Surgical treatment of Peyronie's disease by the intracavernosal plaque excision method: a new surgical technique.

Objective: A new surgical method of treating Peyronie's disease consisting in intracavernosal excision of the plaque is presented.

Material And Methods: The operation was performed on 16 men aged from 34 to 65 years (mean 50.2 years).

Successful microsurgical replantation of an amputated penis.

Traumatic amputation of the penis is a rare condition. The paper presents a 22-year old man who suffered a complete penile amputation in a result of an unfortunate accident. Microsurgical replantation of the penis was performed in the case with a complete return of sensation, sexual function and physiologic miction.

Microsurgical replantation of sexual organs in three patients.

Objective: The present study deals with microsurgical replantation technique.

Material And Methods: The technique was applied in 3 patients whose sexual organs had been accidentally cut off.

Results: Necrosis of the sutured organs occurred in 2 cases.

Ultrastructure of the tunica albuginea in congenital penile curvature.

Purpose: We investigated the ultrastructure of the tunica albuginea in individuals with congenital penile curvature to explain the pathology of this disease.

Materials And Methods: Included in our study were 15 patients 17 to 24 years old with congenital penile curvature. Study material consisted of samples of the tunica albuginea excised from the greater curvature of the corpus cavernosum during surgical correction.

Haemorrhagic complications of percutaneous lithotripsy: original methods of treatment.

698 patients treated for nephrolithiasis with the application of percutaneous lithotripsy were analysed. In 32 cases increased bleeding in the course of the procedure occurred. It was controlled without surgery with blood transfusion, constant renal saline flow maintenance, electrocoagulation, kidney parenchyma pressing with thick drain and approach canal tamponade.

Role of Chlamydia trachomatis in epididymitis. Part II: Clinical diagnosis.

The aim of the research was to analyse the complaints and symptoms in acute Chlamydia trachomatis (C.t.) epididymitis.

Role of Chlamydia trachomatis in epididymitis. Part I: Direct and serologic diagnosis.

The aim of the study was to evaluate the role of Chlamydia trachomatis (C.t.) in the etiopathogenesis of epididymitis.

Investigations of urinary lead concentration in patients with urinary bladder carcinoma.

Authors investigated the lead content of urine in 24 patients with urinary bladder carcinoma using atomic spectrometry. It was found that in 40% of these patients it was increased. These results might indicate an involvement of lead in carcinogenesis.

Platelet serotonergic mechanisms in patients with cancer of the urinary bladder.

Platelet reactivity of hypertensive patients and patients with cancer of the urinary bladder was examined in vitro in comparison with normotensive patients. A significant increase in free serotonin in the plasma of patients with cancer of the bladder and a less pronounced increase in hypertensive subjects was observed. The platelets in neoplastic disease and hypertension showed a significant reduction in the kinetics of serotonin uptake.

Nitroblue tetrazolium test in patients with renal tumor in the course of embolization.

The main role of neutrophilic granulocytes is phagocytosis and destruction of phagocytized bacteria. The nitroblue tetrazolium test (NBT), used to evaluate the bactericidal function of granulocytes, was assessed in 45 patients with renal tumour before and 14 days after renal artery embolization. No statistically significant spontaneous test NBT differences were found, compared with control group both before and 14 days after embolization.

The activity of neutrophil myeloperoxidase in patients with renal cancer before and after embolization.

The activity of granulocytic myeloperoxidase (MPO) was investigated in 45 patients with renal cancer before and 14 days after renal artery embolization in comparison with control group of 40 healthy people. The group examined showed lower MPO activity before embolization, as compared to controls. The differences being statistical insignificant (p > 0.

Embolization and serum lysozyme activity in renal cancer.

The aim of the study was to determine the effect of renal tumor embolization on nonspecific immunity by evaluating lysozyme activity and leucocytosis in 45 patients and 40 healthy people. Lysozyme activity was assessed in the non-diluted serum (A1) and in the tenfold diluted serum (B1) prior to embolization and after embolization (A2, B2) and in control group. Prior to embolization, lysozyme activity was lower in the experimental group (A1 and B1), compared to the control groups, the differences being statistically significant (p < 0.

