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The Urologic Clinics of North America 1991: Vol 18 Index PDF

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Cumulative Index 1991 Volume 18 February ADVANCED PROSTATIC CARCINOMA, pages 1-173 May EVALUATION AND TREATMENT OF URINARY INCONTINENCE, pages 175-419 August UROLOGIC ONCOLOGY, pages 421-601 November PARTIAL AND TOTAL BLADDER RECONSTRUCTION, pages 603-791 Note: Page numbers of issue and article titles are in boldface type. Abdomen, examination of, for female urinary Androgen, production of. See Endocrine therapy. incontinence, 201 Androgen ablation, total, for prostatic cancer. See Total opening and packing of, in anatomic radical cystoprosta- androgen ablation. tectomy, for bladder reconstruction, 668—669 Androgen receptor antagonists, for prostatic cancer, 9 prostatic cancer metastatic to, imaging of, 49-50 Angiomyolipomas, vs. incidental renal mass, 429 Acid-base disturbances, urinary diversion and, 728 Anterior exenteration. See Radical cystectomy. Acidosis, hyperchloremic. See Hyperchloremic acidosis. Anti-androgens, for prostatic cancer. See Total androgen Adenocarcinoma, in bladder reconstruction, intestinal ablation. segments and. See Intestinal segments. after local failure, 496 of rectosigmoid colon, isolated ureterosigmoidostomy Antibodies, monoclonal. See Monoclonal antibodies. and, 606-607 Anticholinergic agents, for painful bladder syndrome, 320 Adenomas, renal, vs. incidental renal mass, 428 to decrease bladder contractility, 269-271 Adrenal gland, androgen production in, 4-5 Anticlotting factors, effects of cyproterone acetate on, Adrenal suppression, for prostatic cancer, 10 113-114 Adrenocorticotropin, and androgen production, 2 Antigen characterization, of new markers, for bladder Adriamycin, for bladder tumors, 526-528 tumors, 511-512 for urologic sarcomas, 583, 587 Antigens, defined by monoclonal antibodies, in bladder Alpha-adrenergic agonists, to increase outlet resistance, tumors, 519-521 276-277 Antihistamines, for painful bladder syndrome, 320 Alpha-sympathomimetic agents, for myelodysplastic Antral gastrocystoplasty, technique for, 652 urinary incontinence, 304-305 Appendicovesicostomy, Mitrofanoff principle in. See Aminoglutethimide, for prostatic cancer, 10, 56 Mitrofanoff principle. Amitriptyline, for painful bladder syndrome, 320 Artificial urinary sphincter, 375-381 Anandron, for prostatic cancer, 9, 58-60, 100. See also after bladder reconstruction, 677-686 Total androgen ablation. bladder cycle in, 682-683 Anatomic radical cystoprostatectomy, in bladder complications of, 680-681 reconstruction, 659-676 historical aspects of, 681 postoperative care of, 675 Mayo bladder design of, 681-682 preoperative preparation for, 659-660 placement site of, 678-679 technique for, 660-675 technique for, 679-680 division of puboprostatic ligaments and control of balloon pressure of, 376 dorsal vein, 670-672 complications of, surgical intervention for, 379-380 incision and exposure, 660-661 cuff implantation sites for, 375-376 mobilization of bladder from rectum, 669-670 cuff sizes for, 376 mobilization of prostate, 672-673, 675 for myelodysplastic urinary incontinence, 303-304 opening and packing of abdomen, 668-669 implantation of, evaluation of incontinence after, 376- pelvic lymphadenectomy, 661, 663, 668 379 position, 660 endoscopy in, 377 transection of ureters and division of proximal vesi- history in, 377 cal pedicles, 669 pump examination in, 377 wide excision of neurovascular bundle, 675 radiography in, 377 778 Cumulative Index 1991 Artificial urinary sphincter (Continued) chronic urinary retention, 345-346 urodynamic tests in, 379 diagnosis and procedure selection in, 339-340 Atropine, to decrease bladder contractility, 269-270 immediate urinary incontinence, 344-345 Augmentation cystoplasty. See also Bladder late failures, 346-347 reconstruction; Kock pouch. nerve damage, 343 for myelodysplastic urinary incontinence, 301-303 osteitis pubis, 345 for painful bladder syndrome, 323 ureteral injuries, 342 urinary incontinence after, 383-388 wound complications, 345 anastomosis to urethra in, 387-388 patient evaluation for, 327-328 bowel segment physiology in, 383-384 physics of, 328-329 flap valve mechanism in, 386 results of, 334-336 hydraulic valves in, 386 techniques for, 329-334 ileal plication in, 385-386 abdominal approach, 330-331 intact segments in, 384 endoscopic vesical neck suspension, 331-332 intussuscepted nipple valve in, 384-385 needle bladder neck suspension, 332-334 Bladder-prostate rhabdomyosarcomas, in children, 577- 578 Bladder reconstruction. See also Augmentation Bacilius Calmette-Guérin, for bladder tumors, 526—528 cystoplasty. Back, examination of, for female urinary incontinence, 201 anatomic radical cystoprostatectomy in. See Anatomic Baclofen, for myelodysplastic urinary incontinence, 305 radical cystoprostatectomy. Bead-chain cystourethrography, of geriatric urinary artificial urinary sphincter after. See Artificial urinary incontinence, 250 sphincter. Benchekroun ileal valve, in bladder reconstruction, 717- Benchekroun ileal valve in. See Benchekroun ileal 724 valve. complications of, 719-723 colonic neobladder in. See Colonic neobladder. demographics of, 717 complications of, 755-764 postoperative care of, 718-719 intraoperative, 755-756 results of, 719 postoperative, 757-763 technique for, 717-718 bowel complications, 760 Benign prostatic hyperplasia, and male urinary calculi, 757 incontinence, 246 carcinoma, 761 Beta-adrenergic agonists, to decrease bladder contractility, catheterization, 757 274 femoral neuropathy, 762-763 Beta-adrenergic antagonists, to increase cutlet resistance, incontinence, 758-760 277 metabolic complications, 762. See also Intestinal Bicarbonate, transport of, in intestinal tract, 726-727 segments. Bile metabolism, in bladder reconstruction, intestinal reflux, 757 segments in, 746-747 renal complications, 762 Biopsy, of incidental renal mass, 433 spontaneous perforation, 760—761 of penile cancer, 161-162 preoperative, 755 of prostatic cancer, metastatic to spine, 154 gastric. See Gastric bladder reconstruction. Bladder, complications of, in bladder reconstruction, 756— ileal neobladder in. See Ileal neobladder. 