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1.
Reprod Domest Anim ; 53(2): 365-370, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29164721

RESUMO

Development of new semen cryopreservation techniques improving sperm survival and ensuring availability of viable spermatozoa for a prolonged time-period after AI is promising tools to reduce sensitivity of timing of AI and enhance overall fertility. The SpermVital® technology utilizes immobilization of bull spermatozoa in a solid network of alginate gel prior to freezing, which will provide a gradual release of spermatozoa after AI. The objective of this study was to compare post-thaw sperm quality and in vitro sperm survival over time of Norwegian Red bull semen processed by the SpermVital® (SV) technology, the first commercialized production line of SpermVital® (C) and by conventional procedure applying Biladyl® extender (B). Post-thaw sperm motility was not significantly different between SV, C and B semen (p > .05). However, sperm viability and acrosome intactness were higher for SV than C and B semen (p < .05). Small differences in DNA quality were observed (p < .05). Sperm viability after storage in uterus ex vivo was higher for SV than for C semen (p < .05). Furthermore, sperm survival in vitro over time at physiological temperature was significantly higher for SV semen than C semen as well as B semen during the incubation period of 48 hr (p < .05). In conclusion, the SpermVital® technology is improved and is more efficient in conserving post-thaw sperm quality and results in higher sperm viability over time in vitro for SV than for C and B semen.


Assuntos
Alginatos , Bovinos , Criopreservação/veterinária , Preservação do Sêmen/veterinária , Acrossomo/efeitos dos fármacos , Animais , Criopreservação/métodos , Crioprotetores/farmacologia , Dano ao DNA/efeitos dos fármacos , Feminino , Ácido Glucurônico , Ácidos Hexurônicos , Inseminação Artificial/métodos , Inseminação Artificial/veterinária , Masculino , Análise do Sêmen , Preservação do Sêmen/métodos , Motilidade dos Espermatozoides/efeitos dos fármacos , Espermatozoides/citologia , Espermatozoides/efeitos dos fármacos , Espermatozoides/fisiologia
2.
Reprod Domest Anim ; 52(6): 1019-1024, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28691353

RESUMO

The SpermVital® technology comprises embedding of spermatozoa within an alginate gel to facilitate release of sperm cells over a prolonged period in utero after AI. The aim of this study was to examine whether the survival time of spermatozoa is extended when applying this immobilization technology in combination with cryopreservation. Sperm cell survival (acrosome and plasma membrane integrity) was studied in vitro for 48 hr at physiological temperature. One dose of SpermVital® (SV) semen was compared with single doses of Biladyl® (B) processed semen as well as double doses of B (B double). B double was obtained by adding a second B dose the following day, thereby mimicking double AI. Furthermore, reproductive performance applying single early timed AI (TAI) with SV following oestrus synchronization was studied in a field trial. Double insemination (TAI on two consecutive days) with B semen served as control. Number of acrosome-intact live sperm cells decreased over time in vitro for all treatments (p < .05). There was no difference between SV sperm cell survival and B double after 24 hr (p > .05). However, after 48 hr, SV sperm cell survival was higher than B double (p < .05). Moreover, multivariate analysis showed that the outcome of single early TAI with SV was not significantly different from B double (p > .05). Likelihood of pregnancy and calving in the heifer group was higher than in the cow group (p < .05). These results imply that spermatozoa immobilized in alginate gel have prolonged survival.


Assuntos
Bovinos , Criopreservação/veterinária , Inseminação Artificial/veterinária , Preservação do Sêmen/veterinária , Acrossomo/fisiologia , Alginatos , Animais , Sobrevivência Celular , Feminino , Inseminação Artificial/métodos , Masculino , Gravidez , Preservação do Sêmen/métodos , Espermatozoides/fisiologia , Fatores de Tempo
3.
Reprod Domest Anim ; 48(2): 207-12, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22882422

