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Biomedical subjects

N R Feins

Publications and source records attributed to N R Feins.

6 recordsLinked to original sources

Multiple genitourinary abnormalities in females with unilateral renal agenesis: three cases.

We have the means to identify over 75% of infants and children with unilateral renal agenesis. It has been established that all patients with unilateral renal agenesis must be followed closely because of problems with the remaining kidney and other anomalies. It is apparent from embryologic studies and numerous reports that up to 89% of females with unilateral renal agenesis are likely to have significant accompanying genitourinary abnormalities. Most of these patients' genital problems occur at the time of puberty or pregnancy. Because of our experience with three teenage females who had unilateral renal agenesis and subsequent serious problems, we wish to advocate a prepubertal aggressive investigation.

Abnormalities, Multiple

Multiple trauma.

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Abdominal Injuries

Voiding cystourethrography in infants and children: a new technique.

A technique for voiding cystourethrography utilizing a small caliber (3.5 Fr.) catheter that is left in place during the entire examination is described and illustrated. Urethral pathology is not obscured. The contrast is infused under pressure applied with a blood administration set. Visualization of voiding can be achieved in all cases.

Child

Surgical management of thirty-nine children with lymphedema.

Thirty-nine children underwent staged excisional surgery for lymphedema. The procedures are described in detail. All the children operated on have improved and have a more normal appearance. The decrease in attacks of cellulitis and lymphangitis is striking. The morbidity of this simple procedure is negligible. The operation is tedious, fatiguing, anatomically unexciting, and has a vague end-point. At this time, staged subcutaneous excision appears to be the procedure of choice in moderate to severe lymphedema in children regardless of etiology or classification. The procedure is not a cure.

Adolescent