ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1980.tb02910.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Summary—The incidence of bacteriaemia and bacteriogenic shock was studied in 2 series of patients undergoing urological procedures. In the first series (A), 52 of 4333 urological patients had symptoms of bacteriogenic shock. Twenty‐five of these had a positive blood culture, giving an incidence of shock with proven bacteriaemia of 0.58%.In the second series (B) 628 patients had blood cultures taken after urological procedures with an incidence of bacteriaemia of 12.7%. Bacteriaemia is most common after prostatic surgery (transurethral prostatectomy 27%, retropubic prostatectomy 37%, prostatic biopsy 20%), and is usually due to Esch. coli, Proteus speicies and Ps. aeruginosa. In hospital practice these organisms are unlikely to be sensitive to common antibiotics and initial therapy with an aminoglycoside is justified, while awaiting the results of blood cult

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1980.tb02911.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Summary—We report 10 cases of rupture of the urinary bladder in children. Only one patient was a girl. The rupture was caused byn a road accident in 6 cases and occurred “spontaneously” in 4. Rupture of the bladder maay be difficullt to diagnose. In many patients the vesical rupture is not the only abnormality in the urinary tract and a thorough investigation is necessary. The majority of the bladder ruptures in these children were intraperitoneal, which contrasts with the reported experience in

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1980.tb02912.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Summary—Two questinnaire surveys were undertake to investigatie the problems experienced by patients and staff in coping with ilial conduits. A survey of 34 patients showed that the major problems were urinaryleakage and skin excoriation. In 7 out of 13 patients, leakage was associated with contour problems due to abdominal hernias or recession of the Stoma. Fifty‐seven questionnaires were received from British urologists, who each constructed, on average, 7 ileal conduits per annum. Twenty of 57 surgeons had no stomatherapist. Leakage and skin reactions were once again the most commonly encountered problems. It was concluded that the most severe leakage problems could be prevented by careful surgical techique. However, most of the day‐to‐day problems could be handled by a competent stomath

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1980.tb02913.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Summary—This study examines the effect of antifibrinolytic therapy on the incidence of secondary haemorrhage following endoscopic surgery. One hundred consecutive patients were allocated randomly to treatment and control groups. The incidence of secondary haemorrhage was reduced from 56% in the ciontrol group to 24% in the treatment grou

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1980.tb02914.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Summary—Thirty patients with advanced carcinoma of the prostate were treated with estramustine phosphat. All patients were followed up for a minimum of 9 months. Of 15 not previously treated with oestrogens 9 responded objectively and 11 subjectively. Of 15 patients whose tumours had failed to respond to at least 2 oestrogens, 3 responded objectively and 5 subjectively Adverse effects consisted of cardiovascular complications, gynaecomastia and impotence. Gastrointestinal side effects were minimal and no hepatic, renal or marrow toxicity was seen. The criteria of assessment of response are discusse

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1980.tb02915.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Summary—Results reported in this paper on the use of the combination of vinblastine, blemycin and cis‐platinum in the treatment of 20 patients with metastatic testicular tumours demonstrate that this combination is highly active. All patients demonstrated an unequivocal response to treatment, completeness of response being determined by extent of disease at start of treatment and whether or not patients had received previous treatment with radiothe

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1980.tb02916.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Summary—Thirty‐three patients with malignant testicular teratomas and para‐aortic metastases exceeding 2 cm in diameter have been treated with radiotherapy, chemotherapy (vinblastine and bleomycin, with or without cis–platinum) or both, followed by surgical excision of the residual para‐aortic mass. Removal of a poorly functioning ipsilateral kidney was necessary in 7 cases (21%) and a segment of vena cava was resected in 2 (12.5%) of 16 patients with primary right‐sided tumours. Removal was incomplete in only one patient, who had femoral nerve root involvement, and he subsequently died of secondary haemorrhage (operative mortality 3%). Undifferentiated tumour was found in 8 (61%) of 13 patients (Group 1) after radiotherapy, compared with only 2 (15%) of 13 (Group 2) after chemotherapy and radiotherapy, and 4 (57%) of 7 (Group 3) who had chemotherapy only prior to surgery; however, 3 of the Group 3 patients were referred because of evidence of activity in the para‐

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1980.tb02917.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Summary—Fourteen patients with disseminated non‐seminomatous germ cell tumours of the testis were treated with a 3‐drug combination of vinblastine, bleomycin and cis‐diamminedichloroplatinum. Of 13 patients with measurable disease, 9 (9%) had complete and 3 (23%) partial remission. One patient with a solitary metastasis failed to respond but is disease–free following surgical excision. Toxicity was significant but no drug‐related deaths occurred and there were no apparent lasting side effects. No patient attaining complete remission has relapsed. Eleven (79%) of the 14 patients are without evidence of disease from 3+ to 36+ months, 6 of these for 2 years or more. Of the patients in partial remission one died at 16 months and one is undergoing further treatment for relapse with liver metastases. One patient remains in partial remission at 30 months. These results demonstrate the efficacy of this drug combination in testic

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1980.tb02918.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY

摘要:

Summary—The Doppler technique has been used to evaluate venous reflux in the spermatic cord. Valsalva‐induced reflux occurred on the left side in 83% and on the right side in 59% of 118 patients without clinical varicoceles and there was no difference in incidence between fertile and infertile men. The significance of Valsalva‐induced reflux should be questioned.Greater importance should be attributed to the spontaneous venous reflux that occurred during quiet respiration in the majority of patients with varicoceles. Seven velocity waveform patterns are described and these are thought to represent increasing degrees of internal spermatic vein reflux and provide a basis on which it is possible to grade varicoceles. The Doppler grades correlated with the size of the varicocele, and with the internal spermatic vein diameter and testosterone concentra

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1980.tb02919.x

出版商:Blackwell Publishing Ltd    

年代:1980

数据来源: WILEY