[Local sorption therapy and its effectiveness in correction of endogenous intoxication in patients with acute purulent pyelonephritis and paranephritis].

The 118 operated patients with different forms of acute purulent pyelonephritis, including complicated with paranephritis were followed-up. Control group consisted of 65 similar patients who underwent traditional comprehensive treatment. Study group (n = 53) underwent additional wound dialysis with carbonic drainage-sorbent.

[Chronic pyelonephritis in workers of chemical industry: pathogenesis and treatment].

The examination of 500 workers engaged in the production of chemicals detected chronic pyelonephritis in 81 (16%) of them. Such occupational hazards as furnace-charge dust, fly-powder, calcium petre in the air, intensify their toxic action on workers in high temperature and humidity (54-67%) at workplace and provoke pyelonephritis. An experimental model of pyelonephritis was developed in animals exposed to the above environmental hazards.

[Diagnosis and treatment of acute epididymoorchitis].

From 1963 we treated 330 patients aged from 15 to 85 years admitted to the urological clinic with acute epididymoorchitis of mild (n = 106), moderate (n = 82) and grave severity (n = 152). The diagnosis of purulent forms of epididymitis and epididymoorchitis was made basing on clinical and ultrasonic studies. Aspiration thin-needle puncture of epididymic membrane under ultrasonic control with calculation of leucocyte count was made for detection of purulent-process in 17 patients with epididymitis at the stage of diffuse inflammation.

[A variant of transvesical extraurethral adenomectomy].

To facilitate extraurethral adenomectomy, we used a semicylindric scalpel and metallic tube (tubus) to make a semioval cut parallel to proximal prostatic portion of the urethra along the posterior semicircle of the bladder neck in 260 patients with prostatic adenoma (PA). The urethra was isolated from the adenomatous tissues. The vesicular cut was prolonged left and right to the level of ureteral ostia.

[Bacteriostatic shock in acute purulent pyelonephritis].

Fifty-seven patients with acute purulent pyelonephritis (APP) complicated by bacteriotoxic shock (BTS) were treated in Daghestan Medical Academy's urological clinic from 1982 to 1999. The condition was primarily caused by acute occlusion of the urinary tracts. The first step of the treatment was aimed at the recovery of normal hemodynamics.

[The treatment of suppurative pyelonephritis].

From 1986 in the urological clinic of the Dagestan Medical Academy 82 patients received surgical treatment for purulent pyelonephritis caused by urinary occlusion. Nephrostoma or pyelostoma were applied in most of the patients. In the postoperative period the patients were given antiinflammatory and infusion therapy.

[Treatment problems in patients with prostatic adenoma].

The authors review treatment results for 947 patients with prostatic adenoma. The physicians used transvesical methods. Whatever its modification, transvesical adenomectomy performed endourethrally fails to bring good responses.

[The laser therapy of cystalgia].

The paper yields the results of treating patients with cystalgias. The conventional therapeutic techniques are low effective. The duration of out- and in-patient care is great, 24 days.

[The treatment of pregnant women with pyelonephritis].

Results of combined therapy comprising laser treatment of acupuncture sites, venous blood and the renal pelvic mucosa approached through a nephrostomy drain and ureteral catheter have been analyzed in 80 pregnant women with pyelonephritis. Laser treatment supported by antibacterial, fluid, spasmolytic, antihypertensive and immunostimulator therapy proved to be an effective regimen.

[Choice of the treatment method in patients with acute inflammatory diseases of the scrotal organs].

The results of treatment for acute scrotal inflammations are reported. Conventional methods of conservative treatment are of little effect, while the duration of hospital stay is 24 days, and 25% of the patients are eventually readmitted to hospital for various complications. The choice of treatment strategy is made with reference to the clinical severity of acute epididymo-orchitis (mild, moderate and severe forms).

[Changes in blood composition and properties in children with external fistulae].

The investigation of the composition and properties of blood in 20 children with small intestine fistulas has revealed hypovolemia, disorders in the electrolyte composition, increased hematocrit and viscosity, changes of tests of coagulogram and thromboelastogram pointing to disseminated intravascular coagulation. Similar changes were noted in experimental studies in 20 dogs with duodenal fistulas. Drugs improving rheological properties of blood and anticoagulants gave better results of the treatment.

[Treatment of external intestinal fistulae].

The authors observed 105 cases of external intestinal fistula of various localization and found that the destruction of the intestinal wall under the conditions of suppurative peritonitis, together with the tampons and drainage tubes inserted into the abdominal cavity and left there for a long period of time, constitute the main causes of the occurrnce of intestinal fistula. Surgical treatment of a lip-shaped fistula (63 cases) of the small intestine and colon, mainly by the intraabdominal method, was carried out. Tubular fistula was closed conservatively in 22 cases.