Archivio italiano di urologia, nefrologia, andrologia : organo ufficiale dell'Associazione per la ricerca in urologia = Urological, nephrological, and andrological sciences最新文献_第7页

[Use of ultrasound-guided percutaneous nephrostomy before and after ESWL: 4 years of experience]. 超声引导下经皮肾造口术在ESWL前后的应用:4年经验。

Archivio italiano di urologia, nefrologia, andrologia : organo ufficiale dell'Associazione per la ricerca in urologia = Urological, nephrological, and andrological sciences Pub Date : 1992-06-01

E Montanari, G Zanetti, A Guarneri, A Trinchieri, M Seveso, E Austoni

{"title":"[Use of ultrasound-guided percutaneous nephrostomy before and after ESWL: 4 years of experience].","authors":"E Montanari, G Zanetti, A Guarneri, A Trinchieri, M Seveso, E Austoni","doi":"","DOIUrl":"","url":null,"abstract":"We evaluated the usefulness of percutaneous nephrostomy in 1700 patients treated for reno-ureteral stones by extracorporeal shock wave lithotripsy (SWL). Out of this group 81 patients (5.8%) underwent echo-guided percutaneous nephrostomy (EPCN): the procedure has been performed in local anesthesia in 38% of the cases (31 pts) before SWL and in 62% (50 pts) after. The majority of EPCN were carried out for the presence of acute or chronic ureteral obstruction with echographic evaluable dilation of pyelocaliceal system when retrograde ureteral manipulations failed or were considered unsuitable. EPCN before SWL was performed because of ureteral stone and uncomplicated pyelocalyceal dilation (19 pts); ureteral stone, pyelocaliceal dilation and fever > 38 degrees C (3 pts); ureteral stone, pyelocalyceal dilation and functional IVP exclusion (5 pts); pyelic stone in solitary kidney (1 pts); ureteral stones in pregnancy (2 pts). EPCN after SWL was performed because of uncomplicated, persistent pile-up (31 pts); ureteral pile-up complicated by fever and colics (9 pts); ureteral obstructing fragments (2 pts); double J obstruction by stone dust (3 pts); persistent ureteral pile-up around double J (3 pts); anuria in solitary kidney (1 pt). Out of the patients who underwent EPCN before SWL 13% were stone free and without drainage at discharge, 77% had passable stone fragments at discharge and drainage has been taken out at 15-30 days check up, 10% had unbroken stone and underwent with drainage to ureterolithotripsy.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":8343,"journal":{"name":"Archivio italiano di urologia, nefrologia, andrologia : organo ufficiale dell'Associazione per la ricerca in urologia = Urological, nephrological, and andrological sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1992-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12583987","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

[The role of nuclear medicine in renovascular pathology of urologic significance]. 【核医学在泌尿外科肾血管病理中的作用】。

Archivio italiano di urologia, nefrologia, andrologia : organo ufficiale dell'Associazione per la ricerca in urologia = Urological, nephrological, and andrological sciences Pub Date : 1992-06-01

P Biassoni, G Villa

{"title":"[The role of nuclear medicine in renovascular pathology of urologic significance].","authors":"P Biassoni, G Villa","doi":"","DOIUrl":"","url":null,"abstract":"The diagnostic contribution of the radiological techniques (intravenous urography, angiography, sonography, computer tomography) is well-known. On the contrary, in this field, the possibilities of the Nuclear Medicine are underestimated. Radiological methods have high detail recognition but are only suitable for assessing the functional significance of morphological changes in a restricted sense; in the last 25 years, nuclear medical renal diagnosis has achieved a differentiated development stage which permits new qualitative and quantitative tests. The radioisotopic methods offer morphological informations which surely are less exact than those given by radiological techniques, on the other hand they add irreplaceable parameters of functional significance; these parameters concern the perfusion and the accumulation and excretion constants of selected areas of interest in renal districts. This is made possible by a wide choice of radiopharmaceuticals, having a different dynamic pattern and biodistribution. The Authors consider scintigraphic imaging of different renal pathologies: trauma, characterized by hypoperfusion; hematoma and/or urinoma; pseudotumor and carcinoma. Nuclear medical techniques allow in nearly all the cases a rapid and exact diagnostic guidance. The AA. emphasize the absence of invasiveness, the simplicity and the good compliance of these methods in all patients, even if seriously ill, and the usefulness in follow-up and diagnosis of several pathological conditions. Finally, they underline the absence of an appreciable radiobiological hazard.","PeriodicalId":8343,"journal":{"name":"Archivio italiano di urologia, nefrologia, andrologia : organo ufficiale dell'Associazione per la ricerca in urologia = Urological, nephrological, and andrological sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1992-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12584906","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

[Duplex scanner in the diagnosis of vasculogenic impotence]. [双工扫描仪在血管源性阳痿诊断中的应用]。

Archivio italiano di urologia, nefrologia, andrologia : organo ufficiale dell'Associazione per la ricerca in urologia = Urological, nephrological, and andrological sciences Pub Date : 1992-06-01

A Carbone, H Gezeroglu, A Militello, A Mander

引用次数: 0

[Impotence: introductory notes]. [阳痿:导言]。

Archivio italiano di urologia, nefrologia, andrologia : organo ufficiale dell'Associazione per la ricerca in urologia = Urological, nephrological, and andrological sciences Pub Date : 1992-06-01