757 in children. See Urinary tract reconstruction. decreasing contractility of, uropharmacology for. See isolated ureterosigmoidostomy in. See Isolated uretero- Uropharmacology. sigmoidostomy. dysfunction of, and male urinary incontinence, 233— Kock pouch in. See Kock pouch. 234, 236-237 through intestinal segments. See Intestinal segments. injuries of, bladder neck suspension proceaures and, Bladder rhabdomyosarcomas, in children, 577-578 340-342 Bladder substitution. See Augmentation cystoplasty; instability of, 345 Bladder reconstruction. pediatric. See Pediatric urinary incontinence. Bladder training, for painful bladder syndrome, 318, 319 mobilization of, in anatomic radical cystoprostatectomy, Bladder tumors, combined modality therapy for, 547-554 for bladder reconstruction, 669-670 bladder preservation after, 549-550 overactive, clinical features of, 396 results of, 549 Bladder exstrophy, failed repair of, 687-699 subjects, materials, and methods for, 547-548 failed bladder neck reconstruction in, 691-696 survival after, 549-550 treatment of, 693-694 management of, molecular and immunologic, 515-524 failed closure in, 687-691 antigens defined by monoclonal antibodies, 519- treatment of, 689-691 521 failed genital and urethral reconstruction in, 696-697 DNA and genetic alterations, 516-517 failure to gain capacity in, 691 oncogenes and suppressor genes, 517-518 Bladder neck suspension procedures, for female stress tumor cell products, 518 urinary incontinence, 327-337 monoclonal antibodies in. See Monoclonal antibodies. complications of, 339-348 natural history of, 525-526 acute urinary retention, 343-344 neoadjuvant therapy for, 539-542 bladder injuries, 340-342 definition of response rate in, 540 bladder instability, 345 effect on T stage, 540 bleeding, 342-343 meaning of negative biopsy after, 540-541 Cumulative Index 1991 779 survival after, 541 Chloride, transport of, in intestinal tract, 726-727 new markers for, evaluation of, 509-513 Chlorpractin WCS 90, for painful bladder syndrome, 321 materials and methods for, 509-510 Chlorpromazine, for hyperchloremic acidosis, after gastric results of, 510-512 bladder reconstruction, 650 : radical cystectomy for. See Radical cystectomy. Cholelithiasis, bladder reconstruction and, 762 transitional-cell, CISCA chemotherapy for. See CISCA intestinal segments in, 749-750 chemotherapy. Cholesterol, and androgen production, 3 transurethral resection and intravesical therapy for. See Cholestyramine, for diarrhea, in bladder reconstruction, Transurethral resection. 747 Bowel, complications of, bladder reconstruction and, 760 Chordee, correction of, after bladder exstrophy repair, Bowel segments. See Intestinal segments. 696-697 Boyce-Vest procedure. See Isolated Circulatory arrest, hypothermic, for renal cell carcinoma, ureterosigmoidostomy. with vena caval thrombi. See Vena caval thrombi. Brachytherapy, iridium-192. See Iridium-i92 CISCA chemotherapy, for transitional-cell bladder brachytherapy. tumors, 543-546 Brain, prostatic cancer metastatic to, imaging of, 52 materials and methods for, 543-544 Burch procedure. See Bladder neck suspension results of, 544 procedures. Colon conduits, in bladder reconstruction, metabolic Buserelin, for prostatic cancer, with cyproterone acetate, consequences of, 730 116 Colonic neobladder, in bladder reconstruction, 609-614 Bypass, cardiopulmonary, for renal cell carcinoma, with advantages of, 612-613 vena caval thrombi. See Vena caval thrombi. patient selection for, 609 venovenous, in inferior vena cava. See Inferior vena postoperative care of, 612 cava. preoperative preparation for, 609 results of, 612 technique for, 610-611 Colonic reservoir, construction of, in colonic neobladder, Caffeine, restriction of, for painful bladder syndrome, 320 610 Calcium antagonists, to decrease bladder contractility, Colostomy, diverting, in bladder reconstruction, 604—605 272-273 Colostomy function, after isolated ureterosigmoidostomy, Calculi, formation of, bladder reconstruction and, 757 607 Cancer. See also Carcinoma. Computed tomography, of prostatic cancer, for primary penile, penectomy for. See Penectomy. lesion, 36, 37 prostatic. See Prostatic cancer. for regional lymph nodes, 42 urinary tract. See Urinary tract cancer. for staging, 453-457 Carcinogenesis, bladder reconstruction and, 761 of Wilms’ tumor, 592 gastric, 651 Conduit diversion, in bladder reconstruction, metabolic intestinal segments in. See Intestinal segments. consequences of, 729-731 Carcinoma. See also Cancer. Constipation, with pediatric urinary incontinence, of exstrophic bladder-rectosigmoid rescrvoir, after iso- treatment of, 288-289 lated ureterosigmoidostomy, 607—608 Continence, urinary. See Urinary continence. renal cell. See Renal cell carcinoma. Continent gastric reservoir, technique for, 654 transitional-cell, of bladder, radical cystectomy for. See Continent urinary diversion, Mitrofanoff principle in. See Radical cystectomy. Mitrofanoff principle. urethral, with urethral diverticula, 