Transactions of the American Association of Genito-Urinary Surgeons最新文献_第9页

Malignant hypertension in children secondary to chronic pyelonephritis: laboratory and radiologic indications for partial or total nephrectomy. 继发于慢性肾盂肾炎的儿童恶性高血压:部分或全部肾切除术的实验室和放射学指征。

Transactions of the American Association of Genito-Urinary Surgeons Pub Date : 1977-01-01

E F Poutasse, J F Stecker, L E Ladaga, E E Sperber

{"title":"Malignant hypertension in children secondary to chronic pyelonephritis: laboratory and radiologic indications for partial or total nephrectomy.","authors":"E F Poutasse, J F Stecker, L E Ladaga, E E Sperber","doi":"","DOIUrl":"","url":null,"abstract":"Severe renin-mediated hypertension was noted in 2 children as a result of selective renal damage from vesicoureteral reflux during the early years of life. In each case the reflux had been corrected successfully long before hypertension developed. In 1 case the late damage involved only 1 kidney and nephrectomy resulted in immediate relief of the hypertension. In the second case, even though both kidneys showed segmental scarring from calicectasis and chronic pyelonephritis, removal of the atrophied lower pole of 1 kidney made hypertension amenable to medical treatment and reduced excessive renin output to a fraction of the original high levels. The mechanism of renin-mediated hypertension in kidneys with segmental scars of chronic pyelonephritis is believed to be ischemia of the relatively normal renal cortex in proximity to areas of interstitial fibrosis, within which are tortuous interlobular and smaller arterioles with severe intimal thickening. Hypertrophy of normal renal segment occurs in young patients with segmental chronic pyelonephritis. To accommodate this enlargement the original calix develops an extension or elongation readily distinguishable from other dilated calices.","PeriodicalId":76753,"journal":{"name":"Transactions of the American Association of Genito-Urinary Surgeons","volume":"69 ","pages":"135-8"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11820394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reaction of the vesical wall to bacterial penetration: resistance to attachment, desquamation and leukocytic activity. 膀胱壁对细菌渗透的反应:抵抗附着、脱屑和白细胞活性。

Transactions of the American Association of Genito-Urinary Surgeons Pub Date : 1977-01-01

S Orikasa, F Hinman

{"title":"Reaction of the vesical wall to bacterial penetration: resistance to attachment, desquamation and leukocytic activity.","authors":"S Orikasa, F Hinman","doi":"","DOIUrl":"","url":null,"abstract":"To determine the contribution of the bladder wall to defense against infection we designed a series of experiments wherein movement of introduced bacteria and inflammatory processes (cystitis) were observed by an autoradiographic technique. As a first defense line the bladder mucosal surface showed strong resistance against bacterial attachment and penetration. Moreover, epithelial cells gripped and penetrated by bacteria were desquamated and eliminated through voiding, thus arresting deeper invasion into the bladder wall. When organisms did penetrate the bladder wall they were phagocytized by polymorphonuclear leukocytes and macrophages in the submucosa and muscularis. In contrast, once leukocytes had migrated into the urine within the bladder they no longer participated in phagocytosis. Organisms also entered the veins, the lymphatics or both and disappeared rapidly from the local site through the action of the reticuloendothelial system. These observations indicate that in addition to mechanical emptying resistance to bacterial attachment, desquamation of invaded cells, activity of leukocytes and macrophages, and disappearance of bacteria from local site are 4 mechanisms whereby the bladder resists and fights infection.","PeriodicalId":76753,"journal":{"name":"Transactions of the American Association of Genito-Urinary Surgeons","volume":"69 ","pages":"52-60"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11579048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pyelometry: an objective evaluation of obstruction in the upper urinary tract. 肾盂测速学:对上尿路梗阻的客观评价。

Transactions of the American Association of Genito-Urinary Surgeons Pub Date : 1977-01-01

R Ambiavagar, M Schneider, K Waterhouse

引用次数: 0

Radical cystectomy with or without prior irradiation in the treatment of bladder cancer. 根治性膀胱切除术伴或不伴放射治疗膀胱癌。

