Salvage penile prosthetic surgery utilizing temporary malleable implants.

The inflatable penile prosthesis (IPP) is an effective erectile dysfunction (ED) treatment modality when oral and injectable therapies fail to achieve satisfactory results. Unfortunately, infection of the prosthetic remains a dreaded complication occurring in a small fraction of patients despite advances in device design and surgical techniques. With a prosthetic infection or erosion, classic management has included removal of all hardware with thorough irrigation of the infected spaces.

High recurrence rate at 5-year followup in children after upper urinary tract stone surgery.

Purpose: Pediatric urolithiasis has been treated with shock wave lithotripsy, ureteroscopy and percutaneous nephrolithotomy with high success rates during short-term followup. We studied our success rate and modifiable risk factors in patients with at least 5 years of followup postoperatively.

Materials And Methods: Retrospective chart review was performed for patients younger than 18 years who underwent upper tract stone surgery between 1999 and 2007, were stone-free afterward and had at least 5 years of followup.

The ability of the quadruple test to predict adverse perinatal outcomes in a high-risk obstetric population.

Objective: To determine the ability of the quadruple Down's syndrome screening test (quad screen) to predict other adverse perinatal outcomes (APO) in a high-risk obstetric population.

Setting: A tertiary medical centre in West Virginia.

Methods: We retrospectively reviewed 342 obstetric patients with quad screen data from a single clinic.

Struma Ovarii with a focus of follicular variant of papillary thyroid cancer: a case report.

Background: Struma Ovarii is a mature ovarian teratoma that consists mainly of thyroid tissue. Mature cystic teratomas may contain small amounts of thyroid tissue. Carcinomatous change in Struma Ovarii is extremely rare.

Patient access and clinical efficiency improvement in a resident hospital-based women's medicine center clinic.

Objectives: To apply the Six Sigma tools of Change Acceleration Process and Work-Out and to improve patient access in an outpatient clinic in a hospital-based residency training program.

Study Design: Observational study.

Methods: Comparison of productivity in an obstetrics and gynecology clinic after implementation of the Six Sigma principles, with a comparable internal medicine clinic as a control group.