The Journal of urology
-
The Journal of urology · Aug 1978
Case ReportsBilateral testicular rupture: report of a case with an unusual presentation.
A case of bilateral testicular rupture after blunt trauma is presented. It is unusual in that the patient presented with a unilateral retractile testis with pain. ⋯ Early exploration of all blunt trauma to the scrotum and testis is advocated. The surgical management of the ruptured testis is reviewed with regard to orchiectomy, primary closure, closure with portion of tunica vaginalis and decompression of the contused testis.
-
The urologist may be involved in the initial evaluation of a child with anuria. In our experience the most common cause of anuria in neonates was perinatal hypoxia and in older children it was the hemolytic uremic syndrome. Obstructive uropathy as a cause of anuria in infants and children appears to be uncommon.
-
Coagulation factors, including plasma fibrinogen, serum fibrinogen-fibrin degradation products, platelet counts and prothrombin times, were studied in patients with renal adenocarcinoma. Plasma fibrinogen levels were elevated and correlated with tumor stage, disease activity and therapy. ⋯ Fibrinogen may be a valuable marker of disease activity in patients with renal carcinoma. In addition, since significant intratumoral fibrin deposits have been demonstrated anticoagulants or fibrinolytic agents may enhance cytotoxic therapy and should be considered in adjunctive chemotherapeutic protocols.
-
The Journal of urology · Jun 1978
Complications of permanent bladder catheter drainage in spinal cord injury patients.
We reviewed the effect of permanent bladder catheter drainage on the course of 59 long-term spinal cord injury patients. Current renal function, findings on excretory urography and major renal, bladder, genital and urethral complications were tabulated. Although all long-term spinal cord injury patients had severe renal function, depression and abnormal excretory urograms patients with indwelling bladder catheters had a significantly higher complication rate than those managed without an indwelling catheter.