Linked Life Data

7307219

Source:http://linkedlifedata.com/resource/pubmed/id/7307219

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1982-2-12
pubmed:abstractText
The authors study the management of the upper tract in 65 boys with posterior urethral valves from 1965 through 1978. Their behaviour has changed with time. At the beginning of their experience they used systematically urinary cutaneous diversion (18 cases : 9 good results -- 4 deaths -- 5 poor results). In a second period they used extensive surgical reconstruction at the same time as with destruction of the valves according to H.W. Hendren. Results were very bad : 5 cases: 1 good result, 3 poor results -- 1 death. During the later years of this study (1973 to 1978) 42 boys were managed by primary destruction of the valves. 22 required only valve ablation and recovered with a good upper tract. 6 severely ill infants who did not respond to valve ablation alone were nephrostomy (2) or ureterostomy (4) diverted (4 good results). In 14 additional patients a ureteral reimplantation was required : 8 successes -- 6 failures. Our experience supports the thesis that after primary resection alone the severely dilated and tortuous ureters usually improve strikingly with time. A period of watchful waiting before undertaking ureteral reimplantation is recommended. Measurements of ureteral pressure also are beneficial in determining the need for surgical intervention (Whitaker). Temporary ureteral diversion has a place in the severely ill patient who has not responded to valve resection.
pubmed:language
fre
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:issn
0180-5738
pubmed:author
pubmed:issnType
Print
pubmed:volume
22
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
411-5
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1981
pubmed:articleTitle
[Management of the upper urinary tract in boys with posterior urethral valves (65 cases) (author's transl)].
pubmed:publicationType
Journal Article, English Abstract