RESUMO

With the aim of investigating the relationship between sperm DNA integrity and non-return rate (NRR) among Norwegian cross-bred rams, semen from 15 individuals was examined by flow cytometry. Sperm Chromatin Structure Assay (SCSA) quantifies the proportion of spermatozoa with denatured DNA after in situ acid treatment, and the four parameters % DFI, % HDS, MEAN DFI and SD DFI are all different measures of DNA denaturation and maturation. Field fertility, reported as NRR 25 days after insemination was based on all inseminations from a large-scale breeding programme and supplied by the Norwegian Association of Sheep and Goat Farmers. From each ram, four straws from four different weeks of the breeding season were analysed, and the associations between 25-day NRR and the mean of the four SCSA parameters were tested using a logistic regression model. The results revealed no association between fertility and % DFI or % HDS, while SD DFI and MEAN DFI showed a significant negative association with NRR. Further, the SCSA values varied significantly between ejaculates within ram among some of the rams in the study. However, no significant association was seen between these intra-individual differences in sperm DNA integrity and NRR. In conclusion, this study suggests an association between sperm DNA integrity and NRR for rams. However, further research must be conducted to confirm these findings and determine whether sperm DNA assessments can be applied to predict ram fertility.


Assuntos
Dano ao DNA/fisiologia , Congelamento/efeitos adversos , Análise do Sêmen/veterinária , Preservação do Sêmen/veterinária , Ovinos/fisiologia , Animais , Fertilidade , Inseminação Artificial , Masculino , Noruega , Razão de Chances , Fatores de Risco , Preservação do Sêmen/métodos
4.
Anim Reprod Sci ; 117(1-2): 34-42, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19481887

RESUMO

An association between sperm DNA integrity and fertility was recently shown for frozen-thawed Norwegian Red (NRF) bull semen diluted in skimmed milk egg yolk (SMEY). In general the fertility of NRF cattle is high, however, in comparison with NRF semen in SMEY, NRF semen diluted in Tris EY based extenders has shown reduced fertility. The aim of the present study was to do a split-sample comparison of sperm DNA integrity of NRF bull semen (n=20) in SMEY and Triladyl (Tris EY based) during routine cryopreservation procedure and during in vitro incubation of frozen-thawed semen in modified synthetic oviduct fluid (mSOF). In contrast to the high fertility of NRF cattle, Holstein cattle are experiencing a marked decline in fertility. Therefore, the present study also aimed to compare sperm DNA integrity of NRF (n=20) and Holstein (n=20) semen diluted in Triladyl during in vitro incubation. The sperm DNA integrity was measured by susceptibility to in situ acid induced denaturation by the Sperm chromatin structure assay (SCSA). Compared to initial values of frozen neat semen, an increase in DNA damage was observed after dilution and cooling (5 degrees C) and after freezing-thawing of NRF semen in SMEY, but only after freezing-thawing for NRF semen diluted in Triladyl. Sperm DNA damage of NRF semen increased during in vitro incubation in mSOF; the increase in percentage of spermatozoa with DNA damage was more prominent in SMEY than in Triladyl, while the degree of damage was higher in Triladyl, throughout the incubation period. However, while the correlation between DNA damage and sperm survival was negative in SMEY throughout the incubation period, a positive correlation was observed in Triladyl after 9h of incubation, indicating a higher presence of DNA damage in the live sperm population. In comparison with Holstein spermatozoa, the sperm DNA integrity of NRF semen reflected a better ability to withstand alterations induced during in vitro incubation in mSOF. In conclusion, sperm DNA integrity of NRF bull semen was altered during the cryopreservation procedure and in vitro incubation in mSOF. Dilution in Triladyl maintained bull sperm DNA integrity better than dilution in SMEY. Furthermore, alterations in Holstein sperm DNA integrity was more pronounced during in vitro incubation in mSOF compared to NRF bull spermatozoa.


