摘要:

Summary—The chemotherapy of urinary tuberculosis is controversial as far as choice of drug regimen and duration of treatment are concerned. We propose a course of treatment that is tailored to the pathological state of infection and the type of surgical procedure performed.One hundred and ten patients with tuberculous infection were divided into three groups. Group I comprised 27 patients in whom surgery was not necessary; Group II contained 48 patients where ablative surgery was carried out; Group Ill consisted of 35 patients who underwent reconstructive surgery. Anti‐tuberculous drugs (rifampicin, pyrazinamide, isoniazid and ethambutol) were given according to this tailored regimen. Patient compliance and results of treatment were excell

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1984.tb05819.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Summary—In 14 dogs, using a modified Davis technique, excised segments of ureters were replaced by free, partial‐thickness bladder grafts vascularised by omentum. Eight of the 14 dogs had satisfactory radiological appearances of the operated upper tracts at 12 months, and 9 of the 14 were unobstructed urodynamically at this time. Graft segments did not appear to contract. Urothelial and smooth muscle regeneration was obser

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1984.tb05820.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Summary—Construction of a continent urinary reservoir was attempted in 18 patients with carcinoma of the bladder. The caecum was used as the reservoir and an intussuscepted ileal nipple was created to provide continence. Fifteen patients are alive and have been observed for 7 to 68 months. The most common complication was malfunction of the nipple valve with urinary leakage and/or difficulty in catheterisation. Revision of the outlet was performed one or more times in 11 cases. The technique of nipple valve construction was successively evolved, with improvement in the functional results. Stricture of one uretero‐intestinal anastomosis occurred in three patients. Construction of a continent caecal reservoir is a complex procedure and the problem of a stable, continence‐ensuring mechanism in the outlet has not been conclusively solved. The enhanced quality of life offered by a successful continent reservoir nevertheless warrants continued clinical trials in selected pat

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1984.tb05821.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Summary—Motor activity of the caecal reservoir for urine, and of the intussuscepted nipple valve in the ileal outlet, was studied in seven continent and two incontinent patients by means of a catheter equipped with two microtransducers. The basal pressure was low in the reservoir even at large‐volume filling. In the continent patients the basal pressure was always higher in the ileal outlet than in the reservoir. No high‐pressure zone was present in the outlet in the incontinent patients. Intermittent pressure waves occurred in the reservoir, and they increased in frequency, duration and amplitude with increasing filling. Pressure waves with higher amplitude arose simultaneously in the outlet. Increasing time from construction of the reservoir was accompanied by decreasing amplitude of the pressure waves, indicating adaptation towards the larger functional capacity of the reservoir. The recorded dynamics seemd to reflect the functional state of the rese

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1984.tb05822.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Summary—Bringing the ileal conduit through the mesentery is a simple procedure and reduces the incidence of post‐operative and late intestinal obstruct

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1984.tb05823.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Summary—A double‐blind cross‐over trial of DDAVP was carried out in 22 patients aged between 9 and 16 years. The patients had previously failed to respond to other treatments for enuresis. While DDAVP resulted in fewer wet nights during the 14‐day period of active treatment, the results did not achieve statistical significance. This is in contrast to previous reports. The dose in this study was 20 pg intranasally. Further studies may be valuable, possibly relating dosage to body

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1984.tb05824.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Summary—The results of clean intermittent self‐catheterisation in a group of 57 patients (2 male, 55 female) followed for up to 5 years are reported. The benefits in patient management are discussed and particular note is made of this technique for female patients with chronic urinary retention and overflow incontine

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1984.tb05825.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Summary—Intravenous urography is the primary radiographic procedure used to evaluate patients with haematuria. During the last 15 years a modification of intravenous urography, using delayed films of the bladder, has aided the correct pre‐cystoscopic diagnosis of bladder tumour in 82 of the 95 patients seen with this condition at our medical centre. After injection of contrast medium, anteroposterior and oblique views of the abdomen are obtained up to 15 min.Our modification consists of taking delayed films of the full bladder 3 h and 1 h later, followed by a post‐voiding film. A bladder tumour appears as a filling defect or space‐occupying lesion and can be distinguished from other lesions. Such delayed films increase the yield in the radiographic diagnosis of bladder

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1984.tb05826.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Summary—The clinical course of 47 patients with carcinoma of the prostate who at the time of initial presentation had metastases to soft tissue or non‐regional lymph nodes was retrospectively reviewed. The response rate to primary hormonal treatment (orchiectomy or oestrogens) and the duration of response were similar to those of 47 other patients presenting with skeletal metastases only. The survival of the patients in the study group was not statistically different from that of patients with skeletal metastases only. The results suggest that patients presenting initially with metastases to non‐regional lymph nodes or soft tissue should be treated by the same therapeutic methods as for disseminated prostatic cancer in general (oestrogens or orchiectomy).Slight or no urinary symptoms at the time of initial presentation in spite of a locally advanced tumour was a common finding; 20% of the patients had normal serum prostatic acid phosphatase despite the presence of disseminated disease.Lymph node enlargement in the left supraclavicular fossa was the most common site of non‐regional lymphatic spread. Elderly males with metastatic carcinoma in this region should be investigated for the possibility of prostatic

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1984.tb05827.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY

摘要:

Summary—Analysis of cancer registration survival data, together with a review of published clinical and pathological studies, strongly suggests that cancer of the prostate occurring before the age of 55 has a worse survival prospect than at ages up to 74. The likely reasons appear to be a higher degree of malignancy of tumours in younger men and, particularly, late diagnosis from failure to suspect the disease in this age group. This suggests that routine clinical examination of the prostate should be carried out as soon as feasible after the age of 4

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1984.tb05828.x

出版商:Blackwell Publishing Ltd    

年代:1984

数据来源: WILEY