ABSTRACT
The urinary bladder was reconstructed by using different segments of the gastrointestinal tract in 45 patients aged 21 to 72 years. The indication for surgery was microcystis of tuberculous and other etiology in 28 (62.2%) and 17 (37.8%) patients, respectively. The overall post-operative mortality was 2.2% (1 patient). Early and late complications were observed in 17.8 and 30.4% patients, respectively. Analysis of the causes of complications has indicated that they are associated with the urine diversion method and with the scope of urinary bladder resection. Seven repeated operations were performed. Augmentation cystoplasty should follow subtotal microcystectomy. For correction of azotemia and for prevention of stricture in the early postoperative period, the neocystis should be continuously irrigated with antiseptic solutions in order to eliminate urine, mucus, and blood clots.
Subject(s)
Cystitis/microbiology , Cystitis/surgery , Mycobacterium tuberculosis/pathogenicity , Urologic Surgical Procedures/methods , Adult , Aged , Female , Gastrointestinal Tract , Humans , Male , Middle Aged , Nephrostomy, Percutaneous , Transplantation, AutologousABSTRACT
The analysis of the results of surgical treatment of 178 patients with destructive nephrotuberculosis indicates that operative methods are justified in the treatment of nephrotuberculosis as they provide cleansing of the infection focus, restoration of renal and urinary tract function, help to avoid long-term and massive chemotherapy. Organ-preserving and reconstructive operations on the kidneys and urinary tracts in early disease.
Subject(s)
Tuberculosis, Renal/surgery , Urologic Surgical Procedures/methods , Adult , Cystostomy , Female , Follow-Up Studies , Humans , Male , Middle Aged , Nephrectomy , Retrospective Studies , Tuberculosis, Renal/diagnostic imaging , Ureterostomy , UrographySubject(s)
Fournier Gangrene/complications , Tuberculosis, Male Genital/complications , Diagnosis, Differential , Fournier Gangrene/diagnosis , Fournier Gangrene/surgery , Humans , Male , Middle Aged , Mycobacterium tuberculosis/isolation & purification , Reoperation , Scrotum/microbiology , Scrotum/surgery , Tuberculosis, Male Genital/diagnosis , Tuberculosis, Male Genital/surgery , Urologic Surgical Procedures, MaleABSTRACT
A plasmapheresis (PA) model was developed to be used in chronic rabbit experiments. Test results obtained in 96 generalized tuberculosis animals demonstrated a more benign tuberculosis process in animals subjected to plasmapheresis, which was confirmed by parameters of the coefficients of mass and indices of animals' organ affecting, findings of the cation-lysosomal test and peptide molecules content in the peripheral blood. Rabbit studies involving registration of bromsulphalein half-life, hepatic blood flow and relative parenchymatous clearing showed that the isoniazide and rifampicin action significantly decreased under the PA influence. Studies in a hospital accommodating 90 patients with different renal tuberculosis forms and poor tuberculostatic tolerance showed that PA promoted restoration of tolerance to specific preparations and renal function improvement. PA was found to be practicable and safe method which relieves side effects of antituberculous preparations and contributes to tuberculosis treatment efficiency.
