摘要:

SUMMARY1It is suggested that the time is opportune for a reconsideration of present apparatus and techniques for urethral drainage of the bladder. The advent of new materials makes it possible to adopt smaller diameters and improved designs.2A new catheter is presented which appears to offer many advantages. Made up in a dry sterile pack, and used in combination with a plastic collecting bag, it should postpone and minimise urethritis and cystitis, and contribute to the elimination of cross‐infection.The Portex catheters described above are produced by Portland Plastics Ltd., Bassett House, Hythe, Kent, and it is a pleasure to acknowledge here the help given by Dr S. A. Leader, of that firm, in the development of the instrument. His unique combination of technical knowledge and clinical sympathies has proved invaluabl

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb03496.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

摘要:

SUMMARY1A comparison has been made of the serum globulins of vesical and prostatic cancer with those of normal serum by filter‐paper electrophoresis.2The changes found in bladder carcinoma were an increase in alpha‐l globulin with a corresponding decrease in gamma‐globulin.3In prostatic cancer the changes are mainly in alpha‐l and beta g

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb03497.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

摘要:

SUMMARYA series comprising 105 cases of hyperparathyroidism is presented. Ninety‐five of these cases were successfully parathyroidectomised and have been satisfactorily followed up.The principal aim of the investigation has been to establish the incidence of hypertension in hyperparathyroidism and to find out if any correlation exists between the renal damage and the occurrence of hypertension. The possibility of a relationship between other symptoms of hyperparathyroidism and hypertension is of interest, and the behaviour of the blood‐pressure and renal function following parathyroidectomy has been investigated.The following results were obtained:—1Seventy per cent. of the cases had hypertension some time during the observation period, the distribution being as follows:50 per cent. constant hypertension; 20 per cent. hypertension before, but normal blood‐pressure after, parathyroidectomy; and 30 per cent. developing hypertension after parathyroidectomy.2The presence of renal calculi or severe renal infection was not demonstrably correlated to hypertension. Nephrolithiasis seemed to be the predominating symptom in the normotensiv group. If any correlation between nephrocalcinosis and hypertension existed at all, it was a slight one. The patients with parathyroid osteitis were mainly referable to the hypertensive groups and were infrequent in the normotensive group and the group with post‐operatively normalised blood‐pressures.3The mortality was 20 per cent. The causes of death were azotæmia in eleven cases, sequek of hypertension (cerebral vascular accidents and cardiac failure) in eight, and other causes in two cases (suicide and arteriosclerosis).4A striking correlation was found between the extent of renal damage (reflected by functional studies and routine biopsies) and the severity of hypertension. The results also indicate that the impairment of renal function preceded the development of hypertension, which implies that the hypertension of hyperparathyroidism may be of renal origin.5The actual mechanism producing these manifestations is not clear from the findings in this investigation. Further studies are necessary, and are, in fact, proceeding in

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb03498.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb03499.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb03500.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

摘要:

SUMMARYRetropubic reconstruction offers an alternative to endoscopic resection in bladder‐neck sclerosis. Experience in twenty‐two cases suggests that the method deserves further tr

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb03501.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb03502.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

摘要:

SUMMARY1One hundred and five cases of vesical diverticulum are analysed.2The ætiology is discussed, and it is suggested that urethral obstruction and bladder‐wall hypertrophy exist in all cases.3It is suggested that congenital bladder‐neck obstruction is the obstructing factor.4The mechanics of formation and enlargement of a diverticulum are considered, and it is suggested that the pouch always enlarges and remains within the layers of the bladder wall.5The indications for treatment are discussed, and it is suggested that the presence of residual urine in the diverticulum is the only reliable indication for operation.6Operative details are considered and an alternative and simpler operation is described.7Urinary infection, calculus. carcinoma of the bladder and renal failure are considered as to their effect on treat

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb03503.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb03504.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY

摘要:

SUMMARYOne hundred and twenty‐three cases of carcinoma of the prostate are reviewed with a five‐year follow up of thirty‐six cases and a three‐year follow up of a further forty cases.Methods of diagnosis and treatment are discussed. Evidence is shown that treatment improves the outlook for such cases significantly, but that it never cures the

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1958.tb03505.x

出版商:Blackwell Publishing Ltd    

年代:1958

数据来源: WILEY