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F X Wese

Publications and source records attributed to F X Wese.

98 records · Page 6Linked to original sources
PubMed1982

Radiologic investigation of the urinary tract in the neonate with myelomeningocele.

A significant number of neonates with myelomeningocele are born with potentially damaging abnormalities of the urinary tract. Therefore, it is logical to investigate these patients aggressively and initiate therapy as early as possible to preserve renal function and maintain lower tract integrity for future continence management. Results of excretory urograms and voiding cystourethrograms were reviewed in 68 consecutive neonates with myelomeningocele. They indicate clearly that only a third of the patients with normal excretory urograms had a normal voiding cystourethrogram, which implies that both studies be performed for complete evaluation of the urinary tract. In other words, of these 68 patients 55 (80.9 per cent) had a normal excretory urogram but only 17 (30.9 per cent) had a normal voiding cystourethrogram. Of the 13 patients (19.1 per cent) with an abnormal excretory urogram 12 (92.3 per cent) had an abnormal voiding cystourethrogram. Reflux occurred in 16.2 per cent of patients; 6 of 7 patients with grade II reflux and 1 of 3 patients with grade III reflux had a normal excretory urogram.

Humans↗
PubMed1982

Ureteral entrapment injury in blunt pelvic trauma: a case report.

An unusual ureteral injury occurred during blunt pelvic trauma in a 6-year-old boy. Crush injury opened the sacroiliac joint, and the ureter was trapped and obstructed during realignment of the joint. Combined retrograde and anterograde pyelography accurately localized the injury and surgical repair restored renal function, despite total ureteral obstruction lasting more than 3 months. The mechanism, diagnosis and treatment of this injury are discussed. Vascular and ureteral injuries must be ruled out carefully when treating blunt renal injuries conservatively.

Child↗
PubMedDate not supplied

[Initial diagnosis of anorectal malformations].

An essential prerequisite for the correct surgical approach of the congenital anorectal anomalies is a precise diagnostic work-up demonstrating the level of the atresia and the nature of possibly associated anomalies. To be acquainted with basic embryology allows a better understanding of this pathology. In this study the value of clinical and radiological parameters has been analysed in sixty cases. An accurate diagnosis was established in one half of the patients only by clinical examination. In the other half, the X-ray with the child inverted according to Wangensteen and Rice proved to be frequently unreliable in contrast with opacification technics. In boys, retrograde urethrography (personal modification) demonstrated the fistula and its location in two-thirds of the cases with a doubtful clinical examination; similarly vaginal and rectal opacification led to a correct diagnosis in one half of the girls. During these investigations with a contrast medium, attention should be focused on the puborectalis sling in contraction and relaxation and its relationship with the terminal part of the bowel. In the remaining cases a colostomy or dilatation of the fistula during the neonatal period allowed the deferral of the definitive diagnosis.

Anus, Imperforate↗
PubMedDate not supplied

[Anomalies of the urogenital system associated with anorectal malformations].

Urinary anomalies associated with anorectal malformations were found in more than one half of 61 consecutive cases treated during the last ten years. This well known high frequency stresses the necessity of systematic investigations in order to diagnose these associated anomalies early in the life. The high incidence of associated anomalies (40%) found in the group of translevator deformities makes careful clinical examination and complete radiological investigation mandatory in all cases. Vesico-ureteral reflux (14 cases), renal agenesis (6 cases), multicystic kidneys (2 cases), urogenital sinus (3 cases) and hypospadias (6 cases) were the most significant findings. A normal aspect of renal ultrasonography at birth should allow to postpone intravenous pyelography which can be tricky in the neonatal period.

Anus, Imperforate↗