Testicular trauma sustained during football.

Three patients having testicle injury received while playing football are reported. Two of them received a blow with a ball. Surgical findings revealed spermatic cord injury with scrotal haemorrhage in one patient, and intratesticular hematoma in another one. After hematoma evacuation and arrest of haemorrhage achieved by ligature, the testicle appeared normal. In the third case with testicle rupture after scrotal kick, early exploration finished with adequate debridement and approximation of the tunica albuginea laceration. Postoperative ultrasonography showed a homogeneous echo pattern of the remaining two-thirds of the parenchyma.

[Long-term follow-up of related kidney donors after nephrectomy]. / Visegodisnje pracenje srodnih davatelja nakon donorske nefrektomije.

From 1973 to July 1990, 183 kidney transplantations were performed at the Transplantation Unit of the Department of Urology--Faculty of Medicine--University of Zagreb. Out of these, 57 were from the living related donors. The research included 50 (88%) living related donors (28 mothers, 12 fathers, 5 brothers and 5 sisters) followed up from 1 to 15 years after donor nephrectomy. The donors' health conditions were evaluated by clinical-laboratory examinations (biochemical tests, renal function tests, urinoculture, ultrasound, isotopic renal studies, arterial blood pressure). In 48 (96%) neither morphological nor functional changes of the urinary system were found. A certain number of donors requested a transfer to less physically strenuous jobs. Except for the grafts functioning well in the recipients, the results also showed that the quality of donors' lives remained unchanged.

[Conservative surgical procedures in transitional cell carcinoma of the kidney and ureter]. / Konzervirajuci kirurski zahvati kod karcinoma prijelaznog epitela bubrega i uretera.

Conservative surgical procedure in selected patients with transitional cell carcinoma of upper urinary tract is alternative to radical surgery. Generally, a conservative surgical procedure is indicated in solitary low-stage lesions, particularly impaired renal function and bilaterality. At our Institute, conservative surgical procedure was performed in patients with solitary kidney and significant renal function damage. Survival after conservative and radical surgery was similar, extending the scope of indications for conservative surgical procedure in cases of low-grade low stage tumors.

[Injuries of the urogenital system]. / Ozljede urogenitalnog sustava.

War injuries of the urogenital system present serious injuries accompanied with significant morbidity and mortality as well as causing high degree of later disablement. The paper presents our experiences and basic directions in treating urogenital injuries especially those penetrating and inflicted by high velocity missiles. Thirteen patients with urogenital injuries have been operated on and that makes 4% of all war injuries treated at KBC-Rebro hospital. Among the total number of abdominal injuries those urological make a considerable share--as high as 21% and that could be the consequence of the triage. In all the patients except one, in whom either kidney, ureter or bladder has been injured there has also been an associated injury of another abdominal organ (mostly colon and small intestine, than liver and spleen). All the operating procedures have been performed together with the general surgery team. X-ray preoperative examinations have been carried out only in two patients while the general state of the rest of the patients has not allowed for such procedures which could delay surgery. Nephrectomy has been performed in only one out of these thirteen patients. Orchidectomy has been carried out in only one patient in whom extensive laceration of the testis has occurred, while in others preserving surgical treatment has been applied.