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Urogenital neoplasms spreading to the inguinal lymph nodes are penile carcinoma (the most frequent), urethral and scrotum cancers, tumors of the testis with scrotal violation. Penile carcinoma is an uncommon malignant disease and accounts for as many 0.4-0.6% of male cancers. Most patients are elder...ly. It rarely occurs in men under age 60 and its incidence increases progressively until it reaches a peak in the eighth decade 1. The risk of a lymph node invasion is greater with high grade and high stage tumors 2. Some investigators have reported the inaccuracy of the sentinel node biopsy 3, 4, described by Cabanas 5. Patients with metastatic lymph node penis cancer have a very poor prognosis if penectomy only is performed. Ilioinguinal lymphadenectomy is basically carried out as a treatment modality and not only as a staging act. Patients with lymph node invasion have a 30-40% cure rate. Ilioinguinal lymphadenectomy should be also performed in patients with disseminated neoplasms for the local control of the disease. The 5 years survival rate of patients with clinically negative lymph nodes treated with a modified inguinal lymphadenectomy is 88% versus 38% in patients not initially treated with lymphadenectomy 6. This video-tape clearly shows a therapeutic algorithm, the anatomy of the inguinal lymph nodes, according to Rouviere 7 and Daseler 8, the radical ilioinguinal node dissection with transposition of the sartorius muscle and the modified inguinal lymphadenectomy proposed by Catalona 9. References: 1. Lynch D.F. and Schellhammer P: Tumors of the penis. In Campbellโs Urology Seventh Edition, edited by Walsh P.C., Retik A.B., Darracott Vaughan E. and Wein A.J. W.B. Saunders Company, Vol. 3, chapt. 79, p. 2458, 1998. 2. Pizzocaro G., Piva L., Bandieramonte G., Tana S. Up-to-date management of carcinoma of the penis. Eur. Urol. 32: 5-15, 1997 3. Perinetti E., Crane D.B. and Catalona W.J. Unreliability of sentinel lymph node biopsy for staging penile carcinoma. J. Urol. 124: 734, 1980 4. Fowler J.E. Jr. Sentinel lymph node biopsy for staging penile cancer. Urology 23: 352, 1984 5. Cabanas R.M. An approach for the treatment of penile carcinoma. Cancer 39: 456, 1977 6. Russo P. and Gaudin P. Management strategies for carcinoma of the penis. Contemporary Urology;5:48-66, 2000 7. Rouviere H. Anatomy of the human lymphatic system. Edwards Brothers, p. 218, 1938 8. Daseler E.H., Anson B.J., Reimann A.F. Radical excision of the inguinal and iliac lymph glands: a study based on 450 anatomical dissections and upon supportive clinical observations. Surg. Gynecol. Obstet. 87: 679, 1948 9. Catalona W.J. Modified inguinal lymphadenectomy for carcinoma of the penis with preservation of saphenous veins: technique and preliminary results. J. Urol. 140: 306-310, 1988
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The medication for men with erectile dysfunction (ED) requires the use of tadaga 10mg.The classic indicator for this is the inefficiency to attain and/or preserve an erection firm enough to complete sensual activity.The primary ingredient in this is tadalafil; this is a phosphodiesterase type 5 (PDE5) inhibitor.As this acts to relax the smooth muscles in the blood vessels located in the genitals as well as increase blood circulation to said genitals, this medication will assist in enabling and maintaining an erection in men. Take this orally; ideally at least thirty minutes prior to any sensual activity.You can buy Tadaga 10mg dosage online. It ought to be noted that even while taking this medication for sensual stimulation, an erection is also required. With its maximal length of action being at most for thirty-six hours, it has come to be more commonly nicknamed the โweekend pillโ for convenience. There is a possibility of side effects in any medication that is used; nevertheless, this specific one is largely tolerated well by most people.Oftentimes, there is a small but rare chance that more severe side effects may occur in a person. Some of which are the onset of vision problems in addition to hearing loss. It is highly vital for you to immediately seek medical attention should any of these symptoms occur. It is highly mandatory for anyone to consult their physician concerning any prospective treatment prior to using this medicine.Buy Tadaga 10mg online at our web store https://www.firstchoicemedss.com/tadaga-10mg.html
Spinal disc prolapse and replacement
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The endoscopic resection of a sharp bony nasal septal spur video
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A usage instruction on how to use a female condom (also know as a Femidom). Female Condom Application and Removal.
Small colon polyp (redish bump)and many diverticuli (small outpouches in wall of the colon)
The back part of the upper jaw has the highest failure rate abotu 20% overall due to the presence of the sinus and the soft quality of bone.
Otto Placik MD. a board certified Chicago based plastic surgeon presents Vulvar Vaginal Genital anatomy lesson reviewing the Vulva, Mons Pubis, clitoral hood, prepuce, frenulum, labia minora & majora, vagina, urethra and fourchette with surgical implications and techniques. Photos pictures and video of anatomic models are reviewed in detail on different models. Great for patients thinking about or planning before labiaplasty or vaginal cosmetic surgery
At Hutzel Women's Hospital, Dr. Giancarlo Mari performs breakthrough in-utero surgery to save the lives of high-risk twins developing with a rare "shared" circulatory problem. ~ Detroit Medical Center
A Video showing a fine needle biopsy guided with ultrasound of a thyroid nodule
Echocardiography showing an Embolus
Dr. Berger, world's leading tubal reversal doctor, performs outpatient tubal ligation reversal and repairs fallopian tubes after a tubal ligation.
Learn ECG in a dance..lol
The video will describe the terms that were used in last video of streptococcal/pneumococcal pneumonia. Please see my website for disclaimer.