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[Guidelines: reality and quality].

Urologe A

August 2012

Klinik und Poliklinik für Urologie und Kinderurologie, Universitätsklinikum Bonn, Sigmund-Freud-Straße 25, 53127 Bonn, Deutschland.

The aim of guidelines is to increase the quality of care in clinical practice. Any influence or financial support by the pharmaceutical industry must be excluded. In urology only two S3 guidelines have been published in German and all others are more or less recommendations (S1).

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Purpose: Inguinal orchidopexy is already considered a safe procedure, this paper describes a simple new surgical instrument designed to make the operation easier, simpler and quicker, whilst reducing tissue trauma, in particular to the deep ring. The result of its use in two centres is presented.

Methods: A unidirectional testicular tunneller has been developed comprising a head, shaft and eye.

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Although most animals with scrotal testes are susceptible to cadmium-induced testicular toxicity, strain-related differences are seen in mice. Resistant murine strains demonstrate a decreased cadmium concentration in the testis and also in the epididymis and seminal vesicle. In this study we analyzed cadmium transport into tissues with a vascular barrier, the testis, epididymis, and brain, in an attempt to characterize the mechanisms of strain resistance to cadmium-induced testicular toxicity.

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