ABSTRACT
Combined therapy for chronic nonobstructive pyelonephritis introduced by the authors includes such components as etiological, pathogenetic, resistance-stimulating. The cure was achieved in 60% of the patients.
Subject(s)
Pyelonephritis/therapy , Anti-Infective Agents/therapeutic use , Anti-Inflammatory Agents/therapeutic use , Chronic Disease , Combined Modality Therapy , Humans , Pyelonephritis/etiology , Pyelonephritis/physiopathology , UrodynamicsABSTRACT
Ureteropelvic stenoses in nephrolithiasis are suggested to be considered reversible and irreversible depending on the lesions of the upper urinary tracts and the adjacent fat. To ascertain reversibility of the stenosis, use was made of the progesterone test in view of progesterone ability to dilate the ureter. No retention changes in the upper urinary tract in the reversible stenosis can serve an indication to impulse lithotripsy. Large stones and all cases of irreversible stenosis indicate validity of open surgery the scope of which is decided intraoperatively after isolation of the ureteropelvic segment from the periureteral fat and upon the indigo carmine test. In the absence of dysfunctional zone in the segment the patients may be subjected to ureterolysis and pyelolithotomy. If such zone is detected it is possible to make pelvic and proximal ureteral resection, pyeloureterostomy. The technique of the latter surgery in the intrarenal pelvis is detailed.
Subject(s)
Kidney Calculi/complications , Kidney Pelvis/surgery , Ureter/surgery , Constriction, Pathologic/diagnosis , Constriction, Pathologic/etiology , Constriction, Pathologic/surgery , Female , Humans , Kidney Calculi/diagnosis , Kidney Calculi/surgery , Kidney Pelvis/diagnostic imaging , Kidney Pelvis/drug effects , Methods , Middle Aged , Progesterone , Radiography , Ureter/diagnostic imaging , Ureter/drug effectsSubject(s)
Kidney Pelvis , Progesterone , Ureteral Diseases/diagnosis , 17 alpha-Hydroxyprogesterone Caproate , Adult , Constriction, Pathologic , Diagnosis, Differential , Humans , Hydroxyprogesterones , Kidney Calculi/diagnosis , Kidney Calculi/diagnostic imaging , Kidney Pelvis/diagnostic imaging , Male , Ureteral Calculi/diagnosis , Ureteral Calculi/diagnostic imaging , Ureteral Diseases/diagnostic imaging , UrographySubject(s)
Hypertension/physiopathology , Renal Circulation , Biopsy , Hemodynamics , Homeostasis , Humans , Hypertension/etiology , Kidney/physiopathologySubject(s)
Ischemia/prevention & control , Kidney/blood supply , Nephrectomy/methods , Animals , Constriction , Humans , Intraoperative Care , Male , Rabbits , Rats , Renal Artery , Renal CirculationSubject(s)
Kidney Calculi/etiology , Uric Acid/blood , Adult , Humans , Kidney Calculi/diagnosis , Male , Middle AgedSubject(s)
Pregnancy Complications/etiology , Puerperal Disorders/etiology , Pyelonephritis/etiology , Adult , Female , Humans , Pregnancy , Pregnancy Complications/diagnostic imaging , Pregnancy Trimester, First , Pregnancy Trimester, Second , Puerperal Disorders/diagnostic imaging , Pyelonephritis/diagnostic imaging , Radiography , UrodynamicsSubject(s)
Pregnancy Complications/etiology , Pyelonephritis/etiology , Animals , Dilatation, Pathologic/physiopathology , Disease Models, Animal , Female , Hemodynamics , Humans , Hypertrophy , Muscles/pathology , Neurotransmitter Agents/physiology , Pregnancy , Pregnancy Complications/physiopathology , Pyelonephritis/physiopathology , Ureter/physiopathology , Urinary Bladder/physiopathology , Urinary Tract/blood supply , Urinary Tract/physiopathology , Urodynamics , VeinsSubject(s)
Kidney Calculi/surgery , Kidney Calices/surgery , Kidney Pelvis/surgery , Humans , MethodsSubject(s)
Pyelonephritis/drug therapy , Anti-Bacterial Agents/therapeutic use , Anti-Infective Agents/therapeutic use , Anti-Inflammatory Agents/therapeutic use , Autoimmune Diseases/immunology , Chronic Disease , Drug Therapy, Combination , Humans , Pyelonephritis/complications , Pyelonephritis/immunologyABSTRACT
The authors have gained minimum blood losses when suturing with provisional catgut ligature through the urinary bladder bottom between interureteral fold and internal urethral orifice yet before dessection of adenoma surgical capsule and tumor enucleation. Depending on the functional state of the upper urinary tract, the bladder tonus and adenoma size, the method of postoperative drainage of the urinary bladder is selected: cystostomy, microirrigation, active suction, etc.
