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Query: UMLS:C0034186 (pyelonephritis)
 6,144 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The choice of operative techniques applicable in urethral strictures and obliterations is rather great today. The author holds that procedures that may entail bladder hypotonia, pyelonephritis, nephrolithiasis, prostatitis, impotence, especially in young patients, should be rejected as ineffective. These complications often result from ignorance of perineal anatomy, erroneous choice of surgical policy leading to bouginage. To avoid it, the surgeon is advised to employ two-stage urethral reconstruction according to B. Johanson. The procedure, proposed in 1950, implies usage of plastic material obtained from penile and scrotal skin. The original variant of the procedure has the disadvantage of confinement only to urethral strictures. We use two new variants of Johanson operation which can abate not only strictures, but obliterations as well. The experience of 1-26-year follow-up indicates feasibility of our modified operations in multiple strictures in combination with other surgical interventions, in urethrorectal and perineal fistulas and in pediatric surgery.
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PMID:[A modification of Johanson's operation in the treatment of urethral strictures and obliterations]. 807 5

Endoscopic recanalization of posterior urethra (PU) obliteration (a novel method) was compared to open reconstructive-plastic operations. 242 patients with PU and vesicular cervix obliterations entered the study. 93 patients of group 1 have undergone open reconstructive-plastic operations, 149 patients of group 2 were operated endoscopically (endoscopic recanalization under transrectal ultrasonic control). Before surgery the patients were examined using standard tests, sonourethrography and intraoperative transurethral ultrasonic investigation were added. Recurrence rate in group 1 and 2 was 29.1 and 16.8%, respectively. The following complications were observed in group 1: acute pyelonephritis (22.5%), enuresis (14%), orchoepididymitis (9.7%), urinary fistulas (5.4%). The patients needed long-term postoperative immobilization (10-16 days, mean 14.8 +/- 1.1 days). After endoscopic recanalization under transrectal ultrasonic control, group 2 patients developed acute pyelonephritis (4.8%), orchoepididymitis (4%), orthostatic enuresis (4%), short-term urethral fever (85.9%). Bed regime in this group was necessary for 1-2 days (1.3 +/- 0.4 days). Mean postoperative hospital stay was 2.5-fold less in group 2. The conclusion is made that endoscopic recanalization under transrectal ultrasonic control has advantages over open reconstructive-plastic surgery: less frequent pyoinflammatory complications, enuresis, the absence of such complications as impotence, short penis, formation of urinary fistulas.
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PMID:[Comparative analysis of open and endoscopic operative procedures outcomes for posterior urethra obliteration in males]. 1502 45