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Biomedical subjects

J Rathcke

Publications and source records attributed to J Rathcke.

3 recordsLinked to original sources

[Complications following ureteroneocystostomy without antireflux technique in the adult (author's transl)].

65 adult patients subjected to direct uretero-vesical implantation without the use of a recognized antirefluxing technique were followed up to 9 years. Good results could be achieved in 90.8%, whereas failures were mainly due to radiation damage and malignant tumors. A postoperative stenosis was observed five times. Reflux was demonstrable in 7 cases, of which, however, only one was of pathologic significance.

Aged

[A second bladder-neck intervention following open transvesical prostatectomy (author's transl)].

Over a 10-year period 27 patients required a second transurethral revision operation after previous open transvesical prostatectomy. The so-called sphincter-sclerosis, residual and recidivous adenoma, and prostatic cancer were the causes of repeated bladder neck obstruction. Prostatic cancer after prostatectomy seems to be more benign clinically, more differentiated histologically and is diagnosed sooner because it presents with earlier symptoms than does primary prostatic cancer.

Adenocarcinoma

[Pararenal pseudocyst. A rare sequela following blunt abdominal trauma (author's transl)].

On the basis of an organ preserving operative case, the patho-physiological postulation of the origin and the diagnostic difficulty of this rare clinical picture are discussed. Out of the only 30 cases known in the world literature, 26 nephrectomies had to be made. Decisive for the formation are the grave concomitant injuries which mask the local symptomatology of the ureter tear. The duration of the interval trauma - therapy influences decisively the chances of organ preservation (from many weeks to 37 years is unknown).

Abdominal Injuries