Our aim in this technical brief is to outline clearly, for the sc

Our aim in this technical brief is to outline clearly, for the scientists wanting to carry out this kind of experiment, and recommend what, in our experience, are the best potential ways to design an IP experiment, to help identify possible pitfalls, discuss important controls and outline how to manage and analyse the large amount of data generated. BAY 1895344 mouse Detailed experimental methodologies have been referenced but not described in the form of protocols.”
“It is humbling to think that 30 years have passed since the paper

by Collingridge, Kehl and McLennan showing that one of Jeff Watkins most interesting compounds, R-2-amino-5-phosphonopentanoate (DAPS), blocked the induction of long-term potentiation in vitro at synapses from area CA3 of the hippocampus to CA1 without apparent effect on baseline synaptic transmission (Collingridge et al., 1983). This dissociation

was one of the key triggers for an explosion of interest in glutamate receptors, and much has been discovered since that collectively contributes to our contemporary understanding Etomoxir supplier of glutamatergic synapses their biophysics and subunit composition, of the agonists and antagonists acting on them, and their diverse functions in different networks of the brain and spinal cord. It can be fairly said that Collingridge et al.’s (1983) observation was the stimulus that has led, on the one hand, to structural biological work at the atomic scale describing the key features of NMDA receptors that enables their coincidence function

to happen; and, on the other, to work with whole animals investigating the contributions that calcium signalling via this receptor can have on rhythmical activities controlled by spinal circuits, memory encoding in the hippocampus (the topic of this article), visual cortical plasticity, sensitization in pain, and other functions. In this article, I lay out how my then interest in long-term potentiation (LTP) as a model of memory enabled me to recognise the importance of Collingridge et al.’s discovery and howl and my colleagues endeavoured to take things forward in the area of learning and memory. This is in some respects a personal story, ever and I tell it as such. The idea that NMDA receptor activation is essential for memory encoding, though not for storage, took time to develop and to be accepted. Along the way, there have been confusions, challenges, and surprises surrounding the idea that activation of NMDA receptors can trigger memory. Some of these are described and how they have been addressed and resolved. Last, I touch on some new directions of interest with respect to the functional role of the NMDA receptor in cognition. This article is part of the Special Issue entitled ‘Glutamate Receptor-Dependent Synaptic Plasticity’. (C) 2013 Elsevier Ltd. All rights reserved.

This study suggests that CECs reflect the abnormal angiogenesis f

This study suggests that CECs reflect the abnormal angiogenesis found in MDS, especially in the early stages of

the disease. The increased number of functional endothelial progenitor cells in MDS strengthens the rationale for therapeutic interventions aimed at restoring a normal interaction between hematopoietic progenitors and marrow microenvironment.”
“Current Cisplatin mouse prognostic models for myelodysplastic syndromes (MDS) do not allow the identification of patients with lower risk disease and poor prognosis that may benefit from early therapeutic intervention. We evaluated the characteristics of 856 patients with low or intermediate-1 disease by the International Prognostic Scoring System. Mean follow-up

was 19.6 months (range 1-262). Of these patients, 87 (10%) transformed to acute myelogenous leukemia, and 429 (50%) had died. By multivariate analysis, H 89 concentration characteristics associated with worse survival (P < 0.01) were low platelets, anemia, older age, higher percent of marrow blasts and poor-risk cytogenetics. Although not included in the model, higher ferritin (P = 0.007) and beta 2-microglobulin (P < 0.001) levels were associated with worse prognosis. This allowed the development of a scoring system in which patients could be grouped in three categories: category 1 (n = 182, 21%) with a median survival of 80.3 months (95% CI 68-NA); category 2 (n = 408, 48%) with a median survival of 26.6 months (95% CI 22-32) and category 3 (n = 265, 31%) with a median survival of 14.2 months (95% CI 13-18). In summary, this analysis indicates that it is possible to identify patients with lower risk MDS and poor prognosis who may benefit from early intervention.”
“The differences in clinical features and prognosis between hypoplastic myelodysplastic syndrome (h-MDS) and normo-/ hypercellular MDS (NH-MDS) remain unsettled. In this study, the characteristics of 37 h-MDS patients and 152 NH-MDS patients were compared. Peripheral-blood white blood

