ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1959.tb09379.x

出版商:Blackwell Publishing Ltd    

年代:1959

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1959.tb09380.x

出版商:Blackwell Publishing Ltd    

年代:1959

数据来源: WILEY

摘要:

SUMMARYBranches of tortuous arteries in the adventitia of the minor calyces supply blood to the renal papilla. The papilla therefore receives blood from both the vasa recta and the calyx.In certain pathological conditions this dual blood supply is of importance. It probably accounts for the preservation of the papilla and adjacent medulla in cases of acute tubular necrosis. When the calycine vessels are occluded, any interference with the blood supply through the vasa recta, such as occurs during peripheral circulatory failure, is liable to lead to ischemic necrosis of the renal papilla.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1959.tb09381.x

出版商:Blackwell Publishing Ltd    

年代:1959

数据来源: WILEY

摘要:

SUMMARYA case of congenital hypertrophy of the verumontanum causing bladder‐neck obstruction is reported. The ætiology, frequency, clinical features, and treatment are considered and the insidious nature of the presenting symptoms is well illustrated in the case described.I wish to thank Dr R. L. Langley for permission to publish the clinical details and Mr P. Harrison for the photograp

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1959.tb09382.x

出版商:Blackwell Publishing Ltd    

年代:1959

数据来源: WILEY

摘要:

SUMMARYThe symptoms and signs of children with congenital posterior urethral valves have been discussed in detail.The radiological findings, cystoscopic and urethroscopic appearances of thirty‐five children with this condition have been described. Six of the children were under 3 years of age and the remainder between 3 and 16 years of age.Of the six children under 3, one died before operation, two are cured, and three have occasional urinary symptoms.Of the twenty‐nine children over 3, fourteen are cured, two improved, eight unchanged. Five were operated on during the last six months and are not included in the results.We wish to thank the consultants at the Royal Belfast Hospital for Sick Children and the Ulster Hospital for Children and Women for referring their cases to

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1959.tb09383.x

出版商:Blackwell Publishing Ltd    

年代:1959

数据来源: WILEY

摘要:

SUMMARYA case of acquired urethral diverticulum in a paraplegic male is presented and the possible factors in its ætiology are discussed.I wish to thank Mr W. S. Mack for permission to publish this case and for his advice in the‐preparation of this pap

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1959.tb09384.x

出版商:Blackwell Publishing Ltd    

年代:1959

数据来源: WILEY

摘要:

SUMMARYThirty cases of acquired phimosis have been seen in the past five years at Addenbrooke's Hospital. The average age incidence of these patients was 63. Apart from one child aged 5½, there were only two other cases under the age of 50. All these patients presented with a gradual but progressive stenosis of the preputial orifice and dysuria. Balanitis, and in some cases sexual difficulties, episodes of paraphimosis, and retention of urine were less frequent complications.Cases of acquired phimosis are sometimes referred to hospital by their general practitioners with the misdiagnosis of benign prostatic hypertrophy owing to the similar symptomatology of the two conditions.The cases were all characterised clinically by the formation of an annular zone of indurated tissue around the preputial orifice. Eight of these prepuces have been examined histologically following circumcision, and in each case the typical changes of lichen sclerosus et atrophicus have been present.The pathogenesis of preputial lichen sclerosus is uncertain, but it is noted that five of these patients had diabetes mellitus, and at least another five had chronic urinary infections.It seems possible that the development of preputial lichen sclerosus may be predisposed to by the irritant effect of sugar‐laden or infected urine.We wish to thank Dr A. M. Barrett, Dr A. J. Rook, Mr V. C. Pennell, and Mr J. F. R. Withycombe for their help in the preparation of this pap

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1959.tb09385.x

出版商:Blackwell Publishing Ltd    

年代:1959

数据来源: WILEY

摘要:

SUMMARYSix cases of spontaneous rupture of the bladder are described, and reviewed together with sixty‐six cases collected from the literature in the last twenty‐five years.There were sixty‐six cases of intraperitoneal rupture, five cases of extraperitoneal rupture, and one case of combined intraperitoneal and extraperitoneal rupture. The cases of intraperitoneal rupture are classified into two main groups according to whether there was a lesion of the bladder wall or whether the rupture was secondary to retention. The retention group is divided into three sub‐groups: one with neurological disorders, one with urinary obstruction, and a third miscellaneous group, where the rupture is considered to be secondary to a reflex retention.Rupture usually occurs through the vault of the bladder and is usually small in lesions of the bladder wall. Diagnosis depends on a history of pain and disturbance of micturition, and the signs of peritonitis. Catheterisation and withdrawal of blood‐stained urine confirms the diagnosis, but occasionally the urine is clear.The mortality was 47 per cent, and has not fallen during the last twenty‐five years. Carcinoma, tuberculosis, and enlarged prostate accounted for two‐thirds of

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1959.tb09386.x

出版商:Blackwell Publishing Ltd    

年代:1959

数据来源: WILEY

摘要:

SUMMARYA case of spontaneous rupture of a normal urinary bladder is presented. Its rarity is discussed and the literature reviewed.I wish to thank Mr Lloyd Davies and Dr Hearn for permission to publish this case.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1959.tb09387.x

出版商:Blackwell Publishing Ltd    

年代:1959

数据来源: WILEY

摘要:

SUMMARYA condition is described following the injection of vinegar and other caustics into the bladder in an attempt to bring about abortion. After initial acute cystitis and pelvic cellulitis, the bladder contracts, the ureteric orifices gape and are incompetent, and the ureters and pelves become dilated and tortuous. These changes cause incontinence, frequency, difficulty in micturition. and attacks of pyelonephritis.One case is reported and thirteen others in the literature are reviewed. The pathogenesis and treatment are discussed: ileocystoplasty is probably the treatment of choice in the late case.

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1959.tb09388.x

出版商:Blackwell Publishing Ltd    

年代:1959

数据来源: WILEY