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  • 1
    Electronic Resource
    Electronic Resource
    The clinical syndrome of hydatid torsion. Diagnostic evaluation and therapy in 104 consecutive cases (1999)
    Springer
    Der Urologe 38 (1999), S. 353-357 
    Details
    ISSN: 1433-0563
    Keywords: Key words Hydatid • Hydatid torsion • Acute scrotal pain ; Schlüsselwörter Hydatide • Hydatidentorsion • Akutes Skrotum
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung An der Urologischen Universitätsklinik Gießen wurden von 1977 bis 1998 insgesamt 104 Hydatidentorsionen als Ursache eines akuten Skrotums beobachtet. Das Erkrankungsalter zeigt in der Altersgruppe der 12 jährigen einen Gipfel. 33,7 % wurden primär konservativ und 66,3 % primär operativ behandelt. Ein konservatives Vorgehen wird bei entsprechender klinischer Symptomatik nur bei sicherem Nachweis einer erhaltenen Hodendurchblutung empfohlen. Dabei leisten Doppler- und (Farb)duplexsonografie entscheidende Hilfe zum Nachweis einer arteriellen testikulären Perfusion.
    Notes: Summary At the department of the urology of the university hospital in Giessen we observed 104 hydatid torsions with acute scrotal pain between 1977 and 1998. The average age of the affected patients showed a peak in boys with 12 years of age. 33.7 % of the patients underwent primary conservative treatment and 66.3 % were operated primarily. We only recommend conservative treatment after careful clinical evaluation and definitive detection of testicular perfusion. Scrotal ultrasound and color duplex sonografy hereby serve as decisive tools.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001200050297
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Experience in the treatment of erectile dysfunction using the intracavernosal self-injection of papaverine (1992)
    Springer
    World journal of urology 10 (1992), S. 179-182 
    Details
    ISSN: 1433-8726
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary The study population comprised 135 patients with impotence of differing etiologic origin who were initially instructed in the self-injection of papaverine. At the end of the study, 91 men (67.4%) continued to participate after a median follow-up period of 42 months (range, 16–60 months) and a median number of 101 (range, 37–295) injections. Of the 44 men (32.6%) who discontinued therapy, only 8 had reached a point where they could dispense with self-injection. The most important reasons for discontinuation were complications, including abnormalities in liver enzymes in 4 men (3%) and recurrent urethral misinjection in 3 men (2.2%). Prolonged erections, which were recorded in 15 men (11.1%), represented 〈0.1% of the total of 10766 reported injections; 9 of these men continued self-injection without experiencing further episodes of priapism (4 with a decreased amount of papaverine and 5 with prostaglandin E1). Penile nodes were observed in 15 cases (11.1%), and fibrosis of cavernous tissue was evident in 4 men (3%). The development of these complications did not depend on the number, time, or dose of injections.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00213675
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    Paper (German National Licenses)
    Fulltext
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