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Biomedical subjects

M Fryczkowski

Publications and source records attributed to M Fryczkowski.

At least 19 recordsLinked to original sources
PubMed2001

Evaluation of organ sparing operation results from planned indications in patients with kidney cancer.

An analysis in 53 patients with kidney cancer has been conducted, a group on which kidney sparing operations have been performed. 25 women and 28 men have been examined at the age of 53.7 in the postoperative period of 7 divided by 130 months. The average observation time without any recurrences or metastases was 48.8 months. 5.7% local and 1.9% remote decease related recurrences have been found. The stage of clinical progression and the degree of histological malignancy are factors determining the five-year survival being 98.0%, while without any recurrences or metastases being 88.4%.

Adult↗
PubMed2001

[Laparoscopic varicocele ligation. The comparative assessment of artery-ligating and artery-preserving varicocelectomy].

For over ten years more and more significant role in the diagnostics and clinical treatment of marital infertility have been ascribed to the male factor, which accounts for 30-40% of infertility cases. One of the most common reasons of male infertility is varicocele. Between the years 1994-2000 transperitoneal laparoscopic varicocelectomy was performed in 166 men with unilateral varicoceles. Two methods of surgical correction were administered. In I group--88 men (53%)--testicular artery and vein were ligated, in II group--78 men (47%) only testicular vein was ligated. The success of the treatment was evaluated in two age groups; A--19-30 and B--31-41 years of age. Before the operation in group I and II the sperm count was respectively 18.19?10.51 and 19.05 +/- 10.62 x 10(6)/ml. The percentage of the progressive motility was 18.95 +/- 9.46% in I group and 20.12 +/- 9.08% in II group. The percentage of normal forms was 22.04 +/- 8.42% in I group and 23.02 +/- 9.81% in II group. After 12 months of surgical observation the sperm count was 35.21 +/- 13.46 in I and 31.82 +/- 12.14 x 10(6)/ml, in II group. The percentage of progressive motility increased to 36.48 +/- 15.76% in I group and to 31.26 +/- 10.78% in II group. In both groups the percentage of normal forms was comparable, in I group was 49.11 +/- 26.72% and in II group was 47.15 +/- 17.18%. In both age groups sperm count before operation was respectively: 20.42 +/- 10.20 in A, and 16.42 +/- 9.16 x 106/ml in B. The percentage of progressive motility was in A and B respectively 22.98 +/- 9.91% and 15.38 +/- 9.66%. At percentage of normal forms was respectively 25.62 +/- 8.92 and 18.81 +/- 7.93%. In the end of observation period the improvement of sperm count was observed in A--42.69 +/- 22.36, in B--22.86 +/- 11.76 x 10(6)/ml. The improvement of progressive motility was ia A--43.27 +/- 23.96% and in B--23.09 +/- 17.01%. The improvement of normal forms were in A--55.39 +/- 24.31% and 39.69 +/- 22.29 in group B. The pregnancy rate was; in I group +/- 30.6% in II group--23.1%, in A group--33.3%, in B--group--19.7%. The laparoscopic ligation of the testicular vein and artery produced better improvement of semen characteristics and percentage of pregnancies in comparison with artery sparing technique. The laparoscopic varicocelectomy regardless of the technique allows a significant improvement of semen characteristics and pregnancy rate among the couples, where men were less than 30 years of age.

Adult↗
PubMed1998

[Evaluation of the value of laparoscopy and retroperitoneoscopy in urology. Personal observations].

The aim of this paper is retrospective evaluation of the results and complications after videoscopic operations in patients with urogical diseases. The analysis was performed in 229 patients aged between 4 and 71 years. Among them 210 transperitoneal and 19 retroperitoneal operations were carried out. Complications were noted in 16 (7.0%) and postoperative morality in 0%. The reverse of the operations was performed in three patients (1.3%). The average time of the operations was 60.3 min. (25-185). The average hospitalization time was 3.3 days (2-17). In comparison with classical open surgery videoscopic operations are characterized by less invasiveness, less complicated course, shorter hospitalization time and recovery to active professional live.

Adolescent↗
PubMed1998

[Results of intraperitoneal, laparoscopic colposuspension using Burch's method for stress incontinence in women].

Laparoscopic colpoureterosuspension is a feasible surgical procedure for correcting the stress incontinence in women. A total of 41 patients underwent pelvis laparoscopic procedure. The average age of the patients was 55.4 years (range between 40 and 68 years). The mean operative time was 65 minutes. Laparoscopic intraperitoneal ureterocolposuspension is characterized by 87.6% early postoperative success rate. To carry out laparoscopic Burch's is operation is not more difficult than open surgery, but early optimistic results need a longer follow-up to estimate efficacy of this procedure.

Adult↗
PubMed1998

[Long-term surgical treatment results for hydronephrosis in children].

