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Creagh TA, Gleeson M, Travis D, Grainger R, McDermott TE, Butler MR. Is there a role for in vivo methylene blue staining in the prediction of bladder tumour recurrence? BRITISH JOURNAL OF UROLOGY 1995; 75:477-9. [PMID: 7788259 DOI: 10.1111/j.1464-410x.1995.tb07268.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
OBJECTIVE To assess the role of in vivo staining with intravesical methylene blue in predicting tumour recurrence. PATIENTS AND METHODS Thirty-nine patients (27 men and 12 women, age range 43-75 years) newly diagnosed with bladder tumours were prospectively studied and followed for a minimum of 2 years. Potential biopsy sites were identified by staining intravesically with a 1% methylene blue solution and compared with random biopsy sites. RESULTS Biopsy directed by methylene blue staining detected carcinoma in situ more often than random biopsy. Rates of recurrence were similar in both stained and unstained groups. CONCLUSION Methylene blue staining does not add significantly to the management of patients presenting with bladder tumours.
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Calleary J, Tansey C, McCormack J, Kapur S, Doyle J, Flynn J, Curran AJ, Smyth D, Kane B, Toner M, Timon CVI, Cronin KJ, O’Donoghue J, Darmanin FX, McCann J, Campbell F, Redmond HP, Condron C, Bouchier-Hayes D, Aizaz K, MacGowan SW, O’Donnell AF, Luke DA, McGovern E, Morrin M, Khan F, Delaney PV, Lavelle SM, Kanagaratnam B, Cuervas-Mons V, Gauthier A, Gips C, Santos RMD, Molino GP, Theodossi A, Tsiftsis DD, Boyle CJO, Boyle TJ, Kerin MJ, Courtney DM, Quill DS, Given HF, O’Brien DF, Kelly EJ, Kelly J, Richardson D, Fanning NF, Brennan R, Horgan PG, Keane FBV, Reid S, Walsh C, Patock R, Hall J, Evoy D, Magd-Eldin M, Curran D, Keeling P, Ade-Ajayi N, Spitz L, Kiely E, Drake D, Klein N, O’Hanlon DM, Karat D, Callanan K, Crisp W, Griffin SM, Murchan PM, Mancey-Jones B, Sedman P, Mitchell CJ, Macfie J, Scott D, Raimes S, O’Boyle CJ, Maher D, Willsher PC, Robertson JFR, Hilaly M, Blarney RW, Shering SG, Mitrovic S, Rahim A, McDermott EW, O’Higgins NJ, Murphy CA, Morgan D, Elston CW, Ellis IO, O’Sullivan MP, O’Riordain MG, Stack JP, Barry MK, Ennis JT, Fitzpatrick JM, Gorey TF, Kollis J, Mullet H, Smith DF, Zbar A, Murray MJ, McDermott EWM, Smyth PPA, Kapucouglu N, Holmes S, Holland P, McCollum PT, da Silva A, de Cossart L, Hamilton D, Kelly CJ, Stokes K, Broe P, Crinnion J, Grace PA, Morton N, Ross N, Naidu S, Gervaz P, Holdsworth RJ, Stonebridge PA, O’Donnell A, Carson K, Phelan D, McBrinn S, McCarthy D, Javadpour H, McCarthy J, Neligan M, Caldwell MTP, McGrath JP, Byrne PJ, Walsh TN, Lawlor P, Timon C, Stuart RC, Murray K, Carney A, Johnston JG, Egan B, O’Connell PR, Donoghue J, Pollock A, Hyde D, Hourihan D, Tanner WA, Donohue J, Fanning N, Horgan P, Mahmood A, Dave K, Stewart J, Cole A, Hartley R, Brennan TG, O’Donoghue JM, O’Sullivan ST, Beausang E, Panchal J, O’Shaughnessy M, O’Grady P, Watson RWG, Johnstone D, O’Donnell J, McCarthy E, Flynn N, O’Dwyer T, Curran C, Duggan S, Tierney S, Qian