Assuntos
Bovinos , Criopreservação/veterinária , DNA/química , Preservação do Sêmen/veterinária , Sêmen/fisiologia , Espermatozoides/química , Animais , Líquidos Corporais , Membrana Celular/ultraestrutura , Criopreservação/métodos , Dano ao DNA , Tubas Uterinas , Feminino , Temperatura Alta , Masculino , Sêmen/citologia , Preservação do Sêmen/métodos , Espermatozoides/ultraestrutura
5.
Reprod Fertil Dev ; 18(7): 781-8, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17032587

RESUMO

Flow cytometry was utilised for the first time to independently measure five sperm parameters of individual spermatozoa of bull ejaculates to differentiate between outcome successes after artificial insemination (AI). These parameters included plasma membrane and acrosome integrity, mitochondrial functionality and DNA damage measured by sperm chromatin structure assay (SCSA) and terminal deoxynucleotide transferase-mediated dUTP nick end labelling (TUNEL) assays. For each parameter, results of 142 ejaculates (30 bulls) were ranked into three groups according to their flow cytometric measures: (1) ejaculates with the 25% lowest measures; (2) the 50% middle measures; and (3) the 25% highest measures. In total, 20 272 first-service inseminations (18 ;10(6) spermatozoa per AI dose) were performed, where fertility was defined as non-return within 60 days after first insemination. While plasma membrane and acrosome integrity, and mitochondrial functionality were not significantly related to fertility, data from SCSA and TUNEL assays were significantly associated with fertility. Ejaculates in SCSA group 1 had higher odds of AI success (1.07, 95% CI = 1.02-1.12), whereas those in group 3 had lower odds of AI success (0.94, 95% CI = 0.89-0.99), compared with the average odds of all three groups. Ejaculates in group 2 did not have significantly higher odds of AI success compared with the average odds. For TUNEL-positive spermatozoa, the odds of AI success was higher in group 1 compared with the average odds (1.10, 95% CI = 1.02-1.13), whereas odds of AI success in groups 2 and 3 were not significant compared with the average odds. In conclusion, despite the high number of spermatozoa per AI dose from high-quality bulls, both SCSA and TUNEL assays were valuable measures in this study for evaluating sperm quality in relation to fertility after AI.


Assuntos
Dano ao DNA , Fertilidade/genética , Espermatozoides/metabolismo , Animais , Bovinos , Cor , DNA/genética , Masculino , Noruega , Sêmen
6.
Reproduction ; 131(5): 887-94, 2006 May.
Artigo em Inglês | MEDLINE | ID: mdl-16672353

RESUMO

The response of sperm to cryopreservation and the fertility of frozen-thawed semen varies between species. Besides species differences in sperm physiology, structure and biochemistry, factors such as sperm transport and female reproductive tract anatomy will affect fertility of frozen-thawed semen. Therefore, studying differences in sperm cryotolerance between breeds and individuals instead of between species may reveal sources of variability in sperm cryotolerance. In the present study, the effect of cooling, re-warming and freezing and thawing on plasma membrane and acrosome integrity of sperm within and between Norwegian Landrace and Duroc breeds was studied. Furthermore, the relation between post-thaw survival rate and fatty acid composition of the sperm plasma membranes was investigated. Flow cytometry assessments of plasma membrane and acrosome integrity revealed no significant differences between breeds; however there were significant male-to-male variations within breeds in post-thaw percentages of live sperm (plasma membrane intact). The most abundant fatty acids in the plasma membranes from both breeds were palmitic acid (16:0), stearic acid (18:0), oleic acid (18:1, n-9), docosapentaenoic acid (22:5, n-6) and docosahexaenoic acid (22:6, n-3). The ratio of sigma operator 22:5, n-6 and 22:6, n-3/ sigma operator all other membrane fatty acids was significantly related to survival rate (plasma membrane integrity) of sperm for both Norwegian Landrace (correlation coefficient (r(s)) = 0.64, P < 0.05) and Duroc (r(s) = 0.67, P < 0.05) boars. In conclusion, male-to-male differences in sperm survival rate after freezing and thawing may be partly related to the amount of long-chain polyunsaturated fatty acids in the sperm plasma membranes.


