[Modification of secondary urodynamics by endoscopic (Politef) treatment of urinary stress incontinence].
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Biomedical subjects
Publications and source records attributed to A Marconi.
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A urodynamic study was conducted in 37 patients with benign prostatic hypertrophy before and five months after transvesical prostatic adenomectomy. Prior to the operation, 17 patients had cystometric signs of unstable bladder which persisted after the operation in only two patients. Normal detrusor function was restored in the other 15 patients. The pathophysiological and clinical aspects of bladder neck obstruction in patients with prostatic hypertrophy are discussed.
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A case of a forty-five-year-old woman with fused kidneys and intercommunicating pelves drained by a single ureter crossing the midline is reported. A review of the literature is presented.
Electrocardiographs from 68 fetuses with ultrasound evidence of growth retardation were recorded from the maternal abdomen; QRS duration was measured and compared to normal standards previously obtained in our Institute. Of these fetuses, 54 were small-for-gestational-age at birth and 44 exhibited QRS duration values below -2 SD for their gestational age. All but one of the 14 normal fetuses showed normal QRS values (positive predictive value = 98%; negative predictive value = 57%). Of 11 fetuses with QRS duration values below -4 SD, nine were particularly small, below the 2nd centile of weight for gestation. QRS duration measurements may represent a sensitive method for identifying fetal growth-retardation. The QRS duration also seems to provide a reliable prognosis of perinatal outcome. Normal values are a reassuring factor: abnormal cardiotocographic records were observed in only 2 out of 23 cases and no low Apgar scores or perinatal deaths occurred. QRS values below -4 SD proved to be associated with abnormal cardiotocographic records (7/13), low Apgar scores (5/15) and perinatal deaths (3/15).
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The authors report the observation of a five year old boy who presents recurrent urinary tract infections with infrequent voiding and without residual urine. Uroradiologic investigations show a megaureter-megabladder syndrome. Pathogenesis and management of this syndrome are then discussed.
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Three cases of prostatic leiomyosarcoma and a brief review of the literature are presented. The authors emphasize the differences in clinical features, management and prognosis between the sarcomas occurring in childhood and the rarest leiomyosarcoma of elderly patients.
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