Z, Lipsett PA, Pitt HA, Lillemoe KD, Kollias J, Morgan DAL, Young IS, Regan MC, Geraghty JG, Suilleabhain CBO, Rodrick ML, Horgan AF, Mannick JA, Lederer JA, Hennessy TPJ, Canney M, Feeley K, Connolly CE, Abdih H, Finnegan N, Da Costa M, Shafii M, Martin AJ, Mulcahy D, Dolan M, Stephens M, McManus F, Walsh M, O’Brien DP, Phillips JP, Carroll TA, O’Brien D, Rawluk D, Sullivan T, Herbert K, Kerins M, O’Donnell M, Lawlor D, McHugh M, Edwards G, Rice J, McCabe JP, Sparkes J, Hayes S, Corcoran M, Bredin H, O’Keeffe D, Candon J, Mulligan ED, Lynch TH, Mulvin D, Vingers L, Smith JM, Corby H, Barry K, Eardley I, Frick J, Goldwasser B, Wiklund P, Rogers E, Weaver R, Scardino PT, Kumar R, Puri P, Adeyoju AB, Lynch T, Corr J, McDermott TED, Grainger R, Thornhill J, Butler M, Keegan D, Hegarty N, McCarthy P, Mirza AH, O’Sullivan M, Neary P, O’Connor TPF, McCormack D, Cunningham K, Cassidy N, Sullivan T, Mulhall K, Murphy M, Puri A, Dhaif B, Carey PD, Delicata RJ, Abbasakoor F, Stephens RB, Hussey AJ, Garrihy B, Nolan DJ, McAnena OJ, Fitzgerald R, Watson D, Coventry BJ, Malycha P, Ward SC, Kwok SPY, Lau WY, Bergman JW, Hacking GEB, Metreweli C, Li AKC, Madhavan P, Donohoe J, O’Donohue M, McNamara DA, O’Donohoe MK. Sir Peter Freyer Memorial Lecture and Surgical Symposium 15th and 16th September, 1995. Ir J Med Sci 1995. [DOI: 10.1007/bf02969896] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Lennon GM, Thornhill JA, Sweeney PA, Grainger R, McDermott TE, Butler MR. 'Firm' versus 'soft' double pigtail ureteric stents: a randomised blind comparative trial. Eur Urol 1995; 28:1-5. [PMID: 8521886 DOI: 10.1159/000475010] [Citation(s) in RCA: 53] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
It is generally considered that 'firm' double pigtail ureteric catheters, while easier to insert and less prone to migration, may cause more patient discomfort than the 'softer' variety of stent. Objective support for these perceptions is however lacking. The aim of this study was to compare firm and soft stents regarding their ease of insertion, positional stability, biocompatibility and patient tolerance. 155 patients were randomised to receive 'firm' (polyurethane, n = 78) or 'soft' (Sof-Flex, n = 77) stents. Ease and mode of insertion was recorded at time of initial placement. Positional stability, degree of bladder inflammation, stent encrustation and patient tolerance were recorded at the time of removal. Patient tolerance was assessed by symptom score in double-blind fashion. Results showed no significant difference in ease of insertion, positional stability, degree of bladder inflammation or stent encrustation between the two groups. There was a significantly higher incidence of dysuria, renal and suprapubic pain in the firm stent group. There was no significant difference in the incidence of urgency, frequency, nocturia or haematuria. Normal activity and return to work were reported in 67 and 45% of patients with soft and firm stents, respectively. The data indicates that patient tolerance appears to be related to the softness of the stent material.