Assuntos
Membrana Celular/metabolismo , Criopreservação/métodos , Ácidos Graxos/metabolismo , Preservação do Sêmen/métodos , Espermatozoides/fisiologia , Suínos/fisiologia , Reação Acrossômica , Animais , Cruzamento , Sobrevivência Celular , Ácidos Docosa-Hexaenoicos/análise , Ácidos Docosa-Hexaenoicos/metabolismo , Ácidos Graxos Insaturados/análise , Ácidos Graxos Insaturados/metabolismo , Masculino , Ácido Oleico/análise , Ácido Oleico/metabolismo , Ácido Palmítico/análise , Ácido Palmítico/metabolismo , Especificidade da Espécie , Ácidos Esteáricos/análise , Ácidos Esteáricos/metabolismo
7.
Cryobiology ; 51(1): 66-75, 2005 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-16040024

RESUMO

Cryogenic protocols have been developed for the storage of farmed silver fox (Vulpes vulpes) spermatozoa. However, these same protocols and modifications of these protocols have failed to satisfactorily preserve spermatozoa collected from farmed blue foxes (Alopex lagopus). Because cryogenic success has been linked to membrane composition, the plasma membrane lipid composition of farmed blue fox and silver fox spermatozoa was studied. Silver fox spermatozoal membranes have significantly higher levels of docosapentaenoic acid (DPA; 22:5, n-6) compared to blue fox spermatozoa, and blue fox spermatozoal membranes have significantly higher levels of stearic acid (18:0). Silver fox spermatozoal membranes not only have a higher ratio of unsaturated/saturated membrane fatty acids, but also higher levels of membrane desmosterol and cholesterol.


Assuntos
Criopreservação/métodos , Preservação do Sêmen/métodos , Espermatozoides/metabolismo , Animais , Soluções Tampão , Membrana Celular/metabolismo , Ácido Edético/química , Ácido Edético/farmacologia , Ácidos Graxos/química , Raposas , Metabolismo dos Lipídeos , Masculino , Lipídeos de Membrana/química , Especificidade da Espécie , Esteróis/química
8.
Theriogenology ; 62(9): 1638-51, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15511551

RESUMO

The Norwegian AI company Norsvin has used the short-term semen-extender BTS to extend and store boar semen since the late 1980s. Fertility results have been consistent when extended semen has been used for AI within 3 days after collection, however, from a production and economic point of view it is preferable that semen stored for up to 5 days can be used. The aim of this study was to compare membrane quality of sperm stored in BTS for 3 days with sperm stored in the long-term semen-extenders Androstar, Mulberry III and X-cell for 5 days. Using a split-sample design, plasma membrane- and acrosome-integrity were assessed flow cytometrically by use of Yo-Pro-1 and PNA-FITC, and fluidity and phospholipid asymmetry of the membrane were assessed by use of MC540 and Annexin V-FITC. Due to observed sperm fragmentation in Androstar after Day 1, the data for Androstar were excluded from the analyses. After 5 days of storage, the membrane quality of X-cell-stored sperm was not statistically different from that of sperm stored in BTS for 3 days, while membrane quality of sperm stored in Mulberry III was statistically better on Day 5 compared to BTS on Day 3. In conclusion, Mulberry III and X-cell preserve sperm quality, as well as that of BTS on Day 3, for up to 5 days after collection.


Assuntos
Membrana Celular/fisiologia , Preservação do Sêmen/veterinária , Espermatozoides/ultraestrutura , Suínos , Acrossomo/fisiologia , Animais , Membrana Celular/química , Citometria de Fluxo , Masculino , Fluidez de Membrana , Fosfolipídeos/análise , Preservação do Sêmen/métodos , Soluções , Motilidade dos Espermatozoides , Fatores de Tempo
9.
Nurs Manage ; 32(9): 51-4, 56, 2001 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17929730

RESUMO

Review several studies that investigate head elevation, early walking, and patient comfort after percutaneous transluminal coronary angioplasty (PTCA).


