Inflatable Penile Prosthesis in the Ambulatory Surgical Setting: Outcomes From a Large Urological Group Practice.

Background: The definitive treatment for erectile dysfunction is the surgical implantation of a penile prosthesis, of which the most common type is the 3-piece inflatable penile prosthesis (IPP) device. IPP surgery in outpatient freestanding ambulatory surgical centers (ASC) is becoming more prevalent as payers and health systems alike look to reduce healthcare costs.

Aim: To evaluate IPP surgical outcomes in an ASC as compared to contemporaneously-performed hospital surgeries.

Inflatable Penile Prosthesis Implantation in the Ambulatory Setting: A Systematic Review.

Introduction: Erectile dysfunction is a common problem that may be definitively treated with the implantation of an inflatable penile prosthesis (IPP). The preponderance of available data on IPP surgery derives from institutional studies, most notably from academic centers or large single-surgeon series, where the majority of procedures are performed in a hospital setting. Because insurance companies and health systems look to reduce health care costs, IPP surgery in outpatient freestanding ambulatory surgery centers (ASC) is becoming more prevalent.

Use of magnetic resonance imaging scanning in adrenocortical carcinoma with vena caval involvement.

We report on 2 cases of an adrenocortical carcinoma with vena caval involvement. Preoperative evaluation included a magnetic resonance imaging (MRI) scan confirming the presence of vena caval involvement. Extremely precise detail of the vena caval tumor thrombus was very helpful in preparing for the surgical extirpation.

Renoduodenal fistula in a patient with chronic nephrostomy drainage: a case report.

We describe the occurrence of a renoduodenal fistula related to a nephrostomy tube in a patient with xanthogranulomatous pyelonephritis and renal calculi. The patient was successfully treated by nephrectomy. Etiological, diagnostic and therapeutic aspects are discussed.

Renal infarction secondary to fibrous dysplasia and aneurysm formation of renal artery.

We report a case of a previously healthy forty-year-old man with bilateral renal artery stenosis secondary to bilateral medial fibrous dysplasia. He was additionally found to have a dissecting aneurysm of the left upper renal artery branch with resultant infarction of the upper and middle pole renal segments. We believe renal infarction secondary to medial fibrous dysplasia with occlusion of the renal artery associated with a dissecting aneurysm has not been reported, and we report the first such case.

Congenital pelvic arteriovenous malformation with massive prostatic hemorrhage: a case report.

Congenital arteriovenous malformations in the true pelvis are extremely rare: only 7 cases have been described in male patients. We report on a patient who presented with massive hemorrhage after transrectal prostatic biopsy and transurethral resection of the prostate. Diagnosis was established by means of magnetic resonance imaging and confirmed by arteriography.

Venous intravasation of barium into the inferior mesenteric vein mimicking a coloureteral fistula: a case report and literature review.

Venous intravasation of barium following a barium enema is a rare event. We report a case of barium venous intravasation into the inferior mesenteric vein. Because of the close proximity to the course of the left ureter, this condition was interpreted initially as a coloureteral fistula.

Hydronephrosis secondary to colonic intussusception.

We report on a two-month-old infant with bowel obstruction found to be secondary to a colonic intussusception (proved and reduced by barium enema). The finding of renal insufficiency prompted ultrasonographic renal evaluation uncovering a unilateral hydronephrosis. After resolution of the intussusception and hydration, the infant's renal functions normalized.

Urachal carcinoma: CT findings.

The computed tomographic (CT) appearance of urachal carcinoma in ten patients was studied and compared with the pathologic findings. Magnetic resonance images were available in one case. All tumors were mucinous adenocarcinomas; four were solid, three were cystic, and three were mixed.

Delayed spontaneous resolution of high grade vesicoureteral reflux after reimplantation.

Significant (grade III/V or greater, International Reflux Study) postoperative vesicoureteral reflux was noted in 4 children who underwent technically satisfactory ureteral reimplantation. All patients had moderate to severe preoperative ureteral dilatation necessitating ureteral tapering in 3 of the 8 ureters reimplanted. Reoperation was considered in all 4 children but a conservative approach was used, with subsequent spontaneous resolution of the reflux 19 to 55 months after reimplantation.

Use of immunohistochemistry for identification of primary lymphoma of the bladder.

Primary lymphoma of the bladder is a rare entity, and when found in such an unusual location it frequently is difficult to distinguish between a lymphoma and an undifferentiated carcinoma. Immunohistochemical staining techniques have been used to identify tumor cell origins when the tissue type or a primary site of involvement is unknown. We report a case of primary lymphoma (nonHodgkin's type) of the bladder and the use of immunohistochemical staining to distinguish definitively tissue type and then specific immunotype.

Magnetic resonance imaging of papillary renal cell carcinoma.

The authors report magnetic resonance (MR) studies in a case of papillary renal cell carcinoma. The preoperative ultrasound and computed tomographic scans suggested either a hemorrhagic cyst or a carcinoma, but the angiogram demonstrated avascularity. The magnetic resonance scan was more consistent with carcinoma than complicated cyst.

A prospective evaluation of placental lactogen as a test for neonatal risk.

This study evaluates the usefulness of maternal serum concentrations of human placental lactogen in the management of high-risk pregnancies. The study was performed in a community hospital over a year's time and involved 250 gestations. The test detected only 11.

Use of doxycycline in elective first trimester abortion.

Elective first trimester abortion was performed in 263 patients, including 86 control patients and 177 patients receiving doxycycline as prophylactic antibiotic coverage. Abortions were done by the same physicians, using a standard protocol. Control and study populations had similar courses, except that the incidence of major complications and total complications was significantly reduced in the group receiving doxycycline.