Multiple fractures of the silver wire strands as a complication of the silicone-silver wire prosthesis.

A review of 5 consecutive cases in which removal of the silicone-silver wire prosthesis was necessary within 2 years of implantation has revealed multiple breaks in all strands of the silver wire core in both of the paired cylinders.

The diagnosis and surgical management of vasculogenic impotence.

Thirty-two patients have been treated for organic impotence at our institution during a 16-month period. Of these patients 5 were found to have penile vascular insufficiency and underwent a femorocavernosal bypass with an autogenous saphenous vein graft. Initial results were excellent but late failures occurred.

Aggressive management of bilateral renal cell carcinoma.

We review 4 cases of bilateral renal cell carcinoma. Treatment included extracorporeal surgery with subsequent autotransplantation in 2 patients and radical nephrectomy combined with contralateral partial nephrectomy in the remaining 2 patients. Absence of recurrence as well as length of patient survival supports this aggressive therapy.