ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1990.tb14746.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Summary—Two patients in end‐stage renal failure and with neurogenic bladders due to spina bifida complicated by myelomeningocele were considered for renal transplantation.One patient had had a right nephrectomy and urinary diversion via an ileal conduit; the other, after various external drainage procedures (cystostomy, bilateral nephrostomy), had had a tubular ileocystoplasty. Both underwent 2 surgical procedures prior to renal transplantation: in case 1 we performed a left nephrectomy and then ileal conduit removal + Kock pouch; in case 2 a bilateral nephrectomy was performed via 2 posterior incisions and then we removed the ileocystoplasty and formed the pouch.The continent ileostomy was formed according to the original technique with slight modifications. The patients have been followed up for 12 and 15 months after transplantat

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1990.tb14747.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Summary—Seven patients with complicated pelviureteric junction (PUJ) obstruction underwent reconstruction by means of Ureterocalicostomy; 5 had undergone previous surgery and 2 had primary obstruction. Radiographic studies showed resolution or improvement of the obstruction in 5 patients, who remain asymptomatic 15 to 47 months (mean 30) post‐operatively. Obstruction persists in 1 patient and the other developed renal artery thrombosis with subsequent loss of the kidney. It was concluded that Ureterocalicostomy can provide long‐term, successful reconstruction of a complicated PUJ obstruction, but significant complications may be associated with the proc

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1990.tb14748.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Summary—The technique of endoscopic transvesical extramural ureterolithotomy for calculi impacted in the lower ureter is described. Ten patients are presented in whom calculi could not be extracted using conventional methods; 9 of the 10 calculi were successfully removed using this approach with no long‐term complicati

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1990.tb14749.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Summary—A series of 102 patients were treated by a technique of colposuspension similar to the Pereyra operation, in which a pair of monofilament sutures were tied over the rectus muscle; 79% of patients (78/99) reviewed 1 year after the operation were continent. During further follow‐up (mean 4.5 years) there were 7 late failures, all within 4 years. Kaplan‐Meier lifetable analysis showed 69% probability of continence at 5 years. The main factors associated with recurrent or persistent incontinence were detrusor instability (60% incontinent: 9/15) and previous failed colposuspension or multiple vaginal repairs (55% incontinent: 11/20). In the absence of these risk factors 90% of patients maintained continence throughout the follow‐up period. This technique has given results at least equal to those reported for the Burch and Marshall‐Marchetti‐Krantz techniques of colp

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1990.tb14750.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Summary—Patients with advanced malignant neoplasms have a variety of abnormal lymphocyte functions. We examined the PHA blastogenic response, interleukin‐2 (IL‐2) production and interferon‐y (IFN‐y) production of lymphocytes in 39 bladder cancer patients and 20 control subjects. Correlation between these parameters was also studied. IL‐2 production was measured by3H‐thymidine‐labelled CTLL‐2 assay, and IFN‐γ production was measured by immunoradiometric assay using 2 mouse monoclonal antibodies. As a result, in high stage bladder cancer patients, the PHA blastogenic response, IL‐2 production and IFN‐γ production were impaired. However, these parameters were not significantly different between low stage bladder cancer patients and control subjects. There was a significant correlation between the PHA blastogenic response and IL‐2 production but no significant correlation between the PHA blastogenic re

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1990.tb14751.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Summary—A group of 65 patients with superficial bladder carcinoma was followed for 2 years and tumour recurrence rate was correlated both with transferrin receptor status of the initial primary tumour and with the results of voided urine cytology. Nine of 24 patients with transferrin receptor negative tumours had recurrences compared with 30 of 41 patients with transferrin receptor positive tumours. This difference was highly significant.Urine cytology at presentation was also predictive of further tumour formation: of 30 patients who were transferrin receptor positive and had positive urine cytology, 25 developed recurrence

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1990.tb14752.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Summary—The original pre‐treatment histological sections from 125 patients with invasive (T2/T3) transitional cell bladder cancer treated by radical radiotherapy were studied; 63 tumours responded completely to radiation and 62 did not; 55 of 72 tumours containing areas of squamous metaplasia and 27 of 36 staining for beta‐human chorionic gonadotrophin failed to respond to radiotherapy; 26 of 28 tumours showing both squamous metaplasia and beta‐human chorionic gonadotrophin did not respond to radiation, whereas 40 of 45 tumours without either of these features responded.The DNA ploidy of 86 tumours in the series was measured by flow cytometry; 11 of 27 aneuploid and 30 of 59 diploid tumours responded to irradiation.Squamous metaplasia and beta‐human chorionic gonadotrophin in bladder cancer indicate resistance to radiotherapy but DNA ploidy

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1990.tb14753.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Summary—Local deep microwave hyperthermia has been introduced recently for the treatment of benign prostatic hypertrophy (BPH). We report the results of treatment in 114 patients divided into 2 groups. The first group included 83 patients with severe obstructive symptoms. Although some improvement was found in the scoring of both subjective and objective parameters, the number of patients benefiting was small, with only 28% showing improvement in both parameters. Approximately 50% reported subjective improvement but in only 25% was this significant. In 42% there was objective evidence of improvement. Prostatic volumes did not change as a result of treatment.The second group comprised 31 patients with indwelling catheters because of acute urinary retention. After treatment, 19 patients (61%) were able to dispense with the catheter.The difficulties of interpreting an open trial of treatment for BPH and assessing its impact on objective parameters and symptomatology are discussed. Our results should be regarded cautiously in view of these reservation

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1990.tb14754.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY

摘要:

Summary—Fourteen men with outflow obstruction were treated by balloon dilatation of the prostatic urethra using 25 and 30 mm balloon catheters. Significant improvement in objective measurement of outflow obstruction was noted in only 2 patient

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1990.tb14755.x

出版商:Blackwell Publishing Ltd    

年代:1990

数据来源: WILEY