Rectourinary Fistula after Radical Prostatectomy: Review of the Literature for Incidence, Etiology, and Management

Although rectourinary fistula (RUF) after radical prostatectomy (RP) is rare, it is an important issue impairing the quality of life of patients. If the RUF does not spontaneously close after colostomy, surgical closure should be considered. However, there is no standard approach and no consensus in the literature. A National Center for Biotechnology Information (NVBI) PubMed search for relevant articles published between 1995 and December 2010 was performed using the medical subject headings “radical prostatectomy” and “fistula.” Articles relevant to the treatment of RUF were retained. RUF developed in 0.6% to 9% of patients after RP. Most cases required colostomy, but more than 50% of them needed surgical fistula closure thereafter. The York-Mason technique is the most common approach, and closure using a broad-based flap of rectal mucosa is recommended after excision of the RUF. New techniques using a sealant or glue are developing, but further successful reports are needed

Thermoelectric properties of n-type nanocrystalline bismuth-telluride-based thin films deposited by flash evaporation

The thermal conductivity of n-type nanocrystalline bismuth-telluride-based thin films (Bi2.0Te2.7Se0.3) is investigated by a differential 3 method at room temperature. The nanocrystalline thin films are grown on a glass substrate by a flash evaporation method, followed by hydrogen annealing at 250 °C. The structure of the thin films is studied by means of atomic force microscopy, x-ray diffraction, and energy-dispersive x-ray spectroscopy. The thin films exhibit an average grain size of 60 nm and a cross-plane thermal conductivity of 0.8 W/m K. The in-plane electrical conductivity and in-plane Seebeck coefficient are also investigated. Assuming that the in-plane thermal conductivity of the thin films is identical to that of the cross-plane direction, the in-plane figure of merit of the thin films is estimated to be ZT=0.7. As compared with a sintered bulk sample with average grain size of 30 µm and nearly the same composition as the thin films, the nanocrystalline thin films show approximately a 50% reduction in the thermal conductivity, but the electrical conductivity also falls 40%. The reduced thermal and electrical conductivities are attributed to increased carrier trapping and scattering in the nanocrystalline film

Treatment Strategy According to Findings on Pressure-Flow Study for Women with Decreased Urinary Flow Rate

Purpose. In women who reported a weak urinary stream, the efficacy of treatment chosen according to the urodynamic findings on pressure-flow study was prospectively evaluated. Materials and Methods. Twelve female patients with maximum flow rates of 10 mL/sec or lower were analyzed in the present study. At baseline, all underwent pressure-flow study to determine the degree of bladder outlet obstruction (BOO) and status of detrusor contractility on Schäfer's diagram. Distigmine bromide, 10 mg/d, was given to the patients with detrusor underactivity (DUA) defined as weak/very weak contractility, whereas urethral dilatation was performed using a metal sound for those with BOO (linear passive urethral resistance relation 2–6). Treatment efficacy was evaluated using the International Prostate Symptom Score (IPSS), uroflowmetry, and measurement of postvoid residual urine volume. Some patients underwent pressure-flow study after treatment. Results. Urethral dilatation was performed for six patients with BOO, while distigmine bromide was given to the remaining six showing DUA without BOO. IPSS, QOL index, and the urinary flow rate were significantly improved in both groups after treatment. All four of the patients with BOO and one of the three with DUA but no BOO who underwent pressure-flow study after treatment showed decreased degrees of BOO and increased detrusor contractility, respectively. Conclusions. Both BOO and DUA cause a decreased urinary flow rate in women. In the short-term, urethral dilatation and distigmine bromide are efficacious for female patients with BOO and those with DUA, respectively

Realization of contact surface geometry by dragging a whisker-type tactile sensor across measuring objects

金沢大学大学院自然科学研究科機能開発システム金沢大学工学部Previously we reported a method for displaying the shape of an object by using an array of whisker sensors. The array of whiskers was pressed against the object to be measured and the deflection of each whisker was measured. The measurements were used as inputs to a neural network to recognize the shapes. However, the previous method needed a larger number of whiskers to recognize the wider surface, because the array of whiskers has to be in full contact with the entire surface. Therefore, this study presents a new method in which a much smaller number of whiskers are dragged across the surface of the measured object to distinguish the shapes. The method is performed in the following manner. Firstly, a smaller number of whiskers are dragged across an object and each whisker deflection direction is distinguished at discrete time intervals. Next, the neural network continuously monitors the output from the whiskers and produces a result that characterizes the surface at the current scan position. Lastly, by building up a map of the classification of the entire surface, the geometry of the measured object can be displayed. This study exhibits the hardware and software required for displaying shapes, and shows examples of the results obtained from the measurements of some objects