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Query: UMLS:C0403608 (ureter)
 9,655 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This report is concerned with a twenty-five year old female with endometriosis of the recto-sigmoid-colon. Due to medication intolerance a trial with hormone therapy had to be discontinued. After several years of illness an ileus and ureter-stenosis developed and several operations were necessary to alleviate these conditions. A survey of the frequency and localization of extragenital endometriosis followed by a discussion of pathogenesis, clinic and alternatives of therapy.
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PMID:[Endometriosis of the colon (author's transl)]. 98 54

We reviewed our experience with in situ extracorporeal shock wave lithotripsy for ureteral stones in 30 patients. The Siemens Lithostar unit was used for stone disintegration and no attempts were made to manipulate the calculi back into the kidney. During the study period 15 patients presented with upper, 9 with mid and 6 with lower ureteral calculi. The mean stone size was 5 x 12 mm. The success rates in stone removal, hospitalization, anesthesia, average number of shocks and kilovolts used were analyzed. Complete removal of all calculous material was obtained in 86.6% of the patients after 3 months. Followup consisted of a plain film of the kidneys, ureters and bladder, and eventually renal ultrasound 1 day and 1 to 3 months postoperatively. Routinely, patients were treated without hospitalization, while 3 had persistent stone fragments and required hospitalization for auxiliary endourological procedures. The average hospital stay for these patients was 1.6 days. Of the 30 patients 13 (43.4%) were treated without anesthesia, 9 (30.0%) received intravenous sedation and 8 (26.6%) had epidural anesthesia. Patients received 3,000 to 6,000 shock waves per session (median 4,000) at 14.0 to 19.0 kv. (median 18.1 kv.), and in 76.9% the treatment was completed after 1 session. Patients who needed more than 1 session received 3,000 to 4,000 shock waves (median 3,000) at 15.0 to 19.0 kv. (median 17.8 kv.) per additional session. Minor complications, such as hematuria, were observed in 33.3% of the patients for less than 24 hours. A small erythematous area usually was present on the abdominal wall at the shock wave entrance site and temporary ileus was noted in 2 patients. In situ extracorporeal shock wave lithotripsy with the Siemens Lithostar device is an effective method for treatment of ureteral stones in all parts of the ureter due to the ease of patient positioning.
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PMID:In situ extracorporeal shock wave lithotripsy for ureteral calculi. 237 88

A total of 90 dyestuff workers who were engaged in the production of aromatic amines during the post-war period after the 2nd world war have been examined since 1967 by exfoliative cytologic examination. Those identified as class-3 or over by this first screening test were then submitted to a second screening which consisted of periodic cystoscopic examination and 1 or 2 intravenous pyelographies per year. This system of mass screening has been used for the past 20 years, and we have discovered 23 cases of bladder tumor, a case of asynchronous bilateral ureteral tumor and a case of ureteral tumor. Out of the 13 cases, bladder tumors were discovered in 6 cases within 3 months after a positive exfoliative cytology result and in 5 cases within 1 year. The presence of a tumor was confirmed in 85% of those patients within 1 year and in all of them in about 3 years. Periodic examinations have revealed all the tumors when they were about 5 mm in size and in stage 0 through A, demonstrating the usefulness of systematic examination. Treatment included intravesical instillation of anticancer agents, mostly mitomycin C, for 7 cases transurethral resection (TUR) for 8 cases and partial cystectomy was performed in one case. One patient with an asynchronous bilateral ureteral tumor was treated first by right total nephro-ureterectomy with cuff resection of bladder, and later by ureter excision and nephrostomy. This patient died of ileus in the 7th year of treatment.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:[Occupational cancer of the urinary bladder: the diagnostic value of urinary cytology in dyestuff workers exposed to aromatic amines]. 261 2

A total of 15 patients underwent ESWL using the Dornier HM3 lithotriptor with the patient in the prone position. The stones were in the distal ureter over the sacroiliac joint in 10 patients, 8 of whom had undergone unsuccessful ureteroscopic manipulation. Two patients had horseshoe kidneys with stones that were too anterior to permit accurate targeting with the patient in the standard supine position. One patient had a solitary stone in a pelvic kidney and 1 had an obstructing ureteropelvic junction stone in a crossed ectopic kidney. The final patient had a reconstructed lower urinary tract with a stone at 1 of the ureterointestinal anastomoses. Excellent pulverization was achieved in all patients after only 1 prone ESWL treatment. One patient required temporary percutaneous nephrostomy after ESWL and 1 may require retrograde manipulation of fragments at the ureterovesical junction. No patient had melena, and other than temporary ileus in 1 patient who had concurrent supine ESWL of renal calculi, no gastrointestinal complications were seen. All but 1 patient were free of stones 1 month after prone ESWL. Prone ESWL prevents blockage of shock wave energy by the bony pelvis, because the shock waves enter anteriorly and exit posteriorly. ESWL with the patient in the prone position is a safe and effective treatment of calculi in the distal ureter or anomalous kidney.
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PMID:Extracorporeal shock wave lithotripsy in the prone position: treatment of stones in the distal ureter or anomalous kidney. 336 61

