摘要:

SummaryFive cases of unilateral renal angiomyolipoma seen in Chinese patients in Hong Kong are reported.The clinical manifestations are reviewed in 57 cases which included 52 collected in the literature. The predominant features are pain (73.7 %), haematuria (26.3 %) and the presence of a loin mass (42.1%).Among various investigative procedures, renal angiogram is probably the most useful.We would like to thank Professor G. B. Ong, Dr T. B. Teoh and Dr K. T. Tham for their kind assistance in the study of these cases.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1974.tb03845.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

SummaryA patient with asymptomatic hypertension due to a renal angiomyolipoma is described. The possible causes for hypertension, in particular increased renin secretion is discussed.We would like to thank Dr G. R. I. Powers and Dr E. Liepa of the Department of Radiology and Pathology.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1974.tb03846.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

SummaryA case of hypercalcaemia due to iatrogenic vitamin D intoxication is reported. Following treatment with prednisolone and sodium cellulose phosphate early symptomatic improvement occurred. The 24‐hours urinary calcium excretion returned to normal after 5 weeks of treatment but the patient became normocalcaemic only after 13 months. Renal function also improved marginally over this period.Wae wish to thank the staff of the biochemistry department, Sefton General Hospital for their hel

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1974.tb03847.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

SummaryThis study describes the urological complications associated with 200 consecutive renal allotransplantations performed between May 1967 and March 1973. Of these 176 were cadaver kidneys and 24 kidneys were from live donors.An outline of the surgical technique is followed by details of the postoperative management in straight‐forward and complicated cases. Details of radiological techniques are discussed.Urological complications are divided into those occurring soon after surgery and those developing after 3 months of satisfactory function. The possible causes are listed and means of identifying them described. The outcome of the various complications is described.There was an overall incidence of urological complications of 13–5% (5% due to primary obstruction and 7 % due to primary fistula formation). The mortality directly due to a urological complication was 4% and was highest (2%) in those due to primary urinary obstruct

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1974.tb03848.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

Summary89 patients suffering from carcinoma of the bladder treated by cystectomy and construction of a rectal bladder were reviewed.The immediate postoperative mortality was 12.5 %, most deaths being due to infection.64 patients had been followed for 6 months to 3 years.The 64 patients possessed a total of 115 kidneys, and there was radiological evidence of postoperative deterioration in 23 instances. Anastomotic stricture formation was the commonest complication.Measurement of rectal bladder capacity showed the functional to be smaller than the anatomical. This was shown radiologically to be due to a change of posture; the capacity is greater when the patient is supine than when he is erect.Nearly all patients were continent by day; leakage at night occurred in 40 %29 of 32 patients were at work 1 year after operation.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1974.tb03849.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

SummaryA randomised prospective clinical trial has been performed to assess the effectiveness of giving e‐amino‐caproic‐acid to patients routinely receiving a frusemide diuresis, following transurethral prostatectomy. A significant reduction in postoperative blood loss, and fewer problems related to catheter management and infection were noted in the group of patients receiving E.A.C.A.We wish to thank Dr D. Pearce and Dr W. E. Waters for their help in devising the trial, Mr R. Rumble and Mr B. Howard for their technical assistance and the nursing staff of Southampton General Hospital for their cooper

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1974.tb03850.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

SummaryThree patients with recurrent symptomatic bacteriuria are presented, in each of whom radio‐opaque prostatic calculi were present and were shown to harbour the infecting organism.We thank Dr B. Rowe for kindly typing theE. colistrains and Miss C. Jenkins for careful technical assistanc

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1974.tb03851.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

SummaryThe composition of 28 prostatic calculi has been determined by X‐ray diffraction. 14 stonesconsisted entirely of 1 or more of the following calcium phosphates‐carbonate‐apatite, hydroxy‐apatite and whitlockite. Most of these are likely to be true or endogenous prostatic calculi formed from the prostatic fluid. The other 14 stones contained compounds which can precipitate from urine but are unlikely to precipitate from the prostatic secretion. These are the exogenous type forming at least in part from urine. Whittockite which was found to be a major constituent of the true stones has been identified in them for the first time. Its discovery shows that salivary and prostatic calculi are similar in composition in that they consist of apatite or apatite + whitlockite.This work was financed by the Medical Research

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1974.tb03852.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

SummaryExpressed prostatic secretion (EPS) was obtained both from the uninflamed human prostate and from cases of acute and subacute prostatitis in the course of routine clinical examination. In addition to microscopy and bacteriological examination, the pH of this fluid was tested using both Camlab Duotest pH papers (Camlab Ltd, Cambridge) and a Radiometer pH Micro‐electrode.Specimens of EPS from the normal gland were found to have a mean pH of 6.6 and were therefore similar in this respect to normal canine prostatic fluid. In a series of specimens from cases of prostatitis, there was a variable increase in pH, the mean being 7.7.The implications of this finding are briefly discussed in relationship to the concentration of antibacterial agents within the prostatic acini and ducts and their biological activity.Part of the work of this project was assisted by a grant from Schering Chemicals Ltd, Englan

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1974.tb03853.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY

摘要:

SummaryIn 100 consecutive patients with newly diagnosed carcinoma of the prostate examined by X‐ray, skeletal metastases were diagnosed in 18 patients. The additional use of bone scanning with99mTc‐P.P. increased this figure to 34.Of the 16 patients with metastatic disease demonstrated on a bone scan but not apparent at the initial reading of the radiographs, confirmatory evidence has been forthcoming in 11.X‐ray examination, which need only be of limited scope, remains desirable. It is necessary to exclude false positive bone scans due to coincidental abnormalities such as Paget's disease of bone.We are indebted to Mrs Mary Laschowski both for assistance in carrying out this analysis, and for considerable secretarial help.The illustrations were kindly prepared by Mr Karl Leisner and the statistical analyses carried out by Dr Michael

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1974.tb03854.x

出版商:Blackwell Publishing Ltd    

年代:1974

数据来源: WILEY