367 Corticosteroids, for painful bladder syndrome, 320 Cardiopulmonary bypass, for renal cell carcinoma, with for spinal cord compression, secondary to metastatic vena caval thrombi. See Vena caval thrombi. prostatic cancer, 148 Casodex, for prostatic cancer, 9. See also Total androgen Credé maneuver, for myelodysplastic urinary ablation. incontinence, 300, 303 clinical trials of, 103-108 Cyclic adenosine monophosphate, and androgen _ phase I, 103 production, 2, 3 phase II, 103-107 Cyproterone acetate, for prostatic cancer, 10, 57, 99-100, phase III, 107-108 111-122. See also Total androgen ablation. preclinical studies of, 100-103 as adjuvant therapy, 118 Castration, for prostatic cancer, 7-9 as continuation therapy, for hormone-resistant dis- Catheterization, complications of, bladder reconstruction ease, 117 and, 757 as first-line therapy, 114-117 intermittent, for myelodysplastic urinary incontinence, as intermittent therapy, 117-118 as neoadjuvant therapy, 118 Cellular enzymes, suramin binding to, 124-125 as second-line therapy, 117 Chemotherapy, CISCA. See CISCA chemotherapy. biologic effects of, 114 for bladder tumors, 526-528. See also Bladder tumors, effects of, on anticlotting factors and lipoprotein con- combined modality therapy for. centrations, 113-114 with radical cystectomy, 531 on salt and water metabolism, 112 for nonseminomatous germ-cell testicular tumors, 565 on serum prolactin, 112 for prostatic cancer, 25-26 on serum testosterone, 112 for urologic sarcomas, 583, 587 on spermatogenesis, 112 for Wilms’ tumor, 595-596 for hot flushes, 118-119 Chest, prostatic cancer metastatic to, imaging of, 48-49 mechanism of action of, 111-112 780 Cumulative Index 1991 Cyproterone acetate (Continued) to decrease bladder contractility, 276 reversibility of, 114 Diverticula, urethral. See Urethral diverticula. side effects of, 119 Diverticulectomy, urethral, for female urinary under emergency conditions, 118 incontinence, with urethral diverticula, 369-372 Cystectomy, for painful bladder syndrome, 323 Diverting colostomy, in bladder reconstruction, 604-605 ileocolic neobladder after. See Ileocolic neobladder. DNA studies, of bladder tumors, 516 partial, for bladder rhabdomyosarcomas, in children, Dorsal vein, control of, in anatomic radical 577-578 cystoprostatectomy, for bladder reconstructio n, 670— radical. See Radical cystectomy. 672 Cystoceles, and female urinary incontinence, 350-352 Doxepin, to decrease bladder contractility, 275 and patient selection, for bladder neck suspension pro- Doxorubicin, for bladder tumors, 526-528 cedures, 340 for urologic sarcomas, 583, 587 Cystography, of female stress urinary incontinence, 328 Cystometrography, filling, of male urinary incontinence, 232 of female urinary incontinence, 206-208 Electrical stimulation, for urinary incontinence, 393—407 Cystometry, bedside, of geriatric urinary incontinence, complications of, 402 251-252 electrical parameters in, 404 of urinary incontinence, equipment calibration in, 261, mixed stress and urge incontinence, 399-400, 402 263 myelodysplastic incontinence, 302 Cystoplasty, augmentation. See Augmentation cystoplasty. present position of, 404 Cystoprostatectomy, anatomic radical. See Anatomic pretreatment testing for, 402-403 radical cystoprostatectomy. stimulation modalities in, 403-404 Cystoscopy, of female urinary incontinence, with urethral stress incontinence, 397—400, 401—402 diverticula, 370 physiology of, 397-399 of painful bladder syndrome, 318-319 principles of stimulation, 399 Cystourethrography, bead-chain, of geriatric urinary results of, 401-402 incontinence, 250 urge incontinence, 393-397, 401 voiding. See Voiding cystourethrography. physiology of, 393-396 Cystourethroscopy, of female urinary incontinence, 205 principles of stimulation, 396-397 of male urinary incontinence, 231-232 results of, 401 Cysts, renal, vs. incidental renal mass, 429, 433 subtypes of, 396 Cytogenetic studies, of bladder tumors, 516-517 Electrolytes, transport of, in intestinal tract, 725-726 Cytotoxic therapy, for prostatic cancer, 25-26 Electromyography, of male urinary incontinence, 233 of myelodysplastic urinary incontinence, 297 of urinary incontinence, equipment calibration in, 264— 266 Dehydroepiandrosterone, and androgen production, 4 Elevation tests, for geriatric urinary incontinence, 249 Dehydroepiandrosterone sulfate, and androgen Endocrine therapy, for prostatic cancer, early vs. late, 15- production, 4 Denervation procedures, for painful bladder syndrome, benefits of early therapy, 21-22 323 biology of prostatic cancer and, 17-19 Desmopressin, for pediatric nocturnal enuresis, 291—292 historical aspects of, 15-17 Detrusor dysfunction, and female urinary incontinence, results of clinical trials, 19—20 199 risks of early therapy, 20-21 and male urinary incontinence, 233-234, 236-237 failure of, stilbestrol diphosphate after. See Stilbestrol and myelodysplastic urinary incontinence, 297-298, diphosphate. 