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PubMed1975

[On the importance of B-scan-ultrasound for the diagnosis of nephrological and urological diseases in childhood (author's transl)].

Kidneys of 118 children of all age groups, and of 2 adults were investigated by means of senography. Normal kidneys could be identified on account of a typical echo-pattern. Deviations from this pattern were interpreted as evidence for pathological changes in the kidneys; they were correlated to the radiological and in some cases to the pathologic-anatomical findings. Typical deviations of the echo-pattern were found in cases of hydronephrosis, duplex kidneys, duplex kidneys in combination with hydronephrosis, polycystic renal diseases and other renal diseases. It was even possible to demonstrate decrease and increase of hydronephrosis by means of sonography. Indications for the application of this method are pointed out. In addition its accuracy and importance in relation to other diagnostics methods are discussed.

Adolescent↗
PubMed1990

[Clinical evaluation of urinary glycyl-prolyl dipeptidyl aminopeptidase in patients with urological disease].

Urinary glycyl-prolyl dipeptidyl aminopeptidase (GP-DAP) activity was measured in 18 healthy adults and 252 patients with urological diseases. The GP-DAP activity was significantly higher in patients with prostatic cancer, bladder cancer or renal cancer and also in patients with acute prostatitis or pyelonephritis than in healthy adults. GP-DAP activity was also studied during anticancerous chemotherapy and proved to be a sensitive parameter for renal damage as are urinary N-acetyl-beta-D-glucosaminidase, alanine aminopeptidase, beta 2-microglobulin, alpha 1-microglobulin, and albumin. The analysis of tissue activities suggested that GP-DAP was located not only in the renal parenchyma but also in the prostate and seminal vesicles.

Acetylglucosaminidase↗
PubMed1986

Asymptomatic microhematuria and urologic disease. A population-based study.

Asymptomatic microhematuria is a common finding, occurring in 13% of adult men and postmenopausal women in Rochester, Minn. Previous recommendations to perform cystoscopic and excretory urographic examinations on all patients with this finding were based on findings in referred patients. In the present population-based study, the frequency of serious urologic disease in patients with asymptomatic microhematuria was 2.3%; only 0.5% had bladder or renal cell carcinoma. Urologic malignant lesions occurred more frequently in the elderly. There was a trend toward more serious diseases in those with higher grades of hematuria. Complete urologic investigation of all patients with any degree of asymptomatic microhematuria cannot be recommended. The presence of other risk factors should be considered in opting for further evaluation.

Adult↗
PubMed1991

Unusual appendiceal pathology presenting as urologic disease.

We report on 3 cases of unusual appendiceal pathology presenting as urologic disease: 2 cases were benign mucoceles and 1 a malignant mucocele or cystadenocarcinoma of the appendix. Two cases presented as pelvic masses causing urinary frequency and the third with fever and hydronephrosis. The appendix must remain in the differential diagnosis for both acute and chronic disease processes.

Appendix↗
PubMed1985

Contribution of cavography to diagnostics of urological diseases.

In the work diagnostic value of cavography in diseases of retroperitoneum organs and anomalies of inferior vena cava and its tributaries is described with a special regard to urological diseases. In correlation with other examination procedures cavography gives valuable information on extent of renal tumours and their relation to surrounding structures, as well as on their infiltration into vascular system. It is justifiable also in diagnostics of primary tumours of retroperitoneum and in diseases of lymph nodes. It completes right diagnostic conclusion and it helps in decision of operability and in determination of therapeutic operation tactics. Its application exceeds the urological field, it brings also differentially diagnostic possibilities and it is applied also in control of therapeutic results. Cavography should not miss in arsenal of modern diagnostic methods.

Adolescent↗
PubMed1984

[Gynecological urologic disease: a summary of clinical experience during the last 4 years at Wakayama Red Cross Hospital].

From April 1979 to March 1983, sixty seven patients with gynecological urologic disease were experienced at our department. Forty one of them were inpatients, i.e., 15.3% of the total number of female in patients admitted during the same period. Thirty three urologic operations were performed on them which corresponded to 16.1% of the total operations on female patients. Ten of these patients had ureteral obstruction following gynecological operation, 8 had ureteral fistula, 7 had vesicovaginal fistula, 11 had tumor invasion to urinary tract, 14 had radiation cystitis, 16 had neurogenic bladder dysfunction, and 1 had other complication. The treatment of these patients and the results are summarized and discussed.

Adult↗
PubMed1995

[Use of hypnosis in multimodal treatment of children with urologic diseases].

Experience in the use of hypnosis in complex treatment of 75 children with urological diseases at an in-patient hospital is generalized. In patients with total epispadias, exstrophy and trauma of the urinary bladder postoperative hypnotherapy helped in training and restoration of micturition as a result of which a second operative intervention was not needed. After removal of a drain which had been inserted for a long time for urethral stricture suggestions made during hypnosis allayed fear and pain during micturition and thus significantly contributed to the restoration of this act. In children with neurogenous urinary bladder and valve of the posterior urethra hypnotherapy was successfully applied after dissection or cauterization of the valve to remove the syndrome of day and night urinary incontinence. Thus, the function of micturition may be restored most fully only by an effect exerted on all links of the pathological process.

Age Factors↗
PubMed1979

Practical management of venous injury during pelvic surgery for urologic disease.

There is a selection of techniques (ligation, lateral suture repair, venous patch graft, end to end repair, and vein replacement graft) which can be adopted to deal with venous injury during pelvic surgery for urologic disease. Technical details of the various methods of repair are described for the benefit of the urologist who occasionally finds himself with a major venous injury and no vascular surgeon available to help.

Humans↗