Assuntos
Angioplastia Coronária com Balão/enfermagem , Planejamento de Assistência ao Paciente , Angioplastia Coronária com Balão/métodos , Angioplastia Coronária com Balão/reabilitação , Repouso em Cama , Medicina Baseada em Evidências , Humanos , Guias de Prática Clínica como Assunto , Caminhada
10.
Dimens Crit Care Nurs ; 20(3): 44-51, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-22076400

RESUMO

Several studies have investigated head elevation, early walking, and patient comfort after percutaneous transluminal coronary angioplasty. This research analysis reviews this procedure's current practices and related complications. The authors analyzed the studies' methodologies, grouped the findings according to similar objectives, and highlighted implications for nursing practice and patient care.


Assuntos
Angioplastia Coronária com Balão/enfermagem , Angioplastia Coronária com Balão/efeitos adversos , Angioplastia Coronária com Balão/métodos , Angiografia Coronária , Doença da Artéria Coronariana/terapia , Deambulação Precoce , Artéria Femoral/cirurgia , Hematoma/etiologia , Hemorragia/etiologia , Humanos , Dor/etiologia , Dor/prevenção & controle , Posicionamento do Paciente/enfermagem , Seleção de Pacientes , Qualidade da Assistência à Saúde
11.
Thromb Res ; 95(5): 215-27, 1999 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-10515286

RESUMO

The article describes effects on human platelets of a murine monoclonal antibody of the IgG2a subtype (clone FN99) directed against the membrane glycoprotein CD9. This antibody exerts a dual action on human platelets in plasma depending on whether the complement system can be activated or not, resulting either in membrane permeabilization or a true platelet aggregation. Secretion from the alpha-granules during permeabilisation was not observed in the sense that the granule-located protein thrombospondin was retained in the platelets, as opposed to what was seen with platelets that had undergone an antibody-induced aggregation. Only a small fraction of P-selectin was found on the surface of the permeabilised platelets. The cytoskeletal protein actin-binding protein (filamin) was profoundly degraded during membrane permeabilisation, however, and scanning electron microscopy showed platelets that were swollen with only a few pseudopodia. Preincubation of platelets with three different antibodies to CD9 showed strong inhibition of a subsequent binding of FITC-labelled Fab fragment of FN99 indicating that antibodies tend to bind in the same area of the CD9 molecule. No association of CD9 to the platelet actin-based cytoskeleton was observed. CD9 was present on the surface of microvesicles derived from calcium ionophore-treated platelets.


Assuntos
Anticorpos Monoclonais/imunologia , Antígenos CD/imunologia , Plaquetas/imunologia , Plaquetas/patologia , Glicoproteínas de Membrana , Agregação Plaquetária/imunologia , Anticorpos Monoclonais/farmacologia , Membrana Celular/imunologia , Permeabilidade da Membrana Celular , Grânulos Citoplasmáticos/imunologia , Grânulos Citoplasmáticos/patologia , Humanos , Selectina-P/imunologia , Agregação Plaquetária/efeitos dos fármacos , Tetraspanina 29
12.
Environ Pollut ; 85(2): 131-46, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-15091669

