Subject(s)
Practice Management, Medical , Humans , Methods , Practice Management, Medical/standards , United StatesABSTRACT
The management of stress urinary incontinence (SUI) consists of either surgical intervention and/or pharmacologic manipulation. Twelve patients with SUI were evaluated for management by the use of a fitted standard contraceptive diaphragm. Complete resolution of SUI was achieved in 11 of 12 patients (91%). Two of the 12 patients achieved continence but withdrew from the study because of associated discomfort from the diaphragm, therefore, complete resolution of SUI was achieved in 9 of 12 patients (75%).
Subject(s)
Contraceptive Devices , Urinary Incontinence, Stress/rehabilitation , Adult , Aged , Female , Humans , Middle Aged , Pressure , Urethra/physiopathology , Urinary Incontinence, Stress/physiopathology , UrodynamicsABSTRACT
We report on the results of a pilot study using transdermal scopolamine in the management of detrusor instability (DI). Numerous agents have been used for the management of DI, however, many are associated with poor patient compliance and significant side effects. We have successfully used transdermal scopolamine on 3 patients with DI with good subjective and objective results.
Subject(s)
Scopolamine/therapeutic use , Urinary Bladder, Neurogenic/drug therapy , Aged , Female , Humans , Injections, Intradermal , Middle Aged , Muscle Contraction/drug effects , Pilot Projects , Scopolamine/administration & dosage , Urinary Bladder, Neurogenic/physiopathologyABSTRACT
In 4 patients with hypernephroma and extension of the tumor thrombus into the renal vein, there has been a significant degree of proteinuria. We believe that the proteinuria in association with a renal mass suggests a tumor thrombus in the renal vein and warrants the preoperative inferior venacavogram. After a larger number of patients have been studied, it may become clear that patients who do not have proteinuria do not have renal vein or vena caval involvement. If this proves to be the case, these patients may be selectively spared inferior venacavography. For the present time in patients with hypernephroma, we can only recommend that the index of suspicion for renal vein involvement with tumor thrombus should remain high if the patient has significant proteinuria.
Subject(s)
Adenocarcinoma/pathology , Kidney Neoplasms/pathology , Proteinuria/etiology , Renal Veins , Thrombosis/etiology , Adenocarcinoma/diagnostic imaging , Female , Humans , Kidney Neoplasms/diagnostic imaging , Male , Middle Aged , Prospective Studies , Proteinuria/diagnosis , Radiography , Thrombosis/diagnosis , Thrombosis/diagnostic imagingSubject(s)
Renal Veins , Thrombosis , Adult , Angiography , Animals , Anticoagulants/therapeutic use , Basement Membrane/pathology , Child , Diagnosis, Differential , Female , Glomerulonephritis/pathology , Humans , Infant , Infant, Newborn , Kidney Glomerulus/pathology , Nephrotic Syndrome/etiology , Pregnancy , Prognosis , Renal Veins/diagnostic imaging , Thrombosis/diagnostic imaging , Thrombosis/etiology , Thrombosis/pathology , Thrombosis/therapy , Urography , Vena Cava, InferiorABSTRACT
This is a case report of a horseshoe kidney one side of which contains a multicystic dysplastic element associated with a ureterocele. The surgical management and embryologic basis are reviewed.
