Zeitschrift fur Urologie und Nephrologie最新文献

Serotonin intake into platelets is an active carrier-mediated metabolic achievement. This uptake may be reduced by unphysiological irritation on platelet membrane. Therefore, it is suitable for judgement of thrombogenicity of biomaterials. The 14C serotonin intake after blood contact with various adsorbents was investigated: Haemoresin (GDR), Adsorba 300 C (USSR) and syrendivinylbenzencopolymer FK 1621 (GDR). Only by the latter the serotonin intake was significantly reduced with 72.5 +/- 2.0% in comparison with siliconized glas (84.0 +/- 1.5%; p less than 0.001). Precision and analytical sensitivity of the method are high with a variation coefficient of 1.5 to 3.5%.

Through the use of vasoactive substances an improvement of diagnosis and treatment of men suffering from erectile dysfunction was obtained. From June 1988 to December 1989 in 108 patients an intracavernous injection therapy trial was performed. The response rate 85% and in 69% of the patients an organic disorders was found. Five percent of the patients have had a prolonged erection after intracavernous papaverine phentolamine injection. All cases have been treated successfully by local use of the sympaticomimetics Noradrenaline. The use of vasoactive substances is the method of choice in diagnosis and treatment of erectile dysfunction.

The influence of ultrafiltrate with a molecular exclusion border of less than 50 kDa of hemodialyzed children on viability and lipid peroxidation (LPO) of hepatocytes was investigated in the model of fetal rat hepatocytes. Viability of cells was estimated by trybanblue test and malondialdehyde equivalents (MDA) were estimated by thiobarbiturate method as parameters of LPO. Ultrafiltrate of uremic patients may lead to a concentration-dependent loss of viability and simultaneous reduction of MDA formation of hepatocytes after incubation of 120 min. Uremic serum may reduce the viability, but not the MDA formation of hepatocytes opposite to uremic ultrafiltrate (p less than 0.01). In uremic serum high molecular substances (greater than 50 kDa) may show a cytotoxic effect, but on the other side low and high molecular substances may increase the antioxidative capacity in comparison with serum of healthy volunteers.

After two years the results of cancer pain treatment in urological patients at the district hospital Potsdam are presented. In 15 patients the WHO recommended three-stage analgesics plan was used successfully.

The pharmacokinetics and pathophysiology of oxalic acid in human organism are presented. In the formation of urinary calculi the level of urinary oxalic acid is important, but the knowledge of metabolism and various disturbances is the guide of a successful treatment and metaphylaxis. Therefore, the diagnostics is a prerequisite for successful dietetic and therapeutic measures as shown in absorptive hyperoxaluria.

In the area of Rügen-Stralsund a maximum value of urolithiasis and cholelithiasis was found. In 27,133 autopsies the frequency of urolithiasis was 6%. Obesity, hypertension and diabetes mellitus may increase the tendency of cholelithiasis patients to develop additional urolithiasis. Ureteral and urinary bladder calculi are more frequently among male patients. In cases with benign prostatic hyperplasia the incidence of urolithiasis was not higher than in female patients. In the autopsy material multiple calculi and bilateral cases occur more frequently. Hypertension and increased heart weight did occur more frequently in patients suffering from oxalate lithiasis. Some of the calculi may develop in the terminal age of life.

It is reported on the course of the autosomal recessive transmitted familiar juvenile nephronophthisis in 3 siblings. Direct symptoms are polydipsia and polyuria with terminal course of chronic renal failure which could treated by dialysis and transplantation. Examination of the safe (parents) and possible (healthy siblings) heterozygotes was without particularities.

The medicamentous-therapeutic modulation of pathogenic hyperfiltration of residual nephrons by the prostaglandin synthesis inhibitor indomethacin was evaluated again. The experimental study of inbred wistar rats including a low indomethacin dosage of 1.5 mg/kg BW, a strong reduction of renal parenchyma (80%) and an increased food protein content of 40% did show the known results: indomethacin may impair the vital prognosis of severe renal injury.