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Biomedical subjects

V Szokoly

Publications and source records attributed to V Szokoly.

At least 19 recordsLinked to original sources
PubMed1997

[Surgical management of masculine trassexualism].

The authors report on the first Hungarian case of sex-transforming operation. They present details of the social history and management of their case leading up the decision for surgery. Preoperative assessment and medication, operation technique and postoperative care are also described in detail. The case report highlights the difficult ethical and legal issues which have to be considered when such surgery is requested. Following a series of in-depth psychological, gynaecological, urological and forensic consultations that had been carried out in order to be convinced about the patients's determination for undergoing sex-transforming operation, the authors were granted legal and professional license by the Hungarian Medical Research Council to carry out the procedure. Two years after the operation, the patient commented on her full satisfaction with the care he had received.

Adult↗
PubMed1995

Early and late complications of uretero-enteric anastomosis.

The authors report on early and late complications of uretero-enteric anastomosis. The results of pre- and postoperative US evaluations in 67 patients with urinary diversion using isolated bowel segment are reviewed. Ultrasonography (US) is the first method of choice in recognizing postoperative complications. Authors observed 5 early and 5 late complications directly related to the uretero-enteric anastomosis operation. Possible treatment modalities and the role of US guided nephrostomy are discussed.

Anastomosis, Surgical↗
PubMed1993

[Treatment of iatrogenic obstructions of the ureter following hysterectomy].

Ureteral injury after abdominal hysterectomy has been observed in 14 patients between 1988 and 1992. Open surgery, percutaneous nephrostomy, double pigtail stent insertion using antegrade and retrograde route, and balloon dilatation were used for treatment. The experience of the authors is reviewed.

Catheterization↗
PubMed1992

Suprapubic transvesical puncture and sclerotization of a müllerian duct cyst under US guidance.

Abdominal, ultrasonography (US) performed on a middle-aged patient who presented with partial urinary retention, long lasting lower back pain, and abdominal pain revealed a cyst in the midline of the prostate. The cyst, which protruded into the bladder, was punctured under US guidance transvesically and sclerotized with 1% Aethoxysklerol. Following this procedure, the patient became steadily free of his complaints and is voiding without retention.

Cysts↗
PubMed1991

Preservation of ejaculation in stage I non-seminomatous testicular tumours.

The loss of ejaculation is the most serious postoperative complication of patients having stage I non-seminomatous testicular tumours. In order to preserve the capability for ejaculation even after retroperitoneal lymphadenectomy (RPA) the preservation of paravertebral sympathetic ganglia but that of the sympathetic nerves in the territory of aortic bifurcation and common iliac arteries to be ulcessary.

Aorta↗
PubMed1990

[Ultrasonic examination of the penis].

Authors describe their experiences with penile ultrasonography. US was very useful in diagnostics of urethral strictures, urethral stones, Peyronie's plaques and for control of corpora cavernosa during papaverine induced erection. Application of ultrasonography for such purposes is very rare as yet, and the international literature referring to this is not very numerous either. According to authors' knowledge, this is the first paper in Hungarian dealing with this topic.

Diagnosis, Differential↗
PubMed1990

[In utero creation of a reno-amniotic shunt for the preservation of a hydronephrotic fetal kidney].

The authors wish to discuss the successful decompression treatment of a serious, fast progressing one-sided hydronephrotic fetal kidney (that also caused deformation of abdominal and thoracic organs) in a 29th week pregnancy. Under the guidance of ultrasonography they created a permanent link between the amniotic cavity in the uterus and the pelvis of the kidney. As a final solution a pyelo-ureteral anastomosis operation was performed on the newborn that was delivered on the 37th gestational week. The baby is 11 months old at the moment and both of her two kidneys are functioning perfectly.

Adult↗
PubMed1990

[Intraoperative sonography in organ preserving operations of kidney tumors].

The use of intraoperative ultrasonography in urology was exclusive in open stone surgery to search for residual stones. However, this procedure may applied successfully to renal cancer, if parenchyma-sparing resection or enucleation should performed. Our experience in 6 cases show the helpful use of intraoperative ultrasonography in the judgement of normal parenchyma.

