RESUMO
A clinical observation on postoperative course in 21 cases among 35 uremic patients were performed. Seven of 36 cases had undergone kidney transplantation and were excluded from this report, And the other 7 were non-operated cases. Remaining 21 of obstructive uremic cases had surgical procedures such as urinary diversion. release of stenosis and removal of obstruction. The results of operated 21 and non-operated 7 cases were summarized as follows: 1. The incidence was the highest in the age of 31 to 40 (46.4%). 2. The most common cause of uremia was chronic glomeru1onephritis (25.7%). The next was urinary tuberculosis causing renal parenchymal damage and urinary tract obstruction (17.1%). 3. Non-operated cases showed poor prognosis in almost all cases. 4.Satisfactory results were obtained from 14 cases among 21 operated cases(66.6%).
Assuntos
Humanos , Constrição Patológica , Incidência , Transplante de Rim , Prognóstico , Tuberculose , Uremia , Derivação Urinária , Sistema UrinárioRESUMO
A clinical observation on ureteral tailoring with anti-reflux procedure on 6 ureters of 5 patients were reported herein. Four ureters of 3 children were hydroureteronephrosis with vesicoureteral reflux due to bladder neck contracture. Two ureters of housewives were megaloureter. The results of 5 cases were summarized as follows: 1. The length of tailoring was 8 cm. in average. 2. Tailored ureters were approximated by continuous suture plus simple sutures in 2 ureters of 1 case, everting plus simple sutures in 3 cases and the other was by everting sutures alone. No difference in methods of approximation was found in result. 3. All cases had undergone antireflux procedures. Five ureters of 4 cases were done by Politano-Leadbetter technic and the other one by Paquin technic. 4. Mean duration of splinting was some 2 weeks. We believe that splinting is essential for more than 10 days. 5. One case was died of septicemia on 7th postoperative day. Another case shows only unsterile urine yet. Satisfactory results were obtained from remaining 3 cases.
Assuntos
Criança , Humanos , Contratura , Pescoço , Sepse , Contenções , Suturas , Ureter , Bexiga Urinária , Refluxo VesicoureteralRESUMO
We have experienced an unusual case of hemorrhagic infarct in the right testis at the age of 59 years. The spermatic cord showed normal appearance and no torsion was noted. Orchiectomy was performed as frozen section revealed hemorrhagic infarction of the testis. Herein, hemorrhagic infarction of testis, a rare clinical entity, was reported with review of literatures.
Assuntos
Secções Congeladas , Infarto , Orquiectomia , Cordão Espermático , TestículoRESUMO
A 10-year-old boy presented with dribbling on urination, intermittent left flank pain and pyuria since birth. With voiding cystourelhrography this case was diagnosed as congenital anterior urethral valve which was confirmed by panendoscopic study. He was underwent electrocoagulation of the valve and left nephrectomy. And so he was discharged with good urinary stream on the 23 rd postoperative day.