Incontinence should be expected. The need for additional procedures is common and in some men may be required periodically for the lifetime of the stent.”
“Purpose: We describe a surgical technique to reconstruct the glans secondary to partial penectomy or traumatic partial amputation as well as its complications. We assessed
urethral flap vitality and the tumor recurrence rate using this technique.
Materials and Methods: Glanuloplasty with a urethral flap was done in 10 patients who underwent partial penectomy for penile squamous cell carcinoma. We reconstructed the neoglans with a urethral flap at the same surgical resection. Mean patient age was 61 years (range 18 to 71). Mean followup was 11 months (range 5 to 17).
Results: Nocodazole We noted no neomeatal stenosis or flap necrosis secondary
to the technique. The early tumor Ralimetinib concentration recurrence rate was 10% and the penile curvature rate was 10%. Penile curvature was ventral with no associated penetration difficulty.
Conclusions: This simple, reproducible technique has satisfactory functional and cosmetic results, and an acceptable complication rate for this type of pathological condition.”
“Purpose: Although functional bladder capacity, as expressed by maximum voided volume and other frequency-volume chart parameters, are important determinants of lower urinary tract symptoms, to our knowledge no population based data are available on changes in voided volume. We determined changes in and determinants
of voided volume and voiding frequency with advancing age and with time, as measured by frequency-volume charts.
Materials and Methods: We performed a longitudinal, population based study in 1,688 men 50 to 78 years old with followup at 2.1, 4.2 and 6.5 years. Data were obtained using frequency-volume charts for maximum, 24-hour and average voided volume, and 24-hour voiding frequency as well as physical and urological measurements, and self-administered mafosfamide questionnaires. We used a linear mixed effect model to determine factors predicting volume changes.
Results: Median maximum and average voided volume decreased with time from 400 to 380 and 245 to 240 ml, respectively, and were smaller in older age groups while 24-hour voided volume showed no change. The 24-hour voiding frequency increased with time and with advancing age. Maximum, 24-hour and average voided volumes were positively related to alcohol intake. Maximum and average voided volumes were negatively related to higher age at baseline and the passage of time. Hypertension, diuretics and post-void residual volume were related to higher 24-hour voided volume.
Conclusions: In older men maximum and average voided volume show a small but statistically significant decrease with time and with advancing age while 24-hour voided volume does not.