ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb06224.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

摘要:

SUMMARYNephrotomography as described by Evanset al. has been evaluated from the clinician's point of view. At the present time it appears that intrarenal masses can be diagnosed as simple cysts or neoplasms with 90 to 95 per cent. accuracy. The technique requires some practice and precision, but thus far no major complications have occurred.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb06225.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb06226.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

摘要:

SUMMARYA brief review of the subject of primary carcinoma of the ureter has been presented, with the addition to the literature of another case of primary bilateral carcinoma. Although the patient shows some degree of nitrogen retention, it is felt that this is not due to the type of loop used, and that the U‐shaped segment with one side antiperistaltic is a satisfactory structure for ureteral replacemen

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb06227.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

摘要:

SUMMARYUp to now we have performed three transperitoneal urcterolithotomies as recommended by Kneise (1935). The technique described by this writer was modified inasmuch as we combined the transperitoneal approach with retroperitoneal drainage, thus avoiding the danger of the urinary extravasation and infection.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb06228.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

摘要:

SUMMARY1. Two‐hour glucose tolerance tests were performed on thirteen patients with ureterocolic anastomoses.2. Impaired carbohydrate tolerance was found in three patients on at least one occasion; in only one of these patients was there evidence of acidosis.3. Six other patients with acidosis had normal carbohydrate tolerance.4. Starvation appears to have been the greatest contributory factor to defective carbohydrate tolerance in the patients tested, though acidosis might have been an additional factor in one patient.5. Attention is drawn to a possible diagnostic hazard, that is, hyperglycæmia in a patient with clinical acidosis during the administration of intravenous dextrose soluti

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb06229.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

摘要:

SUMMARYThe transperitoneal removal of certain medium‐sized and large vesical diverticula is a valuable alternative to other methods of removal; there is less trauma to the bladder than in extra peritoneal or transvesical methods of removal, since not only can the sac be excised without opening the bladder but only a relatively small area of the bladder wall requires dissection. The possibility of infecting the general peritoneal cavity may formerly have been an important argument against the use of this route, especially in patients who had had repeated catheterisation resulting in cystitis. In our clinics the great majority of prostate patients in recent years have either been admitted with acute retention without a catheter having been passed, or have been investigated in the out‐patient clinics and have had no instrumentation prior to immediate pre‐operative cystoscopy; the urine in consequence is usually free from infection. Moreover, the greater control of infection in the urinary tract, should it exist, by the use of antibiotics and sulphonamides, has made the urologist much less fearful of opening the peritoneal cavity for operation on the bladder than used to be the case. The radiographic technique described has proved a valuable aid in the selection of cases for the transperitoneal operation. Ten successful cases of transperitoneal diverticulectomy have been desc

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb06230.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

摘要:

SUMMARY1. Regeneration of the bladder after extensive partial cystectomy or accidental necrosis has been reported in the medical literature of our time.2. We report a case of total cystectomy with implantation of a plastic mould in the place previously occupied by the bladder.3. When the plastic mould was removed twelve weeks later, we found that the cavity was similar to a normal bladder, with transitional epithelium of vesical type.4. This cavity was larger than the plastic mould.5. A descending pyelogram made after the mould was removed showed that kidney function was normal; that the ureters drained normally to the newly formed cavity; and that the mild hydronephrosis produced during the time the mould had remained in place had practically disappeared.6. Histological study of biopsies taken in different areas of the newly formed cavity showed that it was lined by a transitional epithelium of vesical type over a membrane formed of connective tissue infiltrated with round cells. We did not find plain muscular fibres isolated or grouped in bundles.7. We are not aware of this operation having been performed previously in human beings.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb06231.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

摘要:

SUMMARYFour hundred and forty‐five children between 3 and 15 years of age have been examined by micturating cysto‐urethrography: 430 children had enuresis, ten urinary infection, and five had miscellaneous symptoms. A vesico‐ureteral reflux occurred in sixty‐one children.The relationship between reflux and obstructive abnormalities, reflux and non‐obstructive abnormalities, and reflux and infection has been studied. The findings indicate that lower urinary tract obstruction is not a common cause of vesico‐ureteral reflux in children and that other abnormalities,e.g., wide bladder‐neck anomaly, are not commonly associated with vesico‐ureteral reflux. There was a high incidence of association between vesico‐ureteral reflux and megaureter particularly with pyelitis, but whether the infection was the cause of the reflux or vice versa was not clear.Fifteen children with reflux were examined in detail in the upright position and it was found that the reflux was not confined to any one stage of filling or emptying. The height of the reflux did not seem to depend on whether the patient was in the supine or vertical position.In this series, thirty children showed a vesico‐ureteral reflux without any other apparent abnormality of the urinary tract,i.e., there was no evidence of obstructive uropathy. no evidence of neurogenic uropathy,e.g., spina bifida with neurological signs, no history of previous urinary infection, and repeated examinations o

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb06232.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

摘要:

SUMMARYTwo cases of urethral diverticula are reported; in one case the sac was empty and in the other there was a large stone weighing 104 g.Urethral diverticula are congenital or acquired, the latter being the consequence of peri‐urethral abscess, trauma, or stricture.Irrespective of origin the changes that can occur in a urethral diverticulum are the same and depend upon the size of the communication with the urethra; either acute infective episodes occur or, if there is adequate drainage into the urethra, a stone slowly forms.The diagnosis of an infected empty sac is made by urethrogram. If a calculus is present it can be palpated and the diagnosis confirmed radiologically and by urethroscopy.Treatment is by excision of the diverticulum and removal of any calculi present, combined with temporary diversion of the urinary flo

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb06233.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY