Sarah K Marshall

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Thirty boys eight to eighteen years of age had a clearly palpable left varicocele. The presenting complaint usually was either an asymptomatic scrotal mass or a scrotal ache after physical exercise. In 77 per cent of the patients the left testis was smaller than its male. All but one of the 17 boys between ages eight and fifteen had a smaller left testis.(More)
The procedure of ureteral reimplantation has certainly come of age. The incidence of complications can be kept low by careful selection of patients for operation along clear and definite guide lines, by close attention to detail in the surgical procedures and by rigorous followup care. When surgical intervention is deemed advisable the expected cure rate(More)
Twenty-five patients with posterior urethral valves have been monitored for 10-29 years (mean 18 years). Eight underwent diversion because of impaired renal function (creatinine greater than 0.8 mg/dl) accompanied by unimproved upper tract form and function after valve ablation. In the nondiverted group, 6 patients (35%) progressed to renal failure; in the(More)
During a 34-year period 12 children were seen with testicular tumors. Of 8 benign tumors 7 were treated by orchiectomy and 1 by local excision only. The 4 malignant tumors were managed by orchiectomy and 1 boy also received adjunctive chemotherapy. All patients are alive and have had no recurrent tumors after 1 1/2 to 34 years of followup. Because(More)
disease, thereby minimizing normal tissue reactions and complications without concurrent loss of therapeutic effectiveness. Insistence upon well-tolerated radiation dose schedules is particularly important in light of both the excellent prognosis for many patients and the need for extensive prophylactic irradiation if optimal results are to be achieved.(More)