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The Penile Plication Procedure: An Alternative Method for Straightening Penile Deviation

1991

AbstractThe number of reported cases of congenital and acquired penile deviation is evidently increasing. We describe our experience with the penile plication procedure, which we used to treat 40 patients with penile deviation. Postoperatively, all patients regained the ability for sexual intercourse, with potency remaining unimpaired. Of the patients 96% were completely satisfied with the result of the operation. Sustained complications have not been observed. To avoid major trauma the surgical intervention should not include removal of ellipsoids from the penile tunica albuginea as proposed by Nesbit. Since the penile plication method produces equally good results in terms of performance …

AdultMaleReoperationmedicine.medical_specialtyAdolescentUrologyPenile IndurationTunica albuginea (ovaries)Postoperative ComplicationsRecurrenceMethodsmedicineHumansAlternative methodsPlicaturabiologybusiness.industrySuture TechniquesPenile Indurationbiology.organism_classificationSurgerymedicine.anatomical_structurebusinessPlication procedurePenisFollow-Up StudiesPenisJournal of Urology
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Urinary diversion in children and young adults using the Mainz Pouch I technique

1997

Objectives To determine the late complications and consequences for renal function, vitamin and acid-base metabolism after application of the Mainz Pouch I (MZP-I) technique in children and young adults. Patients and methods To November 1994, the MZP-I procedure was carried out in 463 patients at our institution, 91 of whom were children and adolescents (≤20 years old) using bladder augmentation in 21 and a continent cutaneous stoma in 70. A minimum follow-up of 1 year was possible in 87 patients or 163 renal units (RUs) with a mean of 5.5 years (range 1–10.5). Results At the last examination, 23 of 55 (42%) pre-operatively dilated RUs had improved, 131 of the 163 RUs (80%) were stable and …

AdultMaleReoperationmedicine.medical_specialtyAdolescentUrologymedicine.medical_treatmentBile Acids and SaltsFolic AcidUreterStoma (medicine)medicineHumansChildDefecationUpper urinary tractAcid-Base EquilibriumUrinary bladderbusiness.industryUrinary Reservoirs ContinentUrinary diversionUrinary Bladder DiseasesVitaminsSurgeryTreatment OutcomeUrinary Incontinencemedicine.anatomical_structureBladder augmentationChild PreschoolCreatinineFemalePouchbusinessContinent Urinary DiversionFollow-Up StudiesBJU International
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Characterization of the effect of intracorneal ring segment in corneal ectasia after laser refractive surgery

2018

Purpose: To evaluate the visual, refractive, topographic, pachymetric, and biomechanical outcomes after intracorneal ring segment implantation in corneas with post-LASIK ectasia. Methods: Retrospective longitudinal study enrolling 26 eyes of 22 patients with post-LASIK ectasia and undergoing intracorneal ring segment implantation (KeraRing®, Mediphacos) using a 60-kHz femtosecond laser (IntraLase®, IntraLase Corp.) for corneal tunnelization. Visual, refractive, anterior, and posterior corneal topographic (Pentacam HR, Oculus), pachymetric, and corneal biomechanical changes (Ocular response Analyzer, Reichert) were evaluated during a 12-month follow-up. Vector analysis of astigmatic changes …

AdultMaleReoperationmedicine.medical_specialtyCorneal ectasiagenetic structuresCorneal Surgery Lasermedicine.medical_treatmentVisual AcuityAstigmatismProsthesis DesignRefraction OcularCorneal Diseaseslaw.inventionCorneaCorneal ectasiaPostoperative ComplicationsLens Implantation IntraocularlawIntracorneal ring segmentEctasiaOphthalmologyRefractive surgerymedicineHumansPost-LASIK ectasiaPentacam hrIntracorneal ring segmentRetrospective StudiesÓpticaPost-LASIK ectasiabusiness.industryCorneal TopographyGeneral MedicineMiddle Agedmedicine.diseaseLasereye diseasesOphthalmologyFemalesense organsbusinessDilatation PathologicFollow-Up StudiesEuropean Journal of Ophthalmology
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Decompression/Stabilization of the Metastatic Spine: Cotrel-Dubousset-Lnstrumentation in 50 Patients Jan

1993

50 patients with metastatic disease of the spine underwent dorsal decompression and stabilization with the Cotrel-Dubousset-Instrumentation from 1987 to 1991. Indications for surgical treatment were neurologic deficit, spinal instability, and/or pain resistant to medical or radiation treatment. No external orthotics were used postoperatively. Pain was relieved dramatically in 45 patients. Among 25 patients suffering from neurologic deficit preoperatively, 13 improved, 15 remained unchanged, whereas 2 developed an incomplete, transient paraplegia. 15 (7) patients were alive after 1 (2) years. Postoperative complications were frequent, but there were only 2 failures of the stabilization devic…

