Objective To evaluate the clinical effect of pneumatic lithotripsy under ureterorenoscope in the treatment of ureteral calculi. Methods One hundred and eighty-nine cases of ureteral calculi were treated by ureterorenoscopic pneumatic lithotripsy between November 1999 and February 2003. Results Lithotripsy was performed successfully on one session in 183 cases,with a success rate of 96.8% (183 of 189).Conversions to open surgery were required in the remaining 6 cases because of unsuccessful entry of the ureterorenoscope (ureteral perforation in 1 case).Follow-up period ranged from 10 days to 3 months (mean, 1.3 months). Stones were entirely expelled in 182 cases of the 183 cases (99.4%) within 2 months after the procedures. Conclusions With minimal invasion and pain, this procedure is safe and effective for ureteral calculi, being probably the treatment of first choice.

Purpose:To determine the long-term safety and efficacy of the MemothermTM endoprosthesis as a therapeutic alternative in the management of men with BPH.Method:MemothermTM urethral stent was applied to thirty-eight men (mean age 77 years. Range 62-87 ) with symptoms and urodynamics suggestive of BPH.Results:Follow-up was lost in five patients. All but two patients with follow-up were eventually able to have spontaneous urination. Stents were removed from two patients because of dislocation. Prostatectomy was required in three patients at 15, 30 and 32 months respectively. Three patients resorted to indwelling catheterization after two years due to recurrence of symptoms. Information on 15 patients between 31 and 48 months follow-up was obtained. IPSS score was21.2±4.3.Conclusion:The long-term results from our trial unveiled that the Titanium-alloy memorial stents was an effective therapeutic alternative for patients having urinary retention with short life expectancy or operative contraindication.

OBJECTIVETo evaluate the clinical application of microsurgical fascia latae flaps combined with rib and skin graft for reconstruction of the distal phalanx defect.

METHODSThe phalanx wounds were sutured together like syndactyly. The autologous rib was revised to repair the bone defect of distal phalanx. The fascia latae flap was used to cover the bone exposure with microvascular anastomoses and resurfaced by a meshed split-thickness skin graft.

RESULTS5 cases were treated successfully. The fascia latae flaps were all survived with only skin graft necrosis at the distal end in one case. It was healed spontaneously.

CONCLUSIONSThe fascia latae flap is nourished by the descending branch of the lateral circumflex femoral artery. The flaps has a good blood supply and can be easily obtained with a long vascular pedicle. The flap is ideal for the reconstruction of distal phalanx defect when combined with autologous rib implant and skin graft.

Adolescent ; Adult ; Fascia Lata ; transplantation ; Female ; Finger Injuries ; surgery ; Hand Injuries ; surgery ; Humans ; Male ; Reconstructive Surgical Procedures ; methods ; Ribs ; transplantation ; Skin Transplantation ; methods ; Surgical Flaps ; blood supply ; Young Adult