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Barry MC, Burke P, Joyce WP, Sheehan S, Broe P, Bouchier-Hayes D, Mccollum PT, Holdsworth RI, Stonebridge PA, Belch JJ, O≿suilleabhain C, Waldron D, Hehir D, O≿donnell JA, Brady MP, Kelly J, O≿donnell J, Morasch MD, Couse NF, Colgan MP, Moore DJ, Shanik GD, Russell JD, O≿dwyer TP, Russell J, Walsh M, Lennon GM, Sweeney P, Grainger R, Mcdermott TED, Thornhill JA, Butler MR, Vashisht R, Koppikar M, Rogers HS, Stokes MA, Carroll T, Regan MC, Fitzpatrick JM, Gorey TF, Mccarthy J, Redmond HP, Duggan S, Watson RWG, O≿donnel R, Clements WDB, Mccaigue MD, Halliday IM, Rowlands BJ, O≿hanlon D, Kerin M, Kent P, Grimes H, Maher D, Given HF, Keogh I, Given HF, McAnena O, O≿hanlon DM, Chin D, Mccarthy P, Kennedy S, Dolan J, Mercer P, Mcdermott EW, Duffy MJ, O≿higgins NJ, Delaney CP, Mcgeeney KF, Dolan S, Campbell C, Mccluggage G, Halliday MI, Khan F, Delaney P, Barrett N, Morrin M, Ma QY, Anderson NH, Magee GD, Norwood W, Meagher PJ, Kelly CJ, Deasy JM, Baldota S, Jakoubek F, Mcloughlin H, Eustace PW, Waldron R, Johnston JG, Shuaib I, Strunz B, Hall T, Williams N, Delaney PV, Donnelly VS, O≿herlihy C, O≿connell PR, Walsh M, Attwood SEA, Evoy DA, Boyle B, Brown S, Stephens RB, Gillen P, Attwood S, Tanner WA, Keane FBV, Morris S, Reid S, Neary P, Horgan P, Traynor O, Hyland J, Barrett J, Collins JK, O≿sullivan G, Boyle TJ, Lyerly JK, Gallagher HJ, Naama H, Shou J, Daly JM, Wang JH, Barclay RG, Creagh T, Smalley T, Waters C, Mundy AR, Campbell GR, Stokes K, Kelly C, Abdih H, Bouchier Hayes D, Loughnane F, Ahearne M, Akram M, Drumm J, Collins GN, Mulvin D, Malone F, Kelly D, Delaney C, Mckeever J, Mehigan D, Keaveny TV, Hennessy A, Grace P, Mcgee H, Boyle CAO, Mohan P, Cross KS, Feeley TM, O≿donoghue JM, Al-Ghazal SK, Mccann J, Regan M, Stokes M, Graham F, Young L, Flanagan F, Ennis J, Fitzpatrick J, Gorey T, Walsh S, Callahan J, Macgowan SW, Malone C, Young LS, Wood AE, Madhavan P, O≿sullivan R, Durkan M, Nyhan T, Lynch G, Egan J, Mcavinchey D, Bulle B. Sylvester O’halloran surgical scientific meeting. Ir J Med Sci 1994. [DOI: 10.1007/bf02967098] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Lewis SJ, Holmberg S, Quinn E, Baker K, Grainger R, Vincent R, Chamberlain DA. Out-of-hospital resuscitation in East Sussex: 1981 to 1989. Heart 1993; 70:568-73. [PMID: 8280528 PMCID: PMC1025395 DOI: 10.1136/hrt.70.6.568] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/29/2023] Open
Abstract
OBJECTIVE To assess the impact of extended training in advanced life support on the outcome of resuscitation. DESIGN Analysis of the successful resuscitations from 1981 to 1989. SETTING Brighton and East Sussex. RESULTS 248 patients were resuscitated from cardiac or respiratory arrest in the community and subsequently survived to leave hospital. Their mean age was 64 years and one year survival was 77%. In most cases the cause of collapse was cardiac but 38 (15%) suffered a respiratory arrest. In 140 of the successful resuscitations (56%) collapse occurred before the arrival of the ambulance. Basic life support, with ventilation and chest compression where necessary, was sufficient to revive 35 (14%) of the patients. Defibrillation was also required in 107 patients (43%), and in a further 106 patients (43%) who had prolonged cardiorespiratory arrest requiring endotracheal intubation and the use of several drugs. Review of ambulance forms and case notes showed that in 87 cases (35%) the abilities of the paramedical ambulance staff in advanced resuscitation techniques contributed decisively to the success of resuscitation. These skills are illustrated by eight case reports. CONCLUSIONS Extended training for ambulance staff increases the likelihood of successful resuscitation from out-of-hospital cardiopulmonary arrest. Though instruction in defibrillation must have the highest priority, full paramedical training can bring appreciable additional benefits.
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Gleeson MJ, Connolly J, Grainger R, McDermott TE, Butler MR. Comparison of reagent strip (dipstick) and microscopic haematuria in urological out-patients. BRITISH JOURNAL OF UROLOGY 1993; 72:594-6. [PMID: 10071543 DOI: 10.1111/j.1464-410x.1993.tb16215.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Dipstick (reagent strip) and microscopic urine analysis for haematuria was performed prospectively on 1000 consecutive urine samples taken from urological out-patients. Haematuria was present in 185 samples (18.5%) and absent in 687 (68.7%) using both tests; 98 samples (9.8%) had dipstick haematuria that was not confirmed by microscopy and 30 samples (3%) had microscopic haematuria that was missed on dipstick urine analysis. Dipstick urine analysis had a sensitivity of 86.1% and a specificity of 85%. This study confirms that reagent strip testing for haematuria has both false positive and false negative results and indicates that cytoscopy should be considered in all patients with suspected haematuria.
