Indikationen zur Operation bei asymptomatischen Nebennierentumoren

Zwergel, Th.; Uder, Michael; Ziegler, M.

doi:10.1007/s001310050120

Cited by 3 publications

(3 citation statements)

References 21 publications

(18 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Whereas Skutil et al [6] had to perform a ureterocystoneostomy in only 2 of 113 patients (1.8%), Fischer and Flamm [7] reported 11% ureter reimplantations and 7% ureterolysis (94 patients) for the same indication. Zwergel and Ziegler [8] demonstrated histopathologically active tuberculous foci in about 12% of surgically treated patients after tuberculostatic therapy for 3 months or more; they therefore postulated a 2-year duration of treatment. Skutil et al [6] suggested that 6 months of chemotherapy is sufficient for standard treatment.…”

Section: Conservative Managementmentioning

confidence: 99%

“…Most authors do not remove the ureter routinely. Zwergel and Ziegler [8], in a study of 330 cases of GT with surgical treatment (nephrectomy in 159 cases) did not mention additional ureterectomy. Synchronous or secondary removal of the ureter seems to be rare, as postoperative chemotherapy can cure the ureteral stump completely.…”

Section: Operative Managementmentioning

confidence: 99%

“…The chances that the obstruction can be alleviated are good if antituberculous chemotherapy is combined with corticosteroid treatment. The value of corticosteroids has been discussed by others [4,8]. Bennani et al [10] reported 20 patients treated with tuberculostatic agents and corticosteroids: 16 ureteral strictures treated, with 8 successes and 8 failures; 8 contracted bladders, with 5 successes and 3 failures.…”

Section: Operative Managementmentioning

confidence: 99%

See 2 more Smart Citations

Indications for Surgical Management of Genitourinary Tuberculosis

Carl

Stark

1997

World j. surg.

View full text Add to dashboard Cite

The incidence of tuberculosis has risen in many parts of the world, and more attention is being focused on genitourinary tuberculosis (GT), the second most common extrathoracic form of tuberculosis. Although chemotherapy is the mainstay of treatment, ablative surgery as a first-line management may be unavoidable for sepsis or abscesses. In cases with hydronephrosis and progressive renal insufficiency caused by obstruction, renal drainage (by stenting or nephrostomy) must be performed immediately. In all other situations triple-drug chemotherapy should be undertaken for at least 6 months and stable conversion obtained before ablative or reconstructive surgery is planned. Nephrectomy or partial nephrectomy is indicated for nonfunctioning or poorly functioning kidneys, particularly if continuous flank pain or hypertension is present. Stenosis of the ureter usually can be managed by temporary stenting and adjuvant corticosteroid therapy. Today the indications for augmentation are rare, but bladder replacement may be combined with ureter replacement using segments of intestine.

show abstract

Section: Conservative Managementmentioning

confidence: 99%

Section: Operative Managementmentioning

confidence: 99%

Section: Operative Managementmentioning

confidence: 99%

See 1 more Smart Citation