ISSN:0042-1138    

DOI:10.1159/000279788

出版商:S. Karger AG    

年代:1972

数据来源: Karger

摘要:

Changes in the structural gene DNA molecule, qualitative and quantitative regulator and operator gene, and repair enzyme alterations are discussed with reference to their effect on cell differentiation and morphogenesis. Personal experiments in tolerance induction are described, and attention is drawn to the possibility of employing such induction to prevent transplant rejection in the repair of congenital genitourinary deformities. I would like to thank Prof. Gallizia and the Organizing Committee for their invitation to deliver this address. It is an honour that I much appreciate.

ISSN:0042-1138    

DOI:10.1159/000279789

出版商:S. Karger AG    

年代:1972

数据来源: Karger

摘要:

The application of the physical principles of fluids dynamics to the phenomena of micturition permits us to obtain mere useful information concerning physiopathology of the urinary tracts. Such methods of study constitute the basis of a new chapter in urology: ‘Urodynamics’. In this article there are described the required instrumentation and their respective clinical applications. The results of our experiencies, summarized in the tables, support their valid

ISSN:0042-1138    

DOI:10.1159/000279790

出版商:S. Karger AG    

年代:1972

数据来源: Karger

摘要:

Two cases of congenital malformation of the urethra with coexistence of other disturbances or repercussions on the urinary and genital tracts have been presented. The pre-operative evaluation of the presence of other urinary malformations or from other systems together with the repercussion that any lower urinary malformation can report on the upper urinary tract (renal insufficiency) have also been discussed.

ISSN:0042-1138    

DOI:10.1159/000279791

出版商:S. Karger AG    

年代:1972

数据来源: Karger

摘要:

A case of double pelvis and double ureters, one with ectopic outlet into the vagina, were observed bilaterally in a 14-year-old subject. Perfect function of the involved kidney was achieved by ureterocystoneostomy

ISSN:0042-1138    

DOI:10.1159/000279792

出版商:S. Karger AG    

年代:1972

数据来源: Karger

摘要:

The authors report a case involving a 2-year-old male with congenital meningomyelocele treated for urinary incontinence. An operation reducing the spinal defect is performed and the child is subsequently treated both medically and by sacral faradisation for urinary incontinence. Enuresis is well controlled after nearly 2 years. At 4 years of age, epidural infiltrations are begun, and there is improvement of the heretofore persistant diurnal urinary incontinence. At 9 years of age, the problem of urinary incontinence is well controlled; the child very rarely has bouts of poor bladder control. A complete urological examination permits the visualization of a morphologically normal urinary system. The child occasionally has episodes of spontaneous erections of the penis.

ISSN:0042-1138    

DOI:10.1159/000279793

出版商:S. Karger AG    

年代:1972

数据来源: Karger

摘要:

The author has collected 16 cases of ectopic ureter in girls. In one case, the ectopy was bilateral and was associated with a bilateral triplication. The malformation is detected at a very early age: 5 times out of 16 in children less than 3 years old. The clinical investigation under general anesthesia is of prime importance in the diagnosis in children. In half of the cases, the upper pyelon was dysplasic. If it is not dysplasic, it suffers from interstitial nephritis. In 12 cases, the incontinence was cured by hemi-nephro-ureterectomy. In 4 cases, the condition of the upper pyelon allowed a conservative surgery: the author advises the vesical reimplantation of the only pathological ureter; this process has been successful 4 times in 4 children operated.

ISSN:0042-1138    

DOI:10.1159/000279794

出版商:S. Karger AG    

年代:1972

数据来源: Karger

摘要:

We reported a case of ecotpic ureterocele with retro-urethral meatus opening. The child was operated at 4 months on account of a severe urinary infection. Total nephroureterectomy and incomplete removal of the ureterocele brought recovery, but 3 years later incontinence appeared. It was caused by the remainder of the unsuspected terminal portion of the ureter. Result was a vesicovulvar fistula. An attempt of surgical closing was a failure.

ISSN:0042-1138    

DOI:10.1159/000279795

出版商:S. Karger AG    

年代:1972

数据来源: Karger

摘要:

70 cases of epispadias are reviewed (56 boys, 14 girls). 11 boys with continent epispadias were treated, with perineal urethrostomy, by a technique similar to the Duplay technique for hypospadias: 4 good results, 4 fistulae which needed a second operation, 2 urethroceles, one complete failure. 30 cases of incontinent epispadias (8 girls and 22 boys) were operated on with a technique similar to the one described by Young. Some details are important: (1)Not to operate too young: 9–11 years of age because it is a painful operation and it is important to have a co-operative child the months following the operation; frequent micturations, each micturation done in several times. (2) To make a new posterior urethra of very small caliber. (3) To fill the empty space between the pubis and the reconstructed urethra with muscles (rectus of the abdomen or gracilis of the thigh). The results are: 2 patients without follow up; 6 failures; 4 mediocre results; 18 good results with a follow up from 1.5 to 13 years. The upper urinary tract stays norma

ISSN:0042-1138    

DOI:10.1159/000279796

出版商:S. Karger AG    

年代:1972

数据来源: Karger

摘要:

The speaker introduces a rare innate malformation: Persistance of the permeability of the urachus, having as sole basic symptom the discharge of urine from the umbilicus. This malformation can be observed either in the absence of any obstruction of the normal discharge of the urine, or combined with other interesting lesions of the urine channels. The phimosis is in most cases, in the old age, a prostatic hypertrophia. The permeability of the urachus can be total or even initially partial, later becoming total due to an intervening anatomical obstacle. The speaker discusses the diagnosis and the treatment of the case in infants and adults.

ISSN:0042-1138    

DOI:10.1159/000279797

出版商:S. Karger AG    

年代:1972

数据来源: Karger