AdultMaleReoperationmedicine.medical_specialtyDecompressionOrthoticsCotrel–Dubousset instrumentationThoracic VertebraePostoperative ComplicationsHumansMedicineOrthopedics and Sports MedicineRachisAgedFixation (histology)Aged 80 and overLumbar VertebraeSpinal Neoplasmsbusiness.industryMiddle Agedmedicine.diseaseSurgerySurvival RateSpinal FusionTreatment OutcomeOrthopedic surgeryFemaleSurgerybusinessParaplegiaComplicationFollow-Up StudiesActa Orthopaedica Scandinavica
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Clinical follow-up after surgery of lumbar disc prolapses. A critical analysis.

1990

A retrospective clinical study was made on 987 patients with lumbar disc disease treated by discectomy. All patients had been operated on in the Department of Neurosurgery (University-Hospital Mainz). 545 patients were males, and 442 females (1.2:1). Patients in the 4th decade of life were affected most often (33.5%). Perioperative complications occurred in 5.4%, with discitis as the single major complication (1.9%). 83% of all patients who underwent discectomy could return to their normal occupation.

AdultMaleReoperationmedicine.medical_specialtyDiscitisAdolescentmedicine.medical_treatmentLumbar discPostoperative ComplicationsSex FactorsDiscectomymedicineHumansHerniaChildIntervertebral DiscAgedRetrospective StudiesSciaticaLumbar Vertebraebusiness.industryAge FactorsGeneral MedicineMiddle Agedmedicine.diseaseLow back painhumanitiesSurgeryIntervertebral diskSurgeryFemaleNeurology (clinical)Neurosurgerymedicine.symptombusinessLumbar disc diseaseIntervertebral Disc DisplacementFollow-Up StudiesNeurosurgical review
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Strategies for reconstruction after unsuccessful or unsatisfactory primary treatment of patients with bladder exstrophy or incontinent epispadias.

1999

Following unsuccessful or unsatisfactory primary treatment in patients with the epispadias/exstrophy complex, the options for a surgical solution to preserve the upper urinary tract, to achieve complete continence, and to reconstruct the external and female internal genitalia are limited. We reviewed the records of the patients treated at our institution to determine a surgical compromise between ingenious operative constructions and patient desires, both of which are secondary to stabilization of renal function.From 1967 to December 1997, 128 patients with bladder exstrophy/epispadias complex were treated, of 80 whom had received previous unsuccessful or unsatisfactory treatment. Of these …

AdultMaleReoperationmedicine.medical_specialtyEpispadiasUrologymedicine.medical_treatmentUrinary incontinenceEpispadiasUrologic Surgical ProcedureUreterosigmoidostomymedicineHumansTreatment FailureChildUrinary bladderbusiness.industryBladder ExstrophyInfantmedicine.diseaseSurgeryBladder exstrophyPlastic surgeryNeck of urinary bladdermedicine.anatomical_structureUrinary IncontinenceChild PreschoolUrologic Surgical ProceduresFemalemedicine.symptombusinessFollow-Up StudiesThe Journal of urology
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Infrequent early recanalization of greater saphenous vein after endovenous laser treatment

2003

Abstract Objective The frequency of recanalization of the greater saphenous vein (GSV) after endovenous laser treatment (ELT) is unclear. This study was undertaken to establish the incidence of early recanalization after ELT and to study the histopathologic features of reperfused and excised GSV. Methods One hundred nine GSV in 85 consecutive patients with clinical stage C 2-6 E P,S A S,P,D P R disease were treated with ELT. Twelve months of follow-up with duplex scanning at regular intervals was possible in 104 treated veins (95.4%) in 82 patients (96.5%). Recanalized vessels were removed surgically and examined at histopathology. Results ELT-induced occlusion proved permanent at duplex sc…

AdultMaleReoperationmedicine.medical_specialtyHigh ligationAdolescentmedicine.medical_treatmentGreater saphenous veinRisk AssessmentSeverity of Illness IndexCohort StudiesDuplex scanningOcclusionmedicineHumansSaphenous VeinProspective StudiesStage (cooking)Vascular PatencyAgedAged 80 and overUltrasonography Doppler Duplexbusiness.industryBiopsy NeedleEndovenous laser treatmentMiddle AgedImmunohistochemistrySurgeryTreatment OutcomeLower ExtremityVenous InsufficiencyFemaleSurgeryHistopathologyLaser TherapyCardiology and Cardiovascular MedicinebusinessSaphenous veinsFollow-Up StudiesJournal of Vascular Surgery
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Complex radial head and neck fractures treated with modern locking plate fixation

