摘要:

Summary—A study was made of 170 patients with renal pelvis or ureteric tumours, 160 of whom underwent surgery between 1948 and 1981. The most important aetiological factor was chronic phenacetin abuse: 21.7% of 83 patients with renal pelvis tumours and 11.4% of those with ureteric tumours gave a history of phenacetin abuse. The latency periods ranged from 24 to 26 years. This is the first report of a relationship between abuse of analgesics and urothelial tumours from the Federal Republic of German

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1988.tb13957.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Summary—We present 3 cases of nephroptosis encountered in young females over a 6‐month period which posed diagnostic difficulties and gave inaccurate split renal function determinations until the true situation was disclosed. A syndrome is described of clinical presentation with right upper quadrant pain, erect hippuran renography showing an apparently small right kidney and reduced function but with normal time to peak and elimination phase on the curve (the “miniaturised” renogram) and erect and supine DMSA scintigraphy which confirms the diagnosis of abnormal renal mobility. Guidelines are suggested by which nephroptosis can be recognised and assessed in urological and nuclear medicine p

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1988.tb13958.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Summary—Eighteen lymphoceles developed after 199 renal transplantations, 11 being asymptomatic. Ultrasound was the most sensitive method of detection. Seven lymphoceles were symptomatic, pelvic mass and decreased renal function being the most frequent signs. Five lymphoceles were successfully treated by instillation of iodate povidone into the lymphatic cavity; there were no complications or recurrences. This is a simple, safe and inexpensive method for the treatment of lymphoceles after renal transplantatio

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1988.tb13959.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Summary—Twelve cases of genito‐urinary complications of brucellosis are presented. Ten patients had epididymo‐orchitis, 1 presented with right hydronephrosis and 1 with haematuria and dysuria. The 10 cases of epididymo‐orchitis were compared with 15 cases of acute non‐specific epididymo‐orchitis. The former were of longer duration and were not associated with lower urinary tract symptoms; almost all of these patients had ingested unpasteurised milk. Non‐specific epididymo‐orchitis had a more acute onset, shorter duration and was associated more frequently with pyuria, lower urinary tract symptoms, higher leucocyte counts and insignificant brucella titres.The distinction between these two types of epididymo‐orchitis is essential, since the treatments are e

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1988.tb13960.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Summary—In 3 previously healthy patients undergoing percutaneous nephrolithotripsy complicated by perforation of the medial wall of the renal pelvis, a false channel or “pseudo‐ureter” formed around the ureteric stent catheter, starting from the renal pelvis and re‐entering the upper ureter. Recognition occurred 2 to 3 days after lithotripsy during nephrostography and the complication was treated by re‐positioning the stent into the true ureteric lumen.All patients are well 7 to 10 months after lithotripsy and there have been no long‐term

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1988.tb13961.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Summary—The value of a prophylactic antibiotic before a routine cystometrogram has been assessed in a controlled trial of 100 patients. The infection rate was low and not statistically different in both groups. Subsequent symptoms of dysuria and haematuria had a mechanical aetiolog

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1988.tb13962.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Summary—Muscle strips from the human detrusor and trigone were studiedin vitro.The detrusor muscle contracted strongly to both cholinergic receptor stimulation with carbachol and to electrical field stimulation. There was no evidence of atropine resistance in the detrusor strips. The superficial trigone responded maximally to alpha‐adrenergic receptor stimulation but also produced a significant cholinergic response. Intramural nerve stimulation in the presence of both atropine and phentolamine produced a residual non‐adrenergic, non‐cholinergic (NANC) response of 40% of its maximum at 5 Hz. Electrical stimulation, particularly at the lower frequencies of stimulation, produced relaxation responses in 40% of the superficial trigonal muscle strips. These relaxations were not blocked by atropine, phentolamine or propranolol, but were abolished by tetrodotoxin. The possible role of the cholinergic “input” to the superficial trigone and the importance of the NANC excitatory and inhibitory innervation in preventing vesico‐ureteric reflux and in aiding bladder neck opening

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1988.tb13963.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Summary—In a randomised, double‐blind study, 20 women with idiopathic detrusor instability and associated symptoms were treated with terodiline 25 mgbd, placebo, and emepronium bromide 200 mgtds—each drug being given for 3 weeks with placebo as wash‐out period before cross‐over. The results were evaluated according to drug preference, frequency charts and elimination of detrusor instability on cystometry. Serum levels of both drugs were monitored as control of tablet intake.The preference for terodiline to placebo was statistically significant: 14/3 women (P<0.05), and the majority of women (12/4) preferred terodiline to emepronium. Terodiline also gave a small but significant reduction in 24 h micturition frequency and eliminated detrusor instability in almost 50% of the patients (P<0.05). Side effects were frequent but mild in all three treatment periods. It was concluded that terodiline offers an alternative in the treatment of female detrusor in

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1988.tb13964.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Summary—Variation of resting urethral pressure has been reported and it has been postulated that this is important in the genesis of lower urinary tract symptomatology in women. In order to differentiate between normal and abnormal urethral pressure variations several arbitrary values have been chosen and the prevalence of abnormality in symptomatic women reported. However, large variations in urethral pressure may be seen in healthy, asymptomatic volunteers. We have identified the prevalence of urethral pressure variation in a large group of female volunteers and have shown that “abnormal” urethral pressure variation is not associated with lower urinary tract symptomat

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1988.tb13965.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY

摘要:

Summary—One hundred patients with urinary incontinence of various aetiologies underwent implantation of an artificial urinary sphincter (AUS). In 40 patients various reconstructive procedures of the lower urinary tract were carried out at the same time.In 93 patients the results were successful and they are continent. Six are incontinent and 4 of these await AUS replacement. One patient has had a urinary diversion with the sphincter stillin situand functioning.The complication rate was 45% (of which 29% were designated “sphincter‐related”). Half of these were accounted for by two complications: one was a change in bladder behaviour in patients with neuropathic bladders and the other was stress incontinence as a direct result of implanting low pressure devices. If these two factors and the “sphincter‐unrelated” problems are discounted, the complication rate was 13%.The AUS is a satisfactory and successful method of treatment for sphincter weakness incontinence regardless of aetiology and the results suggest no contraindication to implantation at the same time as reconstructive surgery of the lower

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1988.tb13966.x

出版商:Blackwell Publishing Ltd    

年代:1988

数据来源: WILEY