摘要:

51 patients with proven prostatic carcinoma stage B–D underwent control aspiration biopsy after hormonal therapy using the Franzén needle. The malignancies were classified into three grades and the cytological findings were compared with the malignancy grade of the tumor and the clinical course. At the same time the caryopycnotic index, as determined by swabs from the urethral fossa navicularis was measured in order to determine the serum estrogen level. As the result of the anti-androgenic therapy one finds degenerative changes in the tumor cells. The results showed that the poorer the histological differentiation of the tumor, the lesser was the cytological change. Only 6 of 34 patients with a good hormonal effect showed a progression of the tumor, whereas 16 of 17 patients with a poor hormonal effect showed clinical progression. 70% of the cases demonstrated agreement between the clinical course and the caryopycnotic index. No correlation was found between the caryopycnotic index and the histological grade of the tum

ISSN:0042-1138    

DOI:10.1159/000279986

出版商:S. Karger AG    

年代:1975

数据来源: Karger

摘要:

Autoimmune response to normal and tumor bladder tissues in Fisher/Furth rats were obtained. The reaction consisted mainly of severe pericystitis and hemorrhagic lesions. The cellular infiltrate was predominantly lymphocytic including also plasma cells and histiocytes. Serological tests indicated development of host immunological response. 15 of 33 rat bladder tumors involuted entirely in the course of the autoimmune reaction.

ISSN:0042-1138    

DOI:10.1159/000279987

出版商:S. Karger AG    

年代:1975

数据来源: Karger

摘要:

From November 1972 to October 1974 190 patients of the ‘Urologische Klinik der Städt. Krankenanstalten Karlsruhe’ with urethral strictures were treated by internal urethrotomy under endoscopic control with the modified urethrotome from Stortz/Germany. This is a report about short-time results (2–14 months) after treatment. The method is very simple and the effect is controlled by endoscopy. In the first 44 patients we used general or lumbal anaesthesia. In the last patients only local anaesthesia by lnstillagel installation into the urethra was used. The short-time results were excellent in 66.8%. We believe that this method points out a new direction in the surgical treatment of urethral stri

ISSN:0042-1138    

DOI:10.1159/000279988

出版商:S. Karger AG    

年代:1975

数据来源: Karger

摘要:

Ileum conduit is a good method for supravesical diversion of urine. The disadvantage is, however, that it does not have a reservoir function. For the first time, in 1969 Kock had shown good resultswith acontinent intra-abdominal ileumpouch for feces, and this gave us the idea to try a similar pouch for urine on 15 dogs. To make reservoirs of the small intestine was technically not simple and often led to complications. Urine continency could be attained by invagination of the small intestine. Primary and secondary reflux as well as stenoses of the ureter implantations led in 50% of the cases to ascending infections. Complications of urine reabsorption did not occur. Further studies of the continency, reflux and reabsorption problems indicate that a continent, intraabdominal ileum pouch for urine will be possible.

ISSN:0042-1138    

DOI:10.1159/000279989

出版商:S. Karger AG    

年代:1975

数据来源: Karger

摘要:

In this study the author emphasizes the existence of a muscular element that had not been described until now. This muscular element is situated around Malpighi’s pyramid and its fibres are followed by the caliceal muscle and the elements that form Henle’s peripapillar ring. The systolic and diastolic function of this peripyramidal muscle can be observed in the urographies, during the evacuation of the collector tubules of Bellini, and its synchronization with the next caliceal and pyelic musculat

ISSN:0042-1138    

DOI:10.1159/000279990

出版商:S. Karger AG    

年代:1975

数据来源: Karger

摘要:

The study of 1,464 cases of renal tuberculosis in 1946–1971 shows that the incidence of this illness has not diminished. The percentage of aged patients and of women has increased. The frequency of previous tuberculosis has decreased and the interval between tuberculosis and renal tuberculosis has increased. These new features show that the role of general pathogenic factors regresses whereas that of local factors progresses. Among the latter, the main factor is a disturbance of the urine outflow from the kidneys. This factor is of particular importance in women who had pathologic pregnancies and deliveries, gynecological diseases and surgery. While the connection of renal tuberculosis with tuberculous diseases disminishes its connection with urogenital conditions is rising. Accordingly, it is necessary to suspect and search for renal tuberculosis in new groups of persons: in older persons, in patients without a history of previous tuberculosis, in patients cured from tuberculosis, in women after obstetrical and gynecological complications, in patients with renal diseases, malformations, etc. Our preventive examinations indicated that nephrotuberculosis can be actively and earlier detected not only in patients with extrarenal tuberculosis but in persons cured from it, and in patients with local urogenital lesion

ISSN:0042-1138    

DOI:10.1159/000279991

出版商:S. Karger AG    

年代:1975

数据来源: Karger

摘要:

The advantages and drawbacks of the different techniques of the prostate needle biopsy are commented. The reasons for always using the percutaneous perineal approach with Vim-Silvermann’s needle, modified by Franklin, in our Centre are pointed out. The results obtained in more than 1,500 biopsies performed in the Institute are briefly presented. A clinical report – the second in our records – in which the perineal implantation of a metastatic nodule occurred in the trans-cutaneous needle biopsy, is also presented. This complication is in fact a very rare one, and we must not forget all the advantages of this diagnostic pattern. After a thorough revision of the world casuistic, we have only been able to find 8 published

ISSN:0042-1138    

DOI:10.1159/000279993

出版商:S. Karger AG    

年代:1975

数据来源: Karger

摘要:

Hypomagnesemia, hypocalcemia and hypophosphatemia after renal transplantation in an 18-year-old patient is described. Serum magnesium decreased in consequence of increased renal transplant function with high urinary magnesium excretion. At the time of serum magnesium depletion, pretransplantation hypocalcemia persisted and severe hypophosphatemia developed. Magnesium oxide treatment was followed by the increment not only in serum magnesium but also in serum calcium and phosphate to normal level. Causal relationship between magnesium deficit and impaired renal transplant tubular reabsorption of magnesium and between magnesium deficit and serum calcium and phosphate depletion in the patient is suggested.

ISSN:0042-1138    

DOI:10.1159/000279994

出版商:S. Karger AG    

年代:1975

数据来源: Karger