300-303 physiologic basis of, 1-13 clinical features of, 396 adrenal suppression, 10 Devagination, of efferent limb, Benchekroun ileal valve agents with mixed mechanisms of action, 9-10 and, 723 androgen receptors in prostatic cancer, 7 Diarrhea, in bladder reconstruction, intestinal segments hormonal sensitivity and insensitivity of prostatic in, 745-748 cancer, 5—7 Dicyclomine hydrochloride, to decrease bladder medical castration, 8-9 contractility, 271 normal regulation of androgen production, 1-5 Diethylstilbestrol, for prostatic cancer, 8 in adrenal gland, 4—5 vs. Casodex, 108 in anterior pituitary and, 1-3 with cyproterone acetate, 115-116 in prostatic cells, 5 with megestrol acetate, 84 in testes, 3-4 Digital rectal examination, to stage prostatic cancer, 453- pure anti-androgens, 9 457, 459-465 surgical castration, 7 accuracy of, 459-461 total androgen ablation. See Total androgen abla- correlation with pathologic stage, 461-462 tion. metastatic disease in, 462-463 for spinal cord compression, secondary to metastatic patient prognosis in, 463-464 prostatic cancer, 149-150 vs. transrectal ultrasonography, 464 Endoscopy, of artificial urinary sphincter, 377 Dihydrotestosterone, and androgen production, 3, 4, 5, Enteroceles, and female urinary incontinence, 349-350, 93-94 352-353 Dimethylsulfoxide, for painful bladder syndrome, 321 Ephedrine, to increase outlet resistance, 276 Cumulative Index 1991 781 Epidermal growth factor, in bladder tumors, 518 features of stomach in, 651-652 in nonhormonal systemic therapy, for prostatic cancer, techniques for, 652-655 28, 29 antral gastrocystoplasty, 652 Estramustine phosphate, for prostatic cancer, 8 continent gastric reservoir and total bladder replace- Estrogens, for prostatic cancer, 8 ment, 654-655 with megestrol acetate. See Megestrol acetate. wedge gastrocystoplasty, 652-654 to increase outlet resistance, 277-279 Gastrocystoplasty. See Gastric bladder reconstruction. Exenteration, anterior. See Radical cystectomy. Genitourinary rhabdomyosarcomas, in children, 575-580 Exstrophy, bladder. See Bladder exstrophy. bladder and bladder-prostate, 577-578 External-beam irradiation, for nonseminomatous germ-cell gynecologic, 578-579 testicular tumors, 564-565 paratesticular, 575-577 Geriatric urinary incontinence, evaluation of, 243-256 algorithms in, 246-247 bead-chain cystourethrography in, 250 Fascial sling procedure, for myelodysplastic urinary bedside cystometry in, 251-252 incontinence, 304 elevation tests in, 249 Female urinary incontinence, bladder suspension history and symptoms in, 246 prcecedures for. See Bladder suspension procedures. intravenous urography in, 250-251 evaluation of, 197-209 laboratory tests in, 249-250 abdominal examination in, 201 neurologic examination in, 248 back and spine examination in, 201 pad weighing tests in, 244-245 classification by mechanism in, 198-199 pelvic examination in, 248 cystometrogram in, 206-208 pessary test in, 249 cystourethroscopy in, 205 postvoiding residual volume in, 249 definitions in, 197-198 Q-tip test in, 248-249 history in, 200-201 rectal examination in, 247-248 neurologic examination in, 201 stress tests in, 248 rectal examination in, 201, 204 ultrasonography in, 251 super urodynamics in, 208 Urilos system in, 245-246 urethral pressure profile in, 208 urodynamic tests in, 252-253 vaginal examination in, 204-205 voiding cystourethrography in, 251 vaginoscopy in, 205 voiding records in, 244 voiding cystourethrography in, 205-206 Glycopyrrolate, to decrease bladder contractility, 270 pelvic prolapse and. See Pelvic prolapse. Goserelin. See Zoladex. urethral damage or loss and. See Urethral damage. Growth factors, in nonhormonal systemic therapy, for with urethral diverticula. See Urethral diverticula. prostatic cancer, 27-29 Femoral neuropathy, bladder reconstruction and, 762-763 suramin binding to, 124—125 Fibroblast growth factor, in nonhormonal systemic Gynecologic rhabdomyosarcomas, in children, 578-579 therapy, for prostatic cancer, 28, 29 Filling cystometrography, of male urinary incontinence, 232 Finasteride, for prostatic cancer, 94, 95-96 Hautman ileal neobladder. See Augmentation cystoplasty. Fistulas, urethrocutaneous, bladder exstrophy repair and, Hemibody irradiation, for prostatic cancer, 131-137 696 indications and rationale for, 131-132 urethrovaginal. See Urethrovaginal fistulas. results of, 133-135 valve, Benchekroun ileal valve and, 720-723 technique for, 132-133 Flavoxate hydrochloride, to decrease bladder contractility, toxicities of, 135-136 271-272 Hemorrhage, bladder neck suspension procedures and, Fluid restriction, for painful bladder syndrome, 319 342-343 for pediatric urinary incontinence, 288 Heparin, for painful bladder syndrome, 320-321, 322 Fluoroscopy, of myelodysplastic urinary incontinence, 297 Heparin-binding growth factor, in nonhormonal systemic Flurbiprofen, to decrease bladder contractility, 273 therapy, for prostatic cancer, 28 Flutamide, for prostatic cancer, 9, 57, 60, 100. See also Hepatic function, urinary diversion and, 728 Total androgen ablation. Hinman’s syndrome, clinical features of, 289 Follicle-stimulating hormone, and androgen production, 2 Hormone therapy, for prostatic cancer, after local failure, Frankel grade system, of neurologic deficits, 155 496 Frozen sections, of pelvic lymph nodes, to stage prostatic Hot flushes, prostatic cancer and, cyproterone acetate for, cancer, 451 118-119 Hydrodistention, for painful bladder syndrome, 322 Hydroureteronephrosis, after spinal cord injury. See Spinal cord injury. Gallstones, bladder reconstruction and, intestinal Hyoscyamine, for myelodysplastic urinary incontinence, segments in, 749-750 300 Gastric bladder reconstruction, 649-657 Hyperchloremic acidosis, bladder reconstruction and, 762 complications of, 649-651 conduit diversions and, 729-731 carcinogenesis, 651 continent urinary diversion and, 731-732 metabolic disturbances, 649-650, 730-731 gastric bladder reconstruction and, 649-650 mucus production, 650 isolated ureterosigmoidostomy and, 606 nutritional disturbances, 650-651, 744 urinary diversion and, 727-728 782 Cumulative Index 1991 Hypothalamus, androgen production in, 1-3 of prostatic cancer, for remote organ involvement, 47— Hypothermic circulatory arrest, for renal cell carcinoma, 48 with vena caval thrombi. See Vena caval thrombi. of Wilms’ tumor, 592 Hysterectomy, need for, with bladder neck suspension Intravesical therapy, and transurethral resection, for procedures, 340 bladder tumors. See Transurethral resection. for painful bladder syndrome, 321-322 Iridium-192 brachytherapy, for prostatic cancer, 481-483 after irradiation failure, 495 Ileal conduits, in bladder reconstruction, metabolic materials and methods for, 481—482 consequences of, 729-730 results of, 482-483 Ileal neobladder, in bladder reconstruction, 555-559, Irradiation. See also Radiotherapy. 