Carcinoma of Penis
MP Senthil Kumar , N Ananthakrishnan, V Prema [Jawaharlal Inst of Post graduate Med Education and Research, Pondicherry, India]
Predicting Regional Lymph Node Metastasis in Carcinoma of the Penis : A Comparison Between Fine-Needle Aspiration Cytology, Sentinel Lymph Node Biopsy and Medial Inguinal Lymph Node Biopsy
Br J Urol 81 : 453-457, 1998
Conclusions – Clinical assessment alone is not accurate in identifying candidates for block dissection for penile carcinoma. When nodes are palpable, FNAC accurate and specific.
In men with impalpable nodes, a preliminary medical inguinal nodes biopsy, followed by sentinal node biopsy when medical inguinal nodes biopsy is negative, enables accurate identification of patients with metastases in the groin nodes.
When the findings are positive, block dissection can be performed at the same time.
The Efficacy of Urethrolysis without Re-suspension for Iatrogenic Urethral Obstruction. HB Goldman, et al (Cleveland Clinic Found, Ohio) J Urol 161: 196-199, 1999.
Urethral obstruction occurs in 1% to 20% of patients after surgery for stress urinary incontinence. Treatment consists of urethrolysis with or without resuspension. The efficacy of urethrolysis without resuspension was retrospectively evaluated.
Conclusion : Transvaginal urethrolysis without resuspension is an effective treatemnt for iatrogenic urethral obstruction. In this study, it resulted in a 77% success rate, with 7% voiding well but having some incontinence.
Editors comment that the dilemma facing the pelvic surgeon is whether another suspension should be done when taking down the previous sutures. The current report addresses this question and indicates that such a “resuspension” is not necessary. Seventy-seven percent of patients voided well without incontinence.