Biomedical subjects
Publications and source records attributed to A Csontai.
A total of 83 patients with papillary tumour in the renal pelvis have been observed in 25 years. The peak incidence was in the age group between 51 and 70 years. The first symptom was almost always haematuria without any other symptom. The therapy is surgical, complemented with radiotherapy and/or chemotherapy. The problem of the involvement of the bladder is discussed.
The data of 56 patients with plastic induration of the penis treated at the Department of Urology of Semmelweis University Medical School are presented. After a survey of the literature and of the therapeutic possibilities the surgical solution worked out by the authors recommended. Conservative treatment alone cannot secure a cure and its pre-operative application will not improve the chances of a cure. A palpable knot is the indication for surgery. Postoperative cease on ultrasonic treatment. If for some reason (concomitant illness, oppositions of the patient to operation) only conservative treatment can be applied, ultrasonic therapy is believed the most suitable.
Five patients with bilateral testicular tumours were treated in the ten year period 1966 to 1975. In two patients the tumour appeared on both sides at the same time, while in three cases it developed 3/4, 6 and 7 years apart, respectively. The tumour was detected in one case in a retained testicle; in 4 cases the testicles were in the scrotum. Factors promoting development of the tumour and the diagnostic possibilities are discussed. It is recommended to remove the testicle by high division of the funiculus and to apply postoperative radiotherapy. In the presence of metastases administration of cytostatics is necessary. The possibilities of hormone substitution are discussed.
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The double-pyelon kidney, i.e. the total or partial duplication of the urinary transport system may involve both diagnostic and therapeutic difficulties. Observations are presented on the strength of 398 cases with total or partial duplication of the upper urinary tract. The incidence rate was 0.7 percent. The various types of duplication are presented with the diagnostic and therapeutic features involved. Transport function is discussed in detail as investigated under ideal physiologic conditions: during excretory urography under the amplifier screen. Aiming at early detection of the congenital anomaly and specification of the appropriate management, a urologic check-up is suggested even with mild presenting symptoms. Special emphasis is given to the consistent day-time enuresis in children over 3 years old, as a possible sign of ectopic ureter. Both children and parents are saved much unpleasantness by early detection, proper management and considerate surgery.
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The data of patients treated for priapism in the Department of Urology of Semmelveis University Medical School between 1951 and 1971 are analyzed. Eleven patients were hospitalized and three were outpatients. After a brief survey of the literature, mechanism, aetiology and treatment of the condition are discussed. In the majority of the patients after the cessation of priapism sexual libido returned as a rule without the appearance of erection. Three cases are briefly described. In four patients after some time partial erection and orgasm was experienced under mechanical influence. Two of these patients had married and have children.
One hundred and thirty-eight patients with dystopic kidney were followed-up for 30 years. The operated and non-operated patients were considered separately. The condition manifested itself mostly after the age of 20. Under regular medical control, the condition can be treated by conservative methods. The possibility of an ectopic kidney should be thought of even when complaints are not typical or there are few symptoms.
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