Joseph B. Dowd

Ileal replacement of the ureter in solitary kidney.

Three instances of ileal replacement of the ureter, involving both right and left sides, male and female, child and adult, are reviewed. The actual and theoretical pitfalls are reviewed and their avoidance is discussed.

Gastrointestinal Complications Related To Human Renal Homotransplantation

Common gastrointestinal complications preceding or following renal homografts, with particular emphasis on gastrointestinal hemorrhage, hepatitis, and pancreatitis.

Is the neodymium: Yag laser effectivetherapy for invasive bladder cancer?

Abstract The neodymium:YAG (yttrium-aluminum-garnet) laser can cause transmural coagulation necrosis of bladder tumor or bladder wall. Pathologic specimens of 18 patients prospectively treated with the neodymium: YAG laser before radical cystectomy were reviewed to compare the initial clinical stage of bladder tumor with the final pathologic stage and to assess the destructive tissue effects of neodymium: YAG laser therapy. Eleven of 18 patients were unchanged pathologically in stage of tumor or had tumor progression. Seven patients had a lower pathologic tumor stage; 3 of these patients had pathologic, Stage TO with no residual tumor, with the remainder of patients showing superficial disease. One asymptomatic small bowel injury was discovered at operation. Healing lesions showed marked granulation tissue, coagulation necrosis, and persistent ulceration.

Neurocutaneous syndromes and retroperitoneal tumors

A patient with multiple basal cell carcinoma syndrome, a symptom complex characteristized by nevoid basal cell carcinomas of the skin, jaw cysts, skeletal abnormalities, and hyporesponsiveness to parathormone is presented. In addition, the patient had a retroperitoneal lymphagiomyoma, a hamartomatous lesion, causing ureteral obstruction. The association of neuroectodermic syndromes and retroperitoneal and intra-abdominal tumors is reviewed.

Unilateral acute, fulminating renal papillary necrosis With escherichia coli septicemia

Abstract A case of acute fulminating unilateral papillary necrosis of obscure origin with Escherichia coli septicemia is described. The literature on this entity is briefly reviewed. As illustrated by our case report, nephrectomy does seem to be successful in the management of proved acute unilateral papillary necrosis.

Some urologic problems in patients having granulomatous disease of the bowel.

The care and prognosis of patients with granulomatous disease of the bowel will undoubtedly be better if the physicians involved in their care are mindful of the greater potential for urogenital disorders in such patients. Infection and obstruction, calculous disease, fistulas, and sexual dysfunction are discussed.

Hamartoma and Renal Transplant Implications

A 19-year-old woman with tuberous sclerosis, bilateral renal hamartomas and polycystic kidneys required separate nephrectomies for severe hemorrhages 6 months apart. The case is presented, the diagnoses of the disease in relation to a negative family history are considered and the importance of early diagnosis in a potential transplant recipient and the use of leukocyte-free transufusions are discussed.

Urinary Diversion: Alternatives and Techniques

A review of the types and techniques of urinary diversion is presented for urologists or for surgeons who perform urologic procedures.

Acute pyelonephrttis after transrectal ultrasonographically guided biopsy of the prostate: Diagnosis by computed tomography

Acute pyelonephritis developed in a 67-yr-old man after transrectal ultrasonographically guided biopsy of the prostate. The clinical presentation and results of excretory urography were nondiagnostic. Diagnosis was made by computed tomography, which was delayed 12 h after i.v. administration of contrast medium.