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Gleeson MJ, Connolly J, Grainger R. Self-castration as treatment for alopecia. BRITISH JOURNAL OF UROLOGY 1993; 71:614-5. [PMID: 8518876 DOI: 10.1111/j.1464-410x.1993.tb16040.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
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Abstract
Haemospermia is an alarming symptom but does it signify serious disease and how should it be investigated? A retrospective review of 44 men showed no evidence of malignancy and infection as the commonest cause. Standard investigation with midstream specimen of urine, intravenous pyelogram and cystoscopy is unhelpful. Microscopy and culture of a first stream specimen of urine or expressed prostatic secretions is the investigation of choice. Cystoscopy should be reserved for patients with recurrent haemospermia.
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Corr J, Gleeson M, Wilson G, Grainger R. Percutaneous management of emphysematous pyelonephritis. BRITISH JOURNAL OF UROLOGY 1993; 71:487-8. [PMID: 8500000 DOI: 10.1111/j.1464-410x.1993.tb16002.x] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
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235
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Connolly JA, Gleeson MJ, Grainger R, McDermott TE, Butler MR. Is retrograde ureterography indicated in pelviureteric junction obstruction? BRITISH JOURNAL OF UROLOGY 1993; 71:148-51. [PMID: 8461945 DOI: 10.1111/j.1464-410x.1993.tb15907.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
The role of retrograde ureterography in the management of pelviureteric junction (PUJ) obstruction remains controversial and it has recently been reiterated that visualisation of the entire ureter on the affected side is mandatory owing to the high incidence of other ureteric abnormalities. In a review of 119 consecutive adult pyeloplasties carried out over a 9-year period, only 2 ureteric abnormalities were found in association with PUJ obstruction (duplex ureter/3-cm proximal stricture). Other anatomical abnormalities included aberrant vessels, fascial bands and renal anomalies. Most secondary abnormalities were undiagnosed prior to surgery and all were easily dealt with per-operatively.
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Coulter J, Molloy RG, Moran KT, Waldron R, Kirwan WO, O’Suilleabhain C, Horgan A, Mealy K, Burke P, Hyland J, Horgan AF, Sheehan M, Browne RM, Austin O, Clery AP, Deasy JM, Sulaiman-Shoaib S, Soeda J, O’Briain DS, Puri P, Coveney EC, McAllister V, McDermott EWM, O’Higgins NJ, Maher M, Caldwell MTP, Murchan P, Beesley W, Feeley TM, Tanner WA, Keane FBV, Abbasakoor F, Attwood SEA, McGrath LP, Stephens RB, O’Broin E, Davies MG, McGinley J, Mannion C, Gupta S, Shine MF, Lennon F, Ninan G, Fitzgerald RJ, Guiney EJ, O’Donnell B, O’Donnell AF, Luke D, Wood AE, Murphy PG, Walsh TN, Hill ADK, Li H, Hennessy TPJ, Noonan N, Breslin B, Keeling PWN, Curran AJ, Gough DB, Davidson IR, Keeling P, O’Leary DP, Smythe A, Bird NC, Johnson AG, Nicholson P, Traynor O, Dawson K, Aitken J, Cooke BA, Parbhoo SP, N.Williams N, Daly JM, Herlyn M, Bouchier-Hayes D, Stuart RC, Allen MJ, Thompson WD, Peel ALG, Hehir DT, Cronin K, McCann A, Dervan PA, Heffernan SJ, Hederman WP, Galea MH, Dilks B, Gilmour A, Ellis LO, Elston CW, Blarney RW, O’Rourke S, Mookens A, Carter R, Parkin D, Couse NF, Delaney CP, Horgan PG, Fitzpatrick JM, Gorey TF, O’Byrne JM, McCabe JP, Stephens M, McManus F, L.Mangan J, Barr DA, Mulvenna GJ, Maginn P, Kernohan WG, Mollan RAB, O’Flanagan SJ, Stack JP, Dervan P, Hurson B, Tierney S, Fitzgerald P, O’Sullivan T, Grace P, Wyatt JP, Evans RJ, Cusack SP, McGowan S, McGovem E, Schwaitzberg SD, Connolly RJ, Sullivan