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Contents
MCV/Q, Medical College of Virginia Quarterly
Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1973, Volume Nine, Number Three.
Psychiatric Problems In Urology, James L. Mathis
Psychiatric Problems In Urology, James L. Mathis
MCV/Q, Medical College of Virginia Quarterly
In summary, the urologist cannot escape from a major responsibility for his patients' emotional components. The very area of his work is highly charged with emotional potential, primarily of a sexual nature. A careful sexual history is essential to the full understanding of the symptoms of many urological complaints and is equally necessary for the prevention of emotional complications to genital surgery.
The Urologist And The Law, Jack B. Russell
The Urologist And The Law, Jack B. Russell
MCV/Q, Medical College of Virginia Quarterly
Some of the matters I have referred to may seem unusual or unlikely and thus may not be long remembered. Let me reiterate, however, the importance of two items in particular. If nothing else remains long in your minds, do not forget that complete and adequate records are essential, both in the hospital and in the office. Nothing else will take their place when they are needed. Finally, keep in mind always the significance of informed consent. It is a rapidly changing principle and one which touches literally every field of medicine. It may be difficult to accept in all …
Renal Hypertension, Eugene F. Poutasse
Renal Hypertension, Eugene F. Poutasse
MCV/Q, Medical College of Virginia Quarterly
The advances in our knowledge of renal hypertension over the last 75 years represents outstanding accomplishments in experimental and clinical medicine. A review of the highlights of this important investigation in hypertension should begin with Tigerstedt and Bergman's work in Scandinavia which demonstrated in 1898, that extracts of kidney possessed a hypertensive action. They gave the name "renin" to the impure substance which produced this effect. For the next 30 years much work was done on the vasoconstrictor action of extracts of the adrenal medulla, the nervous system and the kidney.
Urological Care Of The Paralyzed Patient, Robert H. Hackler
Urological Care Of The Paralyzed Patient, Robert H. Hackler
MCV/Q, Medical College of Virginia Quarterly
The paraplegic injured during World War I had only a 10% chance of surviving the first year. Only 20% of the American paraplegics could even be evacuated. A great majority of the deaths were caused by urinary tract sepsis. Starting in the mid and late 1940's, however, with the discovery of broad spectrum antibiotics, many of the early complications were eliminated and the survival rate greatly improved. Since 1946, over 2,000 patients have been admitted to the McGuire Veterans Administration Hospital. This spinal cord injury service receives approximately 400-500 admissions per year with about 70 being new patients.
Pediatric Uro-Radiology, Herman Grossman
Pediatric Uro-Radiology, Herman Grossman
MCV/Q, Medical College of Virginia Quarterly
"Routine" radiologic studies do not, often enough, concentrate on the part of the anatomy and physiology of importance for the diagnosis. The close cooperation between the pediatrician, urologist and the radiologist will insure more useful uro-radiographic studies on which rational clinical decisions can be based. The child's signs and symptoms, as well as the anatomic and physiologic information needed, dictate the type and order of the radiographic studies. It is beyond the scope of this paper to go into the indications for specific uro-radiographic studies. The radiographic techniques will be presented.
Surgery Of The Genitalia In Children, Charles J. Devine
Surgery Of The Genitalia In Children, Charles J. Devine
MCV/Q, Medical College of Virginia Quarterly
I shall confine my paper to the external male genitalia. Most of the problems that we have dealt with have been congenital from simple meatal strictures to more severe, although not necessarily more serious, situations. In the last 18 years, I have worked closely with Dr. Charles Horton, and much of this report represents our joint efforts.
Urinary Incontinence: A Problem To Hold On To, John H. Texter Jr.
Urinary Incontinence: A Problem To Hold On To, John H. Texter Jr.
MCV/Q, Medical College of Virginia Quarterly
In this presentation attention will be focused on the problem of the urinary incontinence. We will look briefly at the various types and causes for this distressing disorder. Mention will also be made as to treatment with particular emphasis on the surgical correction (or attempts at correction) of the postoperative urine leakage such as one sees following prostatectomy or trauma.
