[Immunological aspect of the anti-infection resistance system in the diagnosis of pyelonephritis in the framework of nephrolithiasis].
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Bacterial Infections↗
Biomedical subjects
M F Trapeznikova
Publications and source records attributed to M F Trapeznikova.
[Transurethral resection in patients with benign prostatic hyperplasia complicated by chronic calculous prostatitis].
Combination of benign prostatic hyperplasia (BPH) with chronic calculous prostatitis aggravates clinical symptoms of BPH and complicated its treatment. Pronounced dysuria, persistent pain are highly resistant to conventional chemotherapy. Prostatic stones promoted emergence of sclerotic and purulent complications impeding surgical treatment of BPH. Unsatisfactory results of transurethral resection (TUR) in BPH with chronic calculous prostatitis are attributed to impossibility to remove all the concrements. Visual control in TUR cannot localize the stones. Deep resection of the prostate at the site of expected stone location elevates the risk of enuresis and impairment of prostatic capsule. Surgical treatment of 16 patients has demonstrated that removal of all the concrements and prevention of the complications are possible under transrectal ultrasound control.
Aged↗
[Current aspects of clear cell carcinoma of the kidney].
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Adenocarcinoma↗
[Urotractin in the treatment of an infection of the kidneys, urinary tract and prostate].
Clinical and bacteriological effects of urotractin are analysed for 60 patients with infectious-inflammatory diseases of the kidney, urinary tracts and prostate treated in 3 urological clinics of Moscow. The drug was given 10 days in a dose 400 mg twice a day. Urotractin demonstrated high efficacy against both gram-negative and gram-positive bacteria. The results were the same in in- and outpatients.
Acute Disease↗
[A comparative evaluation of the use of pyeloureterostomy and ureterocystostomy in treating the urological complications following kidney transplantation].
Ureteral stricture and necrosis after allotransplantation of the cadaver kidney were corrected in 14 and 7 patients, respectively. 12 patients have undergone ureterocystostomy, 9 patients--pyeloureterostomy with the recipient's ureter. Shortly after ureterocystostomy anastomosis insufficiency developed in 7 out of 12 patients, after pyeloureterostomy in 1 of 9 patients (p < 0.05). Secondary complications led to the transplants' rejection in 5 of 12 and 1 of 9 patients, respectively (p < 0.05). 2 patients died due to septic complications after ureterocystostomy. Long after surgery stricture in anastomosis and distal ureter occurred in 3 recipients after ureterocystostomy; after pyeloureterostomy (6 months and 2 years) nephrectomy was conducted in 2 cases because of clinical manifestations of pyelonephritis. It is inferred that pyeloureterostomy with the recipient's ureter is preferable to ureterocystostomy in the treatment of ureteral necrosis and stricture following transplantation of the kidney.
Cystostomy↗
[The treatment of obliterations of the posterior urethra in men].
The paper presents the analysis of treatment results for 345 patients with posterior urethra obliteration treated in 1981-1996. Of the various methods used, endoscopic operations proved most effective and safe. Two-stage recanalization of the posterior urethra is more sparing than plastic surgery as it does not employ traumatic approach, is shorter, is accompanied but less blood loss, makes postoperative complications less frequent. A novel treatment (endoscopic recanalization of the urethra under transrectal control) is much less traumatic, makes complications rare. Open plastic operations on the urethra should be made only in cases when obliteration of the posterior urethra is combined with urinary fistulas and when femur bones deformation induces urethral deviation.
Adolescent↗
[Use of stent-nephrostomy in the treatment of renal transplant urologic complications by percutaneous surgical techniques].
Ureteral complications including stricture of the ureter and necrosis of the ureter with urinoma are the most frequent urological complications after renal transplantation. About 1-12% of recipients suffer from these complications. Percutaneous techniques allow correction of ureteral complications by less traumatic than open surgical operations and sufficiently effective method. Ureteral complications were registered in 20 cases (3.6%) out of 561 renal transplantations carried out in our institute from 1990 to 1995. Only in 5 cases open surgical correction was necessary, 15 patients after percutaneous nephrostomy underwent bougienage and/or balloon dilatation of ureter with further antegrade stenting. In all percutaneous operations special stent-nephrostoma developed in our department was used. Use of the stent-nephrostoma with its further transformation into the ureteral stent has some substantial advantages versus routine stent procedure.
Follow-Up Studies↗