摘要:

Summary—A family affected with hereditary hypercalciuric urolithiasis is presented. The data suggest that the primary defect is idiopathic hyperabsorptive hypercalciuria, transmitted by an autosomal dominant pattern. This syndrome seems to be common among patients with hypercalciuric urolithiasis.Investigation of the family of such patients and preventive treatment at the earliest age possible are suggeste

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb03178.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary—Five patients with bilateral renal tumours are discussed with regard to their treatment and prognosis in an attempt to formulate the most effective surgical approach. The clinical history, physical signs, treatment and prognosis are summarise

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb03179.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary—The management of 10 patients with idiopathic retroperitoneal fibrosis causing obstructive uropathy is presented. In all cases the obstruction was relieved by ureterolysis and corticosteroid therapy was not used during the initial treatment.In 9 patients the operation was well tolerated but one, who developed a pyonephrosis after pre‐operative ureteric drainage, died of septicaemia 1 5 days post‐operatively. In 2 patients further explorations and ureterolysis were necessary for recurrent fibrosis which may have been related to urinary leakage. A policy for the management of these cases is presented which recommends the use of silastic tubing splints after ureteric mobilisation and the use of an ornental

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb03180.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary—Small mobile stones in the major renal collecting system can be extracted through a percutaneous tract. Initially the radiologist performs a conventional percutaneous needle nephrostomy and inserts a pigtail catheter into the renal pelvis. Over the next week the tract formed is serially dilated to a size large enough to pass a cystoscope into the kidney. The calculi are trapped by a stone basket and removed. The many advantages of this relatively atraumatic procedure are discusse

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb03181.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary—Eight children, 3 girls and 5 boys, with single ectopic ureters arising from non‐concentrating kidneys are described. Two children, both girls, complained of persistent wetting with a pattern suggestive of ectopic ureter: 2 of the boys presented in the neonatal period with massive abdominal distension: the remaining children developed a urinary infection or chronic urinary retention.Diagnosis depends on an appreciation of the possibility that a non‐concentrating kidney on intravenous urography may be giving rise to an ectopic ureter and, in the boys, on a correct interpretation of cystourethrographic findings. Careful endoscopic examination of the urethra and in the girls of the vagina also will lead to the identification of the ectopic ureteric orifice in most cases. When the ectopic ureter joins the male genital tract there may beanextravesical ureterocele which can be recognised cystoscopically.The condition is treated by nephrouretere

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb03182.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary—A clinical study of intravesical prostaglandin E2(PGE2) and F2α(PGF2α) in the treatment of 1 3 female patients with difficulties in emptying their bladder is reported. Urodynamic investigations were performed before and after instillation of the drug. Although 3 patients had some reduction in residual urine volume, the remainder showed no obvious change and no patient experienced subjective improvement. In 6 patients, biopsies of the vesical mucosa were taken before and after instillation in order to measure the uptake of prostaglandin by the mucosa, but no conclusions could be drawn from these measurements.Although prostaglandins are known to have contractile effects on the detrusor muscle, the results of this study suggest that intravesical PGE2and PGF2α have no therapeutic value in the treatment of voiding dysfunction and residual u

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb03183.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary—Sixty‐four patients with normal bladder function, stress incontinence, idiopathic instability or instability associated with enuresis underwent pressure/flow videocystography. This was repeated from one month to 8 years later (average 1 9.4 months).Filling cystometry remained qualitatively unchanged in 95% of cases overall, whilst the actual pressure recordings during cystometry in the 37 patients with instability remained identical or very similar in 73%.The results demonstrated the accuracy of cystometry and the consistency of bladder dynamics over the longest period so far reported in these apparently non‐progressive diso

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb03184.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary—Of 64 children in Khartoum with vesical stones only one had urinary bilharziasis. Bilharziasis appears to play no part in the development of these stones, which probably have the same aetiology as stones in other endemic area

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb03185.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary—A series of 1 3 women and 4 men with vesical leukoplakia is presented. Three of the women progressed to squamous cell carcinoma. Early diagnosis of malignant change is difficult and prophylactic cystectomy for persistent widespread vesical leukoplakia may be justifiable in both sex

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb03186.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY

摘要:

Summary —In a non‐randomised study, 30 patients with metastatic bladder cancer were treated with a combination of Adriamycin, VM 26, 5‐fluorouracil (5‐FU) and mitomycin C. A significant response was observed in 1 8 patients and the median survival was 3

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1981.tb03187.x

出版商:Blackwell Publishing Ltd    

年代:1981

数据来源: WILEY