摘要:

Summary—Priapism is a persistent, painful erection of the penis unassociated with sexual stimulation or desire, and detumescence does not occur following ejaculation. Prolonged pathological erections may occur and it is only when they are painful that the term priapism should be used. The erection is limited to the corpora cavernosa.Although the syndrome was named after Priapos, the mythical Greek god of fertility, impotence persists in one half of patients treated for priapism. The disease is rare; the literature consists mainly of case reports and comprehensive reviews are seldom found. Permanent sequelae cause a psychological and physical handicap and justify the present review, which is based upon recent literature as well as personal clinical experience of 15 patients. We have reviewed 170 reports describing 1400 cases of priapism and have based the analysis upon the 230 single case reports found in the literatur

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1986.tb09008.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

Summary—To assess the effectiveness of the surgical correction of vesico‐ureteric reflux, current renal function was determined in 56 children with scarred kidneys who had undergone ureteric reimplantation between 1978 and 1983. The children were aged between 2 and 15 years, had no coexisting urological disease and a glomerular filtration rate (GFR) of<90ml/min/1.73m2. In the 32 patients who had bilateral reimplantation of ureters draining bilaterally scarred kidneys the improvement in GFR following surgery was highly significant (P<0.001), with improvement occurring in 75%. The greatest improvement was in patients where the GFR was<50 ml/min/1.73m2(29%). Individual kidney GFR was estimated in 42 kidneys and 81% improved after surgery. This improvement was highly significant (P<0.0

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1986.tb09009.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

Summary—Seventy‐two women with proven detrusor instability completed a novel clinical trial of the new anticholinergic emepronium carrageenate (Cetiprin novum), which allowed for dose titration. The tolerated dose has been shown to correlate with the severity of symptoms. Statistically significant improvement was achieved in symptomatic and urodynamic parameters without serious side effe

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1986.tb09010.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

Summary—In a consecutive double‐blind cross‐over study, 18 females with detrusor instability were treated with an anticholinergic and calcium antagonistic agent terodiline 25 mg bid or placebo for 3 weeks; cross‐over took place after a wash‐out period of 1 week. The efficacy of the drug was investigated at the end of each treatment period by means of drug preference, micturition charts, pad usage, bladder and urethral mucosal perception threshold and bulbocavernosus reflex latency measurement. Serum levels of terodiline were estimated at the end of each treatment period and all side effects were reported.The preference for the drug was statistically significant (P<0.01): 14 patients preferred the drug, one preferred the placebo and three had no preference. A small but statistically significant reduction was found in 24‐h micturition frequency (P<0.05). Cystometry showed an increase in volume at first sensation, an increase in volume at detrusor contraction and a tendency towards an increase in bladder capacity, whereas detrusor contraction pressure was unchanged. Median serum levels of the drug were 559 ng/ml (range 203–1117). No serious side effects were reported.It was concluded that terodiline should be considered as an alternative drug in the treatment of motor urge

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1986.tb09011.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

Summary—In order to study the effect of urinary infections upon the incidence of bladder instability during cystometric evaluation, 15 women underwent cystometry during the course of significant bacteriuria (105organisms/ml) and again 2 weeks after treatment. The pre‐treatment incidence of bladder instability (53%) dropped by 50% following treatment of the infection but other cystometric measurements remained unchanged. Urinary tract infections must be treated adequately before treating bladder instabil

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1986.tb09012.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

Summary—Pre‐ and post‐operative clinical and urodynamic data have been reviewed in 24 women with detrusor instability following colposuspension. Follow‐up ranged from 3 to 5 years. Ten women remained asymptomatic throughout; of the remainder, four (28.6%) were improved by drug therapy. With one exception, patients who were symptomatic at the outset remained so at late fo

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1986.tb09013.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

Summary—Trophoblastic differentiation in bladder carcinoma is reported in four patients. Plasma gonadotrophin (beta subunit of HCG), measured in three patients, was elevated. In one patient treated with cisplatin, vinblastine and bleomycin, theβHCG level fell significantly but progression of malignant disease was not arrest

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1986.tb09014.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

Summary—Local tumour control and survival is reported for 190 patients with T1 transitional cell cancer of the bladder who received a radical course of X‐ray therapy. There was no difference in survival by the histological grade of the cancer but patients with grade 3 cancers had the highest probability of local control. After initial complete local tumour regression there was a similar probability of subsequent distant metastases irrespective of the grade of the cancer.Radical small field beam directed radiotherapy is commended for patients with T1/pT1 grade 3 transitional cell cancer of the blad

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1986.tb09015.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

Summary—Twenty‐two patients with vesical urothelial carcinoma associated with prostatic carcinoma were reviewed. They represented 1.5% of the bladder and prostatic tumours treated in our department within a 12‐year period from 1968 to 1979. Their management included several treatment policies, based on the separate assessment of each tumour variant. For non‐infiltrating bladder tumours, transurethral tumour resection was combined with hormonal treatment, external radiotherapy or resection of the prostate depending on the stage of the prostatic tumour. Radical cystoprostatectomy was performed for two cases of infiltrating bladder tumour with well localised prostatic tumours. A conservative primary approach seems justifiable in the management of double carcinoma of the bladder and prostate. The coincidence of bladder urothelial carcinoma and prostatic carcinomaper seis not an adverse prognostic factor; prognosis is more closely related to the pathological stage and grade of the bladder tumour. Cystoprostatectomy for patients with infiltrating bladder tumours could be curative, in selected cases, for the prostatic cancer

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1986.tb09016.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY

摘要:

Summary—Division of the anterior prostatic commissure and the bladder neck (but sparing the mucosa) achieves “urethral decompression”. This simple technique for the treatment of benign prostatic hypertrophy was performed in 68 poor risk patients.The results were very satisfactory, especially in large prostates with lateral lobe enlargement. No patient required blood transfusion. Immediate and late post‐operative complications were not encountered and the hospital stay was short. The obstructive manifestations and the maximal urinary flow rate improved in 91% of patients. Failures were due to incomplete prostatic commiss

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1986.tb09017.x

出版商:Blackwell Publishing Ltd    

年代:1986

数据来源: WILEY