摘要:

An operation devised for the treatment of postoperative urinary incontinence in the male, based in the transposition of the crura penis in the perineum to form a sling beneath the bulbus urethralis is reported. This operation was first used in June 1968, and has been performed 18 times on 15 patients.

ISSN:0042-1138    

DOI:10.1159/000279734

出版商:S. Karger AG    

年代:1971

数据来源: Karger

摘要:

Authors investigated the renal circulation with X-ray angiographic and Sapirstein’s Rb-isotope methods after administration of hexadimethrine bromide. They established that extensive necrosis occurs in the ascending limbs of the Henle-loops. One to four hours following the administration of the compound the renal arteries are narrower, or only fill in patches. Blood pressure decreases transitorily and also to a small extent cardiac output. In the 2–4 hours groups the renal fraction of the minute volume, as well as renal blood flow are diminished. 24 h after the injection of the hexadimethrine bromide the renal blood flow almost returns toward normal level. The possible significance of renal circulatory changes in the genesis of the necrosis found in the ascending limbs of Henle loops is discus

ISSN:0042-1138    

DOI:10.1159/000279735

出版商:S. Karger AG    

年代:1971

数据来源: Karger

摘要:

Urinary oxalic acid excretion was determined in 21 healthy people and 70 patients with renal stones. In the group of 31 patients with calcium oxalate-containing renal stones the mean value of urinary oxalate exretion was significantly higher than both in the normals and the patients with non-oxalate renal stones. Urinary oxalate excretion above the upper limit was found in 12 patients with calcium oxalate-containing renal stones (38.7%) and in one patient with radio-paque renal stones and nephrocalcinosis. In the patients with hyperoxaluria great variability in oxalate excretion was found. There was no relationship between urinary oxalate and calcium excretion and between urinary oxalate excretion and 24-hour volume of urine. It is suggested that there is relationship between the increased urinary oxalate excretion and recurrent calcium oxalate-containing renal stones formation in the investigated group of patients.

ISSN:0042-1138    

DOI:10.1159/000279736

出版商:S. Karger AG    

年代:1971

数据来源: Karger

摘要:

Neurologic dysfunction of the urinary bladder is a frequent and morbid sequel to many diseases of the nervous system including spinal injury. Ten years of research into electronic techniques to return urinary bladder function to the control of the patient have resulted in a multicomponent system which is effective in the laboratory. However, clinical applications of this technique have been frustrated by unknowns regarding smooth muscle function in neurologic disease. We anticipate that a review of our efforts in this field will stimulate other investigators to delineate these unknowns and accelerate the employment of prosthetic devices to aid bladder evacuation.

ISSN:0042-1138    

DOI:10.1159/000279737

出版商:S. Karger AG    

年代:1971

数据来源: Karger

摘要:

Based on about 100 urogenital fistulae the various urologic aspects are discussed. The great role of urologic surgery, especially operations for prolapse, is evident in the pathogenesis of fistulae. Loop-operations with foreign substances is dangerous, as is endoresection in girls. We agree with gynecologists that fistulae are best operated vaginally. Vesicouterine fistulae and those starting in contracted bladders form exceptions. The IVP is necessary in dealing with fistulae at the trigone and bladder neck. Hydronephrosis is an indication for ureteral reimplantation. Failures occur practically exclusively at closure of the bladder neck fistulae. Secondary (or simulataneous?) suspension is obligatory here. Urethral fistulae seldom lead to incontinence. If incontinence appears, one must think of a complicated bladder neck insufficiency. The suspension here is of greater significance than the fistular closure. Substitution of the totally destroyed urethra is possible in many ways, yet functional result is meagre. In reconstructive surgery of bladder neck and urethra the artificial vesicovaginal fistula is a good diversionary means. Definitive diversions are seldom necessary.

ISSN:0042-1138    

DOI:10.1159/000279738

出版商:S. Karger AG    

年代:1971

数据来源: Karger

摘要:

From a recent report on chemotherapy of urological tumours some conclusions can be drawn. The best indications for cancer chemotherapy in urology can be found in the treatment of metastatic testicular carcinoma, in the combined treatment of Wilms’ tumour and in the topical instillations of thiotepa in diffuse papillomatosis. The value of chemotherapeutic agents in prevention of recurrences of papillary bladder tumours is also emphasized. The association of 5-FU infusions to cobalt-teletherapy is strongly advocated. The results are, however, much less encouraging in other neoplasms, where only a limited number of transient regressions and subjective improvements can be observe

ISSN:0042-1138    

DOI:10.1159/000279739

出版商:S. Karger AG    

年代:1971

数据来源: Karger

ISSN:0042-1138    

DOI:10.1159/000279740

出版商:S. Karger AG    

年代:1971

数据来源: Karger