By U. Jonas (auth.), Professor Dr. Udo Jonas, Professor Dr. N. F. Dabhoiwala, Professor Dr. Frans M. J. Debruyne (eds.)
Endourology presents a precis of the various endourological modalitites, in particular the extra complex and debatable concepts, corresponding to the antegrade resection of urethral valves, the transperineal I a hundred twenty five seed implanations, the spoonloop resectoscope, versatile endoscopy, teflon injection to right vesicoureteral reflux, stone manipulation in calyceal diverticula, in addition to the extraperitoneal pelvioscopy. those recommendations are supported by means of descriptions of the normal endourological methods.
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Extra info for Endourology: New and Approved Techniques
Laursen Prostatic cancer is the second most common malignant disease among males, the overall incidence being 701100000 males . Although the mortality rate increases with age, many prostatic cancers will never become symptomatic and not every prostatic cancer diagnosed needs to be treated. However, patients with poorly differentiated cancers and patients young in age have a 10-year survival rate of less than 50%  and treatment is highly indicated. The treatment oflocalized prostatic cancer varies from center to center, modalities being "total TUR," radical prostatectomy, external beam irradiation, and various types of radioactive implants.
B Puncture line passing across the prostatic image and showing the echo of a biopsy needle within the prostate Endoscanning of the Bladder and Prostate 55 a b Fig. a Prostatic cancer T2 NOM 0 before transperineal 1125 implantation. b Prostatic carcinoma after Iodine-U5 implantation. The strongly reflecting seeds are clearly seen 56 W. E. M. Strijbos and N. F. IS. Clinically, the patient was suffering from acute prostatitis. The gland appears to be swollen. The echo structure is heterogeneous Fig.
The permanent implantation of radioactive seeds in localized disease offers several adavantages over external beam irradiation. First of all, the dose is accurately adapted to tumor size and shape; second, a higher tumor dose can be obtained with less damage to normal tissue due to the protracted irradiation from the longlived isotope 1251. The conventional implantation technique requires open surgery, with its inherent risk, and is often performed in combination with pelvic lymphadenectomy .