By H.-J. Beyer, V. Hofmann, D. Brettschneider (auth.), Professor Lewis Spitz PhD, FRCS, Primarius Professor Dr. Peter Wurnig, Priv.-Doz. Dr. Thomas A. Angerpiontner (eds.)
Contents: surgical procedure in Solitary Kidney: worth of Ultrasound within the remedy of Solitary Kidneys in Infancy and adolescence. Renal functionality in Single-Kidney Rats. Urological Operations for Solitary Kidneys in teenagers. Reconstructive surgical procedure in 8 teenagers with Solitary Kidneys. surgical procedure on Solitary Kidneys in formative years. consequence Following surgical procedure for Solitary Kidney in childrens. Bladder Shrinkage as a hardship of long term Supravesical Urinary Diversion in young ones with Solitary Kidneys. difficulties in serious Bilateral Urinary Tract Anomalies. Double Ureter in kids: Surgical administration. surgery of Bilateral Wilms'Tumours with designated connection with moment Operations in Metachronous affliction. babies with Posterior Urethral Valves: A Retrospective research and outcomes for Therapy.- Corrections of Urinary delivery Disturbances.- Microvascular Autotransplantation of Intra-abdominal Testes. position of the Kock Pouch in Adolescent Urology. Cloacal Malformations: Embryology, Anatomy and rules of administration. Genitoplasty for Congenital Adrenal Hyperplasia: Anatomy and Technical assessment. Surgical Correction of Virilised woman exterior Genitalia. Reconstruction of the Epispadic Penis in teens. One-Stage Preputial Pedicle Flap fix for Hypospadias. adventure with a hundred sufferers. Reconstruction of Foreskin in Distal Hypospadias Repair.- topic Index.
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Extra resources for Surgery in Solitary Kidney and Corrections of Urinary Transport Disturbances
Example text
A preoperative scintiscan revealed a nearly functionless Urological Operations for Solitary Kidneys in Children 47 Fig. 5. Intravenous pyelogram in the same patient as in Fig. 4 at the time of transurethral valve resection and establishment of ureterostomy Fig. 6. -I. Helmig et al. 48 Fig. 7. Micturition cystourethrogram of a 3-year-old boy with right-sided renal agenesis and distal ureteral stenosis with VUR on the left side .. 'i" :; . , , , Fig. 8. Scintiscan in the same patient as in Fig. 7 prior to surgery shows grossly delayed urinary drainage Urological Operations for Solitary Kidneys in Children 49 Fig.
The daily protein excretion was higher on a high-protein diet and lower on a lowprotein diet when compared with a normal diet. Single kidneys damaged by ischaemia lost less protein than those damaged by ureteral obstruction. 4 times that of two-kidney rats on a normal diet. 6 times that ofrats with two intact kidneys on a normal diet. In human beings there are many situations where only a single damaged kidney is present. In this connection, we should like to mention oligomeganephronia (McGraw et al.
1982, 1984a; DeKeijzer et al. 1984). Chronic. Since it minimizes the decrease in total GFR, hyperfiltration of the kidney that remains after UNX has generally been regarded as beneficial. However, experiments in rats with a more severe reduction in the number of nephrons (> 80% ) demonstrated an early destruction of the remnant glomeruli (Shimamura and Morrison 1975). Consequently, we may ask whether initially intact single kidneys remaining after UNX are in the long run also subjected to a deterioration in function.