RP, Mortimer G, Geraghty JG, O’Dwyer PJ, McGlone BS, O’Brien DP, Younis HA, Given HF, Phelan C, Byrne J, Barry K, Gough D, Hanrahan L, Given F, Sweeney JP, Korebrits AM, Reynolds JV, Gorey TF, O’Hanlon DM, Stokes MA, Redmond HP, McCarthy J, Daly JM, Losty P, Murphy M, Butler PEM, Grace PG, Novell JR, Hobbs SK, Smith O, Hazlehurst G, Brozovic B, Rolles K, Burroughs A, Mallett S, Mehta A, Buckley D, Waldron D, O’Brien D, Curran C, Given F, Grey L, Leahy A, Darzi A, Leader D, Broe P, Geoghegan JG, Cheng CA, Lawson DC, Pappas TN, O’Sullivan D, Lieber MM, Colby TV, Barrett DM, Rogers E, Greally J, Bredin HC, Corcoran MO, Kenny M, Horgan P, Headon D, Grace A, Grace PA, Bouchier-Hayes D, Cross S, Hehir D, O’Briain S, Hartigan P, Colgan MP, Moore D, Shanik G, Zaidi SZ, Hehir DJ, Cross KS, Colgan MP, Moore DJ, Shanik DG, Lacy P, Cross S, Hehir D, Moore D, Shanik G, Coleman JE, McEnroe CS, Gelfand JA, O’Donnell TF, Callow AD, Buckley DJ, O’Riordain DS, O’Donnell JA, Meagher P, Boos K, Gillen P, Corrigan T, Vashisht R, Sian M, Sharp EJ, O’Malley MK, Kerin MJ, Wilkinson D, Parkin A, Kester RC, Maher MM, Waldron RP, Waldron DJ, Brady MP, Allen M, Lyncy TH, Waymont B, Emtage L, Blackledge GR, Hughes MA, Wallace DMA, O’Sullivan D, Mynderse L, Barrett DM, Rogers E, Grimes H, Chambers F, Lowe D, Bredin HC, Corcoran MO, Waldron DJ, Prasad B, O’Sullivan DC, Gillen MBP, McNicholas M, Traynor O, Bredin H, O’Dowd TH, Corcoran M, O’Donoghue JM, Corcoran M, McGuire M, McNamara A, Creagh T, Grainger R, McDermott TBD, Butler MR, Gleeson M, Creagh T, Grainger R, McDermott TED, Hurley JP, Hone R, Neligan M, Hurley J, White M, McDonagh P, Phelan D, McGovern E, Quinn F, Breatnach F, O’Meara A, McGrath JP, McCann SR, Gaffney EF, Hennessy A, Leader M, Taleb FS, McKiernan MV, Leyden PJ, McCann JJ, Coleman J, Quereshi A, Ajayi N, McEntee G, Osborne H, Bouchier-Hayes DJ, Johnston S, O’Malley K, Smyth E, Bouchier-Hayes DL, Darzi A, Quereshi A, McEntee G, O’Connell PR, Gorey T, McAnena OJ, Reed MW, Duncan JL, Reilly CS, McGibney C, Lawlor P, Lawless B, McGuinness E, Leahy S. Sixteenth sir peter freyer memorial lecture and surgical symposium September 13th & 14th, 1991 Session I. Ir J Med Sci 1992. [DOI: 10.1007/bf02942125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Creagh T, Gleeson M, Grainger R, McDermott TE, Butler MR. Treatment strategy for piezoelectric shock wave lithotripsy of upper ureteral calculi. J Urol 1992; 147:1499-501. [PMID: 1593674 DOI: 10.1016/s0022-5347(17)37607-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
In situ piezoelectric lithotripsy monotherapy for upper ureteral stones is an attractive option because it can be conducted on an outpatient basis. Difficulty in calculus localization with ultrasound is the limiting factor. We reviewed our experience with 99 patients treated for upper ureteral calculi with the EDAP LT.01 lithotriptor. For stones above the lower renal border we achieved a 53% stone-free rate compared to 25% for calculi below the lower renal border. In situ piezoelectric lithotripsy of upper ureteral calculi may be considered for stones above the lower renal border.
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Flood HD, Jones B, Grainger R. Ureterocolic fistula: a unique complication of extracorporeal shock wave lithotripsy. J Urol 1992; 147:122-4. [PMID: 1729500 DOI: 10.1016/s0022-5347(17)37154-9] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
A unique case of ureterocolic fistula at the site of stone fragment impaction after piezoelectric shock wave lithotripsy is described. Pathological examination of the nephroureterectomy specimen indicated xanthogranulomatous pyelonephritis with the process extending into the ureter and fistulous tract.