623-630 external-beam, for nonseminomatous germ-cell testicu- patient selection for, 625-626 lar tumors, 564-565 results of, 557-558, 626-628 for bladder tumors. See Bladder tumors, combined mo- technique for, 555-557, 623-625 dality therapy for. Ileocecal valve, in bladder reconstruction, nutritional for prostatic cancer, after surgical failure, 495-496 complications of, 745 local failure after, 488 Ileocolic neobladder, after cystectomy, 631-639 brachytherapy for, 495 complications of, 638 surgery for, 495 patient selection for, 631-632 for Wilms’ tumor, 595-596 postoperative care of, 634, 636, 638 hemibody. See Hemibody irradiation. principles of, 631 Isolated ureterosigmoidostomy, in bladder reconstruction, results of, 638 603-608 technique for, 632-634 patient selection for, 603-604 Ileum, in bladder reconstruction, nutritional complications postoperative care of, 606-607 of, 745 preoperative preparation for, 604 Imipramine hydrochloride, for pediatric urinary results of, 607-608 incontinence, 288 to decrease bladder contractility, 274-276 technique for, 604-606 to increase outlet resistance, 277 Immunosuppressive agenis, for painful bladder syndrome, 320 Immunotherapy, for bladder tumors, 523 Jejunal conduits, in bladder reconstruction, metabolic Incontinence, urinary. See Urinary incontinence. consequences of, 730 Indiana pouch. See also Augmentation cystoplasty. Jejunum, in bladder reconstruction, nutritional in children, 708-709 complications of, 744-745 Infections, wound, bladder neck suspension procedures and, 345 Inferior vena cava, renal cell carcinoma in, 437-444 scope of problem, 437—438 Ketoconazole, for prostatic cancer, 9, 10, 56 venovenous bypass for, materials and methods for, Kidney function, after isolated ureterosigmoidostomy, 607 438-439 Kidney stones, bladder reconstruction and, intestinal results of, 439-441 segments in, 750-751 ~ Intermittent catheterization, for myelodysplastic urinary Kidneys, complications of, after bladder reconstruction, incontinence, 300 762 Intestinal segments, in bladder reconstruction, and in bladder reconstruction, 756 carcinogenesis, 737-742 Kock pouch. See also Augmentation cystoplasty. clinical experience with, 737-738 in bladder reconstruction, 641-648 molecular basis of, 739-740 metabolic consequences of, 731-732 biochemical and histopathologic changes in, 738-739 patient selection for, 642 metabolic consequences of, 725-735, 762 postoperative care of, 644-645 in conduit diversions, 729-731 preoperative preparation for, 642 in continent urinary diversions, 731-732 technique for, 642-644 in ureterosigmoidostomy, 728-729 Kropp operation, for myelodysplastic urinary pathophysiology of, 727-728 incontinence, 304 physiology of, 725-727 nutritional and gastrointestinal complications of, 743- 754 cholelithiasis, 749-750 Laboratory tests, for geriatric urinary incontinence, 249— diarrhea and steatorrhea, 745-748 250 in large intestine, 745 Large intestine, in bladder reconstruction, nutritional in small intestine, 744—745 complications of, 745 in stomach, 744 Laser therapy, for painful bladder syndrome, 323 urolithiasis, 750-751 Le Bag ileocolonic pouch. See Augmentation cystoplasty. vitamin B12 deficiency, 748-749 Leong gastrocystoplasty, technique for, 652 Intestinocystoplasty. See Gastric bladder reconstruction. Leuprolide, for prostatic cancer, 8, 58-60 Intravenous urography, of geriatric urinary incontinence, Lipoproteins, effects of cyproterone acetate on, 113-114 250-251 Liver function, urinary diversion and, 728 of myelodysplastic urinary incontinence, 296 Luteinizing hormone, and androgen production, 2, 3 Cumulative Index 1991 783 Luteinizing hormone-releasing hormone, and androgen Mucus production, gastric bladder reconstruction and, 650 production, 2, 3 Musculotropic relaxants, to decrease bladder contractility, Luteinizing hormone-releasing hormone agonists, for 271-272 prostatic cancer, 8-9, 56, 57 Myelodysplasia, and urinary incontinence, 295-308 - with cyproterone acetate, 116 detrusor areflexia in, 303 Luteinizing hormone-releasing hormone analogues, for detrusor hyperreflexia in, 298, 300-302 prostatic cancer, vs. Casodex, 108 detrusor hypertonia in, 302-303 Lymphadenectomy, for renal cell carcinoma, 421-426 evaluation of, 295-296 anatomic boundaries in, 422 urodynamic tests in, 296-298 benefits of, 422-425 management of, 298 historical aspects of, 421-422 new therapies in, 305 lymphatic drainage in, 422 sphincteric insufficiency in, 303-305 morbidity of, 425 patient selection for, 425 pelvic, in anatomic radical cystoprostatectomy, for blad- der reconstruction, 661, 663, 668 Neobladder, colonic. See Colonic neobladder. in radical cystectomy, for bladder tumors, in women, ileal. See Ileal neobladder. 