RESUMO

This paper estimates the present UK environmental loading of polychlorinated biphenyls (PCBs). Of the estimated approximately 40,000 t SigmaPCB sold in the UK since 1954, only an estimated 1% (400 t) are now present in the UK environment. Comparisons of estimated production and current environmental loadings of congeners 28, 52, 101, 138, 153 and 180 suggest that PCB persistence broadly increases with increasing chlorination. Those PCBs that are not now present in the UK environment are considered to have been destroyed--by natural or anthropogenic mechanisms, to be still in use, to reside in landfills or to have undergone atmospheric and/or pelagic transport from the UK. The dramatic fall in PCB levels in archived UK soils and vegetation between the mid-1960s and the present is evidence that the latter mechanism is the most important and that a significant proportion of PCBs released into the UK environment in the 1960s have subsequently undergone environmental transport away from the UK. The bulk (93.1%) of the estimated contemporary UK environmental burden of SigmaPCBs is associated with soils, with the rest found in seawater (3.5%) and marine sediments (2.1%). Freshwater sediments, vegetation, humans and sewage sludge combined account for 1.4% of the present burden, whilst PCB loadings in air and freshwater are insignificant. Although consideration of individual congeners does not reveal any major deviations from the relative partitioning of Sigma PCBs, the importance of sinks other than soils is enhanced for individual congeners, particularly 138 and 180. In particular, around 2% of the total UK burden of congener 180 is present in humans, implying that biodata as a whole may constitute an important sink for the higher chlorinated congeners. The contemporary flux of SigmaPCBs to the UK surface is estimated at 19 t yr(-1), compared with an estimated annual flux to the atmosphere of 44-46 t. This implies that the major sources of PCBs to the UK atmosphere have been identified and that there is currently a net loss of these compounds from the UK. These sources are: volatilisation from soils (88.1%), leaks from large capacitors (8.5%), the production of refuse-derived fuel (RDF) (2.2%), leaks from transformers (0.6%), the recovery of contaminated scrap metal (0.5%) and volatilisation from sewage sludge-amended land (0.2%). Interestingly, whilst large excesses of estimated annual fluxes to the atmosphere over deposition fluxes for individual congeners exist for congeners 28, 52 and 101, estimates of fluxes in both directions across the soil-atmosphere interface agree closely for congeners 138, 153 and 180. This suggests that lower chlorinated congeners are more susceptible to both long-range environmental transport beyond the UK and to atmospheric degradation. Retrospective analysis of dated sediment cores, vegetation and soils indicates that environmental transport from North America and continental Europe introduced PCBs into the British environment well before the onset of their commercial production in the UK in 1954. Since that time, the input of PCBs to the UK environment has essentially reflected temporal trends in UK use. After peaking in the 1960s they declined rapidly through the 1970s following restrictions on PCB use. Recent evidence, however, is that the rate of decrease has diminished and that further significant reductions in fresh environmental input will take some time to occur. Such reductions will be especially slow for humans and other biota with long life-spans. This stems partly from cross-generational transfer from parents to offspring and also because the persistence of PCBs in biota means that present body burdens will reflect past as well as current exposure.

16.
FEMS Microbiol Lett ; 64(2-3): 305-9, 1991 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-1884988

RESUMO

The plasmid content of an environmental mycobacterium (MorG) which degrades morpholine (Mor+ phenotype) was investigated. The combination, in what appears to be a novel way, of restriction endonuclease digestion, gel electrophoresis and scanning densitometry permitted the resolution of mixed plasmid preparations into four distinct plasmids with sizes of 54 (approximately), 27.7, 22.8 and 22.6 kb. These plasmids were named pMOR1, 2, 3 and 4, respectively. The Mor+ phenotype was found to be unstable during acriflavin treatment. In four independently isolated Mor- mutants, plasmid pMOR2 was found to have acquired an insert of approximately 1.8 kb within a specific 5.9 kb BamHI fragment. It is concluded that pMOR2 is involved in the coding of the Mor+ phenotype.


Assuntos
Morfolinas/metabolismo , Mycobacterium/genética , Plasmídeos , Eletroforese , Mutação , Mycobacterium/metabolismo
17.
Environ Pollut ; 56(4): 337-51, 1989.
Artigo em Inglês | MEDLINE | ID: mdl-15092474

