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Query: UMLS:C1660797 (urological problem)
 29 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

From 1965 to 1975, 232 radical hysterectomies (using the Wertheim-Meigs method) were performed in the Department of Obstetrics and Gynecology, University Hospital, Mannheim. Statistical evaluation showed that the average patient was 43,3 years old. In more than 50 percent of all cases the reason for admission to hospital was given as bleeding problems and contact bleeding, in 30 percent of the cases the readon was given as suspicious cervical os findings. 80 percent of all patients were operated on in stage Ia or Ib. An indwelling catherer was in place for an average of 14.96 days. Postoperative complications occurred in 194 (83.62%) patients. Of those, a majority (71.55%) was found to be an urological problem. Wound healing disturbances amounted to 12 percent of all cases. The mortality rate was 1.29 percent.
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PMID:[Results of the Wertheim-Meigs hysterectomy with special regard to postoperative complications]. 14 91

After a general outline of ideas about surgery of the megaureter, the author presents one-year postoperative results for 3 adult patients with megaureter, operated on by Prof. Hardy Hendren during his visit to Warsaw. The tapering of the ureters and reimplantation were done in all 3 cases. Though the presented material is too small to draw a definite conclusion, the results obtained in adults by a world-renowned specialist of surgery of megaureter in children can be helpful in the choice of a line of conduct in this difficult urological problem.
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PMID:Operative treatment of megaureter in adults. 59 Dec 38

An interesting case of bifid blind-ending ureter occurring in a young Indian girl is reported. She presented with severe recurrent right iliac fossa pain for which she underwent appendicectomy which did not resolve her symptoms. Subsequent urological investigation--IVU and retrograde pyeleogram--revealed the genuine diagnosis. Surgical excision of the blind-ending branch was successful in relieving the intractable pain. A review of the literature on this uncommon congenital urological problem is outlined stating its clinical significance and treatment options.
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PMID:Bifid blind-ending ureter--a case report. 201 15

Since this is a systemic disease, it is not uncommon to find brucella organisms in urine during acute infection however, it frequently presents with orchi-epididymitis (2-20%) and, rarely, with granulomas in the urinary tract. We report on two cases of acute epididymitis. The pathogenesis, diagnosis and treatment of this disease entity are briefly viewed highlighting the urological problem.
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PMID:[Genital brucellosis]. 209 25

We report 5 cases of an ectopic ureter opening into the seminal tract. All of the patients presented with the clinical features of acute or chronic epididymitis. Our experience has shown that the rare occurrence of epididymitis in prepubertal children necessitates a complete urological evaluation and that an underlying urological problem, including an ectopic ureter, should be sought.
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PMID:Ectopic ureter presenting with epididymitis in childhood: report of 5 cases. 400 6

The injured ureter presents a formidable urological problem, both in diagnosis and management. Injury by external trauma is uncommon but ureteric injury remains the ever-present nightmare of abdominal and pelvic surgeons. The pathogenesis of trauma to the ureter is outlined and current concepts of surgical management are reviewed. This study presents our 7-year experience (1978-1984 inclusive) with 72 ureteric injuries. The series outlines the importance of early diagnosis and prompt definitive repair in providing the best result with the least morbidity.
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PMID:Pathogenesis and management of ureteric injuries. 407 31

Bladder training and/or biofeedback techniques were used to treat 75 patients with frequency, urgency, nocturia and urge incontinence. Significant improvement or cure was obtained in 70 per cent of enuretic children, and 66 per cent of men and 74 per cent of women with unstable detrusor function. The clinical results correlated with cystometric reversion to stable bladder function. Patients who obtained good results showed improvement in the tested level of psychological adjustment, suggesting that psychological factors are not causes of the urological problem.
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PMID:The symptomatic, urodynamic and psychodynamic results of bladder re-education programs. 688 4

Distal ureteral calculi are a common urological problem often requiring surgical and anesthetic intervention. In a health care system with limited resources this intervention can lead to the expenditure of significant monies. Ureteral stents are often used to stabilize symptomatic patients preoperatively. Since stent placement causes passive ureteral dilation, we hypothesized that temporary placement of a ureteral catheter would facilitate spontaneous calculus passage. We prospectively studied 27 patients who presented with distal ureteral calculi less than 10 mm. large and met criteria established for surgical intervention. Self-retaining Double-J stents were placed in 10 male and 7 female patients, and left for 2 weeks using only topical anesthesia during the procedures. In the majority of the patients (83%) the calculi passed spontaneously after stent removal, obviating surgical or anesthetic intervention.
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PMID:Indwelling ureteral stents as definitive therapy for distal ureteral calculi. 749 Aug 60

In an extensive review focused on male urethral stenosis, where more than 1,200 publications relative to this problem were evaluated, we found a lack of conceptual precision when it comes to qualify the varied terminology used to define concepts such as normal urethra, urethral stenosis, relapsing urethral stenosis, spongiofibrosis and urethral callus. The lack of precision may be due to the fact that we surgeons are more interested in reporting our surgical successes than in semantic appraisals. No publications have either been commented with a global approach to the problem of the various and potential classifications of urethral stenosis in the various etiological, clinical, radiological, endoscopic, ultrasonic or therapeutic aspects. The current paper is an update of this old urological problem. The guidelines outlined below are neither entirely original, nor the only or even the most correct approach of all those that can be used to address this issue. They are simply the result of the cumulative surgical and medical experience as well as of the enthusiasm we feel toward this part of urology.
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PMID:[Urethral stenosis. Conceptual review and classification]. 865 87

Uretero-arterial fistulas are rare. The authors report two new cases complicating iliac vascular surgery. These fistulas occurred in a particular context: aorto-iliac disease, neoplasm and pelvic radiotherapy. Prolonged ureteric catheterisation is a risk factor found in 65% of cases. The clinical diagnosis is difficult and must be suggested in the presence of episodes of haematuria, sometimes minimal and intermittent, but often cataclysmic. The clinical context is highly suggestive of the diagnosis. The most useful complementary investigations are arteriography and retrograde ureteropyelography. Surgical treatment is complex, as it is performed in an emergency context in patients with a poor general state and it must treat both the vascular and the urological problem. Embolization can be proposed in some cases. The prognosis remains serious due to the frequency and severity of postoperative complications, which is why this disease must be investigated in all patients at risk.
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PMID:[Uretero-arterial fistulas: report of 2 cases and review of the literature]. 949 Jan 29


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