ABSTRACT
Percutaneous nephrostomy has been performed in 18 children, in 7 of whom bilaterally. The indications for operation, the operative technique using combined echographic and X-ray method by own modification of cannulation, the postoperative complications and the results are analyzed. The advantages of the method and of the authors modification are pointed out. It is assumed that in the event of indications for temporary or lasting supravesical derivation of urine, as well as when emergency indication for unloading of urostasis arises, percutaneous nephrostomy may be considered first-order method of choice.
Subject(s)
Nephrostomy, Percutaneous , Urologic Diseases/surgery , Child , Child, Preschool , Female , Humans , Infant , Male , Nephrostomy, Percutaneous/adverse effects , Nephrostomy, Percutaneous/methods , Postoperative Complications/epidemiology , Urologic Diseases/etiologyABSTRACT
Within the concept of treatment of urinary calculosis, open surgery still occupies a firm place. At present, however, the indications for open surgical interventions have been considerably narrowed, and only a small group of patients with urinary calculosis are subject of open surgery, which requires experienced operators and special instruments for optimally sparing performance of the operation. Often intraoperative echography makes useless the application of intraoperative hypothermia and intraoperative X-ray diagnosis.
Subject(s)
Urinary Calculi/surgery , Endoscopy , Humans , Kidney , Lithotripsy , Nephrostomy, Percutaneous , Ureter , Urinary Calculi/diagnosis , Urinary CatheterizationABSTRACT
In ten patients, who underwent ESWL of renal calculi and had severe ureteral colic due to acute obturation of the ureteral lumen by larger stone fragments, i.v. glucagon injections combined with laevulose infusion were applied. All patients reported relief of pain and discomfort within 15-20 minutes after glucagon injection. Position of the stones in the ureter was regularly checked. No particular adverse effects of glucagon were noted. Glucagon increases GFR and diuresis and exhibits spasmolytic effect on the smooth muscle of the ureteral wall, thus facilitating the passage of stone fragments after ESWL. In certain cases and with certain indications we recommend the method as highly effective.
Subject(s)
Colic/drug therapy , Glucagon/therapeutic use , Lithotripsy/adverse effects , Urethral Diseases/drug therapy , Adult , Colic/etiology , Glucagon/administration & dosage , Humans , Kidney Calculi/diagnostic imaging , Kidney Calculi/therapy , Middle Aged , Nausea/chemically induced , Radiography , Urethral Diseases/etiologySubject(s)
Anesthesia, Epidural , Lidocaine , Nerve Block , Urinary Bladder Neoplasms/surgery , Aged , Female , Humans , Male , Middle AgedABSTRACT
The need of indwelling ureteral stents for long-term use is established. The authors describe the indications for the indwelling ureteral stents and report their experience with the application of two types of endoprostheses: Gibbons stent and Double J ureteral catheters. The technique of the insertion of the stents is described and the complications are listed. It is concluded that the modern ureteral stents for long-term use have the place in the daily practice and are a real step forward in the fight against hospitalism and nosocomial infections.
Subject(s)
Prostheses and Implants , Ureter/surgery , Adult , Aged , Biocompatible Materials , Child, Preschool , Female , Humans , Hydronephrosis/surgery , Infant , Male , Prosthesis Design , Silicone Elastomers , Ureter/abnormalities , Ureteral Obstruction/surgeryABSTRACT
The evaluation of 620 reimplantations of the ureter into the bladders of 566 children with megaureter and vesico-ureteral reflux is taken as the basis of an analysis of the indications for operative treatment, the most economical methods of operation and the early and late results. Our own scale of the degree of development of the disease was used to determine whether operation was indicated. The various techniques of operation and the postoperative results are discussed. In order to improve the evaluation of the results the patients are classified into 4 groups according to the degree of affliction.
Subject(s)
Ureter/abnormalities , Vesico-Ureteral Reflux/surgery , Adolescent , Age Factors , Child , Child, Preschool , Dilatation, Pathologic/diagnostic imaging , Female , Follow-Up Studies , Humans , Infant , Male , Methods , Postoperative Care , Radiography , Ureter/surgery , Vesico-Ureteral Reflux/diagnostic imagingABSTRACT
From a total of 1,164 cases of hypospadias operations between 1966 and 1981 we report our experience in the operative treatment of distal hypospadias (n = 208). The best time for hypospadias repair is between 3 and 6 years of life. With correction of chordee it is most important to excise all penile skin of poor quality. The standard operation for the correction of chordee is the procedure described by Erdely and Bosio. If there is insufficient penile skin, scrotal skin is used to cover the skin gap. In the case of a small scrotum, only the proximal defect is covered by scrotal skin and the distal part by the procedure described by Blair, Browne, Ombredanne and Edmunds. The formation of a new urethra is accomplished with the use of Duplay's principle. We prefer subcutaneous running suture under tension with rubber bands. In the case of multiple previous operations and failed reconstruction of the urethra a tube of scrotal skin is formed and brought to the tip of the penis subcutaneously. Many authors have described numerous procedures for the treatment of hypospadias. We have combined the advantages of all techniques and formed our own approach always taking the individual case into consideration. With this approach we have good results in the treatment of hypospadias.