767-768 ileocolic. See Ileocolic neobladder. retroperitoneal, for nonseminomatous germ-cell testicu- Neodymium:YAG laser therapy, for painful bladder lar tumors, 563-564, 568-571 syndrome, 323 for paratesticular rhabdomyosarcomas, in children, Nephrectomy, partial, for incidental renal mass, 433-434 576 complications of, 435 to stage prostatic cancer, 450 total, for incidental renal mass, 434 Lymphography, of prostatic cancer, for regional lymph Nephroblastoma. See Wilms’ tumor. nodes, 43-44 Nerves, injuries of, bladder neck suspension procedures and, 343 Neurologic examination, for female urinary incontinence, 201 Magnetic resonance imaging, of prostatic cancer, for for geriatric urinary incontinence, 248 primary lesion, 36-37 Neuroprostheses, for myelodysplastic urinary for regional lymph nodes, 41 for skeletal involvement, 47 incontinence, 305 for staging, 453-457 Neurostimulation, for painful bladder syndrome, 323-324 of spinal cord compression, secondary to metastatic Neurovascular bundle, wide excision of, in anatomic prostatic cancer, 147 radical cystoprostatectomy, for bladder Mainz pouch. See Augmentation cystoplasty. reconstruction, 675 Male urinary incontinence, radical prostatectomy and. See Nicotinic acid, for hyperchloremic acidosis, after gastric Radical prostatectomy. bladder reconstruction, 650 Marshall-Marchetti-Krantz procedure. See Bladder Nilutamide. See Anandron. suspension procedures. Nocturnal enuresis, pediatric. See Pediatric urinary Martius labial fat pad graft, for urethrovaginal fistulas. See incontinence. Urethrovaginal fistulas. Nonhormonal systemic therapy, for prostatic cancer, 25- Mayo bladder, design of, 681-682 33 Megestrol acetate, for prostatic cancer, 57. See also Total cytotoxic therapy, 25-26 androgen ablation. growth factors in, 27-29 with low-dose estrogen, 83-91 oncogenes in, 29-31 effects of, on androgen action, 84, 88 stromal-epithelial interactions in, 26-27 on plasma hormones, 84 Non-neurogenic neurogenic bladder, pediatric, 289 with diethylstilbestrol, 84 Non-neurogenic voiding dysfunction, pediatric, 284 Methantheline, to decrease bladder contractility, 270-271 Nonsteroidal anti-inflammatory agents, for painful bladder Micturition, ileal neobladder and, 628 syndrome, 320 Mitchell gastrocystoplasty, technique for, 652-654 Mitomycin C, for bladder tumors, 526-528 Mitrofanoff principle, of urinary continence, 386, 615-621 catheterizable channel in, alternatives for, 617 Oncocytomas, vs. incidental renal mass, 428-429 clinical experience with, 618-620 Oncogenes, in bladder tumors, 517-518 historical aspects of, 615-616 in nonhormonal systemic therapy, for prostatic cancer, in children, 704 29-31 postoperative care of, 618 Orchiectomy, for prostatic cancer. See Total androgen technique for, 616-617 ablation. Mixed hemadsorption inhibition assay, of new markers, radical inguinal, for paratesticular rhabdomyosarcomas, for bladder tumors, 510-511 in children, 576 Monoclonal antibodies, for bladder tumors, 521-523 Ornithine decarboxylase, in bladder reconstruction, for detection and monitoring, 521-522 intestinal segments and, 738-739 for immunotherapy, 523 Osteitis pubis, bladder neck suspension procedures and, for staging, 522-523 345 immunophenotype and prognosis, 521 Osteotomy, in exstrophy repair, 689-690 Mucin production, bladder reconstruction and, intestinal Outlet resistance, increasing, uropharmacology for. See segments in, 738 Uropharmacology. 784 Cumulative Index 1991 Oxybutynin chloride, for myelodysplastic urinary biopsy in, 161-162 incontinence, 298, 300 partial, 162-164 for pediatric urinary incontinence, 287-288, 291 patient selection for, 161 to decrease bladder contractility, 271 postoperative care of, 168-169 total, 164-168 Pereyra procedure. See Bladder neck suspension procedures. Painful bladder syndrome, 317-325 Pessary test, for geriatric urinary incontinence, 249 clinical features of, 317-318 Phenylpropanolamine hydrochloride, to increase outlet diagnosis of, 318-319 resistance, 276-277 treatment of, 319-322 Pinacidil, to decrease bladder contractility, 273 dietary measures in, 320-321 Pituitary gland, androgen production in, 1-3 intravesical, 321-322 Plain films, of artificial urinary sphincter, 377 surgical, 322-324 of prostatic cancer, for remote organ involvement, 48— Paratesticular rhabdomyosarcomas, in children, 575-577 49 Pediatric urinary incontinence, 283-293 for skeletal involvement, 44 bladder instability and, treatment of, 287-289 of spinal cord compression, secondary to metastatic fluid restriction in, 288 prostatic cancer, 147-148 for constipation, 288-289 Postvoiding residual volume, in geriatric urinary pharmacologic, 287-288 incontinence, 249 timed voiding in, 289 Potassium-channel openers, to decrease bladder development of urinary control and, 283-284 contractility, 273 evaluation of, 284-287 Pouch stones, Benchekroun ileal valve and, 723 history in, 284-285 Pressure-flow studies, of male uri~ary incontinence, 232 laboratory tests in, 286 Progestins, for prostatic cancer, 9--10 physical examination in, 286 Prolactin, and androgen production, 2 initial diagnosis of, further evaluation on basis of, 286— effects of cyproterone acetate on, 112 287 Propantheline bromide, for pediatric urinary nocturnal, 289-292 incontinence, 288 evaluation of, 290-291 to decrease bladder contractility, 270 urodynamic tests in, 290 Propranolol, to increase outlet resistance, 277 treatment of, 290-291 Prostaglandin inhibitors, to decrease bladder contractility, pharmacologic, 291-292 273-274 non-neurogenic neurogenic bladder and, 289 Prostate, mobilization of, in anatomic radical non-neurogenic voiding dysfunction and, 284 cystoprostatectomy, for bladder reconstruction, 672- vasopressin for, 279 673, 675 Pelvic dissection, in radical cystectomy, for bladder Prostate-specific antigen, to direct therapy for prostatic tumors, in women, 768, 770 cancer, 494-495 Pelvic floor