ABSTRACT
Between 1966-1991 330 patients where the semen analysis revealed azoospermia and the histopathological examination of biopsy specimen of testis shown retained spermatogenesis and spermiogenesis underwent the surgical intervention. In 80% of cases congenital malformations of epididymis and vas deferens were found. The types of malformations detected during the surgery are discussed.
Subject(s)
Epididymis/abnormalities , Oligospermia/etiology , Vas Deferens/abnormalities , Adult , Biopsy , Humans , Male , Testis/pathologyABSTRACT
Between 1984-1991 in 28 patients referred for the surgical treatment for the reason of obstruction of epididymis outlet ducts there was a suspicion of a congenital epididymis malformation put after the physical examination. The ultrasound examination of the scrotum which was performed in all cases revealed the proper view of the epididymis in 5 cases, the proper head of the epididymis with the broad tubules and the lack of the corpus and cauda in 19 cases and in 4 cases the residual head of the epididymis located in region of the upper pole of the testis. Intraoperative findings were consistent with the ultrasound results in 75.0% of cases. The highest consistency between the ultrasonographic and intraoperative findings was found in the cases with the proper view of the head of the epididymis with agenesis of corpus and cauda. In 32.1% of cases malformations of epididymis and vas deferens were associated with the malformations of the urinary tract.
Subject(s)
Epididymis/abnormalities , Epididymis/diagnostic imaging , Oligospermia/etiology , Epididymis/surgery , Humans , Male , Reproducibility of Results , Ultrasonography , Urinary Tract/abnormalities , Urinary Tract/diagnostic imaging , Vas Deferens/abnormalities , Vas Deferens/diagnostic imagingABSTRACT
A case of spontaneous of pulmonary metastases of renal carcinoma RCC with 16-years follow-up was presented. Based on review of literature, current opinions on spontaneous regression of the pulmonary metastases in RCC after nephrectomy are discussed.
Subject(s)
Adenocarcinoma, Clear Cell/secondary , Kidney Neoplasms/pathology , Lung Neoplasms/secondary , Aged , Humans , Male , Remission, SpontaneousABSTRACT
The authors discuss the results of preliminary clinical trials with chemotherapy with CMV (cisplatin, methotrexate, vinblastine) in the group of 17 patients with the infiltrating cancer of the bladder. Chemotherapy was used as an element of the radical treatment (in 7 patients, i.e. 41.2%) or as ++palliative treatment (in 10 patients, i.e. 58.8%). Objective response to the treatment was noted in 73.3% of the treated patients, including 13.3% of the complete recovery, and 60.0% of partial improvement. In the remaining 26.7% of patients (including all patients with distant metastases) no response to therapy was achieved. Complications of therapy are discussed. Systemic chemotherapy with CMV regimen proved efficient in the infiltrating cancer of the bladder.
Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Cystectomy , Urinary Bladder Neoplasms/surgery , Aged , Chemotherapy, Adjuvant , Cisplatin/administration & dosage , Female , Humans , Male , Methotrexate/administration & dosage , Middle Aged , Neoplasm Invasiveness , Neoplasm Staging , Palliative Care , Preoperative Care , Remission Induction , Urinary Bladder Neoplasms/drug therapy , Urinary Bladder Neoplasms/pathology , Vinblastine/administration & dosageABSTRACT
Congenital abnormalities of the urinary tract were diagnosed in 28 per cent of authors' own cases of Mayer-Rokitansky-Kuster-Hauser syndrome. Different kinds of abnormalities were discussed and accurate diagnosis of urinary tract abnormalities before planned operation in that group of patients was emphasized.
Subject(s)
Abnormalities, Multiple , Mullerian Ducts/abnormalities , Urinary Tract/abnormalities , Uterus/abnormalities , Vagina/abnormalities , Adult , Female , Humans , SyndromeABSTRACT
The authors report three cases of complications of renal artery embolization in patients with renal carcinoma. In two cases renal artery embolization was followed by paraparesis with loss of sphincter control. In these cases nephrectomy was performed on the side of the neoplasm and neurological disturbances disappeared after pharmacological treatment and rehabilitation. The third patient was not treated surgically. Embolization was followed by development of spinal cord damage at the level Th12. The patient died of neoplastic cachexia and cardiorespiratory failure.
Subject(s)
Embolization, Therapeutic/adverse effects , Kidney Neoplasms/therapy , Renal Artery , Spinal Cord Injuries/etiology , Aged , Female , Humans , Infarction , Middle Aged , Muscle Hypotonia/etiology , Paralysis/etiology , Sensation , Spinal Cord/blood supply , Urinary Bladder, Neurogenic/etiologyABSTRACT
Observations of 17 embolizations of the renal artery carried out in cases of renal neoplasms are reported. In the light of intraoperative observations the optimal timing of the operation after embolization was established to be 48-72 hours. Attention is called to the possibility of complications in the form of spinal cord damage after renal arterial embolization.