[Fibroepithelial polyps of the ureter].
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Biomedical subjects
Publications and source records attributed to B Klevmark.
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In 5 patients with large renal carcinomas Bucrylate was injected into the renal artery. One to 3.5 ml Bucrylate were required to obtain occlusion of the arteries. At operation 14 to 38 days later the arteries were still occluded. One patient developed pulmonary embolism, other complications were of less importance. The main indication for the procedure is very large, highly vascularized carcinomas in the upper part of the kidney. Bucrylate seems to be a suitable embolus inducing agent.
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The influence of extrinsic innervation on bladder wall tension (tonus) and on intravesical pressure patterns was studied with a new cystometric procedure (Controlled Slow Cystometry, CSC) and during natural filling. After parasympathectomy, but not after sympathectomy, the basal intravesical pressure was markedly increased. At low filling rate the partial or completely denervated bladder was filled from small initial volumes without any increase in intravesical pressure. At higher rates of filling a pressure rise occurred, and this reaction was not affected by either parasympathectomy or sympathectomy. As in the intact cat, the new pressure level was retained when the filling rate was gradually reduced. The various intravesical pressure patterns observed during filling were preserved in the partial or completely denervated organ. Thus, bladder adaptation during natural filling occurs independently of extrinsic innervation.
A non-direct ureteral lesion following operations on the colon and rectum is described. The complication was observed 10 to 64 days postoperatively, and is characterized by a unilateral or bilateral, relatively long stenosis. A total of 8 cases are presented: 7 of ulcerative colitis and one, a rectal prolapse. The main symptoms were unilateral abdominal or lumbar pain, moderate fever, and a pronounced ureteral stenosis revealed at i.v. urography. In 7 cases, full restitution occurred after antibiotic treatment, supplied by ureteral catheterisation in 4 cases, while operation was necessary in one case. The discrepancy between the seriousness of the roentgenological picture and the good final result of conservative treatment was striking.
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