Urology
Ultrasonic diagnostics perspectives in patients with urolithiasis (review)
Heading: Urology Article type: Review
Authors: Skvorzova N.V., Chekhonatskaya M.L., Rossolovsky A.N., Kondratjeva О.A., Sedova L.N., Abramova A.P.
Organization: Saratov State Medical University
The current aspects of ultrasonic diagnostics and monitoring in treatment of urolithiasis and obstructive syndrome were considered on the basis of the analysis of native and foreign literature. The reaction of hemodynamic parameters of the kidney to obstruction of the upper urinary tract and the impact of the shock waves on renal parenchyma were under the study. The potential of Doppler in the evaluation of renal blood flow both before and after surgery were highlighted in the article
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| 201103_718-723.pdf | 360.46 KB |
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Bacterial spectrum of urine in staghorn calculi nephrolithiasis
Heading: Urology Article type: Original article
Authors: Kogan М.I, Hasigov A.V., Belousov l.l.
Organization: Rostov State Medical University
Purpose: to study the role of the bacterial spectrum of urine in the development and clinical course of staghorn calculi nephrolithiasis. Patients and Methods. From 2008 to 2010 in the urological department of Rostov State Medical University urine culture was assessed in 86 patients with staghorn calculi. Mean age was 50,4±5,9 (25-73) years. Results: Most of the patients with staghorn calculus (89,5%) have microbial contamination of urine, which has a high correlation with leucocituria, and the spectrum of microorganisms often has the various bacterial associations, which caused more infection complications during treatment. Conclusion: In the urine urease-producing bacteria, E. Coli, gram-positive organisms, nonclostridial anaerobic bacteria were predominated
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| 201103_714-718.pdf | 346.58 KB |
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Vascular endothelial growth factor as a marker of development of relapses in the postoperative period in kidney and bladder tumors
Heading: Urology Article type: Original article
Authors: Durnov D.A., Mikhailov V. Yu., Zakharova N.B., Ponukalin A.N.
Organization: Saratov State Medical University
Aim: The article considers the results of research of the vascular endothelial growth factor (VEGF) in blood serum in patients with kidney and bladder tumors after surgical intervention. Materials and methods: The total of investigated patients consisted of 75 primary patients with kidney cancer (stages pT1-pT3N0M0), 75 patients with non-muscle-invasive bladder cancer (NMIBC), stages pTa-1NxMoG1-3, 25 patients with cysts of kidneys and 30 healthy patients. Results of research of content of VEGF in patients with kidney cancer and NMIBC in the postoperative period confirmed the role of angiogenesis processes both in the development of tumoral tissue and relapses of disease. Conclusion: Investigations of VEGF in blood serum may be additional method of revealing kidney cancer and NMIBC after surgical treatment of relapses of disease and may influence on the duration of recurrence-free period
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| 201103_711-714.pdf | 341.48 KB |
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Dynamics of lower urinary tract of a fetus in intrauterine development retardation
Heading: Urology Article type: Original article
Authors: Glybochko Ð .V., Chekhonatskaya M.L., Piskunova L.V.
Organization: Saratov State Medical University, First Moscow State Medical University n.a. I.M. Sechenov
The research goal is to study and analyze the relationship between the level of intrauterine development retardation and urine dynamics indicators of lower urinary tract of a fetus with the help of ultrasonic examination. The urinary function of 89 fetuses was under study. Methods of prenatal ultrasonic cystometry and urofluometry were used to examine the urinary function of a fetus. Statistical software package (Statgraphics 6.0) was used for the statistical analyses of the results. The study has shown that decrease in bladder capacity, increase in residual urine volume and frequent urination are usually the indicators of intrauterine development retardation. The third-degree of intrauterine development retardation is characterized by decrease in diuresis and increase in duration of micturition cycle according to gestational norm
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| 201102_513-517.pdf | 255.48 KB |
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Pathogenic basis and modern prospects in early diagnostics of nephrosclerosis in children with vesicoureteral reflux
Heading: Urology Article type: Review
Authors: Morozov D.A., Morrison V.V., Morozova O.L., Lakomova D.Y.
Organization: Saratov State Medical University
The present article summarizes modern conceptions of tubulointerstitial fibrosis development mechanisms in children with vesicoureteral reflux. The review deals with the questions of extracellular matrix components accumulation and disintegration, tissue hypoxia, remodeling of blood flow, concentration changes in inflammation, sclerosis and angiogenesis biomarkers in the progress of nephrosclerosis
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| 201101_151-157.pdf | 274.22 KB |
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Opportunities of radiological methods for examination in diagnostics of urinary bladder cancer
Heading: Urology Article type: Review
Authors: Glybochko P.V., Zuev V.V., Popkov V.M., Chekhonatskaya M.L, Ponukalin A.N.
