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Biomedical subjects

W H Hoch

Publications and source records attributed to W H Hoch.

7 recordsLinked to original sources
PubMed1984

Adenocarcinoma of the scrotum (extramammary Paget's disease): case report and review of the literature.

A case is reported of extramammary Paget's disease of the scrotum, with metastases to the superficial femoral lymph nodes. Extramammary Paget's disease and its urological spectrum are reviewed, and the management is discussed. Treatment consisted of surgery and irradiation therapy. The patient appears to be free of disease, despite metastatic nodal involvement, 2 1/2 years after diagnosis.

Aged↗
PubMed1979

Ureterosigmoidostomy: a 59-year followup and review of long-term urinary diversion.

This case report documents the efficacy of urinary diversion by ureterosigmoidostomy. Our patient has suffered minimal complications with the added advantage of urinary continence for nearly 60 years. While we would not advocate the Coffey I technique for creation of ureterosigmoidostomy, this case does illustrate the longest survival after any form of diversion with normal urinary function reported in the literature.

Child↗
PubMed1979

Intraureteral tumor demonstrated by computed tomography.

Two cases of papillary carcinoma of the bladder are presented in which the ureter could not be demonstrated by standard radiographic techniques. Computed tomography (CT) allowed identification of the tumor filled ureter. Intraureteral papillary tumor has a radiographic density (CT number) above that of water but less than that of the enveloping ureter.

Carcinoma, Transitional Cell↗
PubMed1975

Early, aggressive management of intraoperative ureteral injuries.

Most urologic surgeons prefer proximal urinary diversion as an initial step in the repair of intraoperative ureteral injuries but an early direct attack on the injured area is being attempted more often. Our report concerns 36 ureteral injuries in 24 patients during the least 5 years. In 19 patients 20 injuries were recognized and managed during postoperative convalescence. Repair consisted of ureteroneocystotomy in 8 patients, ureteroureterostomy in 6 and ureteral deligation in 4. Ureteral catheter manipulation alone was successful in 2 cases. Satisfactory ureteral repair was achieved in 23 patients. Definitive management was initiated upon diagnosis in all but 1 patient. We recommend an early, direct, aggressive approach to the injured area whenever possible.

Adolescent↗