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Biomedical subjects

T Lukács

Publications and source records attributed to T Lukács.

8 recordsLinked to original sources

The effect of intravesical mitomycin C on the recurrence of superficial (Ta-T1) bladder cancer. A Hungarian Multicenter Study.

We evaluated the prophylactic efficacy of instillations of intravesical mitomycin C in 57 patients with primary superficial bladder cancer in a multicenter clinical trial. After complete transurethral resection of Ta-T1 G1-G2 transitional cell bladder carcinomas, patients were treated with mitomycin 40 mg/50 ml saline of 15 instillations for 12 months. Most of the complications were mild and transient but two patients dropped out of the trial because of moderate side effects. Fifty-one patients were evaluable. We observed tumour recurrences in six patients (11.8%) during a median follow-up of 44.5 months. The recurrences were treated by transurethral resection. There was no muscle invasive progression in the recurrences. Our investigations confirm the effectiveness of mitomycin C in the treatment of patients with superficial bladder cancer.

Administration, Intravesical↗

[Idiopathic priapism in childhood].

The authors described the operation technique of the spongiocavernosum shunt in connection with a successfully operated patient. In their case the Quackels procedure was applied with minor modifications, since the conservative one wasn't successful. Their patient is perfectly healthy functionally too. The etiologic factors could not be clarified.

Child↗

[Giant secondary vaginal calculus].

The development of a large vaginal stone in a 25-year-old female, correlated with vesicovaginal fistula, is presented. The stone, composited of struvite and carbonate apatite, formed around non-absorbable surgical suturing material in urine with urease producing (P. mirabilis) bacterial infection. The stone was removed by simple lithotripsy technique. Attention is taken for the importance of stone prevention.

Adult↗

[Surgical treatment of acute epididymitis].

Epididymotomy was performed besides drug therapy in 61 patients suffering from acute epididymitis. Surgical intervention was indicated if the conservative therapy was not successful or the wall of the scrotum became fixed. Epididymotomy is carried out by longitudinal or multiple incision of the inflamed epididymis and by the drainage of the operative region. Significant advantage of the operation is the rapid recovery and the fact that the development of a not infrequently seen chronic epididymitis can be prevented by it. This not yet widely used method in Hungary is recommended for the treatment of the disease, on the basis of the favourable results of the postexaminations.

Abscess↗

Multiple urolithiasis in bilharziasis patients.

A total of 780 patients were operated on for lithiasis. Among them 97 presented multiple urolithiasis which was often associated with Schistosoma infection. Bilharziasis, in accord with theoretical considerations, plays a part in the formation of calculi, especially in that of multiple urolithiasis.

Cross-Sectional Studies↗

Schistosomal granulation masquerading as testicular tumour.

The case of a 7-year-old boy is reported in whom the Schistosoma haematobium infection manifested as the clinical picture of metastasizing testicular tumour. The correct diagnosis was established by the postoperative pathohistological examination. No similar observations was found in the literature studied.

Child↗

The effectiveness of venous hypothermia in the left kidney.

Twenty renal parenchyma operations of the left kidney were performed in venous hypothermia. The hypothermic solution was perfused via the spermatic (ovarian) vein, outflow occurred through the vessels opened by the incision. The effectiveness of venous hypothermia was measured by the probe of an electrical thermometre inserted into the renal tissue. The temperature of the cooled kidney became constant between 20 and 23 degrees C by using a perfusion solution of 4-5 degrees C. The method can be used for its simplicity and safety also in extensive renal parenchyma operations, its only limitation is that it can be performed only on the left kidney.

Humans↗

[Successful surgical treatment of masculine pseudohermaphroditism].

It is reported on the successful surgical therapy of a male pseudohermaphrodit. The transformation to a woman was made in two stages. In the first session castration and penile amputation were performed and in the second operation a vaginal reconstruction using a small bowel segment has been done.

Adolescent↗