uyuni Aug 13, 2012:

So either you or SJLD, ...either of you contributed to this hard one.

liz askew Aug 13, 2012:

hi, I don't really do German, I'd rather SJLD posted if poss:)

uyuni Aug 13, 2012:

adjacent to the verumontanum Liz, why don´t you go ahead and post this as an answer...?

liz askew Aug 13, 2012:

and:
Prostate | www.surgicalnotes.co.uk
www.surgicalnotes.co.uk/node/194
in TURP, surgeon keeps proximal to verumontanum (colliculus seminalis) in order not to damage the urethral sphincter mechanism. Complications ...

I am out of here now:)

liz askew Aug 13, 2012:

is this relevant?
http://www.researchgate.net/publication/20671730_Transurethr...

Harald Moelzer (medical-translator) Aug 13, 2012:

... ;-)

SJLD Aug 13, 2012:

Found this too, but I would still hesitate to use "paracollicular":

http://books.google.lu/books?id=DNaShwVRUhYC&pg=PA226&lpg=PA...

SJLD Aug 13, 2012:

http://emedicine.medscape.com/article/449781-overview

The verumontanum is the single most important anatomical landmark in TURP (see the image below). It is a midline structure located on the floor of the distal prostatic urethra just proximal to the external sphincter muscle. It appears as a small, rounded hump that is best seen when withdrawing the telescope through the prostate while visualizing the prostatic floor at the 6-o’clock position.

The orifices to the ejaculatory ducts emerge in the verumontanum (see the first image below). Its importance lies in its position immediately proximal to the external sphincter muscle (see the second image below), which allows it to be used as the distal landmark for prostate resection. The precise distance between the verumontanum and the external sphincter demonstrates some slight individual variation and should be verified visually before starting the resection and periodically during the surgery.

liz askew Aug 13, 2012:

how fortunate! Sometimes it works, sometimes it doesn't:)

SJLD Aug 13, 2012:

I think you've hit the nail on the head Liz!

liz askew Aug 13, 2012:

Seminal colliculus - Wikipedia, the free encyclopedia
en.wikipedia.org/wiki/Seminal_colliculus
The seminal colliculus (Latin colliculus seminalis), or verumontanum, of the prostatic urethra is a landmark near the entrance of the seminal vesicles.

liz askew Aug 13, 2012:

anything to do with "colliculus" (sorry my German is pretty poor"..?
Prostate | www.surgicalnotes.co.uk
www.surgicalnotes.co.uk/node/194
Transurethral resection of the prostate (TURP); Transurethral incision of prostate ... in TURP, surgeon keeps proximal to verumontanum (colliculus seminalis) in ...

SJLD Aug 13, 2012:

look at the corpus bladder + paracollicular > 60 ghits
https://www.google.com/search?q=bladder biopsy "para-collicu...

It's not on in my book.

Harald Moelzer (medical-translator) Aug 13, 2012:

"A Critical Analysis of Orthotopic Bladder... ...Substitutes in Adult Patients with Bladder Cancer...

...c Division of Urology, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
d Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA
..."

"...other institutions perform routine preoperative paracollicular
biopsies to select patients against OBS if CIS is present..."

SJLD Aug 13, 2012:

definitely a Swiss thang URETHRAL RECURRENCE FOLLOWING CYSTECTOMY FOR BLADDER CANCER: PREVENTION AND DETECTION IN PATIENTS WITH ORTHOTOPIC BLADDER SUBSTITUTES

Celi Varol*, Fiona C Burkhard, George N Thalmann, Urs E Studer, Berne, Switzerland.


Introduction and Objective: The goal of this study was to determine if negative preoperative paracollicular biopsies predicted protection against urethral recurrence.

Methods: A consecutive series of 371 patients with invasive bladder cancer who underwent a cystectomy and ileal low pressure bladder substitution with negative preoperative paracollicular biopsies were prospectively evaluated. Follow-up urethral cytology was performed every 6 months for the first 2 years and then annually. This was performed with a Ch. 12 catheter introduced into the urethra and gradually withdrawn whilst rinsing with sodium chloride 0.9%. The fluid was then collected at the meatus for analysis.

freekfluweel Aug 13, 2012:

well was meant to strt with... (did not attend Medschool)

SJLD Aug 13, 2012:

This term gets only 7 ghits in German.

SJLD Aug 13, 2012:

It's not as simple as that...

freekfluweel Aug 13, 2012:

go from ä to a ...