Investigations of urinary cadmium content in patients with urinary bladder carcinoma.

In the present paper authors investigated urinary cadmium content in 10 patients with urinary bladder carcinoma using atomic spectrometry. It was found that in 60% of these patients it was increased. These results might indicate an involvement of cadmium in carcinogenesis.

Microsurgical replantation of the amputated penis and scrotum in a 29-year-old man.

A 29-year-old mentally ill farmer underwent microsurgery for the resuturing of the penis and testicles which he himself had chopped off with an ax. Microsurgery of the urethra, corpora cavernosa, arteries and veins was begun 10 h after the trauma. The veins, arteries and testicles were anastomosed and covered with a free flap of the scrotum skin.

[Stamey-Lorenz operation for treatment of stress urinary incontinence in women].

The Stamey-Lorenz operation was presented as a new method for treatment of stress urinary incontinence in women. During operation the urethra is suspended by using special needles and under cystoscopic control, thus proper vesico-urethral angle is restored. 10 incontinent women were cured using this method, 8 with good results.

[Autotransplantation of the testis as a method of cryptorchism treatment].

Four patients at the age of 20-55 years treated for cryptorchism by means of microvascular anastomosis were presented. Considerable usefulness of autotransplantation was revealed on the basis of 5 procedures performed, especially in the case of intra-abdominal location of the testes.

[Evaluation of papaverine in treatment of impotence].

The results of therapy of 52 male patients with impotence with papaverine are presented. The drug was injected by the intra-cavernous route. Recovery has been achieved in all of them with marked improvement of sexual functions in 73%.

[Rare diseases of the posterior urethra in males].

Rare diseases of the posterior urethra and adjacent structures in adult men are presented. Anatomy and embryology of this segment of urethra, pathologies, diagnosis and therapy are also discussed.

[Resection of the deep dorsal penile vein in the treatment of vascular-induced impotence].

In 10 patients aged from 26 to 58 years suffering from impotence caused by abnormal venous outflow a resection of the deep dorsal vein of the penis was performed. In all patients an improvement of the sexual function was observed.

[Priapism as a complication following diagnostic papaverine test].

In 5 out of 84 patients suffering from impotence a prolonged erection was observed after intracavernous papaverine injection. Treatment consisted of puncture of the cavernous body, blood evacuation and intracavernous adrenaline injection. In 4 patients erectile function could be preserved and in the fifth patient a penile prosthesis has been implanted.

[Ligation of the vena dorsalis penis profunda in treating vascular-induced impotence].

It is reported on the diagnosis and treatment of vasculogeneic impotence. With the use of dynamic cavernosography in 6 patients changes in the venous system were detected and therefore the profound dorsal penile vein was ligated. In 4 patients the sexual function could be improved.

[Two cases of penis fracture with injury to the urethra].

Two patients with penis fracture with urethral damage during sexual intercourse are reported. The patients were treated surgically although in one case the time after fracture was 28 hours and in the second case 12 hours. The therapeutic results were very good in both cases, and the authors believe that surgery is the treatment of choice in cases of penis fracture.

[Dynamic cavernosonography in the diagnosis of vascular-induced impotence].

The dynamic cavernosography using papaverine is presented and its usefulness in the detection of an abnormal blood outflow from the penile cavernous bodies is demonstrated.

[Microdensitometric research on DNA in the cells of a primary kidney tumor after Spongostan embolization of the renal artery].

In klatsch preparations of renal tumours (light-cellular carcinomas with malignity degree 2 and 3) microdensitometric investigations of the DNA-content were performed. In the 1st group the material came from 10 patients in whom a unique nephrectomy, in the 2nd group from 10 patients in whom 2 days before nephrectomy an embolisation of the renal artery with Spongostan, in the 3rd group from 10 patients in whom 14 days after embolisation the nephrectomy had been performed. From the analysis of the histograms follows that in the cytoblasts of the tumours of the 3rd group the percentage of diploid and paradiploid nuclei is higher than in the groups I and II: deviation to the left of the histogram.