PubMed Health⌕ Search

Biomedical subjects

L Gaum

Publications and source records attributed to L Gaum.

3 recordsLinked to original sources

Endoscopic bladder neck suspension for stress urinary incontinence.

Endoscopic vesicourethral suspension is an acceptable procedure for the treatment of true stress urinary incontinence, and is associated with a high success rate and little morbidity. Endoscopic vesical neck suspension was performed in 60 patients, with cure of the incontinence in 49 (82 per cent). A higher success rate was achieved in patients without a prior hysterectomy and/or surgical procedure to correct incontinence. Abnormalities on urodynamic testing may be somewhat suggestive of outcome. However, these studies cannot be used to predict success or failure.

Adult↗

Recurrence of the hemolytic uremic syndrome in a 3 1/2-year-old child, 4 months after second renal transplantation.

Terminal renal failure secondary to the hemolytic uremic syndrome (HUS) developed 18 months after initial transplantation and 4 1/2 months after the child received his second cadaveric renal allograft. Recurrence of the syndrome was evidenced by gross hematuria and hypertension after a 'flu-like' illness, sudden decrease in platelet count and hemoglobin, and erythrocyte fragmentation. Renal biopsy findings were compatible with HUS. Evidence is presented that the HUS was a recurrence of the original disease.

Cadaver↗

Renal vein compression.

Duodenal compression by the superior mesenteric artery is the postulated cause of the superior mesenteric artery syndrome. Our case, as well as 2 other cases of renal vein compression reported in the literature, suggests that this is uncommon but should occur more frequently in this syndrome because it is anatomically as vulnerable to compression.

Adolescent↗