Biomedical subjects

A Kutta

Publications and source records attributed to A Kutta.

4 recordsLinked to original sources

PubMed1998

Rotundovaginopexy in orthotopic ileal neobladder following radical cystectomy in women.

PURPOSE: The technique of rotundovaginopexy after cystectomy in females is described. MATERIALS AND METHODS: Four cases, two of them with over 12 months of follow-up are presented in whom this technique was used. RESULTS: Rotundovaginopexy stabilizes the vagina and thus prevents descent of the neobladder. Therefore the position of the neobladder is truly orthotopic. Thus continence and micturition are optimized. CONCLUSIONS: With this technique a truly orthotopic neobladder position can be achieved. The technique is simple to accomplish, even if hysterectomy has been performed long before. Pouchocele with possible complications such as secondary increased post-void residuals or incontinence may be avoided.

Aged↗

PubMed1993

Multifocal renal cell carcinoma of collecting duct origin.

In kidney tumors arising from the collecting duct epithelium (Bellini duct carcinoma), histologic examination shows both tubular and papillary architecture, which can lead to misinterpretation as renal cell or transitional cell carcinoma. A case of multifocal bellini duct carcinoma is described, to the authors' knowledge the first to be reported.

Aged↗

PubMed1992

Primary retroperitoneal tumors.

The pathological classification, diagnosis and therapy of primary retroperitoneal tumors are presented. Three typical cases from our clinical experience are described. Ultrasonography is the most important screening method for the early diagnosis of primary retroperitoneal tumors. Early diagnosis and total surgical excision offer the only hope for successful treatment.

Adult↗

PubMed1989

Critical evaluation of treatment of staghorn calculi by percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy.

The combined use of percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy in patients with staghorn calculi has become an established treatment regimen. We evaluated the results of 90 staghorn calculi-bearing kidneys treated with such combination therapy after a mean follow-up of approximately 2 years. A total of 69 kidneys (76.7 per cent) became free of stones at some point after treatment. However, due to stone recurrence this number decreased to 55 kidneys (61.1 per cent) at the end of follow-up. Patients who had undergone a previous open operation on the stone-bearing kidney showed less favorable results than the over-all group. When our results were compared to reported data on open surgery or percutaneous nephrolithotomy alone even better results may have been obtained by such treatment modalities. However, our data indicate that percutaneous stone debulking combined with further destruction of residual stone fragments by shock wave lithotripsy certainly is less invasive than an open operation and provides an alternative to percutaneous treatment alone, which can yield comparable results.

Adult↗