The aim of this paper is assessment the results of surgical treatment for hydronephrosis in 208 children, who were operated during the last 32 years. The most frequent surgical procedure (90.4%) was Anderson-Hynese method. The good results were obtained on an average in 91.8% to cases. The advantageous risk factors of operations were: female sex, age up to 1 year, the absence of other congenital anomalies and 2 degrees grade of hydronephrosis. Kidney dysfunction before the operation, kidney scintigraphy up to 25% capture or corticorenal index above 0.062% had unfavourable influence on the results.

Adolescent↗
PubMed1998

[Results of Foure's antireflux surgery for bilateral vesico-ureteral reflux in children].

The paper presents the results of the antireflux operation using Foure's method, performed in 27 children with bilateral vesico-ureteral reflux (VUR). The radiologic and laboratory control examinations were done between 14th month and 7.5th year, mean 3.9th year, after operation. The age of these patients ranged 3-12, mean 6.0 years. In 88.9% children complete resolution of the VUR was obtained. In one case (3.7%) the bilateral stricture of the new uretero-vesical junction, and in 2 others (7.4%) recurrent unilateral VUR was found. It is a simple method, which is recommended in patients with a small capacity of the bladder or great inflammatory changes within mucous membrane.

Adolescent↗
PubMed1998

[Evaluation of fertility after surgery for varicocele in boys and adolescents].

Comparative estimation of potential fertility in 66 adolescents with varicocele shows: 1. Improvement of semen parameters in adolescents with over 20 x 10(6) spermatozoa in 1 cc. before operation and preserved spermatogenesis. 2. Increase of ipsilateral testicular volume in 86.4% of boys. 3. Apart from Ivanisevisch technique all applied surgical procedures demonstrate comparatively good results.

Adolescent↗
PubMed1998

[A new method of extravesical correction for vesicoureteral reflux].

New technique of extravesical antireflux surgery was presented and the treatment results were estimated in 16 children. No vesicoureteral reflux was noted in any children after operation during control cystographies. In chosen cases the presented technique corrects ureterovesical reflux, is mildly invasive and shortens child's hospitalization.

Child↗
PubMed1998

[Retrospective evaluation of surgical results in children with a megaureter defect].

We evaluated the efficacy of surgical treatment in 171 children with primary megaureters. Operations were performed between 1980-1997. The average time of follow-up was 7.8 years. The treatment was effective in 149 (87.1%) children. The results were good in 92.8% of cases with obturative type of megaureters and in 81.6% with refluxive type of M.O. The worst results were obtained in children aged under 2 years of live (21.9%). The primary amputation was performed in 48 (28%) children and the secondary in 14 (8.2%) children. In this number 11 was nephrectomies were carried out.

Child↗
PubMed1996

Effect of long-term androgen treatment on the function of hypothalamo-hypophysial and -adrenal axes in transsexual agonadal women.

The study was aimed at assessing the influence of prolonged (18-24 months) androgen treatment of 11 agonadal transsexual women on basal concentrations of LH, FSH, testosterone (T), estradiol (E2), progesterone (P) and SHBG, on the hypothalamic-hypophysial (GH, PRL, ACTH) and hypothalamic-adrenal (cortisol) response in insulin test and TSH and PRL response after TRH administration. Fifteen healthy women in follicular phase of menstrual cycle and 15 men served as controls. In TS women basal concentrations of E2 were comparable with those in healthy women in follicular phase and the lowered T value showed negative correlation with SHBG. In most TS women the stimulated secretion of GH, PRL, ACTH and cortisol in insulin test was diminished. Basal values of these hormones oscillated within normal range except ACTH levels which were higher as compared with control values. In most cases the PRL response to TRH was diminished, but in three patients excessive secretion of PRL was found. Long-term priming with androgen was found to produce a dramatic change in the patterns of hormonal response to post-insulin hypoglycaemia and TRH in female-to-male transsexuals. It was concluded that in prolonged treatment of agonadal transsexual women the doses of testosterone preparations should be adjusted to individual patients in order to monitor steroid and gonadotropin hormone values, as well as the response of pituitary hormones, particularly that of PRL, to stimuli.

Journal Article↗
PubMed1991

Evaluation of the course of pregnancy, delivery and the condition of the newborn infant in women operated on for vesicoureteral reflux in childhood.

Evaluation of the course of pregnancy, delivery and the condition of the newborn infant in mothers after an antireflux operation performed in childhood has revealed differences to the disadvantage of women operated on after the age of ten. This is shown by a significantly more frequent incidence of EH gestosis and urinary tract infections. Pregnancy intensifies the already existing renal insufficiency but does not adversely affect an efficient kidney. No significant differences have been observed in fertility, way of delivery termination, and the newborn's condition between the studied and the control groups.

Adult↗
PubMed1986

Operative treatment of bilateral vesicoureteral reflux by our own method of ureter reimplantation.

The results of treatment of 50 patients with bilateral vesicoureteral reflux (VUR) are presented. In all patients our own method of reimplantation of the ureters consisting in making a single, common submucosal tunnel situated on the back wall of the bladder was employed. The observations made and the results obtained prove the usefulness of the described operative technique in the treatment of bilateral vesicoureteral reflux.

Adolescent↗