cell counts selleck chemical and bone marrow blast percentage were lower in h-MDS patients than in NH-MDS patients (P = 0.012 and 0.016, respectively). Refractory anemia (RA) was predominant (56.8%) in h-MDS, whereas RA with excess of blast (RAEB) was most common (44.7%) in NH-MDS. Chromosomal abnormalities -7/7q- occurred less frequently in h-MDS patients than in NH-MDS patients (0 vs 18.3%, P = 0.022). There was no significant difference in the prevalence of mutations of RAS, AML1, JAK2, PTPN11, FLT3/ITD, and hypermethylation of SOCS1 and SHP1 between these two groups. International Prognostic Scoring System (IPSS) was ideal for predicting prognoses in h-MDS patients (P = 0.002). In low- or intermediate-1 (Int-1)-risk MDS patients, h-MDS patients had a superior survival than NH-MDS patients (P = 0.01).

1-0 2% of women, and is characterised by delusions, mood swings,

1-0.2% of women, and is characterised by delusions, mood swings, confused Ricolinostat in vivo thinking, and disorganised behaviour. The condition is disturbing for patients and their family members and loved ones, and affected individuals may be at increased risk of harming themselves or their offspring. The features of PP indicate a substantial biological basis to its pathogenesis, although currently little is known about possible risk factors. Based on recent results from animal model and human studies, I propose that reduced function of the

enzyme steroid sulfatase in the mother represents a unifying and physiologically plausible candidate mechanism for the neural and endocrinological disturbances seen in cases of PP.”
“Classically, the olfactory and vomeronasal pathways are thought to run in parallel non-overlapping axes in the forebrain

subserving different functions. The olfactory and vomeronasal epithelia project to the main and accessory olfactory bulbs (primary projections), which in turn project to different areas of the telencephalon in a non-topographic fashion (secondary projections) and so on (tertiary projections). New data indicate that projections arising from the main and accessory olfactory bulbs converge widely in the rostral basal telencephalon. In contrast, in the vomeronasal CB-5083 research buy system, cloning two classes of vomeronasal receptors (VI R and V2R) has led to the distinction of two anatomically and functionally independent pathways

that reach some common, but also some different, targets in the amygdala. Tertiary projections from the olfactory and vomeronasal amygdalae are directed to the ventral striatum, which thus becomes a site for processing and potential convergence of chemosensory stimuli. Functional data indicate that the olfactory and vomeronasal systems are able to detect and process volatiles (presumptive olfactory cues) as well as pheromones in both epithelia and bulbs. Collectively, these data indicate that the anatomical and functional distinction between the olfactory and vomeronasal systems should be re-evaluated. Specifically, the recipient cortex should be reorganized to include olfactory, vomeronasal (convergent and VI R and V2R specific areas) and mixed (olfactory and vomeronasal) chemosensory cortices. This new perspective could help to unravel check details olfactory and vomeronasal interactions in behavioral paradigms. (C) 2008 Elsevier Ltd. All rights reserved.”
“A single-colour microarray hybridization system was designed and evaluated for the detection of viruses infecting grapevine. Total RNA (>= 0.5 p,g) from infected plants was converted to cDNA and labelled with Cy3 using two different strategies. While amine-modified and labelled cDNA was adequate for the detection of nepoviruses, the 3DNA technique, a post-hybridization detection method that uses intensely fluorescent dendrimer reagents, was required for the detection of closteroviruses in infected plants.

(Funded by the Medical Research Council and others; ClinicalTrial

(Funded by the Medical Research Council and others; ClinicalTrials.gov number, NCT00979238.)”
“Background. LB-100 molecular weight Despite heightened awareness of the clinical significance of social phobia, information is still lacking about putative subtypes, functional impairment, and treatment-seeking. New epidemiologic data on these topics are presented from the National Comorbidity Survey Replication (NCS-R).

Method. The NCS-R is a nationally representative household survey fielded in 2001-2003. The World Health Organization (WHO) Composite International Diagnostic Interview Version 3.0 (CIDI 3.0) was used

to assess 14 performance and interactional fears and DSM-IV social phobia.

Results. The estimated lifetime and 12-month prevalence of social phobia are 12.1% and 7.1% respectively. Performance and interactional fears load onto a single latent factor, and there is little evidence for distinct subtypes based either on the content or the number of fears. Social phobia is associated with significant psychiatric co-morbidity, role impairment, and treatment-seeking, all of which have a dose-response relationship with number of Selleckchem LY2874455 social fears. However, social phobia is the focus of clinical attention in only about half of cases where treatment is obtained. Among non-co-morbid cases, those with the most fears were least likely to receive social phobia treatment.

