William Gee

Measurement of collateral cerebral hemispheric blood pressure by ocular pneumoplethysmography

A new technic of ocular pneumoplethysmorgraphy for the simultaneous determination of blood pressures in the ophthalmic artery branches of the internal carotid arteries is described. It provides a noninvasive, atraumatic method for assessing hemispheric blood flow. When performed with simultaneous carotid compression, it provides a means for assessing the availability of collateral blood flow to the ipsilateral cerebral hemisphere. Clinical applications related to carotid artery disease and carotid artery surgery are discussed.

Screening for significant carotid stenosis by ocular pneumoplethysmography

Carotid stenosis is significant when the resulting lumen is 50 per cent or less of the diameter of the vessel distal to the carotid sinus. The ocular pneumoplethysmograph can detect these stenoses with an accuracy of 97 per cent.

Symptomatic stage c carcinoma of prostate

Abstract Of 119 consecutive patients with adenocarcinoma of the prostate, 54 patients had clinical Stage C disease and are the subject of this study. Of these 54 patients, 52 underwent transurethral prostatectomy and bilateral orchiectomy as their initial treatment; estrogens were not prescribed. The mean age of the patients with Stage C disease was seventy-three years, the average survival 6.4 years, and the five and ten-year survivals were 66 and 20 per cent, respectively. Stage C patients treated in this series did as well as those treated with radiation or radical extirpation.

Penile prosthetic implant for the treatment of organic impotence

Summary Seventeen patients with organic impotence were treated by implantation of a prosthetic device into the penis. Surgical results were excellent in fifteen, and the prosthesis was removed in two because of infection. One patient requested that the prosthesis be removed two years after implantation. Those benefiting most were sexually active prior to either major surgery or accidental trauma, and patients who have much to gain from this procedure are often under the primary care of a surgeon. Knowledge of the effectiveness of a penile prosthesis can greatly add to the total care and happiness of the impotent patient.