Vitrectomy for Impending Idiopathic Macular Holes

We performed pars plana vitrectomy in 15 patients with physical changes and visual loss believed to indicate impending macular hole formation. Twelve (80%) of 15 eyes have not progressed to macular holes during a minimum follow-up period of 15 months (average, 26 months). In these 12 patients final vision was within one line of the preoperative vision in four eyes, improved two or more lines in five eyes, and was two lines worse in three eyes. Decreased vision in all three eyes was the result of progressive lenticular nuclear sclerosis. A thin sheet of cortical vitreous fibers was sometimes found intraoperatively on the surface of the retina, despite an apparent complete posterior vitreous detachment

Bladder training in patients with urinary incontinence in prostatic post-adenomectomy and TURP

A potential complication of prostatic adenomectomy and TURP is urinary incontinence. The incidence of this problem ranges from 0.1 to 1%. Experience in 15 patients who were incontinent 10 to 24 months after prostatectomy is reviewed. These patients were treated by bladder training. Patients were initially evaluated for type and extent of incontinence. Perineal exercise was taught in detail, tested for correct use via simultaneous and abdominal examination. Patients were evaluated weekly for compliance. No pharmaceutical agents were used. All 15 patients improved in number of incontinence episodes; 5 patients achieved total continence, while only one showed a little change. It is concluded that patients who are incontinent after prostatectomy may improve with a careful behavioural training programme

Perineal biofeedback versus pelvic floor training in the treatment of urinary incontinence

Perineal floor training and perineal biofeedback allow to reach a good improvement of clinical discomfort in the treatment of stress and urge urinary incontinence. The aim of this study is the real evaluation of the benefit due to a 6 week perineal biofeedback and pelvic floor training (PFT) versus PFT alone. 8 female patients have been treated with a 6 week trial with perineal biofeedback plus PFT trial and 22 with a 3 month PFT alone one. PFT alone, permits a good improvement but 10% less than if associated to perineal biofeedback