RESUMO

Soil profile samples collected from the same plot at Rothamsted Experimental Station in southeast England in 1893, 1944 and 1987 have been analysed for polynuclear aromatic hydrocarbons (PAHs). The total PAH burden of the plough layer (0-23 cm) has increased approximately four- to five-fold since the 1890s, with some compounds (notably benzo(b)fluoranthene, benzo(a)pyrene and pyrene) showing substantially greater increases. Average rates of increase in the plough layer for individual PAHs in the Rothamsted plots over the century since c. 1890 vary between 0.01 and 0.67 mg m(-2) year(-1). It is concluded that atmospheric deposition from natural sources has been augmented in recent years by regional fallout of anthropogenically-generated PAHs derived from the combustion of fossil fuels. The total PAH content of the 1893 Rothamsted samples was similar to that observed in soils from contemporary isolated/rural locations in the UK and showed little surface enrichment. By 1987 the surface soil at Rothamsted had been enriched in all PAH compounds measured by a factor of between 1.3 (acenaphthalene) and over 20 (benzo(a)pyrene). Increases in the PAH content of the 23-46 cm subsurface layer indicate migration of PAHs from the plough layer. Net average annual migration rates ranged from 0.01-0.14 mg m(-2) year(-1) for individual PAHs, and the rate appeared to be primarily a function of the plough layer PAH content, rather than physical/chemical properties of the individual compounds. This suggests particle-bound translocation as the dominant mechanism of PAH migration.

18.
J Urol ; 134(2): 304-7, 1985 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-4020983

RESUMO

We reimplanted 121 ureters by the Cohen technique. A modification is introduced for difficult cases, making the Cohen technique more adaptable for dilated ureters and small bladders. Radiographic studies obtained at least 6 months after reimplantation revealed only 1 case of persistent reflux (grade I), no case of contralateral reflux and no obstruction. Even though the series included 35 ureters with grade V primary reflux and 7 primary obstructive megaureters, only 7 ureters were tapered. This finding suggests that the Cohen method might require tapering in a smaller percentage of cases compared to other reimplantation techniques.


Assuntos
Ureter/cirurgia , Bexiga Urinária/cirurgia , Refluxo Vesicoureteral/cirurgia , Adolescente , Criança , Pré-Escolar , Feminino , Seguimentos , Humanos , Lactente , Recém-Nascido , Masculino , Métodos , Fatores de Tempo , Ureter/diagnóstico por imagem , Ureter/fisiopatologia , Bexiga Urinária/diagnóstico por imagem , Bexiga Urinária/fisiopatologia , Urografia , Refluxo Vesicoureteral/fisiopatologia
19.
J Urol ; 131(1): 56-8, 1984 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-6690748

RESUMO

Nesbit's technique of excising ellipses of tunica albuginea has been effective in correcting chordee in children. We have used this technique successfully in adults for the correction of 19 congenital and traumatic curvatures, as well as those resulting from stable Peyronie's disease. All patients retained potency and reported excellent correction of the deformities. We believe that Nesbit's operation is the procedure of choice for the correction of disabling adult penile curvature.


Assuntos
Doenças do Pênis/cirurgia , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , Necrose/etiologia , Induração Peniana/cirurgia , Pênis/patologia , Complicações Pós-Operatórias , Pele/patologia
20.
J Urol ; 130(6): 1199-200, 1983 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-6644905

RESUMO

As many as 50 per cent of explorations for intrascrotal masses result in orchiectomy for benign disease. The most common diagnoses are hydrocele, epididymitis and benign testicular tumors. Many of these diagnoses could be made before orchiectomy if the tunica vaginalis and, occasionally, the tunica albuginea were opened, and the lesion biopsied. However, violation of the testicular tunics traditionally has been considered taboo because of the dangers of tumor seeding. In 1906 Chevassu suggested inguinal exploration and occlusion of the testicular vessels before biopsy of suspicious lesions. We have added scrotal hypothermia, double ligation of the gubernaculum before its division and irrigation with distilled water to provide a procedure that adheres to the principles of good cancer surgery. Its use during inguinal explorations for suspicious intrascrotal masses in 5 patients led to a benign diagnosis and preservation of the testis in 3 instances without subsequent testicular atrophy. Its judicious use can decrease the incidence of orchiectomy for benign disease.


Assuntos
Biópsia/métodos , Neoplasias dos Genitais Masculinos/patologia , Escroto/patologia , Adolescente , Adulto , Doenças dos Genitais Masculinos/patologia , Humanos , Hipotermia Induzida , Canal Inguinal , Ligadura , Masculino , Testículo/patologia , Irrigação Terapêutica
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