摘要:

Summary—In the 10 years between 1976 and 1985, 202, 111 patients were admitted to Hasan Sadikin Hospital, Bandung. Of these, 211 (0.1%) had a urological malignancy. Bladder tumours were commonest and constituted 39%. Testicular tumours accounted for 24%, renal tumours 18%, prostatic carcinoma 13% and penile tumours 6%.Bladder tumours were predominantly transitional cell carcinoma; only 2 patients presented with squamous cell tumours associated with bladder stones. In 50 cases of testicular tumour, 72% were seminomas and 22% were embryonal cell carcinomas. Wilms' tumours accounted for 21 of 39 cases of renal malignancy; the other 18 were renal carcinomas.No urogenital malignant disease was sufficiently common to be included in either the top 10 malignancy list or the male top 10 malignant diseases in Indonesi

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1989.tb05111.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Summary—Fifty‐six patients with renal or ureteric colic were entered into a randomised, prospective, double‐blind investigation of the analgesic efficacy and tolerance of VoltarenRversus KetoganR, both administered intramuscularly. There were no significant differences regarding pain‐relief but side effects were fewer in patients treated with V

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1989.tb05112.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Summary—In a 1‐year laboratory‐based study the validity of certain findings on microscopy and culture of mid‐stream urine specimens as predictive of the presence of structural or functional abnormalities of the urinary tract was tested. During 1986, infection was diagnosed in 12,705 specimens sent to the laboratory by general practitioners; in the light of the findings a comment suggesting the possibility of underlying urinary tract pathology was appended to the reports of specimens from 652 patients. Data were available from the investigation of 233 of these patients. The percentage in whom abnormalities were detected considerably exceeded that reported from studies of bacteriuric children and of adult women with symptoms. It is suggested that the use of these criteria may assist clinicians to select, from the very large number of patients who suffer from urinary tract infection, those who require invest

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1989.tb05113.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Summary—The effects of irrigation with sterile and infected saline after acute ureteric dilatation by graded Teflon dilators were evaluated renographically and histologically in minipigs. The minipig ureter was dilated from its normal calibre of 4 F to 10 F, and 100 ml of sterile or infected saline were then introduced from a height of 60 cm under gravity.One week after irrigation and dilatation the ipsilateral kidney was either functioning less than 10% or there was an obstructive nephropathy. Histology at 3 months suggested that extravasation of infected irrigating fluid was the most likely cause of ureteric stricture formatio

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1989.tb05114.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Summary—The subjective assessment of urine loss in 84 incontinent women was quantified by using a 10‐cm visual analogue scale. These results were compared with the results of a 2‐h pad weighing test. We found no relationship between a patient's subjective impression of the severity of her incontinence and the corresponding objective assessment by a 2‐h pad weighi

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1989.tb05115.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Summary—A group of 37 patients (24 female and 13 male) with chronic urinary retention and without demonstrable mechanical obstruction had neurophysiological measurements of their lower urinary tracts to detect any neurological abnormality which might relate to the disorder. These consisted of measurements of the electrosensitivity of the dorsal nerve of the penis/clitoris and of the urethra, measurement of the sacral reflex latencies (SAL) from dorsal nerve to urethra and to anus and between urethra and anus and EMG studies of the urethral and anal sphincters. The results suggest that female patients in particular have significant neurogenic defects in the voiding reflex arcs which find their clinical expression in detrusor underactivity with urinary retention. Plain X‐rays of the renal tracts (KUB films) were also studied for the presence of spina bifida occulta. The prevalence of this defect was significantly higher than in normal controls, suggesting that in some of these patients the nerve defect might be related to a tethered cord in association with spina bifida occu

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1989.tb05116.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Summary—A total of 48 patients with genuine stress incontinence underwent endoscopic bladder neck suspension; 36 patients (75%) were completely cured of their incontinence but 12 (25%) suffered recurrent leakage. In 2 cases this was due to infection and erosion of the vaginal sutures; in 4 cases failure was ascribed to a small capacity bladder and “pipe‐stem” urethra. In the remaining 6 unsuccessful cases the Stamey sutures had cut through flimsy endopelvic fascia.It was concluded that endoscopic bladder neck suspension has advantages over colposuspension in terms of reduced dissection and hospital stay, but its success rate is lower than originally reported. Failures due to suture infection and buttress displacement may be avoided by not using Dacron and, instead, by picking up vaginal subdermis with nylon sutures‐the same tissue used to provide support in a Burch colpos

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1989.tb05117.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Summary—A series of 20 patients with acute complete suprasacral cord lesions underwent serial urodynamic assessment of vesicourethral function and serial measurement of sacral reflex latency times (SRL) and reflex threshold throughout a follow‐up period of 42 to 83 weeks (mean 50).No correlation was found between any pattern of SRL latencies or reflex thresholds and subsequent bladder behaviour. The reproducibility of sacral reflex latencies was found to be poor (mean variation of serial measurements from initial reading 21%) and could not be explained on the basis of “dynamic” neurological recovery. Studies using the bladder as a stimulus site were unreliable. The value of SRL studies in detecting subtle neurophysiological changes is di

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1989.tb05118.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Summary—A total of 30 patients with known neuropathy, mostly spina bifida, developed poor bladder compliance early in filling demonstrated urodynamically; 20 had bilateral hydronephrosis at the time of presentation and 5 also had severely impaired renal function. After appropriate treatment all of those with normal upper tracts or with bilateral hydronephrosis but normal renal function stabilised or improved. However, all 5 with severely impaired renal function progressed to end‐stage renal failure. Poor compliance early in filling is an absolute indication for surgical intervent

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1989.tb05119.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY

摘要:

Summary—The density of cholinergic and of alpha and beta adrenergic receptors was measured in samples of normal and hyper‐reflexic human detrusor muscle. There was a significant reduction in the density of cholinergic receptors and a significant increase in the density of alpha adrenergic receptors in the hyper‐reflexic samples as compared with normal. There was no difference between the two groups in the density of beta adrenergic rece

ISSN:0007-1331    

DOI:10.1111/j.1464-410X.1989.tb05120.x

出版商:Blackwell Publishing Ltd    

年代:1989

数据来源: WILEY