urology

The purpose of the research was the study of cellular immune status and serum cytokines at pregnant patients with pyelonephritis. We have studied 106 pregnant with purulent pyelonephritis. 50 patients with serous pyelonephritis s and 30 healthy pregnant were the group of control. Clinical, microbiological and immunological methods of research have been used. Distinctions in parameters of cellular immune status and serum level of interleukin-1-betta, interleukin-8, interleukin-4, interleukin-10 and interferon-gamma at pregnant patients with serous and purulent pyelonephritis were determined. Deep depression of cellular immunity , the increase of serum concentration of interleukin-1b, interleukin-8, interleukin-4, interleukin-10 and lower contents of interferon-gamma were registered at pregnant patients with purulent pyelonephritis. Most radical immune changes at patients with apostems and renal abscess were registered. Criteria of early diagnostics of a bacterial shock by pyelonephritis in pregnancy are offered.

The analysis of treatment in early post-injection period was made in 229 patients- recipients of renal transplant in period from 1990 to 2006. Frequency and causes of urinary tract infections was studied in this group of patients. Discuss the new methods of the prevention infection of urinary tract, with may make made better early and far results of kidney transplantation.

Results of treatment of 259 patients, after a transplantation of a nephros were studied. In 132 cases the alternative surgical technics, meeting one-stage a ipsilateral nephrectomy with the subsequent of use of own ureter of the patient for regeneration of urinary pathes was used. The ipsilateral nephrectomy can be used as an element of treatments of patients with absolute indications to translation in a renoprival state.

Investigated fastness properties of ureters of adult people in view of a floor, age and topography-anatomic features. Statistically significant decrease of their fastness with the years is revealed, are noted sexual and bilateral features. The general fastness of ureters increases in caudal a direction, and strength during a member does not variate.

The aim of the study is to evaluate the prenatal differentiation diagnostic program for identification of urinary tract abnormalities to find ultrasonographic signs of fetal vesicoureteral reflux. «Prenatal ultrasound cystometry with natural filling» - was used for dynamic control of fetal urinary tract in cases (72 investigations, 54 fetuses) when the distention of upper urinary tract was noted in 19-40 weeks of gestation. The simultaneous measurement of the renal pelvis and the bladder during the micturition cycling detected the urodynamic variant of upper urinary tract obstruction. The presence of uni- or bilateral renal pelvic (and ureter) distention, the variation of pelvic size (ureter) during micturition cycling simultaneously with variations of bladder size are highly predictive of fetal vesicoureteral reflux.

997-2006 years in pediatric surgery clinic were treated at 332 patients at the age from 6 months till 15 years that underwent endoscope correction of vesicoureteral reflux (VUR) with various degrees. At 105 patients as biomaterials implant (plasma with thrombin, collagen), at 227 children - polymers implant (a preparation DAM+) were used. The algorithm of a choice of methods of treatment VUR has been made by criterion which were: degree VUR, age of patients, a background pathology and result of the previous treatment.

The studies of free radical blood activity in surgical patients of urological and gynecological profile, operated under regional anesthesia (RA) or total intravenous anesthesia (TIVA) have demonstrated that biochemical blood parameters, characteristics of stress reaction during anesthesia and early postoperative period, underwent less marked changes and normalized quicker during regional anesthesia. Early postoperative period in regional anesthesia coursed better than in TIVA.