surgery (NOTES) is a promising technique especially for cholecystectomy. During the last 2 years the combined transvagi− nal and transumbilical approach without visible scars [1] became a real alternative to standard four−trocar cholecystectomy in several institutions [2 ±4]. However, clearly this method cannot be used in men, and there might be psychological or cultural barriers preventing wom...

OBJECTIVE The objective of this study was to explore the experiences of people living with a suprapubic catheter. METHOD This descriptive study was guided by the philosophy of Gadamerian hermeneutics. Data were gathered via indepth interviews with 6 adults living in the community who had a suprapubic catheter for long-term urinary bladder drainage. Interpretation of the data occurred via them...

AIM To compare the use of the suprapubic puncture method versus the transurethral method in pressure-flow studies in patients with benign prostatic hyperplasia. METHODS Twenty-three men with benign prostatic hyperplasia underwent both suprapubic and transurethral pressure-flow studies during a single session. Standard pressure-flow variables were recorded in all patients with both methods, en...

To minimize the operative time and to avoid open cystolithotomy in women with large bladder stone (>5 cm), we present here a modification of percutaneous cystolithotomy, a well-described standard procedure for urinary bladder stones. With this technique, suprapubic percutaneous access was achieved under cystoscopic guidance. The suprapubic tract was dilated and an Amplatz sheath of 30 Fr was pl...

Background: Clinical investigations have reported several anesthetic properties of intrathecal injections of meperidine. The purpose of this study was to investigate the effect of adding meperidine to intrathecal heavy lidocaine on hemodynamic changes and blood loss in patients undergoing elective suprapubic open prostatectomy. Methods: In a randomized double-blind clinical trial, 77 pa...

To the Editor of "The Indian Medical Gazette." Sir,?Lieut.-Colonel Vivian B. Bennett, in his important article 011 the treatment of vesical calculus which appeared in last November's issue of this Gazette, wrote : " In the Indian Medical Gazette of last June, Keegan has written a paper objecting strongly to the Suprapubic Operation." If Liieut.-Colonel Bennett will peruse my paper he will find ...

A case of traumatic hemisomato-tmesis is presented. The line of complete transection passed obliquely from the suprapubic skin to the lumbosacral junction. There were associated visceral injuries. We describe our experience of such a case and review the surgical options in the light of the current literature.