The President's dilemma, 1919 (Woodrow Wilson).
Explore the source record for details and available documents.
Famous Persons↗
Biomedical subjects
J H Texter
Publications and source records attributed to J H Texter.
Urologic injuries associated with penetrating wounds to the buttock.
The clinical syndrome of penetrating injuries to the buttocks at the Medical College of Virginia has been reviewed. This syndrome may present with a spectrum of injuries, from minor soft tissue damage to serious bowel, genitourinary, or vascular damage. Careful history and physical examination along with preliminary plan X rays and appropriate contrast radiographs should be performed. Additional diagnostic studies such as proctoscopy and cystoscopy are helpful when additional preoperative information is required. When retroperitoneal and intraperitoneal injury is suspected, prompt exploration with aggressive intraoperative management is recommended.
Adolescent↗
Dilation of the urethra in males.
Treatment of male urethral strictures can be safely performed in the office. Urinary tract infections should be treated with appropriate antibiotics prior to urethral dilation. Complications from urethral instrumentation, such as bleeding and perforation, can be minimized by careful selection of instruments and gentleness on the part of the physician. If frequent dilations are necessary or the instrumentation is poorly tolerated by the patient, definitive surgical repair of the stricture should be considered.
Dilatation↗
Ureteral reimplantation with proximal urinary diversion: laboratory investigation.
In an effort to determine whether or not urine flow is necessary for proper healing after ureteral reimplantation, a laboratory study was carried out using mongrel dogs. Twelve animals underwent three separate surgical procedures in order to show whether ureteroneocystostomy in the presence of proximal urinary diversion would lead to subsequent stenosis of the reimplantation sites. Our findings indicate that stenosis does not occur regardless of whether or not dry ureteral implants are stented. These studies were carried out in ureters of normal caliber and animals otherwise free of disease. It is our contention that under these circumstances, dry ureteral reimplantation will result in satisfactory healing without stricture or stenosis
Animals↗
Hemorrhagic cystitis as a complication of the management of pediatric neoplasms.
Explore the source record for details and available documents.
Adolescent↗
Endobronchial metastasis from prostatic cancer in patient with renal cell carcinoma.
A patient was seen with a right upper lobe endobronchial mass initially thought to be brochogenic carcinoma. There was a history of prostatic carcinoma, and subsequent investigation demonstrated a hypernephroma. Thoracotomy and special studies proved the endobronchial metastasis to be prostatic in origin, a rare cause of endobronchial metastasis.
Adenocarcinoma↗
Single stage urethroplasty as treatment for stricture disease.
The use of a full thickness free skin graft for a single stage urethroplasty in stricture disease has been popularized recently by Devine and Horton. From 1973 to 1977, 40 patients at our hospitals have been treated with single stage urethroplasty using this technique. Excellent results have been noted on followup evaluation.
Adolescent↗
Exstrophic anomalies: followup of 36 cases.
Since 1950, 36 patients with exstrophic anomalies were seen at the Medical College of Virginia Hospitals. There were several modalities of treatment used, including primary reconstructive procedures in 11 patients, 6 of whom continue to have a functional bladder closure. Our results and current management are discussed.
Bladder Exstrophy↗
Malignant thymoma with renal metastases. Report of a case.
A patient with metastasizing thymoma is presented. This case, as well as 31 previously reported cases in the literature, demonstrate that thymoma may give distant metastases and that the behavior of the tumors cannot be predicted on histologic grounds. The case reported here is the first case where angiography was performed.
Adult↗
Pheochromocytoma of the urinary bladder: a broad clinical spectrum.
A case of pheochromocytoma of the urinary bladder is reported, and 35 perviously reported cases are analyzed. This interesting entity can present with symptoms of catecholamine excess and severe hypertensive spells (often micturition-induced) or as asymptomatic hematuria without hypertension. The present case represents the severest end of the clinical spectrum, with advancing acute retinopathy and visual loss, very high blood pressure and greatly increased catecholamine excretion. Several special precautions were utilized during diagnostic studies and surgery. On the whole, prognosis is excellent in nonmalignant cases properly handled, and the location of the tumor provides opportunity for early case finding and complete cure.