stimulation, for myelodysplastic urinary to stage prostatic cancer, 451-452 incontinence, 305 nodal status in, 467-471 Pelvic lymphadenectomy, in anatomic radical genesis of hypothesis for, 469-470 cystoprostatectomy, for bladder reconstruction, 661, implications for future research, 470 663, 668 materials and methods for, 467-468 in radical cystectomy, for bladder tumors, in women, results of, 468—469 767-768 Prostatectomy, radical. See Radical prostatectomy. Pelvic prolapse, and female urinary incontinence, 349-353 Prostatic cancer, androgen receptors in, 7 cystoceles in, 350-352 combined modality therapy for, 477-480 enteroceles in, 349-350, 352-353 animal studies of, 478—479 rectoceles in, 349, 352 Mayo Clinic studies of, 478 total vaginal eversion in, 350 Memorial Sloan-Kettering studies of, 479 uterine prolapse in, 349 rationale for, 477-478 Pelvis, examination of, for geriatric urinary incontinence, uncontrolled clinical results of, 478 248 definitive treatment of, local failure after, 485-499 female, anatomy and physiology of, 175-195 after irradiation therapy, 488 arcus tendinaeus fascia pelvis, 183-184 after radical prostatectomy, 488-491 arcus tendinaeus musculi levator ani, 183-184 biopsy data on, 487 endopelvic fascia, 183-184 clinical data on, 487-488 genital hiatus and levator ani, 175-178 implications of, 496 intrinsic muscles of bladder and urethra, 191-193 materials and methods for, 485—486 levator ani degeneration, 193 treatment of, 491-496 pelvic cellular tissues, 191 endocrine therapy for. See Endocrine therapy. perineal body, 189-191 hemibody irradiation for. See Hemibody irradiation. pubourethral ligaments, 180-183 hormonal sensitivity and insensitivity of, 5-7 relation of bladder and urethra to vagina and cer- imaging of, 35-53 vix, 184-189 primary lesion, 35-41 space of Retzius, 178-180 computed tomography, 36, 37 upright posture and horizontal axis, 175 magnetic resonance imaging, 36-37 urogenital diaphragm, 189 ultrasonography, 35-36, 37, 41 Penectomy, for penile cancer, 161-169 regional lymph nodes, 41—44 Cumulative Index 1991 785 computed tomography, 42 Radical cystoprostatectomy, anatomic. See Anatomic lymphography, 43-44 radical cystoprostatectomy. magnetic resonance imaging, 41 Radical inguinal orchiectomy, for paratesticular ultrasonography, 42-43 rhabdomyosarcomas, in children, 576 remote organ involvement, 47-52 Radical prostatectomy, 473-476 abdominal imaging, 49-50 and male urinary incontinence, 211-227, 229-241 brain imaging, 52 anatomy and physiology of, 229 chest radiography, 48-49 evaluation of, 231-233 intravenous urography, 47—48 cystourethroscopy in, 231-232 spinal imaging, 50, 52 electromyography in, 233 skeletal involvement, 44—47 filling cystometrography in, 232 magnetic resonance imaging, 47 pressure-flow studies in, 232 radiography, 44 retrograde urethrograpiiy in, 232 radionuclide scintigraphy, 44—47 urethral pressure profile in, 232-233 iridium-192 brachytherapy for. See Iridium-192 brachy- urodynamic tests in, 232 therapy. voiding cystourethrography in, 232 medical castration for, 8-9 historical aspects of, 212 nonhormonal systemic therapy for. See Nonhormonal incidence of, 229-231 systemic therapy. levator ani muscles in, 219-220 radical prostatectomy for. See Radical prostatectomy. normal sphincteric anatomy in, 212-219 spinal cord compression secondary to. See Spinal cord bladder neck and normal micturition, 213, 215 compression. continence zones, 213 staging of, 449-452 membranous urethra, 218-219 digital rectal examination in. See Digital rectal exami- prostate size and shape, 215-217 nation. striated muscle urethral sphincter, 217-218 frozen-section assessment in, 451 pathogenesis of, 233-236 imaging modalities in, 453-457 bladder dysfunction in, 233-234 patients and methods for, 453-454 obstruction in, 233 results of, 454-455 sphincter incompetence in, 234-235 lymphadenectomy in, 450 urodynamic data on, 235-236 prostate-specific antigen in. See Prostate-specific anti- prospective study of, 239-240 gen. sphincteric anatomy after, 220-224 seminal vesicles in, 452 condition of patient, 220-221 serum acid phosphatase in, 450-451 studies on, 221-222 systems for, 449 suture material and, 223-224 tumor volume vs. capsular penetration in, 452 type of anastomosis and, 224 whole-mount examination in, 451 vesical neck integrity, 222-223 surgical castration for, 7 vesical neck retubularization, 223 Prostatic cells, androgen production in, 5 treatment of, 236-238 Proximal vesical pedicles, division of, in anatomic radical for bladder dysfunction, 236-237 cystoprostatectomy, for bladder reconstruction, 669 for obstruction, 236 Puboprostatic ligaments, division of, in anatomic radical for sphincter incompetence, 237-238 cystoprostatectomy, for bladder reconstruction, 670- vs. continence, 224-225 672 local failure after, 488-491 Pubovaginal sling technique, for urethral damage, 356- materials and methods for, 473—474 357 results of, 474 Pyridium, for painful bladder syndrome, 320 Radiographs. See Plain films. Radioimmunoassay, of new markers, for bladder tumors, 511 Radionuclide scintigraphy, of prostatic cancer, for skeletal Q-tip test, for geriatric urinary incontinence, 248-249 involvement, 44—47 Radiotherapy. See also Irradiation. for spinal cord compression, secondary to metastatic prostatic cancer, 148 Radical cystectomy, for bladder tumors, 529-537 Rectal bladder. See Isolated ureterosigmoidostomy. chemotherapy with, 531 Rectoceles, and female urinary incontinence, 349, 352 in women, 765-775 Rectosigmoid colon, adenocarcinoma of, isolated complications of, 772-773 ureterosigmoidostomy and, 606—607 