Zeitschrift für ärztliche Fortbildung und Qualitätssicherung
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Z Arztl Fortbild Qualitatssich · Jun 1998
Review[Urologic complications after kidney transplantation (II)].
Urological complications after renal transplantation are often responsible for postoperative morbidity and mortality in spite of a decrease in incidence and severity of such complications in the last decades. It is of particular interest to detect this complications early and to treat them in an adequate manner especially in regard to the increasing lack of human organs for transplantation. The number of transplanted patients in the population is still increasing and they are treated not only in transplant centers but also by general practitioners, nephrologists and urologists in private consultings. ⋯ Questions concerning impotence and incontinence are discussed in detail. Attention must be paid to the fact of immunosuppression and its peculiarities in transplanted patients. In this way the outcome of patients and transplants can be prolonged.
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Acute scrotal swelling is a potential urologic emergency. There are many conditions which may present with scrotal swelling including spermatic cord torsion, torsion of testicular appendages, epididymitis, orchitis, incarcerated scrotal hernia, hydrocele, varicocele, trauma, tumor and testicular pain in vasculitis syndromes such as Schoenlein-Hennoch purpura. Testicular torsion is the most important condition that must be proven or ruled out to avoid loss of testicular function. ⋯ Using these tools, three diagnostic categories will be defined: Torsion, non-torsion or equivocal diagnosis. In every doubtful case scrotal evaluation is done surgically. Non-torsion is treated according to the different diseases.