We present our experience in managing 110 patients of both sexes ranging in age from 6 to 70 years. They presented with different lower genitourinary tract pathologies, with prostatomembranous strictures comprising 77% of the cases. Clinical indications for transpubic approach, crucial surgical principles, complications of the procedure, and, more importantly, long term evaluation of patients for 10 years or more, is presented. Transpubic approach has an ongoing role in the surgical and urological management both in children and adult patients of both sexes. Transpubic approach is a safe technique with minimal long-term complications and no post-operative orthopedic sequelae.
This report documents a patient with imperforate anus in whom an endorectal pull-through with incomplete excision of the macroscopic mucosa led to the formation of a 1,500 mL mucosal lined pelvic mucocele, obstructing both the rectum and ureter. All macroscopic mucosa should be removed during endorectal pull-through.
From 1970 to 1985, 30 children between 9 and 13 years old underwent transpubic urethroplasty for traumatic prostatomembranous urethral strictures. Of these patients 5 were followed into adulthood 7 to 10 years postoperatively and were reassessed as to potency, ejaculation, semen quality, psychosexual development, and ability to work and to participate in sports. All of the patients were potent, sexually active and free of any significant impediment to ordinary activity.
Our experience with the use of Formalin instillation in interactable gross hematuria secondary to radiation cystitis in patients with gynecological malignancies is reported. This study indicates coagulative effect of low concentration of Formalin with minimal side effects as a method to control hemorrhage.
Explore the source record for details and available documents.
Preliminary experiences with a transpubic approach for carcinoma of the rectum are described. By excising a wedge of pubic bone and freeing the left lateral attachments of the bladder, the entire length of rectum can be exposed, down to the level of the levator muscles. Dissection of the tumor can be performed under direct vision, even in unfavorable anatomic and pathologic situations. Low rectal anastomoses, at levels of 1--2 cm above the anus, may be performed with greater ease. It is felt that urinary problems should be uncommon and that orthopedic complications should not occur since sacroiliac articulations are not disturbed by retraction.
A method is described for the selection of an appropriate operation in the repair of 155 male urethral strictures. A brief outline of the important aspects of the operation is presented. The patients have been followed 2 to 4 years postoperatively.
A simple technique for management of utricular cyst is presented. Essentially the technique consists of putting a Fogarty balloon catheter in the cyst through a perineal urethrostomy and inflating the balloon to fill the cyst completely. Using a miniature resectoscope, the septum between the cyst wall and prostatic urethra is resected widely until the Fogarty Balloon is completely visualized in the prostatic urethra.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.