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Evaluation of treatment in ischemic priapism: Surgical intervention and cost effectiveness
Priapism, although uncommon, is a well known urologic emergency. Complications of priapism include pain and fibrosis of the corpora cavernosa leading to erectile dysfunction (ED). Urgent treatment focuses on detumescence to prevent ED. Current treatment recommendations from the American Urological Association (AUA) Guideline on the Management of Priapism include a stepwise approach from least invasive to most invasive procedures to achieve satisfactory detumescence.
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CASE & COMMENT: Is this ruptured kidney tumor malignant?
A 77-year-old woman presents with acute, severe left flank pain accompanied by lower abdominal cramps. She denies trauma, hematuria, history of stones, or symptoms of urinary tract infection. Hemoglobin is 7 g/dL, and a stat CT scan demonstrates left kidney rupture and retroperitoneal hemorrhage with the lower pole renal parenchymal fragments and extravasated contrast material within the mass lesion (see the CT image).
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Laparoscopic pyeloplasty: Tips and techniques
With overall success rates that rival the gold standard of open pyeloplasty and lower overall morbidity, laparoscopic pyeloplasty is rapidly emerging as a bona fide standard of care in the urologic management of symptomatic UPJ obstruction in adults.
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All the essentials about varicose veins
Varicose vein disease affects up to 40% of Americans, and half of those have significant pain as a prominent symptom.1 Millions suffer for months or years with painful, swollen limbs or, worse, venous leg ulcers, only to be told by their physicians that nothing can be done for them. Not so. Several effective therapies are available today. Learn how to recognize venous disease and help your patients seek treatment that is best for them. Toward that end, this article begins by reviewing basic venous anatomy and physiology.
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