Carcinoma Of The Prostate: The Great Widow-Maker, John K. Lattimer
Carcinoma Of The Prostate: The Great Widow-Maker, John K. Lattimer
MCV/Q, Medical College of Virginia Quarterly
The percentage of urological cancers is considerable. Of all of the cancer deaths in our country, 10% are urological; in men alone, 18% are urological. It is immediately obvious that a very important aspect of this specialty is the treatment of cancer.
Surgery Of The Adrenal Glands, Arthur W. Wyker Jr.
Surgery Of The Adrenal Glands, Arthur W. Wyker Jr.
MCV/Q, Medical College of Virginia Quarterly
This paper is a surgical overview of adrenal gland disorders and emphasizes new developments in diagnosis and management. Adrenal disorders are relatively rare but clinically, they are very important. If they go undetected, they can produce severe metabolic disturbances which may be fatal.
The Optimum Treatment For Undescended Testis, John K. Lattimer
The Optimum Treatment For Undescended Testis, John K. Lattimer
MCV/Q, Medical College of Virginia Quarterly
In summary, there are many reasons why orchiopexy should be done, and certainly, the cancer worry is a very distinct one. Yet, I think the psychological reason, the "locker room appearance" situation, is the most frequent, and therefore, an important factor. I do think that we should exercise our favored position of being able to offer hormone treatment first. If that does not work, then go on with surgery as required. The timing, in my opinion, should be to start at the fourth birthday and to have the program completed by the fifth birthday. Although physiological considerations do enter into …
Introduction, Warren W. Koontz Jr.
Introduction, Warren W. Koontz Jr.
MCV/Q, Medical College of Virginia Quarterly
The Annual Stoneburner Lecture series this year has been devoted to clinical adult and pediatric urology. The purpose of the papers presented was to give the urologist and the primary care physician an overview of the problems and the latest developments and advances in technique. The 26th Annual Stoneburner Lecture series was held February 22-23, 1973.
Wilms' Tumor And Neuroblastom: Results Of Therapy, Harold M. Maurer
Wilms' Tumor And Neuroblastom: Results Of Therapy, Harold M. Maurer
MCV/Q, Medical College of Virginia Quarterly
Wilms' tumor and neuroblastoma are numerically among the most common noncerebral malignant solid tumors in children. The purpose of this report is to describe the recent results of therapy.
Some Important Factors In Community Dialysis Program, Allan A. Hoffman
Some Important Factors In Community Dialysis Program, Allan A. Hoffman
MCV/Q, Medical College of Virginia Quarterly
The purpose of this paper is to acquaint physicians who are not nephrologists with the experience of one of their colleagues in the operation of a hemodialysis service as a part-time endeavor. My intention is not to present detailed or advanced scientific data on dialysis techniques or on the care of chronic renal failure but to discuss how and under what circumstances the urologist, internist, or general physician might significantly augment the present treatment care system for end-stage chronic renal disease. I will attempt to describe a mode and philosophy of operation applicable to the community hospital and private practice …
Prostatic Acid Phosphatase: A Potpourri, Charles W. Moncure
Prostatic Acid Phosphatase: A Potpourri, Charles W. Moncure
MCV/Q, Medical College of Virginia Quarterly
I would first like to discuss this enzyme, reviewing some of its chemistry, its clinical value and the pitfalls and problems associated with the routine tests. Then I would like to tell about some work in which we have been involved that we hope will increase the diagnostic value of this enzyme and perhaps point the way to advances in clinical enzymology in other areas.
Medical Management Of Stone Disease, M. J. V. Smith
Medical Management Of Stone Disease, M. J. V. Smith
MCV/Q, Medical College of Virginia Quarterly
The purpose of this review is to try to take a practical approach toward the management of patients with renal calculous disease. This will be a personal approach; I will, however, try to avoid injecting my prejudices and research interests. I want to show that proper management can be achieved even in the most unsophisticated environment.