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Gleeson MJ, Cunnane G, Grainger R. Spontaneous perforation of an augmented bladder. BRITISH JOURNAL OF UROLOGY 1991; 68:655. [PMID: 1773298 DOI: 10.1111/j.1464-410x.1991.tb15432.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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Hamilton S, Flood HD, Shetty MK, Grainger R. Radiology of the AS 800 artificial urinary sphincter; normal appearances and complications. Eur J Radiol 1991; 13:122-5. [PMID: 1743189 DOI: 10.1016/0720-048x(91)90093-b] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Thirteen adult male patients who had an AS 800 artificial urinary sphincter inserted are reviewed. Five have had malfunction, and in four the causes were diagnosed radiologically. These included: fistula formation, leakage of hydraulic fluid, air in the system, and inadequate deflation of the cuff. Since the sphincter is filled with contrast medium, it is ideally suited to radiological assessment.
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Murphy M, Buckley M, Corr J, Vinayagamoorthy S, Grainger R, Mulcahy FM. Fournier's gangrene of scrotum in a patient with AIDS. Genitourin Med 1991; 67:339-41. [PMID: 1916798 PMCID: PMC1194713 DOI: 10.1136/sti.67.4.339] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Fournier's gangrene of the scrotum, a form of necrotising fasciitis, is a rare but potentially fatal disorder. Predisposing conditions include chronic alcoholism and diabetes mellitus, possibly as a result of impaired immunity. Fournier's syndrome, occurring in a patient with AIDS, is described.
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Bolger C, Fry G, Coakley D, Philips J, Sheahan N, Malone J, Gray WP, O’Sullivan M, Buckley TF, O’Dwyer TP, Gullane PJ, Kneafsey BP, Moran KT, O’Sullivan ST, Brady MP, Coveney EC, Geraghty JG, O’Higgins NJ, O’Beirne J, Seighe P, McElwain JP, McCabe JP, Waldron B, Byme J, Waldron B, Hickey N, McCabe J, McMahon J, Colville J, Moran BJ, Frost RA, Kerin MJ, Jaeger JJ, Mitchell CJ, MacFie J, O’Hanrahan T, Scott NA, Leinhardt D, Irving MH, Gough D, White M, Morrin M, Joyce W, Phelan D, Fitzpatrick J, Gorey T, Kerin MJ, Wilkinson D, Parkin A, Kester RC, Gibney EJ, McGrath K, Cunningham AJ, Bouchier-Hayes D, Barry M, Farrell M, Monkhouse W, Bouchier-Hayes D, Dawson KJ, Hehir D, Hamilton G, Grace PA, Quereschi A, Keane R, Broe P, Bouchier-Hayes D, Stansby G, Hehir D, Fuller B, Hamilton G, Connolly A, O’Donnell J, Little D, Keane RM, Regan M, Bouchier-Hayes D, Horgan PG, Curran C, O’Brien D, Waldron D, Mooney E, Greally J, Given HF, Duffy MJ, Reilly D, Coveney E, Geraghty J, Fennelly JJ, O’Higgins N, O’Hare CM, Jones PL, Zoma TA, Hemstreet GP, Postier RG, Coleman JE, Chaikof EL, Merrill EW, Callow AD, Williams NN, Daly JM, Herlyn M, Bouchier-Hayes D, Gaffney R, Walsh M, McShane D, Timon C, Hamilton D, Connolly J, Byrne PJ, Stuart RB, Kay E, Gorey T, Hennessy TPJ, O’Leary DP, Booker M, Scott TE, LaMorte WW, Geraty JG, Angerson WA, Carter DC, Lyons J, Gough D, Stack A, Joyce W, Gorey T, Fitzpatrick JM, Kelly C, Augustine C, Kennedy J, Creagh T, Bouchier-Hayes D, Mannion D, Seigne P, Fitzpatrick G, Feeley M, Butler P, Grace P, Leader M, Curren B, Barry-Walsh C, Bouchier-Hayes D, O’Brien D, Horgan PG, Waldron R, Shearer M, Given HF, O’Rourke S, Galea M, Gilmour A, Carter R, Parkin D, Blarney RW, Hehir DJ, Parbhoo SP, Rothnie N, Crowe J, Wells C, Dawson KJ, Geraghty JG, Coveney EC, Duffy MJ, Sherry F, O’Higgins NJ, Duffy MJ, O’Grady P, Coveney E, Geraghty J, Fennelly JJ, O’Higgins NJ, Byrne J, Horgan PG, England S, O’Callaghan J, Given HF, Horgan PG, Waldron D, O’Brien D, Mooney E, Grimes H, Given HF, O’Brien D, Horgan PG, Mooney E, Waldron D, Grimes H, Given HF, Mulcahy U, Coveney EC, Smyth PPA, McAlister V, Geraghty JG, Murray MJ, O’Higgins MJ, Laoide RO, Coveney