摘要:

Summary—The anterior transperitoneal approach for removal of stone from a horseshoe kidney is described. The valuable advantages inherent in this technique have been shown in 1 3 patients, 7 with unilateral calculus and 6 with bilateral calculi, and all with horseshoe kidneys.No urinary leak occurred and the post‐operative course was uneventful. The operative field is extensive and a good exposure of both sides of the horseshoe kidney can be obtained, enabling bilateral pyelolithotomy or other conservative renal procedures to be perfor

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb06087.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary—This paper discusses 28 patients with renal pelvic dilatation in whom obstruction was excluded by excretion urography and diuresis renography. The clinical presentation and progress of the patients over a follow‐up period of 1 to 5 years are presented. One patient required pyeloplasty, one developed 2 asymptomatic renal pelvic calculi and one showed some deterioration in function on the affected side.The remaining 25 patients remain well and their follow‐up renograms show satisfactory renal function and excretion. Before the advent of objective means of assessing renal function and urodynamics, these patients would probably have been subjected to pyeloplasty. The present study confirms that the correct management of the dilated non‐obstructed renal pelvis is conse

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb06088.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary—Three case reports of the unusual condition of spontaneous perirenal haemorrhage are presented and their management discussed. An early accurate diagnosis and a trial of conservative management is suggested rather than emergency surgery which usually results in nephrectom

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb06089.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary—Two cases of symptomatic renal angiomyolipoma not associated with tuberous sclerosis are presented. The clinical and radiological features, the pathology and the management of these rare but well documented tumours are briefly discussed. They pose problems in diagnosis and controversy still exists regarding their management. Recent radiological techniques such as CT may help in the diagnosis. When conservative surgery is not possible, or when an adenocarcinoma cannot be confidently excluded, nephrectomy should be performe

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb06090.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary—The chromographic contact print method, making use of the ammonium phosphornolybdate‐ascorbic acid reaction, is used to detect phosphates and to view their distribution in urinary stones. This sensitive reaction may take place even if phosphates, especially apatite, are present in such small amounts as to be under the confirmation limits of microscopic observation, and X‐ray and infrared ana

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb06091.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary —A retrospective study is presented of 180 patients with clinically infiltrating transitional cell carcinoma of the bladder treated by interstitial irradiation. The cases were re‐classified by clinical tumour extent and histopathological grade according to the UlCC (1978) classification. The actuarial survival rates and complications are presented and treatment policy revie

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb06092.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary —Laboratory experience with the use of Mitomycin C encased in ethylcellulose microcapsules as an agent for transcatheter embolisation is described. Microencapsulated Mitomycin C (MMC‐m.c.) was infused into the pelvic organs of dogs by arterial catheterisation and the distribution of MMC in plasma and tissue was examined.MMC levels in the circulating blood of the MMC‐m.c. group were significantly lower than those of the non‐encapsulated MMC group. The biological potential of MMC was retained for prolonged periods in the pelvic organs after intra‐arterial infusion of MMC‐m.c. On the other hand, MMC could not be detected in the tissue of the non‐encapsulated MMC group 4 h after

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb06093.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary —The technique developed to study the microangiography of healthy bladders has been applied to study the known vagaries of papillary tumours, their associated changes and their genesis.Epithelial hyperplasia (reactive hyperplasia), which develops as a form of mucosal self‐defence, is a general, non‐specific tissue response to an adverse environment. The conversion of reactive hyperplasia into reactive autonomy represents the neoplastic process. The growth of abnormal arteries precedes the development of tumours. A papillary tumour results from a symbiotic growth relationship between such an abnormal artery and the overlying normal or hyperplastic epithelium. All known vagaries of papillary tumours have been st

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb06094.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary —Microangiography of the bladder has been studied by the use of a mixture of Micropaque and Hypaque. There appears to be a considerable variation in the vascular supply, not only in different specimens but also in different parts of the same specimen. In general, the base and the lateral walls are more richly supplied than the rest. The vessels seem to form 3 plexuses: extramural, intramural and submucous. In places, moderately large aberrant vessels spring from the 3 plexuses and proceed into the mucosa itsel

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb06095.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary —Seventy‐three children with neurogenic bladder dysfunction were assessed for urinary continence over periods ranging from 6 months to 4 years.Acceptable continence was achieved in 35 (48%), the majority by means of intermittent clean catheterisation, usually with drug manipulation. Two children had to be diverted purely for intractable incontinence. A plan of management for children with neurogenic bladder dysfunction is descri

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb06096.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY