[Günther vena cava filter. Results of long-term follow-up].
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Biomedical subjects
Publications and source records attributed to G Stobbe.
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Our experience in diagnosis, treatment and follow-up course of patients suffering from benign and malignant retroperitoneal fibrosis are reported. Especially in idiopathic fibrosis the initial placement of percutaneous nephrostomy and long-term immunosuppression is the treatment of choice. In the follow-up ultrasonography and computerized tomography are valuable methods.
An optimal detection and subsequent documentation of tumour development with imaging methods is achieved with transrectal sonography combined with biopsy. In bladder carcinoma the penetration through the cystic wall and infiltration into adjacent organs and the lymph nodes is detected by computed tomography or better by magnetic resonance tomography.
Despite the continuously increasing number of successfully transplanted kidneys, graft and patient are still "threatened" by several postoperative complications as acute and chronic rejection, acute tubular necrosis, urologic and vascular complications and disorders caused by immunosuppressive medication. An early and safe detection of these conditions is of high clinical importance and a challenge to diagnostic imaging. All radiologic methods and nuclear medicine have their value for transplantation diagnostics, but in recent years a trend to noninvasive methods with no contrast media and little discomfort to the patient is clearly visible (sonography, magnetic resonance). Rational diagnostic strategies for various conditions after renal transplantation are described.
Our experiences in the diagnostics, treatment and follow-up-course of 10 patients suffering from idiopathic retroperitoneal fibrosis are reported. The ureterolysis and temporary nephrostomy, initially as percutaneous nephrostomy, and a long-term immunosuppressive therapy is the treatment of choice. In the follow-up control ultrasonography and computerized tomography are valuable and the prognosis of the disease quoad functionem is good.
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Sporadic informations in the literature that by means of CT of the thorax by far smaller intrapulmonary foci can be recognized in comparison to the conventional x-ray examination are just to be confirmed. With the help of instances the indication for thorax CT in germinal testicular tumours is presented. The evidence and exclusion, respectively, of pulmonary metastases are of decisive importance actually for the therapy and prognosis in patients with germinal testicular tumours. In this respect our observations confirm the indications for a CT-examination of the thorax in these groups of patients.
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The vaginal influx during miction is a frequent phenomenon. In our clinical study it showed a rate of 54 per cent. The significance of pathomorphological substrates is diminishing with the advancing vesical descensus. The posture during miction has but little influence on the vaginal deviation of the urinary stream. The mid-stream urine is relevantly contaminated in every other girl and, therefore, it may be used only for screening. Indication for an antibacterial therapy is based on catheter or puncture urine.
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