Prostate cancer in the older man: conflict between tumor biology and medical advancement.

As overall life expectancy grows, clinicians will be confronted more often with diseases that although devastating in the young individual, will not affect survival and possibly even quality of life for those in the older age groups. Prostate cancer is an example of this. The challenge for the physician caring for these patients is to distinguish who is at risk and how much risk so that decisions can be made regarding the propriety of prostate cancer detection and treatment of each individual.

An approach for using full thickness skin grafts for complex penile surgeries in children.

Purpose: Many problems in pediatric urology derive from a paucity of penile skin resulting from prior surgical interventions. While hypospadias surgery is most often responsible for creating this problem, excessive circumcision also can leave a patient with too little skin to cover the penis. To our knowledge we describe the first series of pediatric patients in whom FTSGs were used in a variety of difficult circumstances where penile skin was lacking.

Voiding dysfunction: outcome in infants with congenital vesicoureteral reflux.

Objectives: To assess the rate of development of voiding dysfunction as an outcome in patients with congenital vesicoureteral reflux.

Methods: A computerized database was used to review the medical records of all patients with congenital reflux diagnosed before 6 months of age from 1988 to 2002. Only those infants with reflux who were followed up for at least 6 months past the age of toilet training were included.

Urodynamic evaluation of the older adult: bench to bedside.

Urinary symptoms are prevalent in the geriatric population.Symptoms, however, often are misleading. Urodynamic evaluation can help target specific treatments of specific disorders.

Adult testicular torsion.

Purpose: Testicular torsion in adulthood is thought to be relatively unusual. We compared a series of men 21 years old or older with testicular torsion with a concurrent series of younger patients with torsion.

Materials And Methods: We reviewed the medical records of patients admitted with testicular torsion in a 9-year period to hospitals affiliated with our institution.