Ureteral fibroma: an unusual clinical symptomatology.
The authors describe a case of ureteral fibroma. The aetiology, clinical symptomatology and diagnosis are discussed, and differentiation between benign and malignant lesions is emphasized.
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Publications and source records attributed to K Sarica.
The authors describe a case of ureteral fibroma. The aetiology, clinical symptomatology and diagnosis are discussed, and differentiation between benign and malignant lesions is emphasized.
Between March 1985 and January 1990, 43 patients with stones in solitary kidneys were treated by extracorporeal shockwave lithotripsy (ESWL) in our department. The most common cause of unilateral kidney absence was previously surgical removal of the kidney. The primary treatment modality was ESWL in all patients; the need for auxiliary procedures was higher than in general stone patients. Of the 43 patients 42 were available for control checkups after therapy, and these examinations revealed a stone-free rate of 85.7%. Of the patients 14.3% had asymptomatic lower calix fragments. All our patients showed a successful result 6 months after ESWL therapy. No loss of kidney was observed. Our results indicate that ESWL as an effective and safe method is also the therapy of choice for stone patients with solitary kidneys.
We report a case of a seminal vesicle abscess successfully treated by percutaneous perineal drainage. Magnetic resonance imaging was helpful in clarifying the differential diagnosis. Seminal vesicle abscess is a rare pathological entity; since 1958, only 7 cases have been reported in the literature. Because of its nonspecific clinical symptoms, clinical diagnosis is often ambiguous. An overview of the literature, as well as a discussion of the diagnosis and the treatment of the seminal vesicle abscess will be presented.
In 34 children (25 girls and 9 boys), aged 1-14 years, extracorporeal shock wave lithotripsy (ESWL) was performed for renal and ureteral calculi between March 1985 and December 31, 1989. The patients were treated with the HM3-Dornier lithotripter under general anesthesia. Of the 34 children, 24 with an interval of more than 12 months since ESWL were called in for control check up, 17 of them ultimately came. Seven were lost for long-term follow-up as they moved out of the area. The children were free of urinary symptoms and without urinary tract infections. Creatinine was normal and urinalyses were negative in all 17 children. 16/17 children were stone free and had normal blood pressure, 1 patient with a polycystic kidney on the left nontreated side already demonstrated elevated pretreatment blood pressure. Radioisotope examinations with separate clearance tests gave results in the normal range in 14/17 patients. The sonographic findings on the longitudinal and transverse diameter of the treated and untreated kidneys did not show marked differences as they all remain below the 5% limit.
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