EC, Geraghty JG, Hourihane JB, O’Higgins NJ, Mooney EF, Horgan PG, Brougham C, Headon DR, Given HF, Coleman C, Coveny EC, Laoide RO, Geraghty JG, Hourihane JB, O’Higgins NJ, Jazawi S, Walsh TN, Byrne PJ, Lawlor P, Li H, Bolger C, Sanfey H, Hennessy TPJ, Joyce WP, Gough DB, Delaney PV, Gorey TF, Fitzpatrick JM, Attwood SEA, Watson A, Rogers E, Waldron RP, Glynn G, El-Bouri KU, Flynn J, Keeling P, Davies MG, Lavelle J, Connolly J, Shine MF, Lennon F, Byrne PJ, Stewart RC, Lawlor P, Walsh TN, Hennessy TP, McKiernan MV, Johnston JG, Rogers E, Greally J, Hanrahan L, Bredin HC, Corcoran MO, Norton M, Rogers E, Bredin HC, Corcoran MO, Flynn R, Gleeson M, Grainger R, McDermott TED, Lanigan D, McLean P, Curran B, Leader M, Gleeson MJ, Griffin DP, Gallagher HJ, Creagh TA, Mulvin DM, Donovan MG, Murphy DM, McLean PA, Mulvin DW, Creagh TA, O’Brien A, Murphy DM, O’Flynn KL, McDonagh R, Thomas DG, Lynch TH, Anderson P, Vaughan ATM, Beaney RP, Wallace DMA, Connolly J, Solomon L, Lavelle J, Lennon F, Shine MF, O’Riordain DS, O’Connell PR, Kirwan WO, Li H, Byrne PJ, Lawlor P, Stuart RC, Jazrawi S, Walsh TN, Hennessy TPJ, Koh TN, Sheehan SJ, McKeever J, Donohoe J, Carmody M, Osborne DH, Waldron DE, Rodgers E, Patel F, Horgan P, Corcoran M, Given HF, Walsh K, Joyce WP, Gough DB, Gorey TF, Fitzpatrick JM, O’Donoghue JM, Waldron R, Kerin MJ, McCabe JP, McAnena OJ, McGuire M, Given HF, Smyth J, Keye G, Bahadursingh A, Delaney C, Joyce WP, Gough D, Fitzpatrick JM, Gorey TF, Richie AJ, Gibbons JRP, O’Hanrahan T, Marples M, Banacewicz J, Coleman JE, Troidl H, Cassidy L, Grace P, Bouchier-Hayes D, Prenderville EJ, Burke PE, Colgan M.P, Wee BL, Moore DJ, Shanik GD, Cross KS, El-Sanadiki M, Murray JJ, Mikat E, McCann R, Hagen PO, Cheatle TR, Steibe E, Smith PDC, Scurr JH, Barry K, Waldron D, Bresnihan E, Courtney DF, Quill DS, Buckley D, O’Riordan DS, O’Donncll JA, Gray WP, O’Donnell JA, Hill ADK, O’Dwycr PJ, MacErlean DP, Kerin MJ, Couse NF, MacFie J, Campbell D, McBride K, Geraghty JG, MacErlean D, Murphy JJ, Kirwan WO, Kaar K, Docrat H, Malik S, Egan J, Davidson IR, Hurley J, Keeling P, Rowley H, Kaar K, O’Sullivan ST, Brady MP. Fifteenth Sir Peter Freyer Memorial Lecture and Surgical Symposium. Proceedings of a meeting. 14th and 15th September 1990, Galway. Abstracts. Ir J Med Sci 1991; 160:213-36. [PMID: 1684575 DOI: 10.1007/bf02957315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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Grainger R, O'Flynn JD, Fitzpatrick JM. Urological follow-up of 124 women following spinal cord injury. World J Urol 1990. [DOI: 10.1007/bf01576344] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Rowland A, Grainger R, Smith RS, Hicks N, Hughes A. Water contamination in North Cornwall: a retrospective cohort study into the acute and short-term effects of the aluminum sulphate incident in July 1988. JOURNAL OF THE ROYAL SOCIETY OF HEALTH 1990; 110:166-72. [PMID: 2123251 DOI: 10.1177/146642409011000507] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
IN JULY 1988 the drinking water supply of part of Cornwall was contaminated with 20 tons of aluminum sulphate solution. Emergency measures ensured that aluminum sulphate levels in most parts of the water distribution system were rapidly reduced, but residents were supplied with water containing raised concentrations of aluminum and other metals for at least a few days. A retrospective cohort study compared 480 individuals in the exposed area with 532 individuals resident in an area served by a different water supply. The exposed group were more likely to complain of all 18 symptoms in the questionnaire enquiry. They had a significantly higher relative risk of experiencing painful joints. These symptoms were reported by less than a quarter of the respondents exposed to contaminated water. This may represent a previously unrecognised acute effect of water contamination with aluminum sulphate, but the study does not exclude the possibility that the threshold for symptom reporting was lowered by anxiety and by the publicity associated with the incident. The overall response rate of the study was low (45%) and reflects the difficulties in both carrying out and interpreting environmental epidemiological studies of acute incidents.
