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Biomedical subjects

U Zwergel

Publications and source records attributed to U Zwergel.

27 records · Page 2Linked to original sources
PubMed1985

Development of the prostatectomy since 1966. An analysis of 3,180 patients.

An analysis of 3,180 prostatectomies (between 1966 and 1982) reveals an increasing number to sixfold from 1966 to the end of the 70s. The preoperative preparation of the patients often suffering from several cardiovascular and especially respiratory diseases (about 40%) is improved by an early cooperation of all medical disciplines involved. Important complications such as the fluid absorption toxicity could be reduced; the excessive absorption of irrigation fluid (i.e., the TUR-P syndrome) was found in about 1.0% of the cases. Postoperative complications such as epididymitis or urethral strictures can be diminished by special surgical treatment methods.

Age Factors↗
PubMed1985

[Current status and conservative and operative therapy of urogenital tuberculosis].

In each case the primary treatment of tuberculosis is a medicamentous therapy. Using the modern basis medication of isoniazid, rifampicin, ethambutol and streptomycin at present for the normal case the short-term therapy of maximally 12 months made its way. The operative treatment of the urogenital tuberculosis is only a part of the total therapy plan. Among 715 patients nearly half of them had to undergo at least one surgical intervention from 1966 to 1983. The nephrectomy rate of 22.3% is to be classified as high and is conditioned by progressing and extended changes of the kidneys, which are in most cases recognized too late. In 69 patients partial resections of the kidney were performed. Since 1976 the indication for this intervention was in 13 cases made only intraoperatively and at the same this the planned nephropyeloplasty was performed on account of disturbance of the urine flow. Good postoperative results encourage to perform plastic reconstructive measures also in changes of the kidneys of stage III.

Aged↗
PubMed1985

[Urethral injuries--a retrospective analysis of therapeutic possibilities and late morbidity].

Injuries of the urethra confront traumatologists and urologists with common diagnostic and therapeutic problems. By an early interdisciplinary cooperation life-threatening early complications such as urosepsis, and late complications which are difficult to be corrected such as strictures of the urethra may be prevented and reduced, respectively. The accidental mechanisms and the diagnostic possibilities in injuries of the urethra are explained in detail. In 24 patients with anterior ruptures of the urethra and in 66 patients with posterior injuries of the urethra with the exception of 12 immediate operative reconstructions primarily a suprapubic and transurethral micturition was chosen. The posttraumatic results concerning the rate of stricture, the kind of removal of the stricture, the frequency of incontinence of urine and erectile impotence are analysed.

Humans↗
PubMed1984

Embolization of pelvic bone metastases from renal cell carcinoma.

4 patients were treated by embolization for pelvic metastases from a renal cell carcinoma. Embolization was carried out either preoperatively or was the only therapy. The method, the materials used and the results of 3 of these patients during 7-16 months of observation are presented.

Adenocarcinoma↗
PubMed1983

[Concept of interdisciplinary procedures within the scope of traumatology--the status of urology].

Following criteria decide on the further life of patients with acute severe trauma: how fast injuries and their severity are recognized and following therapies are managed; prior conditions for a sufficient treatment of the acute trauma patient consist in a perfect organization and a good cooperation of all specialists. Important details of the therapeutic concept, divided in 5 or 6 phases are given. Furthermore special urological aspects in cases of multiple injuries are discussed.

Humans↗
PubMed1983

[Report of experiences with therapy of kidney injuries].

Divergent opinions exist in treating severe kidney damage. Therapeutic possibilities are shown in 150 kidney injuries, analysed in a retrospective study, during an 8-year period (1975 to 1982) in an urological and surgical department. Conservative treatment was preferred in nearly all kidney trauma grade I (according to Hodges). Nephrectomy was done in 87,5% of all grade III kidney injuries. In grade II kidney damage 9.1% were managed by conservative and 90.9% by operative therapy, 78% of the injured kidneys, grade II and III, could be saved. Operative treatment is highly more recommended regardless whether kidney trauma happened with or without other injuries. Decisions between both therapeutic possibilities, conservative or operative, depend upon posttraumatic complications and the urgency of polytraumatic injuries. Early cooperation between urologist and surgeon is most important.

Adolescent↗
PubMed1983

[Bladder and urethral injuries - report of experiences].

Injuries of bladder and urethra cause diagnostic and therapeutic problems to urologists and surgeons. A retrospective study of 98 patients from 1975 until 1982 with pelvic trauma and damage of the lower urinary tract is presented concerning etiology, mechanism of accident and therapeutic possibilities, as well as the analysis of 24 patients with anterior urethra damage. In all 38 cases with ruptured bladder operation was performed. 66 patients with posterior urethra damage were treated with regard to their general status. In this study conservative management with catheter or cystostomy seems to be more favourable in posterior urethra damage than primary reconstructions especially when considering the rate of urethral structure. Furthermore problems of posttraumatic difficulties with sexual potency are discussed.

Adolescent↗