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Furthermore, SPECT/CT demonstrated precise localization of the regional draining basins for 43 nodes (Inguinal 35, Pelvic 8), which were difficult to distinguish on 2-D planar scintigraphy. Conclusions:?The addition of SPECT/CT improved detection rates of true radiotracer avid lymph-nodes and delineated their precise (3-D) anatomical localization in the inguinal basins. P74 Contemporary retroperitoneal lymph node dissection (RPLND) for testis cancer in the UK �C a national study MC Hayes, TS O'Brien, S Fowler, BAUS RPLND Group BAUS Section of Oncology, London, United Kingdom Introduction and Objectives:?RPLND has been performed only http://www.selleckchem.com/products/LY294002.html in specialist UK centres since 2002. In 2012 all participating surgeons in BAUS committed to a comprehensive prospective national study of RPLND outcomes. Material and Methods:?Data were submitted on-line using the BAUS Section of Oncology Data and Audit System. All new patients undergoing RPLND for testis cancer between March 2012 and February 2013 were included, data analysed using Tableau software and case ascertainment compared with Hospital Episode Statistics (HES) data. Results:?162 men underwent RPLND by 20 surgeons in 18 centres. Mean case volume was 9 (range 2�C32) per centre. Indication was residual post-chemotherapy mass (72%); primary treatment (5%); relapse (14%); salvage (7%). 91% utilised open surgery. 40% had significant comorbidity. http://www.selleck.cn/products/wortmannin.html Nerve sparing was performed in 67% (19% bilateral; 48% unilateral). Dissection was template in 81% and lumpectomy in 16%. 25% required additional intra-operative procedures including 11% synchronous planned nephrectomy. Successful resection was achieved in 97% men. 86% men required no or minor ( http://www.selleckchem.com/products/CHIR-99021.html had post-operative complications (7 Clavien grade 1, 7 grade 2 and one grade 3). There were no deaths within 30 days of surgery. Mean length of stay was 5.5 days (range 1�C59). Histology showed necrosis in 22%; teratoma differentiated in 42%; and residual cancer in 36%. Conclusions:?This collaborative national study describes for the first time the nature and quality of the current provision of RPLND across the UK. P75 One stage hypospadias reconstruction in adults VAP Pagkalos, CG Georgiadis, CI Ioannidis, SB Bolomitis, AA Archontakis 401 General Army Hospital of Athens, Greece Introduction:?Hypospadias is one of the most common congenital abnormalities in men with prevalence rates varying from 4 to 43 patients per 10?000 births in different countries and studies. Hypospadias repair is regarded as a demanding procedure with many techniques described in the literature. Aim:?The aim of this study is to present our experience with one-stage hypospadia repair in adults, using tunica vaginalis flap in combination with buccal or bladder mucosa graft. Materials and Methods:?From 1991 to 2012, a total of 55 adult patients underwent one-stage hypospadia repair with tunica vaginalis flap.
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