Adult↗
Paraganglioma of urinary bladder wall.
A classic case of pheochromocytoma of the urinary bladder is presented. The history of headaches and palpitations during micturition is the result of sudden release of catecholamines into the general circulation. The diagnosis using selective arteriography as well as the medical and surgical management are described.
Adult↗
Ileal trigonal urinary diversion: 5-year followup evaluation.
We anastomosed the intact, undisturbed vesical trigone to the isolated ileal conduit in 24 patients, most of whom have been followed for 5 years. None of these patients has had any pyelographic evidence of upper tract deterioration. There have been no episodes of pyelonephritis, no hydronephrosis, no renal stones and only 4 of the 46 renal units have demonstrated reflux. These data indicate unsurpassed protection of the upper tracts in those patients with neurogenic bladder dysfunction.
Adolescent↗
Angiography in pheochromocytoma of the urinary bladder. Report of a case.
A case of pheochromocytoma of the urinary bladder in a 20-year-old female is reported. This is the 36th reported case in the English language literature. The patient had classical symptoms of vesical pheochromocytoma with sudden onset of headache, palpitations, and blood pressure elevation during voiding. The provisional diagnosis was arrived at on clinical history, laboratory investigations, including the estimation of catecholamines and vanil mandelic acid (VMA). The diagnosis was confirmed and the tumor was exactly localized by means of angiography. The angiographic appearance of pheochromocytoma of the urinary bladder is not pathognomonic and is similar to that previously described for adrenal pheochromocytoma. Angiography is, with adequate precautions, a safe and useful procedure for ruling out synchronous adrenal or extra-adrenal tumors and for exact localization of the bladder tumor.
Adult↗
Simplified experimental ureteroneocystostomy.
Improvement in renal transplantation has been the result of increased clinical experience and laboratory investigation. One of the causes of transplant failure is urinary leakage and slough at the ureteroneocystostomy site. A simplified extravesical ureteral implantation technique is described. This method has been used in more than 200 canine renal transplants producing consistently good results.
Animals↗
Pentolinium in the management of autonomic hyperreflexia.
Patients with high spinal cord injuries frequently will develop a syndrome of autonomic hyperreflexia when stimulated by urological instrumentation. Severe sustained hypertension is the most hazardous component encountered during this reaction. Herein we report a series of patients exhibiting this condition who were managed safely and successfully by the use of the ganglionic blocking agent, pentolinium.
Adolescent↗
Scintiphotography in the early diagnosis of urine leakage following renal transplantation.
The use of radionuclides in the evaluation of postoperative renal transplantation patients has proved to be an effective technique for the early diagnosis of urinary extravasation. It has the advantage of demonstrating the existence of urine leakage prior to visualization of extravasation on conventional cystograms and excretory urograms. It has the additional advantage of requiring no urological instrumentation and can be repeated as often as clinically indicated.
Adult↗
Partial cystectomy in the treatment of bladder cancer.
A retrospective study was made on 57 partial cystectomies for bladder cancer performed during a 25-year period. Operative mortality was zero and morbidity was low. The 5-year survival rate was 59.5 per cent. The procedure is believed to be a good choice in certain cases. These criteria are discussed.
Adenocarcinoma↗
Scintiphotography in diagnosis of urinary fistula after renal transplantation.
Scintiphotographic studies in six patients with ureteral fistula following renal transplantation are presented. Images were obtained using 99m-Tc-Sn-DTPA or 131-I-orthoiodohippurate. Urinary leakage was accurately detected in each case but the pattern of extravasation is highly variable. When carefully performed, radionuclide scintiphotography is a safe and effective method for detecting urinary leakage after renal transplantation.
Adult↗