Conclusions. Social phobia is a common, under-treated disorder that leads to significant functional

impairment. Increasing numbers of social fears are associated with increasingly severe manifestations of the disorder.”
“Purpose: Prior radical prostatectomy series have shown an inverse association between

prostate size and high grade cancer. It has been suggested that smaller size prostates arise in a low androgen environment, enabling development of more aggressive cancer. We propose that this observation is the result of ascertainment bias driven by prostate specific antigen performance.

Materials and Methods: We identified 1,404 patients from the Stanford Radical Prostatectomy Database with clinical stage T1c (723) and T2 (681) Stattic ic50 disease who underwent surgery between 1988 and 2002, and underwent detailed morphometric mapping by a single pathologist. Multivariate linear regression was performed to assess for the effects of age, prostate weight and prostate specific antigen on total and high grade (Gleason grade 4/5) cancer volume and percentage of high grade disease.

Results: In patients who underwent biopsy due to abnormal prostate specific antigen (stage T1c), prostate weight was negatively associated (p = 0.0002) with total cancer volume, volume of high grade disease and percentage of high grade disease. For patients who underwent biopsy based on abnormal digital rectal examination (stage T2) these associations were not observed.

Conclusions: Improved prostate specific antigen performance for high grade disease results in ascertainment bias in patients with T1c disease.

205 relevant reports were hand searched We selected 20 studies t

205 relevant reports were hand searched. We selected 20 studies that included 675 455 women and 10 859 type 2 diabetic events. We calculated and pooled unadjusted relative risks (RRs) with 95% CIs for each study using a random-effects model.

Subgroups analysed were the number of cases of type 2 diabetes, ethnic origin, duration of follow-up, maternal age, body-mass index, and diagnostic criteria.

Findings Women with gestational diabetes had an increased risk of developing type 2 diabetes compared with those who had a normoglycaemic pregnancy (RR 7.43, 95% CI 4.79-11.51). Although the largest study (659 164 women; 9502 cases learn more of type 2 diabetes) had the largest RR (12.6, 95% CI 12.15-13.19), RRs were generally consistent among the subgroups assessed.

Interpretation Increased awareness of the magnitude and timing of the risk of type 2 diabetes after www.selleckchem.com/products/sc75741.html gestational diabetes among patients and clinicians could provide an opportunity to test and use dietary, lifestyle, and pharmacological interventions that might prevent or delay the onset of type 2 diabetes in affected women.

Funding None.”
“Background Amputations in people with type 2 diabetes mellitus substantially impair their quality of life and impose high costs on

health-care systems. Our aim was to assess the effect of fenofibrate on amputation events in a large cohort of patients with type 2 diabetes.

Methods In the Fenofibrate Intervention and Event Lowering in Diabetes (FIELD) study, 9795 patients aged 50-75 years with type 2 diabetes were randomly assigned by computer-generated randomisation sequence to receive fenofibrate 200 mg per day (n=4895) or matching placebo (n=4900) for 5 years’ duration. Information about non-traumatic amputation-a prespecified tertiary endpoint of the study-was routinely gathered. Clinicians who were masked to treatment allocation adjudicated amputations as minor or major (below or above the ankle, respectively). Amputations were also classified on the basis of whether or not large-vessel disease was present in the selleckchem limb, to distinguish those

related to large-artery atherosclerosis from those predominantly related to microvascular disease. Analysis was by intention to treat (ITT). The FIELD study is registered as an International Standard Randomised Controlled Trial, number ISRCTN64783481.

Findings All 9795 patients were included in the ITT population. 115 patients had one or more non-traumatic lower-limb amputations due to diabetes. Previous cardiovascular disease, microvascular disease, previous non-traumatic amputation or skin ulcer, smoking, and longer duration of diabetes were more frequent in patients who had amputations during the trial than in those who had other cardiovascular events or in those who had neither event (all p<0.001 for three-way comparison).

