Colour Doppler ultrasound hemodynamic characteristics of patients with priapism before and after therapeutic interventions.

BACKGROUND: Information in the literature on the hemodynamic characteristics of priapism, especially after therapeutic intervention, is very limited. We analyzed our colour Doppler ultrasound (CDU) studies performed for patients with various durations of priapism before and after therapeutic intervention. METHODS: We reviewed 52 CDU studies for 24 patients with priapism before and after treatment for the period 1997-2007.

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Difficulty in Foley catheter placement is a frequently encountered problem. We describe a simple and safe technique for this condition. Rather than using force, which may lead to the formation of a false passage, one should place a glidewire into the bladder through the area of resistance, followed by the placement of a Foley catheter over the glidewire.

Comparative analysis of pain during anesthesia and no-scalpel vasectomy procedure among three different local anesthetic techniques.

Objectives: To compare the pain during anesthesia and during the no-scalpel vasectomy procedure for local infiltration anesthesia (LIA), LIA supplemented with spermatic cord block (LIA + SCB), and no needle jet anesthesia.

Methods: Bilateral no-scalpel vasectomy was performed in 323 patients during 2007. Of the 323 patients, 65 received LIA, 29 received LIA + SCB, and 227 received anesthesia using the no-needle technique with the MadaJet device.

Clinical experience and sexual function outcome of patients with priapism treated with penile cavernosal-dorsal vein shunt using saphenous vein graft.

Objectives: To assess the outcome of new penile cavernosal-dorsal vein shunt using a saphenous vein graft. Traditional surgeries for priapism have high failure rate and subsequent impotence.

Methods: We reviewed the medical records of, and administered a questionnaire and the International Index of Erectile Function to, 16 consecutive patients with priapism who had treated with the penile cavernosal-dorsal vein shunt from 1997 to 2007.

Rapid communication: pure robot-assisted laparoscopic ureteral reimplantation for ureteral stricture disease: case report.

Background And Purpose: The role of the da Vinci robot is slowly being defined in minimally invasive urologic surgery. We report its use in the management of ureteral stricture disease.

Case Report: A 42-year-old man with recurrent kidney stone disease was found to have a left distal-ureteral stricture.