2019

Background Internal fixation of complex radial head and neck (CRHN) fractures is difficult, and postoperative complications are common. This study evaluated elbow function and patient clinical status after internal fixation of CRHN fractures with modern locking plates. Methods We included 40 patients with 41 fractures (1 bilateral lesion). In 25 patients (61%), a concomitant injury was found. Patients were an average age of 46 years (range, 22-70 years). The mean follow-up time was 36 months (range, 2-70 months). Postoperative assessments included evaluation of range of motion, functional scores, and radiologic findings. We assessed fracture healing, surgical complications, revision surgery…

AdultMaleReoperationmedicine.medical_specialtyJoint replacementmedicine.medical_treatmentElbowBone healingSupinationFracture Fixation InternalYoung Adult03 medical and health sciencesFixation (surgical)0302 clinical medicineElbow JointHumansMedicineInternal fixationPronationOrthopedics and Sports MedicineRange of Motion ArticularDevice RemovalAgedFracture Healing030222 orthopedicsbusiness.industry030229 sport sciencesGeneral MedicineMiddle AgedSurgeryTreatment Outcomemedicine.anatomical_structureConcomitantFemaleSurgeryRadial head fractureRadius FracturesbusinessRange of motionBone PlatesEpiphysesFollow-Up StudiesJournal of Shoulder and Elbow Surgery
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Endothelial study of iris-claw phakic lens: four year follow-up.

1998

Abstract Purpose: To study quantitative and morphometric endothelial changes in phakic eyes implanted with the Worst iris-claw lens to correct high myopia. Setting: Department of Ophthalmology, University Hospital “La Fe”, Valencia, Spain. Material and Methods: This retrospective study involved 111 phakic eyes (73 patients) implanted with the Worst iris-claw lens. Noncontact specular microscopy and computer-assisted analysis was performed preoperatively and 6 months and 1, 2, 3, and 4 years postoperatively. Results: The mean cell loss was 3.85% at 6 months, 6.59% at 1 year, 9.22% at 2 years, 11.68% at 3 years, and 13.42% at 4 years. At 2 years, the hexagonality and coefficient variation in …

AdultMaleReoperationmedicine.medical_specialtyRefractive errorVisual acuitygenetic structuresAnterior Chambermedicine.medical_treatmentEye diseaseCorneal TouchVisual AcuityIrisIntraocular lensCell CountPhakic intraocular lensCorneal DiseasesVision disorderPostoperative ComplicationsLens Implantation IntraocularOphthalmologyCorneaMyopiaMedicineHumansCell SizeRetrospective Studiesbusiness.industryEndothelium CornealMiddle Agedmedicine.diseaseeye diseasesSensory SystemsSurgeryOphthalmologymedicine.anatomical_structureSurgeryFemalesense organsmedicine.symptombusinessFollow-Up StudiesJournal of cataract and refractive surgery
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Five-year follow-up after catheter ablation of persistent atrial fibrillation using the stepwise approach and prognostic factors for success.

2015

Background— In the meantime, catheter ablation is widely used for the treatment of persistent atrial fibrillation (AF). There is a paucity of data about long-term outcomes. This study evaluates (1) 5-year single and multiple procedure success and (2) prognostic factors for arrhythmia recurrences after catheter ablation of persistent AF using the stepwise approach aiming at AF termination. Methods and Results— A total of 549 patients with persistent AF underwent de novo catheter ablation using the stepwise approach (2007–2009). A total of 493 patients were included (Holter ECGs ≥every 6 months). Mean follow-up was 59±16 months with 2.1±1.1 procedures per patient. Single and multiple procedu…

AdultMaleReoperationmedicine.medical_specialtyTime Factorsmedicine.medical_treatmentCatheter ablationKaplan-Meier EstimateDisease-Free SurvivalYoung AdultSex FactorsHeart RatePredictive Value of TestsRecurrenceRisk FactorsPhysiology (medical)Internal medicineHeart rateAtrial FibrillationmedicineTachycardia SupraventricularHumans610 Medicine & healthAgedRetrospective StudiesAged 80 and overbusiness.industryAtrial fibrillationRetrospective cohort studyMiddle Agedmedicine.diseaseSurgeryTreatment OutcomeAtrial FlutterPredictive value of testsPersistent atrial fibrillationMultivariate AnalysisCardiologyCatheter AblationElectrocardiography AmbulatoryFemaleCardiology and Cardiovascular MedicinebusinessStepwise approachAnti-Arrhythmia AgentsAtrial flutterFollow-Up StudiesCirculation. Arrhythmia and electrophysiology
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