Treatment of neutrophils with chemoattractants or conventional ag

Treatment of neutrophils with chemoattractants or conventional agonists significantly increased bacterial DNA binding. Moreover, neutrophils that underwent transmigration through human endothelial cell monolayers even in the absence of chemoattractants, exhibited higher binding levels of bacterial DNA. Together, our findings provide evidence that binding of bacterial DNA to neutrophils is a receptor- mediated process that conditions the ability of DNA to trigger cell activation.

We speculate that neutrophil recognition of bacterial DNA might be modulated by the balance of agonists present at inflammatory foci. This effect might be relevant in bacterial infections with a biofilm etiology, in which extracellular DNA 10058-F4 mouse could function as a potent neutrophil agonist.”
“Stroke is the leading cause of disability in the adult worldwide. The most common neurological impairment following stroke is weakness or loss of sensibility of the extremities contralateral to the side of the brain lesion. Loss of sensory and/or motor function of the hand affects up to 60% of stroke survivors and constitutes

a major problem for these individuals. Within recent years, progress in technology has provided several useful objective measures to quantify the impairments of both the kinetics and kinematics of grasping following stroke. This review summarizes current knowledge on the cortical correlates of grasping and gives an overview on selleck inhibitor the application of motion analysis to quantify the degree of disability, monitor recovery and evaluate

click here modern treatment strategies to improve impaired hand function after stroke. (c) 2008 Elsevier Ltd. All rights reserved.”
“Our knowledge of the form of lateralized sleep behavior, known as unihemispheric slow wave sleep (USWS), seen in all members of the order Cetacea examined to date, is described. We trace the discovery of this phenotypically unusual form of mammalian sleep and highlight specific aspects that are different from sleep in terrestrial mammals. We find that for cetaceans sleep is characterized by USWS, a negligible amount or complete absence of rapid eye movement (REM) sleep, and a varying degree of movement during sleep associated with body size, and an asymmetrical eye state. We then compare the anatomy of the mammalian somnogenic system with what is known in cetaceans, highlighting areas where additional knowledge is needed to understand cetacean sleep. Three suggested functions of USWS (facilitation of movement, more efficient sensory processing and control of breathing) are discussed. Lastly, the possible selection pressures leading to this form of sleep are examined, leading us to the suggestion that the selection pressure necessitating the evolution of cetacean sleep was most likely the need to offset heat loss to the water from birth and throughout life. Aspects such as sentinel functions and breathing are likely to be proximate evolutionary phenomenon of this form of sleep.

The Tax-induced surge in p21(CIP1/WAF1) and p27(Kip1) begins in S

The Tax-induced surge in p21(CIP1/WAF1) and p27(Kip1) begins in S phase and results in cellular senescence. Importantly, HeLa and SupT1 T cells infected by HTLV-1 also arrest in senescence, thus challenging selleck products the notion that HTLV-1 infection causes cell proliferation. Here we use time-lapse microscopy to investigate the effect of Tax on cell cycle progression in two reporter cell lines, HeLa/ 18×21-EGFP and HeLa-FUCCI, that express enhanced green

fluorescent protein (EGFP) under the control of 18 copies of the Tax-responsive 21-bp repeat element and fluorescent ubiquitin cell cycle indicators, respectively. Tax-expressing HeLa cells exhibit elongated or stalled cell cycle phases. Many of them bypass mitosis and become single senescent cells as evidenced by the expression of senescence-associated beta-galactosidase. Such cells have twice the normal equivalent of cellular contents and hence are enlarged, with exaggerated nuclei. Interestingly, nocodazole treatment revealed a small variant population of

HeLa/ 18×21-EGFP cells that could progress into mitosis normally with high levels of Tax expression, suggesting that genetic or epigenetic changes that prevent Tax-induced senescence can occur spontaneously at a detectable frequency.”
“Dopaminergic neurons of the substantia nigra pars compacta play a key role in the modulation of basal ganglia and learn more provide a reward-related teaching signal essential for adaptative motor control. They are generally considered as a homogenous population despite several chemical and electro-physiological

Belinostat supplier heterogeneities, which could underlie different preferential patterns of activity and/or different roles. Using whole-cell patch-clamp recordings in juvenile rat brain slices, we observed that the evoked activity of dopaminergic neurons displays variable spike frequency adaptation patterns. The intensity of spike frequency adaptation decreased during postnatal development. The adaptation was associated with an increase in the initial firing frequency due to faster kinetics of the afterhyperpolarization component of the spike. Adaptation was enhanced when small conductance calcium-activated potassium (SK) channels were blocked with bath application of apamine. Lastly, spike frequency adaptation of the evoked discharge was associated with more irregularity in the spontaneous firing pattern. Altogether these results show a developmental heterogeneity and electrophysiological maturation of substantia nigra dopaminergic neurons. (C) 2011 IBRO. Published by Elsevier Ltd. All rights reserved.”
“The hemagglutinins (HAs) of human H1 and H3 influenza viruses and avian H5 influenza virus were produced as recombinant fusion proteins with the human immunoglobulin Fc domain.

