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Laparoscopic pyeloplasty: Tips and techniques
With overall success rates that rival the gold standard of open pyeloplasty and lower overall morbidity, laparoscopic pyeloplasty is rapidly emerging as a bona fide standard of care in the urologic management of symptomatic UPJ obstruction in adults.
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All the essentials about varicose veins
Varicose vein disease affects up to 40% of Americans, and half of those have significant pain as a prominent symptom.1 Millions suffer for months or years with painful, swollen limbs or, worse, venous leg ulcers, only to be told by their physicians that nothing can be done for them. Not so. Several effective therapies are available today. Learn how to recognize venous disease and help your patients seek treatment that is best for them. Toward that end, this article begins by reviewing basic venous anatomy and physiology.
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Latest thinking in Barrett's esophagus: Heading off esophageal cancer
In some patients, persistent GERD also stimulates immature progenitor cells in the distal esophagus to differentiate into intestinal cell types that constitute the specialized intestinal metaplasia characteristic of Barrett's esophagus. The metaplasia that occurs in Barrett's esophagus may thus represent an adaptive substitution of cells that are highly sensitive to peptic acid injury to cells that are better able to withstand it. Unfortunately, the metaplastic cells are predisposed to malignan
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Microsurgical solutions to male infertility
What causes male infertility? Look to the Y chromosome, says this leading expert. Among the high-tech solutions worth considering: testicular sperm extraction (TESE), microsurgical epididymal sperm retrieval (MESA), and intracytoplasmic sperm injection (ICSI).
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