A Cinefluoroscopic Study of Ureteral Function Following Radical Hysterectomy
Twenty patients were studied with static and cinefluoroscopic intravenous pyelograms to quantitate the morphologic and physiologic ureteral alterations following radical hysterectomy and pelvic lymphadenectomy. More than 87% of the patients in the 48-hour study had ureteral dilatation, which persist...
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Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 1983-01, Vol.61 (1), p.82-86 |
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creator | GAL, DAVID BUCHSBAUM, HERBERT J |
description | Twenty patients were studied with static and cinefluoroscopic intravenous pyelograms to quantitate the morphologic and physiologic ureteral alterations following radical hysterectomy and pelvic lymphadenectomy. More than 87% of the patients in the 48-hour study had ureteral dilatation, which persisted for 7 days in most patients, proximal to the site of pelvic dissection. By 6 weeks after surgery, the dilatation had regressed and pyelograms returned to normal. Transit time from renal pelvis to bladder was doubled at 7 days. An alteration in the character of peristalsis was noted on the cinefluoroscopic studies at 48 hours and at 7 days. The distal ureter appeared as a rigid conduit, and the peristaltic activity was replaced by bolus emptying. |
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More than 87% of the patients in the 48-hour study had ureteral dilatation, which persisted for 7 days in most patients, proximal to the site of pelvic dissection. By 6 weeks after surgery, the dilatation had regressed and pyelograms returned to normal. Transit time from renal pelvis to bladder was doubled at 7 days. An alteration in the character of peristalsis was noted on the cinefluoroscopic studies at 48 hours and at 7 days. The distal ureter appeared as a rigid conduit, and the peristaltic activity was replaced by bolus emptying.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>PMID: 6823352</identifier><language>eng</language><publisher>United States: The American College of Obstetricians and Gynecologists</publisher><subject>Adult ; Cineradiography ; Dilatation, Pathologic - physiopathology ; Female ; Humans ; Hysterectomy ; Lymph Node Excision ; Middle Aged ; Muscle Contraction ; Muscle, Smooth - physiopathology ; Postoperative Complications - physiopathology ; Time Factors ; Ureter - diagnostic imaging ; Ureter - physiopathology ; Urodynamics</subject><ispartof>Obstetrics and gynecology (New York. 1953), 1983-01, Vol.61 (1), p.82-86</ispartof><rights>1983 The American College of Obstetricians and Gynecologists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6823352$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GAL, DAVID</creatorcontrib><creatorcontrib>BUCHSBAUM, HERBERT J</creatorcontrib><title>A Cinefluoroscopic Study of Ureteral Function Following Radical Hysterectomy</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>Twenty patients were studied with static and cinefluoroscopic intravenous pyelograms to quantitate the morphologic and physiologic ureteral alterations following radical hysterectomy and pelvic lymphadenectomy. More than 87% of the patients in the 48-hour study had ureteral dilatation, which persisted for 7 days in most patients, proximal to the site of pelvic dissection. By 6 weeks after surgery, the dilatation had regressed and pyelograms returned to normal. Transit time from renal pelvis to bladder was doubled at 7 days. An alteration in the character of peristalsis was noted on the cinefluoroscopic studies at 48 hours and at 7 days. The distal ureter appeared as a rigid conduit, and the peristaltic activity was replaced by bolus emptying.</description><subject>Adult</subject><subject>Cineradiography</subject><subject>Dilatation, Pathologic - physiopathology</subject><subject>Female</subject><subject>Humans</subject><subject>Hysterectomy</subject><subject>Lymph Node Excision</subject><subject>Middle Aged</subject><subject>Muscle Contraction</subject><subject>Muscle, Smooth - physiopathology</subject><subject>Postoperative Complications - physiopathology</subject><subject>Time Factors</subject><subject>Ureter - diagnostic imaging</subject><subject>Ureter - physiopathology</subject><subject>Urodynamics</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotkF1LwzAUhoMoc05_gpAr7wr5aNP0cgznhIGgDrwrNT1x0bSpScPov1_GdnU4PA8vvO8VmlNZ8oxx_nWN5oSwKitlnt-iuxB-CSFUVHyGZkImo2BztF3ilelB2-i8C8oNRuGPMbYTdhrvPIzgG4vXsVejcT1eO2vdwfQ_-L1pjUpoM4XkgBpdN92jG93YAA-Xu0C79fPnapNt315eV8ttNrCClpnmFSm0YhpEqZQQmgjZNgkRnrdKtwS0ElACz5nMaUV5AYUGKiWtVE5bzhfo6Zw7ePcfIYx1Z4ICa5seXAy1JFywsjqJjxcxfnfQ1oM3XeOn-lI_8fzMD86mFuHPxgP4eg-NHfd1mosIVpCMVpITmr7stGDJj8e8ZzY</recordid><startdate>198301</startdate><enddate>198301</enddate><creator>GAL, DAVID</creator><creator>BUCHSBAUM, HERBERT J</creator><general>The American College of Obstetricians and Gynecologists</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>198301</creationdate><title>A Cinefluoroscopic Study of Ureteral Function Following Radical Hysterectomy</title><author>GAL, DAVID ; BUCHSBAUM, HERBERT J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p2517-f3905fc2fe67cc66f068da251034dcfd0efc6e7e3428419135e5fe18819c41d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Adult</topic><topic>Cineradiography</topic><topic>Dilatation, Pathologic - physiopathology</topic><topic>Female</topic><topic>Humans</topic><topic>Hysterectomy</topic><topic>Lymph Node Excision</topic><topic>Middle Aged</topic><topic>Muscle Contraction</topic><topic>Muscle, Smooth - physiopathology</topic><topic>Postoperative Complications - physiopathology</topic><topic>Time Factors</topic><topic>Ureter - diagnostic imaging</topic><topic>Ureter - physiopathology</topic><topic>Urodynamics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>GAL, DAVID</creatorcontrib><creatorcontrib>BUCHSBAUM, HERBERT J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GAL, DAVID</au><au>BUCHSBAUM, HERBERT J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Cinefluoroscopic Study of Ureteral Function Following Radical Hysterectomy</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>1983-01</date><risdate>1983</risdate><volume>61</volume><issue>1</issue><spage>82</spage><epage>86</epage><pages>82-86</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><abstract>Twenty patients were studied with static and cinefluoroscopic intravenous pyelograms to quantitate the morphologic and physiologic ureteral alterations following radical hysterectomy and pelvic lymphadenectomy. More than 87% of the patients in the 48-hour study had ureteral dilatation, which persisted for 7 days in most patients, proximal to the site of pelvic dissection. By 6 weeks after surgery, the dilatation had regressed and pyelograms returned to normal. Transit time from renal pelvis to bladder was doubled at 7 days. An alteration in the character of peristalsis was noted on the cinefluoroscopic studies at 48 hours and at 7 days. The distal ureter appeared as a rigid conduit, and the peristaltic activity was replaced by bolus emptying.</abstract><cop>United States</cop><pub>The American College of Obstetricians and Gynecologists</pub><pmid>6823352</pmid><tpages>5</tpages></addata></record> |
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subjects | Adult Cineradiography Dilatation, Pathologic - physiopathology Female Humans Hysterectomy Lymph Node Excision Middle Aged Muscle Contraction Muscle, Smooth - physiopathology Postoperative Complications - physiopathology Time Factors Ureter - diagnostic imaging Ureter - physiopathology Urodynamics |
title | A Cinefluoroscopic Study of Ureteral Function Following Radical Hysterectomy |
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