European Stars And Stripes (Newspaper) - January 12, 1988, Darmstadt, Hesse                                To your health impotency avoided in new prostate surgery by Walter Sullivan new York times technique Lor surgery in prostate cancer is moving into widespread use As doctors find it can avoid Iho procedure s most feared Side Al acct impotence. The Advance was made possible by the discovery thai the microscopic nerves that control erections pass near the Rosiale in a bundle in the past removal of a cancerous Prosale usually severed those nerves the operation was devised in 1992 by or. Patrick Walsh of Johns Hopkins University where the procedure has been performed about Sid times the approach has gained wide acceptance among surgeons. It they remove the tumor entirely Iho cancer should not reappear whereas treatment by radiation they say May leave some cancer cells still Active. Radiologists reply thai surgery too May Overlook cancer cells ii remains to be determined whether one approach is Superior to the other. A comparative Survey in the United states among As Many As 100 medical centers is being organized. Fear thai surgery would Lead to impotence has led a number of patients to opt Lor radiation. Or. Gerald Murphy now at the slate University of new York in Buffalo found in a Survey of 30,000 cases Between 1974 and 1934 that 3,000 patients elected to have surgery but that twice As Many chose radiation treatment. The rest either avoided action elected a combination of strategies or. Because the cancer had spread were treated so that production of the male hormone. Isl Osterne was halted which seems to slow the cancer s spread. The nerve sparing procedure is too new to be reflected in such statistics Murphy said. The now technique like radiation therapy loaves two third of the patients potent they Are not Fertile however because the prostate produces Lite seminal Llu d if Al carries sperm. Radiation has the same a Fleck on Fertility m Many bul not a cases dramatic surgical results or. Patrick Walsh of John Hopkins Una Welty. Right Devoto Exi ten procedure that in crease the Chance that men who Tow the pro tata to cancer surgery Wilt remain potent. Tin technique Avo i cutting the Nerva thai control erections. Or. Walsh s Dita show the procedure works Best for younger men. Age per Antho  30-39 100% 40-49 so-59 _79 60-69 70-76 _?1 17 bundle Florl Macut Kodwo Nizeul in the past removal of the prostate olten caused permanent loss of bladder or Bowel control both functions ars controlled by Muscles close to Trio prostate. In addition the iwo lobed prostate gland is wrapped around the urine duet or urethra where the urethra exits from the bladder. The new surgical procedure makes it easier to re attach the urethra to the bladder once the prostate has been removed according to or. William fair urologist at the memorial Sloan Kelt Erinn cancer Center in new Yak in most men the Prosale gland begins to enlarge alter Aga 45. But excess tissue can of ten be removed without less of Potency. Prosale cancer is diagnosed in about 96,000 american men a year More die irom ii than irom any other cancer except those of the lungs and Colon because tha prostate is deep within the abdominal cavity tutors there Are difficult to select Early in a number of prostate cancer cases the disease has spread to other organs such As the Bones before i is presence becomes known. The traditions detection method is Lor a physician to insert a gloved linger into Iho rectum and Leel Lor a dense area inside the prostate. A considerable percentage of cancers can be missed by this method. Ultrasound or blood tests Are being attempted but have not yet achieved general acceptance. Prostate cancers grow slowly and May not threaten health for Many years. When a Man is 75 or older doctors May decide to leave a prostate tumor untreated on the theory that die patient is More Likely to die of some Niter cause Belore the tumor becomes a problem. In a typical operation the body cavity is entered through the lower  nodes tha Drain the prostate area Are removed and examined to see if the cancer has spread a Only one lobe of the prostate is contaminated it May not to necessary to remove the other part. This greatly increases the chances that Potency will be retained since Only one of the duplicate nerve systems seems necessary. The nerves Are embedded in a neurovascular bundle that includes blood vessels. The nerves function was confirmed when the bundle was stimulated electrically during an operation producing an erection. Walsh and much earlier or. Alex a Finkle of the University of California school of Medicine in san Francisco had suspected that surgery during prostate removal damaged nerves that controlled erection. Walsh noted that on we occasions patients came through the old procedure with no Patency loss on a 13b1 visit to the University of Leiden in the Netherlands he watched or. Pic scr Donker dissect nerves of stillborn infants that control bladder function. Infants were chosen because the nerve Libers at so Early a stage Are not embedded within fatty tissue and can still be traced. It secured to both men thai these nerves might also affect Realure sexual activity. For patients who choose the new surgical technique the return id Potency May take As much As a year. They May also suffer temporary incontinence. The operation is performed Al Many a or medical centers including the Columbia University presbyterian Hospital and the memorial Sloan Kettering Hospital in Mew York the Brigham and women s Hospital in Boston end tha Johns Hopkins University Hospital in Baltimore. Women misreading urinary tract infections by Larry Doyle United press International lot of american women have been Rushing frantically to their doctors. They have recently had sex with a new partner and several Days later they feel a Sharp burning sensation when they urinate. They also have noticed blood in their urine. They conclude that their partner has infected them with the aids virus. They re absolutely convinced said or. Joseph Comoro director of urology at the University of Texas medical school in Houston and they Are absolutely  and they Are Likely wrong on Al least two counts. First though they May have been exposed to the acquired immune deficiency syndrome virus the exposure causes no immediate symptoms. And whal they probably have b urinary tract infection they did not gel irom their sexual partner. There s a lot of misinformation out there corriere said. And a lot of it is because All this fear about aids Lias everybody frantic you would think with uti which has been around forever people would know More but they Don  urinary tract infections Dpi Are As common As they Are misunderstood. About one in five women in the United states develops the problem every year and the inflections account Tor 5 million visits to doctors a year. But he misconceptions persist. Forty percent of 200 american women interviewed in a recent pall said a sexual partner could transmit a urinary tract infection. Others thought the infection was caused by tight clothing Bubble Baths or bathing suits. Whal actually happens is that there is a bacteria in the anus called e. Coll. Thai can gel manipulated up to the Vagina and urethra and thus into the bladder Corrior said. This can happen during sexual Intercourse. But the thing women Don l understand is the bacteria that causes the infection comes from their own  because every woman has e. Coli in her body he said the real question is not Why do some women gel Utis bul Why most women do  forty one percent of the women polled believed that those who get urinary tract infections Are being punished. There s a lot Gull involved i this Comoro said. Bul guilt is Bomol ignorance and the so Fulem is knowledge not  treatment for to infections is simple in which a woman takes a simple Antibiotic such As penicillin for several Days. Corriere Orrid. More expensive drugs such  lend to eliminate helpful along with harmful bacteria creating Ether health problems i think most women lend to be Over created for this in fact t probably should t be saying this but an intelligent women who understand of problem and has some penicillin or other medication left Over from a previous uti does t need to see a doctor every time this pops up. She should know what to  some medical authorities recommend drinking enough liquids to prompt urination Belore and alter Intercourse As a Way of helping to prevent infections. Corriere said one Papular misconception should be corrected Cranberry juice a Folk remedy does no cure an infection unless consumed in Large amounts. There Ere High concentrations of acid in Cranberry juice which win Kin the bacteria. The problem is you would have to drink about two Gallons of to have any of decl Al  Page 16 the stars and stripes tuesday january 12,1988