CML progenitor cells have equivalent survival but have an increas

CML progenitor cells have equivalent survival but have an increase in DNA double-strand breaks (DSBs). Spectral karyotyping demonstrates new chromosomal translocations in CML cells, but not normal progenitor cells, consistent with error-prone DNA repair. Taken together, these data demonstrate that BCR/ABL enhances the accumulation of DSBs

and alters the apoptotic threshold in CML leading to error-prone DNA repair.”
“Deficits in N-methyl-D-aspartate receptor (NMDAR)-mediated neurotransmission may underlie dopaminergic hyperactivity in schizophrenia. Dysregulation of the GABAergic system has also been implicated. In this study we investigated a role for GABA(B) receptors as an intermediate step in the pathway JPH203 ic50 leading from NMDAR stimulation to DA regulation. Since glycine (GLY) has been found Pictilisib in vitro to ameliorate treatment resistant negative symptoms in schizophrenia, we treated a group of rats with 16% GLY food for 2 weeks. DA levels in prefrontal cortex (PFC) and striatum (STR) were assessed by dual-probe microdialysis and HPLC-EC in freely moving rats. Infusion of the GABA(B) receptor agonists SKF97541 and baclofen into PFC and STR significantly reduced basal DA, an effect that was reversed by the antagonist, CGP52432. In PFC, GABA(B) agonists also reduced AMPH-induced DA release following treatment with either 1 or 5 mg/kg AMPH. Similar

effects were seen following subchronic glycine treatment in the absence, but not presence of CGP52432 during 5 mg/kg AMPH treatment. In STR SKF97541 decreased only the 1 mg/kg AMPH-induced DA release. Subchronic GLY treatment in STR leads to a significant reduction in basal DA levels, but did not affect

AMPH (5 mg/kg)-induced release. Our findings support selleck chemicals a model in which NMDA/glycine-site agonists modulate DA release in part through presynaptic GABA(B) receptors on DA terminals, with both GABA(B) ligands and GLY significantly modulating AMPH-induced DA release. Both sites, therefore, may represent appropriate targets for drug development in schizophrenia and substance abuse disorders. (C) 2009 Elsevier Ltd. All rights reserved.”
“Myeloproliferative neoplasms (MPNs) are clonal stem cell disorders characterized by chronic proliferation of hematopoietic progenitors. We studied the telomere length (TL) of 335 MPN patients and 93 gender-and age-matched controls using a quantitative PCR method (relative TL calculated as the ratio of the amount of telomere DNA vs single-copy DNA: T/S ratio). TL was markedly reduced in MPN patients compared with controls (T/S 0.561 vs 0.990, P<0.001). In JAK2V617F MPN patients, TL correlated inversely with allelic burden (P<0.001). Patients homozygous for the mutation (allelic burden 90-100%) had the shortest TL, even when compared with patients with lower allele burdens consistent with a dominant heterozygous population (allelic burden 55-65%) (T/S 0.367 vs 0.497, P = 0.037).

To conclude, we have proposed here a general mechanism that allow

To conclude, we have proposed here a general mechanism that allows cells to read a morphogenetic gradient. Thus activating the transcription of an auto-activated IF can lead to the conversation of a broad gradient of morphogens into a sharp boundary. (C) 2010 Elsevier Ltd. All rights reserved.”
“The phenotype of neurotrophin-3 (NT-3) null mutant mice is characterized by sensory ataxia and early postnatal death. Previous analysis revealed a severe

depletion of peripheral sensory, sympathetic and parasympathetic neurons. Most of the deficits are established early during embryonic development. Whereas absence of proprioceptive Danusertib afferents can explain the sensory ataxia, the reasons for early postnatal death are unclear. To circumvent the limitations imposed by early mortality of null mutants we generated mouse line expressing NT-3 transgenes driven by the platelet-derived growth factor beta-chain (PDGF-beta) promoter, which is known to be active in neurons and mesenchyme derivatives. Mice carrying one or two PDGF-NT3 transgenes on a background