Use of the rigid ureterorenoscope has become widely accepted for the diagnosis of ureteral lesions, and for the removal and disintegration of ureteral calculi. Few complications have been reported. During the last 3 years 128 ureteroscopic procedures were performed for a variety of indications (98 for stone disease). There were 26 complications: 22 minor with no morbidity and 4 major that required surgical correction. Minor complications consisted of asymptomatic ureteral perforations in 6 patients, perforations with urinary extravasation, pain, ileus or fever in 4, migration of the stone into the kidney in 10 and migration of the stone outside the ureter with the calculus left in situ in 2. Major complications included ureteral perforation during basket extraction of an upper ureteral stone, urinoma following perforation and requiring drainage, stenosis of the intramural ureter that was corrected by marsupialization and aseptic necrosis of the ureter that was treated by ileal replacement.
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PMID:Complications of ureteral endoscopy. 355 Jan 47

Among retroperitoneal injuries in lumbar disc surgery ureteral transection is a rare complication and only 8 cases have been reported so far. They are analysed and a ninth case is added and described. In this case the complication was recognized immediately and successfully treated by end-to-end anastomosis of the ureter with an internal stent. Usually the diagnosis was delayed due to uncharacteristic symptoms (fever, haematuria, abdominal pain and distension, ileus, palpable mass etc.) which led to septic courses and nephrectomy in 3 cases. The anatomical relationship of the lumbar spine and retroperitoneal structures is illustrated by CT scans. Factors contributing to these injuries and ways of recognizing and preventing complications are discussed.
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PMID:Ureteral injury in lumbar disc surgery. 409 Oct 51

One hundred patients with benign disease of the upper urinary tract were operated on: 50 through the standard flank approach and 50 through the dorsal approach. The analgesic requirement for control of postoperative pain was less for patients operated on through the dorsal incision, and these patients had a shorter postoperative ileus and a hospital stay an average of 4.29 days less than those operated on through the flank approach. The dorsal lumbotomy incision is recommended for certain operations on the kidney and proximal ureter.
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PMID:Dorsal approach to upper urinary tract. 682 97

Different stages of side effects may result in the application of actinotherapy in the intestinal canal, bladder, ureter, vagina integument, bones, lymph ducts, and in fibrous tissue. Besides the reaction during actinotherapy, there are so-called early and/or late sequels. If conservative therapy remains unsuccessful, surgical treatment often has to be performed. Primary indication has to comply with the symptoms, Side effects in the rectum and signs may be treated for a longer period by means of conservative therapy than those in the small intestine, which often triggers an ileus or malabsorption syndrome. The Stewart-Treves syndrome is discussed in lymphatic edema.
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PMID:[Surgical problems resulting from actinotherapy (author's transl)]. 733 50

This 2-center study compares the relative merits of laparoscopic and open surgical internal marsupialization of pelvic lymphoceles. Laparoscopic lymphocelectomy was performed in 12 patients (group 1). The results were compared with open lymphocelectomy performed in 13 contemporary patients (group 2) as well as 13 historical patients (group 3). Operative time was longer in group 1 compared to groups 2 and 3 (194.6 versus 176.9 versus 133.8 minutes, respectively). However, group 1 had a decreased blood loss (23.1 versus 74.6 versus 61.7 ml.), earlier resumption of oral food intake (0.9 versus 2.5 versus 2.1 days), shorter hospital stay (2 versus 6.1 versus 6.3 days) and abbreviated convalescence (2.2 versus 6.9 versus 4.5 weeks) compared to groups 2 and 3. Complications included cystotomy requiring open repair in 1 patient in group 1, prolonged ileus in 1 in group 2, transection of the ureter of a transplant kidney in 1 in group 3 and pneumonitis in 1 in group 3. Lymphocele recurred in no patient in group 1, 4 in group 2 and 3 in group 3. Mean followup in groups 1 to 3 was 12.8, 25 and 54.5 months, respectively. We conclude that laparoscopic lymphocelectomy is effective, results in minimal patient morbidity and allows for a more rapid recovery compared to open surgical lymphocelectomy.
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PMID:Transperitoneal marsupialization of lymphoceles: a comparison of laparoscopic and open techniques. 786 16

From January 1, 1979, to March 31, 1991, 37 patients underwent elective cesarean hysterectomy for early cervical neoplasia. Thirty-four patients had cervical intraepithelial neoplasia III, and three patients had stage IA-1 squamous cell carcinoma of the cervix. Twenty-eight were primary cesarean sections; nine had obstetric indications. The mean operative time was 128 minutes; mean estimated blood loss was 1,400 mL. One patient experienced an intraoperative hemorrhage (3,500 mL). There were no other recognized intraoperative complications. Four significant postoperative complications included a vaginal cuff abscess, a wound dehiscence and pelvic abscess, one patient with febrile morbidity and an ileus and ligation with partial transection of a ureter. Patients were discharged on a mean of postoperative day 5.7. Although significant complications occurred, we believe that the noncompliant nature of our patient population justifies elective cesarean hysterectomy for treatment of cervical neoplasia.
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PMID:Elective cesarean hysterectomy for treatment of cervical neoplasia. An update. 848 34


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