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Biomedical subjects

S Zmerli

Publications and source records attributed to S Zmerli.

At least 55 records · Page 3Linked to original sources
PubMed1988

[Abscess of the kidney. Apropos of 21 cases].

Renal abscess is rather an uncommon lesion caused predominantly by an urogenic infection. The authors report 21 cases in a period of 10 years. They describe and evaluate the actual investigation possibilities which are accurate enough to lead to the right diagnosis of renal abscess in a good rate. The evolution of the therapeutic modes is studied, with a special reference to the percutaneous drainage which is to substitute the classical surgery of this abscess. For the authors, treated in the right time and in the right way, renal abscess is nowadays a benign lesion, preserving a good prognosis for the kidney and the patient.

Abscess↗
PubMed1988

[Treatment of prostato-rectal fistulae. Apropos of 5 cases].

The authors report 5 cases of prostato-rectal fistulae. Two men were treated by a posterior approach and two by an abdominal approach because of associated lesions. They review all of the techniques of approaching the prostato-rectal fistulas. The transsphincteric approach provides excellent exposure and reliable closure of prostato-rectal fistulas: the concern for possible anal incontinence is unfounded. Additional security can be obtained by performing a colostomy beforehand.

Adolescent↗
PubMed1988

[Isolated retroperitoneal hydatid cyst. Apropos of 4 cases].

The isolated retroperitoneal cyst is rare. The hydatid cyst grow behind the posterior parietal peritoneum and have no connection with organs normally located within that space and lying next to them. Out of the 31 retroperitoneal tumors files collected over a five-year period, 25 are authentic primitive retroperitoneal tumors and 6 retroperitoneal hydatid cysts; 4 of which are isolated retroperitoneal localisations (neither pelvic subperitoneal localisation, nor multiple hydatic localisation are covered in this work). The abdominal mass is the most frequent sign, unfrequently concomitant with compressive syndrome. Diagnosis is based on urographic and echographic data. These data enabled a diagnosis to be reached in two cases and helped the diagnosis in one case. Surgery is the only treatment.

Adult↗
PubMed1988

[Echography and scrotal masses. Apropos of 28 verified cases].

The scrotal masses are a frequent motive of consultation. The etiologic diagnosis of scrotal abnormalities is not always resolved by an accurate physical examination. From january 1985 to december 1987, 30 ultrasound examinations were performed. In the same period 245 patients were admitted for a scrotal mass. In a retrospective study the clinical diagnosis and ultrasound examination were compared with surgical and/or pathological findings, concerning 7 scrotal trauma, 8 hydrocele, 6 tumors, 4 epididymo-orchitis, 3 torsion, 1 epididymal cyst and 1 malacoplakia. The ultrasound findings correlated well in 85% of cases. Ultrasound examination appears to be an important complement to physical examination in trauma, large tumors and inflammatory lesions.

Epididymitis↗
PubMed1988

[Clear cell epithelioma of the kidney in a child. Apropos of a case].

The authors report a case of renal hypernephroma in a child. This is an uncommon tumour which is very rarely diagnosed preoperatively. Its treatment is exclusively surgical. As in adults, the prognosis depends on the stage of the tumour at the time of discovery.

Carcinoma, Renal Cell↗
PubMed1988

[Role of the unstable bladder in certain pathologies of the lower urinary tract].

The authors report their experience of 57 cases of unstable bladder, 20 cases of which were neurogenic in origin. It is a frequent disease encountered in 19% of cases. The sex ratio is one male/one female. Infants are not spared (17 cases). Unstable bladder is a urodynamic concept; therefore, diagnosis of certitude is based on cystometry. The analytic study enables the authors to underline the clinical symptoms, to establish the urodynamic criteria of detrusor hyperactivity and to enumerate the side effects on bladder and renal function. The different etiologies, organic or functional, of detrusor hyperreflexia are exposed. Finally, the therapeutic possibilities are discussed.

Adenoma↗
PubMed1987

[Evaluation of the results of endoscopic internal urethrotomy in the treatment of urethral stricture. Apropos of 163 controlled cases].

Results are reported of 294 internal urethrotomies performed over 5 years to treat 196 urethral strictures. In this series the predominant etiology was sclero-inflammatory (55% of cases) but there was also a fairly high incidence of iatrogenic (52 cases) and post-traumatic (30 cases) lesions. The length of the narrowed segment varied between 0.5 and 3 cm, the most frequent site the bulbar region. Results at 1-year follow up or longer were assessed by quality of micturition and flowmeter curve. Of the 163 cases controlled good results exceeded 60% of patients treated by this method. Mastery of internal urethrotomy has allowed almost complete elimination of blind instrumental dilatation, and has markedly decreased number of urethroplasties since adoption of this therapeutic procedure.

Endoscopy↗
PubMed1987

[Urethral instability. Apropos of 26 cases].

The authors report their experience about 26 cases of urethral instability. This dysfunction is not rare; both sexes are involved, children was well as adults. Diagnosis is based on the data of simultaneous urethro-cystometry. Three clinical patterns are recognized: intermittent urinary leakage (6 cases), frequency and urgency (3 cases) and enuresis (17 cases). The urethral instability was pure in 13 cases and associated to detrusor hyperactivity in the other thirteen. But, in one of these the bladder instability was pure. A treatment based on alpha-adrenergic drugs has assured clinical relief and urodynamic stabilization of bladder and urethra.

Adolescent↗