Organization: Saratov State Medical University, First Moscow State Medical University n.a. I.M. Sechenov
The research goal is the comparative analysis of Russian and foreign studies concerned the possibility of radiological methods of diagnostics of cancer of urinary bladder. The problem of early diagnostics of initial tumor and tumor recurrence, determination of stages of bladder cancer, its prognosis and outcome remains an actual one
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| 201101_148-151.pdf | 264.96 KB |
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Application of automated morphometric method of estimation of expression of immunohistochemical markers in diagnostics of prostate and bladder cancer
Heading: Urology Article type: Original article
Authors: Popkov V.M., Ponukalin A.N., Maslyakova G.N., Tsmokalyuk E.N., Bucharskaya A.B., Shirokov A.A., Burov A.M.
Organization: Saratov State Medical University, Institute of Biochemistry and Physiology of Plants and Microorganisms of Russian Academy of Sciences
The diagnostic significance of molecular markers was evaluated by immunohistochemical research of surgical and biopsy material of 106 patients with diseases of bladder and 57 patients with diseases of prostate. They received treatment at Scientific Research Institute of Fundamental and Clinical Uronephrology with monoclonal antibodies: Ki-67, PCNA, p63 (markers of proliferative activity), p53 (suppressor of tumor growth), Bcl-2, Bax (markers of apoptosis), EGFR (receptor of epidermal growth factors), PSA, PSMA, AMACR (prostate-specific antigens) and cytokeratin profile. The morphometric research was conducted on the basis of automated analysis system of digital images Ariol SL50 (Genetix)
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| 201004_845_849.pdf | 299.25 KB |
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The differential approach to estimation of renal damage in the patients with nephrolithiasis by means of noninva-sive markers
Heading: Urology Article type: Original article
Authors: Rossolovsky A.N., Glybochko P.M., Popkov V.M., Polozov A.B., Ponukalin A.N., Zakharova N.B., Berezinetz O.L., Blumberg B.I.
Organization: Saratov State Medical University, Saratov State Cardiosurgical Centre, First Moscow State Medical University n.a. I.M. Sechenov
The aim of this study was the estimation of clinical importance markers of renal damage at surgical treatment of nephrolithiasis. We studied results of operations in 110 patients with nephrolithiasis. The study presents new candidates for biochemical markers of acute kidney injury and renal interstitial fibrosis, with potentially high sensitivity and specificity. In this study were measured the concentrations of these biomarkers in urine. We suggested, that increased concentrations molecular mediators of renal damage (L2, IL-18) and interstitial fibrosis (MCP-1, TGFp, IGF1) in the patients with nephrophibrosis and strongetubulointerstitial injury, saved long-time period after operation, has been shown of progression chronic kidney disease
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| 201003_708_715.pdf | 1.25 MB |
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Actual aspects of chronic cystitis pharmacotherapy in women in exacerbation period
Heading: Urology Article type: Original article
Authors: Kurnosova N.V., Kuzmenko A.V., Kuzmenko V.V.
Organization: Voronezh State Medical Academy
60 women were examined with the diagnosis of chronic cystitis in exacerbation period. Cystoscopy with biopsy of urinary bladder mucous was made on the first day and the tenth day. The patients were examined by means of the battery of psychometric and psychological methods. Women were divided into two equal groups. The first group took Furamag, the second group - Furamag and Adaptol. The patients complained of dysuria on the first day There was moderate leukocyturia in the urinalysis. Intensive leukocytic infiltration was determined in the biopsy of urinary bladder mucous. In assessing psychic status in patients, the tendency to social isolation was determined in both groups for the first day Laboratory findings were normalized on the tenth day; the dysuria was cropped in both groups in 100 %. Leukocytic infiltration in the biopsy of urinary bladder mucous was changed by lymphocytic one, and proliferative processes were increased. In the second group of patients more rapid relief of anxiety and depressive disorders was noted
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| 201003_705_708.pdf | 280.47 KB |
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Structural trasformation of renal glomerulus at aging stages
Heading: Urology Article type: Original article
Authors: AsfandiarovF.R., Trizno M.N.
Organization: Astrakhan State Medical Academy
Processes of involution of renal glomerulus at ageing stages are considered.
Non-uniformity processes of involution of renal corpuscule is revealed, the most intensive process is observed from 60 years
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| 201003_704_705.pdf | 265.29 KB |
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