Table Of ContentClinical Practice in Urology
Series Editor: Geoffrey D. Chisholm
Titles in the series already published
Urinary Diversion
Edited by Michael Handley Ashken
The Pharmacology of the Urinary Tract
Edited by M. Caine
Bladder Cancer
Edited by E.J. Zingg and D.M.A. Wallace
Percutaneous and Interventional Urology and Radiology
Edited by Erich K. Lang
Adenocarcinoma of the Prostate
Edited by Andrew W. Bruce and John Trachtenberg
Controversies and Innovations in Urological Surgery
Edited by Clive Gingell and Paul Abrams
Combination Therapy in Urological Malignancy
Edited by Philip H. Smith
Current Perspectives in Paediatric Urology
Edited by Robert H. Whitaker
Practical Urology in Spinal Cord Injury
Edited by Keith F. Parsons and John M. Fitzpatrick
Forthcoming titles in the series
Male Infertility (Second Edition)
Edited by T.B. Hargreave
Urodynamics (Second Edition)
Paul Abrams, Roger Feneley and Michael Torrens
Urological Prostheses,
Appliances and
Catheters
Edited by
John P. Pryor
With 111 Figures
Springer-Verlag
London Berlin Heidelberg New York
Paris Tokyo Hong Kong
Barcelona Budapest
John P. Pryor, MS, FRCS
Consultant Urologist, King's College and St. Peter's Hospitals,
London, UK
Series Editor
Geoffrey D. Chisholm, ChM, FRCS, FRCSEd
Professor of Surgery, University of Edinburgh; and Consultant
Urological Surgeon, Western General Hospital, Edinburgh, Scotland
Cover illustration: Ch. 3, Fig. 8b. From Mardis HK et al. (1979) Double pigtail uretal
stent. Urology 14:23-26.
ISBN-13:978-1-4471-1463-S e-ISBN-13:978-1-4471-1461-1
DOl: 10.1007/978-1-4471-1461-1
British Library Cataloguing in Publication Data
Pryor, J. P. (John P)
Urological prostheses, appliances and catheters.
(Clinical practice in urology)
I. Title II. Series
616.6
ISBN-13:978-1-4471-1463-5
Library of Congress Cataloging-in-Publication Data
Urological prostheses, appliances, and catheters / edited by John P.
Pryor.
p. cm. - (Clinical practice in urology)
Includes index.
ISBN-13:978-1-4471-1463-5
1. Urological prostheses. I. Pryor, J. P. (John P.) II. Series.
[DNLM: 1. Prosthesis. 2. Urogenital Diseases-surgery.
3. Urology-instrumentation. WJ 168 U78]
RD571. U756 1991
617.4'60592-dc20
DNLMIDLC
91-5158
for Library of Congress CIP
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© Springer-Verlag London Limited 1992
Softcover reprint of the hardcover 1st edition 1992
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28/3830-543210 Printed on acid-free paper
Series Editor's Foreword
The title of this book gives a clear indication of the changes in emphasis
that are occurring in urology. Is it possible that prostheses, appliances
and catheters represent such a significant part of urology that they
require a book devoted to them? The answer is most certainly "yes",
mainly because there are now so many aspects to this theme and yet it
is difficult to find a ready reference source.
Urology has always been a subject that dealt with "plumbing and
tubes": historically this was a major part of urology. Now many
urological problems can be treated by a range of procedures many of
which require the implantation of manufactured devices. The range of
materials currently available for these devices has led to further
developments in the prostheses and appliances available for urological
care.
Until now the knowledge on these topics has been covert: articles
here and there, lectures mentioning some developments, commercial
companies pressing their new products on the profession, etc. Hard
facts on the merits of these developments were difficult to obtain.
Often, just when a device is becoming accepted and experience
gained, along comes another modification. The facts can only be
obtained from the experience of those with special interests in these
matters. I have been and remain a strong supporter of the controlled
clinical trial, but the evaluation of surgical procedures and prostheses
is not easily applicable to this discipline. We must therefore rely on the
accumulated experience of acknowledged experts. This book brings
together such expertise in a variety of situations that are constant
problems for the urologist. The aim of this Series is to bring to the
reader the best possible opinions in the clinical practice of urology.
Mr. Pryor and his well-selected colleagues have easily achieved this
aIm.
Edinburgh Geoffrey D. Chisholm
November 1991
Preface
This volume is intended to collect together those aspects of urology
which depend upon manufactured articles that are inserted in or
attached to patients. They are of relevance to every urologist and
range from the mundane to the highly specialised.
