摘要:

A new method for testing the function of the kidney after partial nephrectomy is reported. By means of radioisotope renography, urography and radioisotope clearance (‘single-shot’ method) it is possible to prove the function of the single kidney. The clearance in regard to the size of the shadow of the kidney assessed by urography allows to estimate the specified kidney function. We used these methods in ten patients and we detected that the loss of function is more extensive than expected by the operative reduction of the kidney parenchyma only. The causes for this are discus

ISSN:0042-1138    

DOI:10.1159/000280045

出版商:S. Karger AG    

年代:1976

数据来源: Karger

摘要:

Prostatic carcinoma can be cured by a radical operation. In radical prostatectomy the whole so-called internal sphincter is removed. It is generally accepted and often proved that the external sphincter which is mostly somatically innervated cannot resume the function of continence. The postoperative urinary incontinence after radical prostatectomy is frequent and therefore the radical prostatectomy is not performed in many places. The problem of postoperative continence as well as incontinence after enucleation of the adenoma will be briefly discussed. In 1966, Hutch described the so-called ‘baseplate’. It is a bundle of smooth muscle fibers, circulary arranged around the bladder neck, which are also responsible for passive continence. He proposed that a certain sphincter function can be achieved by a tubular anastomosis of this anatomical substratum with the distal urethral stump. We were able to prove this anatomical hypothesis urodynamically. A specially constructed double-lumen perfusion catheter enabled us to register the so-called functional urethra profile and simultaneously register a new sphincter pressure wave in the transformed ‘baseplate’ which was responsible for the continence. We could observe this new sphincter region in all continent patients after radical prostatectomy whereas in the incontinent patients it was absent. Since 1972 we have employed the procedure proposed by Hutch and have performed 20 radical prostatectomies. All these patients have been postoperatively completely continent. We are of the opinion that undue restraint concerning radical prostatectomy is no more ju

ISSN:0042-1138    

DOI:10.1159/000280046

出版商:S. Karger AG    

年代:1976

数据来源: Karger

摘要:

In an experimental canine model, topical application of phenylephrine hydrochloride (Neo-Synephrine®) to the urethral mucosa was demonstrated to cause a rise of intraurethral pressure which persisted for over 2 h without any rise of arterial pressure. There was no intraurethral pressure change after the topical application of phentolamine (Regitine®) or phenoxybenzamine (Dibenzyline®). No effect was observed on the intraurethral pressure following isoprenaline (Isuprel®) application, but a marked fall in arterial pressure was obser

ISSN:0042-1138    

DOI:10.1159/000280047

出版商:S. Karger AG    

年代:1976

数据来源: Karger

摘要:

The treatment of acute febrile urinary tract infections in urological patients has to start in most cases without knowledge of bacteria and their sensitivity. The results of 2,000 antibiograms and clinical observations showed good efficiency in initial therapy if combined treatment with gentamycin and cephalothin was used. Using recommended doses in permanent control of serum creatinine and blood-urea nitrogen, no decrease of renal function was observed in 131 patients treated with this combined therapy.

ISSN:0042-1138    

DOI:10.1159/000280048

出版商:S. Karger AG    

年代:1976

数据来源: Karger

摘要:

The adreno-renal-ureteral sheath is described, showing the continuity of the anterior and posterior leaves of the sheath along the entire length of the retroperitoneum of each side. The study is based on anatomical dissections and on surgical observations. Anatomical and pathological considerations are discussed.

ISSN:0042-1138    

DOI:10.1159/000280049

出版商:S. Karger AG    

年代:1976

数据来源: Karger

摘要:

Cryosurgery of the prostate should be performed only in high risk patients on which other conventional methods of treatment cannot be applied. 82% of the patients could void after cryosurgery without indwelling catheter. Cryosurgery of the prostate became one of the routine procedures in the treatment of the prostatic diseases.

ISSN:0042-1138    

DOI:10.1159/000280050

出版商:S. Karger AG    

年代:1976

数据来源: Karger

摘要:

We find an elevation of serum acid phosphatase levels 5 min after prostatic massage in only 10% of patients with prostatic adenoma. This increase is caused by stored prostatic secretion being pressed into the blood vessels. 60 min later these serum levels decrease. With some other patients a slower increase of phosphatase levels occurs; this increase, however, lasts for hours. This kind of increase is caused by prostatic fluid being forced into the interstitium where it is slowly absorbed. A combination of both kinds leads to a curve with two peaks; this could be demonstrated in two cases. No difference was seen in reaction of total acid phosphatase and prostatic phosphatase levels. The increase of phosphatase levels following prostatic massage was no sign of prostatic carcinoma.

ISSN:0042-1138    

DOI:10.1159/000280051

出版商:S. Karger AG    

年代:1976

数据来源: Karger

摘要:

A case of renal transplantation is presented in which the donor had idiopathic hypercalciuria. The hypercalciuria persisted in the donor, but was not observed in the recipient. This fact suggests that, in this case, the cause of the hypercalciuria is the intestinal hyperabsorption of calcium ions.

ISSN:0042-1138    

DOI:10.1159/000280052

出版商:S. Karger AG    

年代:1976

数据来源: Karger

摘要:

The interrelationship of the liver function tests and the 5-year survival rates were studied in 62 patients with prostatic carcinoma who were treated with antiandrogens. Abnormally high bilirubin, and glutamic oxaloacetic and pyruvic transaminase serum levels were a significant index with regard to the 5-year survival rates.

ISSN:0042-1138    

DOI:10.1159/000280053

出版商:S. Karger AG    

年代:1976

数据来源: Karger

摘要:

Lyophilized pig bladder was used as partial replacement of the urinary bladder wall on 22 rabbits. This material is not suitable for this purpose. Lyophilized pig bladder shows no advantages compared to human dura as a bladder wall substitute.

ISSN:0042-1138    

DOI:10.1159/000280054

出版商:S. Karger AG    

年代:1976

数据来源: Karger