E Belgrano, C Trombetta, F Pirozzi-Farina, S Siracusano, M Deriu, E Salisci

{"title":"[Impotence: introductory notes].","authors":"E Belgrano, C Trombetta, F Pirozzi-Farina, S Siracusano, M Deriu, E Salisci","doi":"","DOIUrl":"","url":null,"abstract":"If we define erectile impotence as the inability to achieve and maintain a firm erection we can distinguish several pathogens of impotence: psychologic disorders, neurogenic sinusoidal disorders, arterial disorders, venous & sinusoidal disorders and systemic diseases and other disorders can cause erectile impotence. An etiologic screening of impotence must be carried out by Urologists in order to adopt the best surgical approach. Especially when surgery has to be planned, a complete, often invasive screening associated with a super-specialist diagnostic study is necessary at the beginning of any procedure. Different approaches to impotence can be adopted on the basis of patient's age, etiology and failure of other devices. The main methods of surgical correction of impotence may be divided as follows: a) percutaneous transluminal angioplasty (P.T.A.); b) revascularization; c) surgical treatment of \"venous leakage\", d) trans-luminal veno-occlusion (T.L.V.O.); e) correction of penile curvature; f) prostheses placement. The diagnosis of arteriogenic impotence depends upon the arteriographic demonstration of bilateral hemodynamically significant obstruction. In our experience the injection of papaverine during the test has provided a better visualization of cavernous arteries and helicine branches. Reduction of luminal diameter by more than 50% suggest a hemodynamically significant stenosis. Intracavernous injection of vasoactive agents has provided an attractive alternative to surgery. We have employed papaverine alone or with phentolamine or phenoxybenzamine. After short term treatment, some patients have achieved good erections without further injections. For P.T.A. of the distal internal pudendal arteries our approach has been via the ipsilateral or contralateral femoral arteries. Under local anesthesia a penile arteriographic catheter is placed in the internal pudendal artery.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":8343,"journal":{"name":"Archivio italiano di urologia, nefrologia, andrologia : organo ufficiale dell'Associazione per la ricerca in urologia = Urological, nephrological, and andrological sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1992-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12583014","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

[Role of penile ultrasonography in erection deficit]. [阴茎超声检查在勃起障碍中的作用]。

Archivio italiano di urologia, nefrologia, andrologia : organo ufficiale dell'Associazione per la ricerca in urologia = Urological, nephrological, and andrological sciences Pub Date : 1992-06-01

C Trombetta, F Pirozzi-Farina, S Siracusano, M Sanna, M Deriu, E Salisci, E Belgrano

引用次数: 0

[Bladder neoplasms]. 膀胱肿瘤。

Archivio italiano di urologia, nefrologia, andrologia : organo ufficiale dell'Associazione per la ricerca in urologia = Urological, nephrological, and andrological sciences Pub Date : 1992-06-01

D Di Trapani, C Romano

引用次数: 0

[Involvement of the urogenital system in HIV virus infection]. [泌尿生殖系统与HIV病毒感染的关系]。

Archivio italiano di urologia, nefrologia, andrologia : organo ufficiale dell'Associazione per la ricerca in urologia = Urological, nephrological, and andrological sciences Pub Date : 1992-06-01

M Capone, B Frea, G Carmignani

引用次数: 0

[Testicular autotransplant and laparoscopic orchiectomy in a case of bilateral adult cryptorchism]. [自体睾丸移植联合腹腔镜睾丸切除术一例成人双侧隐睾]。

Archivio italiano di urologia, nefrologia, andrologia : organo ufficiale dell'Associazione per la ricerca in urologia = Urological, nephrological, and andrological sciences Pub Date : 1992-06-01

C Trombetta, S Siracusano, M Deriu, E Salisci, E Belgrano

{"title":"[Testicular autotransplant and laparoscopic orchiectomy in a case of bilateral adult cryptorchism].","authors":"C Trombetta, S Siracusano, M Deriu, E Salisci, E Belgrano","doi":"","DOIUrl":"","url":null,"abstract":"B.L. a 27 year old bilaterally cryptorchid patient underwent right testicular autotransplantation in the presence of a quite normal testis. After one year the patency of microsurgical anastomosis was confirmed by means Doppler flowmetry and scrotal echography demonstrated the presence into the scrotum of a testis provided of a normal echogenicity. Left laparoscopic orchiectomy was planned. A small semilunar skin incision was made just below the rime of the umbilicus. Veress needle was introduced: as soon as the needle pierced the parietal peritoneum, its spring mechanism was released allowing the sharp needle point to retract leaving only the blunt tip protruding. Carbon dioxide gas was insufflated through the side part of the Veress needle until adequate abdominal distension was achieved. After having removed the Veress needle, the laparoscope on its sharp-pointed trocar was introduced into the peritoneal cavity and left testis was easily localized. Four trocars were introduced up to proceed to laparoscopic orchiectomy. The patient was discharged two days after. In our opinion in the presence of a bilateral cryptorchism in the adult, is better to plan a monolateral autotransplantation. After having verified the long-term result of microsurgery we can decide if a contralateral orchiectomy has to be planned.","PeriodicalId":8343,"journal":{"name":"Archivio italiano di urologia, nefrologia, andrologia : organo ufficiale dell'Associazione per la ricerca in urologia = Urological, nephrological, and andrological sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1992-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12528436","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

[Clinical and prognostic significance of metastases]. 【转移的临床及预后意义】。

Archivio italiano di urologia, nefrologia, andrologia : organo ufficiale dell'Associazione per la ricerca in urologia = Urological, nephrological, and andrological sciences Pub Date : 1992-03-01

A Maggioni, F Coppi, E Patelli, A Del Nero, D Antonelli

引用次数: 0

[Surgery of hepatic metastases of tumors of the genitourinary tract of males]. [男性生殖泌尿道肿瘤肝转移的外科手术]。

Archivio italiano di urologia, nefrologia, andrologia : organo ufficiale dell'Associazione per la ricerca in urologia = Urological, nephrological, and andrological sciences Pub Date : 1992-03-01

B Andreoni, R Biffi, A Chiappa

引用次数: 0