Transactions of the American Association of Genito-Urinary Surgeons Pub Date : 1977-01-01

W F Whitmore, M A Batata, M A Ghoneim, H Grabstald, A Unal

引用次数: 0

Urodynamic patterns in children with dysfunctional voiding problems. 排尿功能障碍儿童的尿动力学模式。

Transactions of the American Association of Genito-Urinary Surgeons Pub Date : 1977-01-01

T D Allen, T C Bright

引用次数: 0

Eight years of experience with preoperative angiographic and lymphographic staging of bladder cancer. 有8年膀胱癌术前血管造影和淋巴造影分期的经验。

Transactions of the American Association of Genito-Urinary Surgeons Pub Date : 1977-01-01

A R Winterberger, Z Wajsman, C Merrin, G P Murphy

{"title":"Eight years of experience with preoperative angiographic and lymphographic staging of bladder cancer.","authors":"A R Winterberger, Z Wajsman, C Merrin, G P Murphy","doi":"","DOIUrl":"","url":null,"abstract":"Our experience with the preoperative staging of bladder cancer by bilateral selective hypogastric arteriography has been accumulated since 1968. More than 150 patients have been studied by selective angiography before radical cystectomy. Our latest series of 52 patients (1972 to 1976) compares to our previous experience demonstrating angiographic staging accuracy to detect bladder invasion and occult metastases at a rate exceeding that of clinical staging alone. Arteriographic staging of D lesions, when supplemented with lymphography, approaches 100 per cent accuracy. Falsely negative lymphograms currently are extremely uncommon (1.9 per cent). In several illustrated instances angiographic staging was proved to be even more accurate than the pathologic staging of a limited cystectomy specimen. The over-all angiographic and lymphangiographic staging accuracy in our most recent series of cystectomy patients was 78.8 per cent. The techniques and reliability of the data are discussed in detail, including the factors that interfere with the exact arteriographic staging of bladder cancer. However, these factors are more troublesome in early stage lesions. These studies demonstrate the role and value as well as areas of limitation of preoperative arteriography and lymphography in the evaluation of invasive bladder cancer.","PeriodicalId":76753,"journal":{"name":"Transactions of the American Association of Genito-Urinary Surgeons","volume":"69 ","pages":"92-6"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11819012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experience with an animal model for the study of prostatic carcinoma. 前列腺癌动物模型研究的经验。

Transactions of the American Association of Genito-Urinary Surgeons Pub Date : 1977-01-01

D M Lubaroff, D A Culp

{"title":"Experience with an animal model for the study of prostatic carcinoma.","authors":"D M Lubaroff, D A Culp","doi":"","DOIUrl":"","url":null,"abstract":"We report on the development of the Dunning R3327 prostatic adenocarcinoma of the Copenhagen rat as a suitable model for human prostatic cancer. Tumors produced by the subcutaneous or intraprostatic injections of viable cells had the macroscopic and microscopic characteristics of human disease. Histologically, these tumors were well differentiated adenocarcinomas with the human disease. Histologically, these tumors were well differentiated adenocarcinomas with the formation of glands and acid secretions within the acini. The intraprostatic tumor, although initially confined to the injected lobe, grew to involve the surrounding tissues and eventually metastasized to the lymph nodes and lungs. Occasional metastatic lesions were found in other organs as well. Acid phosphatase could be demonstrated by histochemical staining of frozen tumor sections and elevated levels of the enzyme were seen in the serum of rats bearing long-term subcutaneous tumors. During investigation of the tumor a fast growing line arose that grew equally as well in female as in male rats. The histology of this tumor was of an undifferentiated anaplastic tumor. Treatment by cryosurgery completely destroyed the prostatic tumor within 2 weeks. A tissue culture line derived from R3327 was capable of producing tumors in recipient rats with characteristics similar to the original Dunning tumor.","PeriodicalId":76753,"journal":{"name":"Transactions of the American Association of Genito-Urinary Surgeons","volume":"69 ","pages":"72-7"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11820405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Novel bacterial structures in human blood. II. Bacterial variants as etiologic agents in idiopathic hematuria. 人类血液中的新型细菌结构。2细菌变异作为特发性血尿的病因。

