[Clinical and therapeutic evolution of urinary tuberculosis].
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Biomedical subjects
Publications and source records attributed to A Puigvert.
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Partial nephrectomy has been performed in 21 cases of kidney tumours. It can be used for well-limited parenchymatous tumours and obligatory in patients with a solitary kidney, but is not advisable for tumours originating in the urothelium. These results are compared with the parallel experience with radical surgery and followed during 46 years in the same centre, they give a greater value to this study and encourage the reasoned practice of partial nephrectomy for tumours especially in the solitary kidney.
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In this study the author emphasizes the existence of a muscular element that had not been described until now. This muscular element is situated around Malpighi's pyramid and its fibres are followed by the caliceal muscle and the elements that form Henle's peripapillar ring. The systolic and diastolic function of this peripyramidal muscle can be observed in the urographies, during the evacuation of the collector tubules of Bellini, and its synchronization with the next caliceal and pyelic musculature.
The advantages and drawbacks of the different techniques of the prostate needle biopsy are commented. The reasons for always using the percutaneous perineal approach with Vim-Silvermann's needle, modified by Franklin, in our Centre are pointed out. The results obtained in more than 1,500 biopsies performed in the Institute are briefly presented. A clinical report--the second in our records--in which the perineal implantation of a metastatic nodule occurred in the transcutaneous needle biopsy, is also presented. This complication is in fact a very rare one, and we must not forget all the advantages of this diagnostic pattern. After a thorough revision of the world casuistic, we have only been able to find 8 published cases.
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