Urological practice has changed a great deal during the past
decade or so and this is reflected in the current volume. In some
areas, the innovations are rapidly succeeded by newer techniques
and fade to oblivion. The increased pace of change is the result of
manufacturers and urologists working together to take advantage of
the new technologies and materials that have been developed. Some
manufacturers have a major commitment to genitourinary surgery
and this financial investment is to the benefit of our patients. Such is
the speed of change that it is impossible to be up-to-date in all
areas. Nevertheless, it is to be hoped that the current volume
provides a sound basis for clinical urologists.
The original concept was to divide the book into the different
aspects of the title but on reflection it seemed better to group the
chapters on a more functional and anatomical basis.
Institute of Urology, London John P. Pryor
February 1991
Contents
List of Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi
Editorial: Synthetic Soft Tissue Substitutes
J. P. Pryor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Xlli
Chapter 1
Open Nephrostomy
J. W.A. Ramsay ......................................... 1
Chapter 2
Percutaneous Nephrostomy
R.A. Miller. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Chapter 3
Ureteric Stents
R.P. Finney and S.c. Hopkins 33
Chapter 4
Urethral and Suprapubic Catheters
M. C. Bishop and R.J. Lemberger. . . . . . . . . . . . . . . . . . . . . . . . .. 73
Chapter 5
Implantable Incontinence Devices
P.H.L. Worth ........................................... 109
Chapter 6
Urinary Incontinence Appliances, Aids and Equipment
R. N. P. Carroll . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 133
Chapter 7
Prosthetic Urethral Substitution
P.J.R. Shaw ............................................ 167
x
Contents
Chapter 8
Urostomy Appliances
R.N.P. Carroll .......................................... 175
Chapter 9
Penile Prostheses
I.P. Pryor .............................................. 197
Chapter 10
Vas Deferens Prostheses
S. S. Schmidt. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 229
Chapter 11
Alloplastic Spermatocele (Sperm Reservoirs)
A. Kelfimi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 239
Chapter 12
Testicular Prostheses
I.P. Pryor .............................................. 247
Chapter 13
Vascular Access
C.I. Rudge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 257
Chapter 14
Antibiotic Therapy
W.R. Gransden and P.M. Thompson ....................... 269
Subject Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 283
Contributors
M.C. Bishop, MD, MRCP, FRCS
Consultant Urological Surgeon, City Hospital, Nottingham, UK
RN.P. Carroll, MB, BCh, BAO, BSc, FRCS, FRCS(Ed)
Consultant Urologist, Manchester Royal Infirmary and St. Mary's
Hospital, Manchester, UK
RP. Finney, MD, FACS
Professor of Surgery, Division of Urology, University of South
Florida Medical College and James A Haley Veterans Hospital,
Tampa, Florida, USA
W.R Gransden, MRCPath
Senior Lecturer, Department of Medical Microbiology, United
Medical and Dental School of Guy's, St. Peter's and St. Thomas's
Hospitals, London, UK
S.C. Hopkins, MD, FRCS(C)
Assistant Professor of Surgery, Division of Urology, University
of South Florida Medical College and James A Haley Veterans
Hospital, Tampa, Florida, USA
A. Kelami, MD
Consultant Urologist, Brahmstrasse 32, D-lOOO Berlin 45, Germany
R.J. Lemberger, FRCS
Consultant Urological Surgeon, Mansfield Hospitals and City
Hospital, Nottingham, UK
R.A. Miller, MS, MB, FRCS
Consultant Urologist, Whittington Hospital, London, UK
J.P. Pryor, MS, FRCS
Consultant Urologist, King's College and St. Peter's Hospitals,
London, UK
xii Contributors
J.W.A. Ramsay, MS, FRCS
Consultant Urologist, Charing Cross and West Middlesex Hospitals,
London, UK
c.J. Rudge, FRCS
Consultant Transplant Surgeon, St. Peter's Hospitals, London, UK
S.S. Schmidt, MD
Consultant Urologist, Department of Urology, University of
California School of Medicine, San Francisco, California, USA
P.J.R. Shaw, FRCS
Senior Lecturer and Honorary Consultant Urologist, St. Peter's
Hospitals, London, UK
P.M. Thompson, FRCS
Consultant Urologist, Joyce Green Hospital, Dartford, Kent, UK
P.H.L. Worth, FRCS
Consultant Urologist, St. Peter's Hospitals, London, UK