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Jones BJ, Ryan PC, Lyons O, Grainger R, McDermott TE, Butler MR. Use of the double pigtail stent in stone retrieval following unsuccessful ureteroscopy. BRITISH JOURNAL OF UROLOGY 1990; 66:254-6. [PMID: 2207539 DOI: 10.1111/j.1464-410x.1990.tb14922.x] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Insertion of a double pigtail stent is known to cause ureteric dilatation. We analysed the effect of an indwelling double pigtail stent on the success rate of calculus extraction by second ureteroscopy when the initial ureteroscopy fails. Over a 12-month period, a first ureteroscopy failed in 42 patients; 30 were then treated by ureteroscopy combined with a ureteric stent and 12 were treated without a ureteric stent. The group with an indwelling stent had a successful second ureteroscopy or spontaneously passed the calculus in 24 cases (84%) compared with 5 unstented cases (45%). Ureterolithotomy was necessary in 2 patients with a stent and 3 with no stent. It was concluded that following failed ureteroscopic manipulation of calculi, insertion of a double pigtail stent was associated with a higher subsequent success rate for removal of stone by ureteroscopy and a consequent lower rate of ureterolithotomy.
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Grainger R, Gikas PW, Grossman HB. Urothelial carcinoma occurring within an inverted papilloma of the ureter. J Urol 1990; 143:802-4. [PMID: 2313813 DOI: 10.1016/s0022-5347(17)40101-7] [Citation(s) in RCA: 30] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Only 5 cases of inverted papilloma of the ureter with a malignant component have been reported previously. We add case 6 to the literature. The incidence of concomitant malignancy in ureteral inverted papillomas is 3 times that found in similar lesions occurring in the bladder.
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Key D, Wan J, Grainger R, McDermott T, McGuire EJ, Bloom DA. Urinary tract reconstruction: Applied urodynamics. Neurourol Urodyn 1990. [DOI: 10.1002/nau.1930090507] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Ryan PC, Kiely EA, Grainger R, Moloney M, Fitzpatrick JM, Hurley GD, Butler MR. Endoscopic treatment of urinary tract calculi. Ir J Med Sci 1989; 158:141-3. [PMID: 2767929 DOI: 10.1007/bf02943054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Removal of urinary tract calculi by endourological techniques is now widely practised and has reduced the indications for open surgical removal to a minority of cases. A review of 270 consecutive patients who presented to the Meath Hospital Urology department with urinary tract calculi and were treated by percutaneous or transurethral endoscopy is herein reported. The rates of successful clearance of renal (95%) and ureteric (78%) calculi compare well with previous reports. The majority of complications were minor and a low overall complication rate was experienced at ureterorenoscopy. In our experience, endourological treatment of urinary tract calculi is successful, efficient and safe and is the recommended approach to urinary tract calculi that require surgical intervention.
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Grainger R, Kenny A, Walsh A. Adenocarcinoma of the Caecum Occurring in a Caecocystoplasty. J Urol 1989. [DOI: 10.1016/s0022-5347(17)40857-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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