196,089 research outputs found

    1963 -- Correspondence, Miscellaneous -- letter, 1963-02-05

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    Letter from Austoni, M. to Sabin, Albert B. dated 1963-02-05.Sabin Collection Fair Use Policy</a

    [Trans-scrotal penile degloving, a new procedure for corporoplasties].

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    The subcoronal approach is the most widely used skin degloving procedure for corporoplasty. Although it is relatively easy and it fully exposes the corpora cavernosa, it is not free from several complications (subcoronal lymphedema, decrease of glans sensitivity, paraphimosis, distal skin necrosis), which sometimes require a postoperative circumcision, or a preoperative prophylactic circumcision.To describe our own degloving approach, the "Trans-scrotal Penile Degloving (TPD)", that is suitable for most corporoplasties, and to present the outcomes.This is a retrospective analysis conducted on 89 patients (pts) presenting with different penile diseases, and submitted to the TPD during Corporoplasty, from February 2008 to July 2010: Congenital curvature (26 pts); Peyronie's Disease (PD) with penile curvature (18 pts); PD with erectile dysfunction and curvature (25 pts); Redo surgery with complex tunica albuginea remodeling and prosthesis implant (20 pts). The TPD approach calls for a 5 cm incision to be placed ventrally on the scrotal raphe at the penile base: penile degloving is then easily carried out up to the coronal line. Subsequently, the dorsal neurovascular bundle is normally isolated and all types of different corporoplasties can be carried out.Any complication occurring during or after surgery has been registered. Patient follow-up controls were performed on day 7, month 1 and month 3 post-surgery: -No pre- or post-operative circumcision procedures were required; -There was no evidence of post-operative preputial edema or penile skin necrosis or loss of glans sensitivity; -In 6 patients, we noted a mild scrotal sub-dartos hematoma, which reabsorbed spontaneously.TPD, which represents an evolution of our previous combined subcoronal-trans-scrotal approach, may be advantageously performed in most corporoplasties with optimal aesthetic and functional outcomes, and may replace in many cases the subcoronal approach without its associated complications

    Application of Specific Exergy to Macrophytes as an Integrated Index of Environmental Quality for Coastal Lagoons

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    This work aims to explore the application of specific exergy on macrophytes as an integrated index to assess ecosystem health in coastal lagoons, and to analyse its possible application in view of the implementation of the Water Framework Directive of the European Union. Exergy and specific exergy are calculated as a function of the biomass multiplied by a weighting factor (beta), which express the quantity of information embedded in the biomass. Until now only few general values of beta have been published. Therefore, we have extended the calculation of beta values for 244 seaweed and seagrass species which are common in Mediterranean coastal lagoons. The estimated beta values have been then compared with macrophyte-based indicators which have been recently developed, namely the Ecological Evaluation Index and the IFREMER classification scheme. Overall, we found a good agreement between beta values and macrophyte indicators. Furthermore, the specific exergy was calculated for 81 sites in coastal lagoons of Southern France and compared with existing classification schemes, finding a good agreement between them. As a result, we argue that specific exergy may be used as an integrated index that is able to synthesize and complement existing approaches.JRC.H.5 - Rural, water and ecosystem resource

    Validity of superficial echography in the study of urethral pathology

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    In male patients routine examination for urethral disease includes retrograde and anterograde urethrography and urethroscopy. In the patients underwent radical cystectomy, detection of cancerous cells in the urethral washing suggest cancer relapse. Nowadays we can achieve a sonographic study of the anterior male urethra, using a superficial high frequency ultrasound probe. Since September 1992 till July 1993, 12 patients underwent cystectomy at our Institution and 13 patients affected by urethral stricture, have been investigated by routine examination and sonographic urethrogram. In the first group of patients, out of 3 patients with urethral tumor, sonourethrography has confirmed the presence of tumor in 2 cases. In these second group of patients, sonourethrography has located the stricture, evaluated the length, calculated the diameter of the stricture and the depth of fibrosis. Sonourethrography is a non-invasive method that can provide valuable information about the urethral lumen and the urethral wall

    Treatment of prostatitis with a new laser probe with optic fiber

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    The present treatment of the subacute abatteric prostatitis, prostatodinia, prostatosis (the most common prostatic flogistic diseases) is represented by the transrectal applications of infrared Laser. The concrete opportunity of applying such an energy directly to the prostate in cases of flogistic diseases--a very frequent pathology treated in many different and controversial ways--is a stimulating therapeutical method which we tested and that we presently use in our clinics. The thanks to the realization of an high technology equipment, easy to handle, cheap, safe, perfectly suitable, formed by a new infrared Laser probe, transrectal, atermical, made by a optical fibre, which we present. Micturition, ejaculation, fertility may draw a relevant improvement, provided that the same treatment is performed after a specific medical diagnosis and following a strict protocol
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