Transactions of the American Association of Genito-Urinary Surgeons Pub Date : 1977-01-01

G J Domingue, J U Schlegel

{"title":"Novel bacterial structures in human blood. II. Bacterial variants as etiologic agents in idiopathic hematuria.","authors":"G J Domingue, J U Schlegel","doi":"","DOIUrl":"","url":null,"abstract":"Novel bacterial structures have been demonstrated in lysed blood filtrates placed in special culture media from patients with idiopathic hematuria. These structures converted rapidly to gram-positive coccal (streptococcal and staphylococcal-like) coccobacillary and filamentous, bacterial forms in vitro from 96 per cent of the patients studied. Blood cultured conventionally yielded negative findings. Although structures (dense bodies) were demonstrated in normal control blood specimens (albeit in lesser numbers) few converted to classical bacteria in vitro (7 per cent). Erythromycin therapy appeared to correlate with disappearance of hematuria and inability to revert rapidly the variant froms to classical bacteria in vitro. It is suggested that continual bombardment of the blood by bacteria entering from the mouth or other sites may lead to the development of variant bacterial parasitism. In an effort to survive the deleterious host effects the organisms may convert to persisting osmotically stable variant bacterial forms (dense bodies). Development of a disease state may be conditioned by some existing or developing abnormality in the host (immunologic, physiologic and/or biochemical). Furthermore, changes (genetic?) that might take place in the organisms per se during their transition to variant forms and adaptation to life in vivo may not allow certain host environments to adapt to these new forms, possibly leading to a pathogenetic role in renal diseases whose etiologies have long been enigmas.","PeriodicalId":76753,"journal":{"name":"Transactions of the American Association of Genito-Urinary Surgeons","volume":"69 ","pages":"61-4"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11579049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experience with the radioimmunoassay for parathyroid hormone in the diagnosis of primary hyperparathyroidism. 放射免疫法诊断原发性甲状旁腺功能亢进的体会。

Transactions of the American Association of Genito-Urinary Surgeons Pub Date : 1977-01-01

G F Carswell, C S Anast, I M Thompson, G Ross

{"title":"Experience with the radioimmunoassay for parathyroid hormone in the diagnosis of primary hyperparathyroidism.","authors":"G F Carswell, C S Anast, I M Thompson, G Ross","doi":"","DOIUrl":"","url":null,"abstract":"Our results with radioimmunoassay studies for parathyroid hormone performed during the last 6 years are compared retrospectively to results of the laboratory tests customarily secured when hyperparathyroidism is suspected. The results obtained in patients with known primary hyperparathyroidism and in patients with unconfirmed but presumptive hyperparathyroidism are compared to the results obtained from a group of normal controls. Despite the fact that certain discrepant results were noted in the earlier assay techniques the over-all results and, in particular, those of more recent years have been highly sensitive and reproducible corroboratives of the existence of primary hyperparathyroidism. About two-thirds of the patients with primary hyperparathyroidism will present to the urologist. All patients with calcium-containing stones should have at least 3 determinations of the serum calcium in screening for primary hyperparathyroidism. The radioimmunoassay for parathyroid hormone provides the most reliable confirmation. The patient with calculous disease, elevation of the immunoreactive parathyroid hormone level and hypercalcemia is virtually certain to have primary hyperparathyroidism.","PeriodicalId":76753,"journal":{"name":"Transactions of the American Association of Genito-Urinary Surgeons","volume":"69 ","pages":"113-7"},"PeriodicalIF":0.0,"publicationDate":"1977-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11579043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation and treatment of patients with failed hypospadias repair. 尿道下裂修复失败患者的评价与治疗。

Transactions of the American Association of Genito-Urinary Surgeons Pub Date : 1977-01-01

C J Devine, J P Franz, C E Horton

引用次数: 0