null for wildtype NT-3 were generated by crossing with an NT-3 null strain. Although still ataxic, mice from this cross could survive for periods longer than a year. Histological analysis revealed a limited rescue of muscle spindles and parvalbumin immunoreactive sensory neurons. (C) 2011 Elsevier Ireland Ltd. All rights reserved.”
“We present a differential equation-based mathematical model of nectar foraging CBL0137 nmr by the honey bee Apis mellifera. The model focuses on two behavioural classes:

nectar foragers and nectar receivers. Results generated from the model are used to demonstrate how different classes within a collective can collaborate to combine information and produce finely Selleckchem ZD1839 tuned decisions through simple interactions. In particular we show the importance of the ‘search time’ – the time a returning forager takes to find an available nectar receiver – in restricting the forager population to a level consistent with colony-wide needs. Crown Copyright (C) 2010 Published by Elsevier Ltd. All rights reserved.”
“Recently, the rs3129882 variant in intron 1 of HLA-DRA was found to be associated with late-onset sporadic Parkinson disease (PD) in Americans of European ancestry. To evaluate whether the same variant is related to PD in Chinese population, we investigated late-onset sporadic PD patients of Chinese Han ethanicity in Mainland China. We found significant difference in genotypic and allele distribution between patients and control subjects (chi(2)=6.446, p=0.040 for genotypic distribution; chi(2)=5.762, p=0.016 for allele distribution), suggesting this variant is associated with late-onset sporadic PD in Chinese Han population. (C) 2011 Elsevier Ireland Ltd. All rights reserved.”
“A simple multiparticle reaction model was studied where reactants A react with (a possibly large) stoichiometric coefficient k.

However, the ability to maintain performance on a second voiding

However, the ability to maintain performance on a second voiding trial, even only 3 hours after passing an initial trial, is not assured.”
“OBJECTIVE: Surgical access to the posterior portion of the mediobasal temporal lobe presents a formidable challenge to neurosurgeons, and much controversy still exists regarding the selection of the surgical approach to this region. The supracerebellar transtentorial

(SCTT) approach to the posterior mediobasal temporal region can be used as an alternative to the subtemporal or transtemporal approaches. The aim of this study was to demonstrate the surgical anatomy Rigosertib in vivo of the SCTT approach and review the gyral, sulcal, and vascular anatomy of the posterior mediobasal temporal lobe. The use of this approach in the resection of a ganglioglioma located in the left posterior parahippocampal ABT-737 mouse gyrus is illustrated.

METHODS: The SCTT approach to the posterior parahippocampal gyrus was performed on three silicone-injected cadaveric heads. The gyral, sulcal, and arterial anatomy of the posterior mediobasal temporal lobe was studied in six

formalin-fixed injected hemispheres.

RESULTS: The SCTT approach provided a direct path to the posterior mediobasal temporal lobe and exposed the posterior parahippocampal gyrus as well as the adjacent gyri in all of the cadaveric specimens. Through this approach, gross total resection of the ganglioglioma was PF-6463922 possible in our patient.

CONCLUSION: The SCTT approach provided a viable surgical route to the posterior mediobasal temporal lobe in the cadaveric studies. This approach provides an advantage over the subtemporal and transtemporal routes in that there is less temporal lobe retraction.”
“Purpose: We describe a novel male sling device for the treatment of post-prostatectomy incontinence that allows tension adjustment

over the urethra postoperatively. We report the short-term results in patients with severe incontinence who were treated with this device.

Materials and Methods: An adjustable male sling procedure was performed in 19 patients with a mean age of 67.5 years (range 59 to 80) who had severe post-prostatectomy incontinence. A tissue expander, including a silicone balloon expander, a small tube and a self-sealing valve that allowed the expander to gradually fill with saline solution, was used for this procedure. A pocket was created to anchor the balloon expander in its position by suturing 2 polypropylene meshes to each other around the filled balloon expander. The empty silicone balloon expander was inserted into this pocket and the sling was placed over the urethra. The injection port was secured inside the scrotum and connected to the balloon expander.

Results: Average operative time was 63 minutes (range 45 to 90). A total of 11 patients required injections.