Urothelial tumors of the upper urinary tract are rare, serious diseases that are increasing in frequency. Because of similar embryologic and histologic, pathologic appearance, symptomatology of these tumors are considered as a single entity. We experienced 15 patients with urothelial tumors of the upper urinary tract, who were admitted to our Dept. of Urology during 8 years period from Jan. 1978 to Jan, 1986. The most common symptom was gross hematuria. The most common finding on excretory urogram was a non-visualization of the kidney. Treatment included nephroureterctomy with excision of bladder cuff, nephrectomy and partial ureterectomy, nephroureterectomy and total cystectomy with ileal conduit or Kock continent ileal reservoir. We report 15 cases of urothelial tumors with some review of literatures.
Colonic Pouches ; Cystectomy ; Hematuria ; Humans ; Kidney ; Nephrectomy ; Urinary Bladder ; Urinary Diversion ; Urinary Tract* ; Urology

During recent years, cases of toxic shock syndrome have been reported with increasing frequency in plastic surgery patients. The majority of reports relate to aesthetic plastic surgical procedures such as rhinoplasty, augmentation mammoplasty, liposuction, and chemical peeling. We report a case of toxic shock syndrome with necrotizing fascitis after liposuction in a 23-year-old woman who had erythema and edema, blister formation and gangrene in the skin. The patient was admitted to the intensive care unit, and treatment was initiated with vigorous fluid resuscitation and intravenous antibiotic therapy. During the next days, the condition of the patient worsened, and pulmonary insufficiency required intubation and mechanical ventilation. Surgical treatment with multiple incision and irrigation was performed on the first, third and eighteenth day. The patient was discharged in good health on the 30th day after admission. Toxic shock syndrome with necrotizing fascitis is a rare disease; therefore, it is important to review its diagnostic and clinical features as only early diagnosis and prompt, radical surgery improves the survival rate.
Blister ; Early Diagnosis ; Edema ; Erythema ; Fasciitis, Necrotizing ; Female ; Gangrene ; Humans ; Intensive Care Units ; Intubation ; Lipectomy ; Mammaplasty ; Polymethacrylic Acids ; Respiration, Artificial ; Resuscitation ; Rhinoplasty ; Shock, Septic ; Skin ; Surgery, Plastic ; Young Adult