postoperative care of, 772-773 Rectum, examination of, for female urinary incontinence, preoperative evaluation for, 765 201, 204 technique for, 766-772 for geriatric urinary incontinence, 247-248 anterior dissection, 770, 772 5a-Reductase inhibitors, for prostatic cancer, 9, 93-98. initial exposure, 766—767 See also Total androgen ablation. pelvic dissection, 768, 770 androgen effects on prostate, 93-94 pelvic lymphadenectomy, 767-768 as single-agent therapy, 96 vaginal dissection and completion of operation, clinical trials of, 95-96 772 disadvantages of, 97 materials and methods for, 530-531 in combination therapy, 96 results of, 531 mechanism of action of, 94-95 786 Cumulative Index 1991 5a-Reductase inhibitors (Continued) external spinal immobilization for, 155 preclinical studies of, 95 imaging of, 50, 52 prophylactic, 96-97 laboratory evaluation of, 154 Renal adenomas, vs. incidental renal mass, 428 mechanism of spread of, 153 Renal cell carcinoma, inferior vena caval involvement by. nonsurgical treatment of, 154-155 See Inferior vena cava. spinal reconstruction for, 156, 158 lymphadenectomy for. See Lymphadenectomy. Stamey procedure. See Bladder neck suspension with vena caval thrombi. See Vena caval thrombi. procedures. Renal cysts, vs. incidental renal mass, 429, 433 Steatorrhea, in bladder reconstruction, intestinal segments Renal function, after isolated ureterosigmoidostomy, 607 in, 745-748 Renal mass, incidental, 427-436 Stenosis, stomal, Benchekroun ileal valve and, 719 differential diagnosis of, 428—433 Stilbestrol diphosphate, for prostatic cancer, after failed incidence of, 427 endocrine therapy, 139-143 renal parenchyma preservation in, 434-435 cytotoxicity of, clinical evidence of, 140-141 treatment of, 433-434 experimental evidence of, 140 complications of, 435 treatment protocol for, 141-142 Renal parenchyma, preservation of, value of, 434-435 Stomach, in bladder reconstruction, nutritional Retrograde urethrography, of male urinary incontinence, complications of, 744 232 Stones, formation of, bladder reconstruction and, 757 Retroperitoneal lymphadenectomy, for nonseminomatous Stress incontinence, electrical stimulation for. See germ-cell testicular tumors, 563-564, 568-571 Electrical stimulation. for paratesticular rhabdomyosarcomas, in children, 576 female, definition of, 198 Rhabdomyosarcomas, genitourinary. See Genitourinary Stress tests, for geriatric urinary incontinence, 248 rhabdomyosarcomas. Substitution cystoplasty. See Augmentation cystoplasty. Suppressor genes, in bladder tumors, 517-518 Suramin, for prostatic cancer, 29, 123-129. See also Total androgen ablation. Salt metabolism, effects of cyproterone acetate on, 112 adrenocorticolytic properties of, 125-126 Sarcomas, urologic. See Urologic sarcomas. binding to growth factors and cellular enzymes, 124— Scintigraphy, radionuclide, of prostatic cancer, for skeletal 125 involvement, 44—47 clinical trials of, 126-127 Seminal vesicles, invasion of, to stage prostatic cancer, in vitro effects of, 125 452 pharmacology of, 126 Serum acid phosphatase, to stage prostatic cancer, 450— toxicities of, 127-128 451 Silver nitrate, for painful bladder syndrome, 321-322 Small intestine, in bladder reconstruction, nutritional eeee complications of, 744-745 Terbutaline, to decrease bladder contractility, 274 Sodium, transport of, in intestinal tract, 726 Terodiline, to decrease bladder contractility, 272-273 Sodium bicarbonate, for hyperchloremic acidosis, after Testes, androgen production in, 3-4 isolated ureterosigmoidostomy, 606 Testicular tumors, nonseminomatous germ-cell, 561-573 Sodium citrate, for hyperchloremic acidosis, after isolated chemotherapy for, 565 ureterosigmoidostomy, 606 external-beam irradiation for, 564-565 Sodium pentosanpolysulfate, for painful bladder natural history of, 561-563 syndrome, 321, 322 fertility considerations, 562-563 Spermatogenesis, effects of cyproterone acetate on, 112 patterns of dissemination, 561-562 Sphincter, artificial urinary. See Artificial urinary predictors of metastasis, 562 sphincter. retroperitoneal lymphadenectomy for, 563-564, 568— Sphincter dysfunction, and female urinary incontinence, 571 199 surveillance for, 565-568 and male urinary incontinence, 234-235, 237-238 Testosterone, effects of cyproterone acetate on, 112 and myelodysplastic urinary incontinence, 297, 303-305 Testosterone-estradiol-binding globulin, and androgen Spinal cord compression, secondary to metastatic prostatic production, 4 cancer, 145-152 Thiotepa, for bladder tumors, 526-528 diagnosis of, radiologic studies in, 147-148 Thrombi, vena caval. See Vena caval thrombi. mechanism and clinical presentation of, 145-147 Timed voiding, for pediatric urinary incontinence, 289 treatment of, principles of, 148-149 Total androgen ablation, for prostatic cancer. See also Spinal cord injury, hydroureteronephrosis after, 309-316 specific drugs, e.g., Anandron. classification of, 309-311 American experience with, 55-63 diagnostic and therapeutic implications of, 315-316 historical aspects of, 55-56 pathophysiology of, 311-315 Canadian experience with, 75-82 Spine, examination of, for female urinary incontinence, best response to treatment in, 78 201 end-points for efficacy of, 77 prostatic cancer metastatic to, 153-159 entry characteristics in, 77 case report of, 158 patients and methods for, 76-77 causes of neurologic deficits in, 155-156 survival in, 79 classification of, 154 time to progression in, 78—79 clinical presentation of, 153-154 tolerance in, 79 diagnosis of, 154 European experience with, 65-73

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