Adenocarcinoma↗
PubMed1989

[Bladder repair using an ileocecal segment].

Subtotal cystectomy and bladder replacement from shorted-out ileocecal segment as well as uretero-ileostomy was carried out in a 25-year-old woman because of a contracted urinary bladder, consequence of a developmental disorder, i.e. colonic-type mucous membrane of the bladder. The patient is continent passes urine every 3-4 hours without residuum.

Adult↗
PubMed1989

[Combined therapy of malignant testicular tumors].

The 5-year survival of patients with malignant testicular tumors rose during the past 25 years from 10-25% depending on stage to 55-100% after radical castration performed from high inguinal opening, retroperitoneal lymphadenectomy, ultra-tension irradiation and adjuvant chemotherapy. It is stressed that patients diagnosed at stage T1-2, N0-2, M0 may even recover perfectly upon complex therapy. Three to five-year long or even longer survival may be reached with 50% of the patients at the stage T1-3, N1-3, M1. Patients at stage T4, N3-4, M1 die because of the recurrence of the tumor and/or the complication of the adjuvant treatment within 1-3 years and even the interdisciplinary work which is very effective in other stages fails to change this at the present time.

Combined Modality Therapy↗
PubMed1988

Transvesical and transabdominal closure of vesicovaginal fistulas.

Between 1973 and 1985, a total of 46 patients were operated for vesicovaginal fistula. Depending on the extension and localization of the fistula, transvesical or transperitoneal closure was performed. In 12 patients ureteral neoimplantation was made. Fistula recurrence was observed in 6 cases. Based on their favourable experience, authors recommend this surgical solution for the closure of fistulas adjacent to the ureteral orifices and/or for that of larger fistulas.

Adult↗
PubMed1987

Removal of renal tumours from thoracoabdominal incision.

It is stressed that the 5-year survival in the T3 stage renal tumour patients is decisively influenced by the radical removal of the tumorous kidney. It is, however, often difficult to secure radicality. According to the authors' experience, radicality can be ensured by extrapleural throacoabdominal incision also in the case of large renal tumours. This way of exploration combines the advantages of both the abdominal and high lumbar incisions. It facilitates postoperative care by making thoracic drainage unnecessary.

Abdominal Muscles↗
PubMed1985

Pyeloplastic surgery in the presence of suppurative pyelonephritis.

Six out of 135 pyeloplastic operations were performed in the presence of an acute infection. In spite of the inflammatory process the postoperative course was uneventful and the late results were also satisfactory. With the exception of one case, the operation was invariably of the Anderson-Hynes type, with splinting of the ureter and nephrostomy. The anastomosis was prepared with interrupted cat-gut stitches. Three cases are reported in some detail.

Adolescent↗
PubMed1984

Problems of the indications of radiotherapy in renal tumours after radical nephrectomy.

The complex therapy of renal tumours is discussed. While pointing to the advances in this field over the last decade, the fact is emphasized that it is primarily in the radicality of the operations were progress has been achieved. Radiotherapy is viewed with a critical eye. Its hazards are illustrated by observations of four lethal cases consecutive to complications of postoperative irradiations, which had been administered without any need when malignant changes were no longer present.

Adenocarcinoma↗
PubMed1984

Experimental study of suture materials placed in the renal parenchyma.

Absorbable and non-absorbable suture materials in the renal parenchyma were examined in comparative studies performed on 12 mongrel dogs. Quantitative and qualitative histological studies showed that Dexon was preferable to other absorbable suture materials as opposed to traditional catgut, while Supramide and Polyester had certain advantages over other non-absorbable materials.

Absorption↗
PubMed1983

Comparative studies with extracorporeal hypothermal kidney perfusion.

Various solutions of extra- and intracellular, or non-electrolyte type supplemented with papaverine or lidocaine were administered by gravity perfusion to 60 dog kidneys. Cooling in the kidneys perfused with the solutions containing papaverine lowered the temperature of kidneys in significantly shorter time than in those containing lidocaine. The histological examinations revealed good perfusion with solutions containing papaverine; even the rim of the cortical substance has been freed of blood. Identical results could not be achieved with lidocaine. These results are to be considered in the clinical work.

Animals↗