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Article
May 1935

A REVIEW OF UROLOGIC SURGERY

Author Affiliations

LOS ANGELES; ROCHESTER, MINN.; ANTWERP, BELGIUM; SEATTLE; NEW YORK; CHICAGO

Arch Surg. 1935;30(5):884-907. doi:10.1001/archsurg.1935.01180110155012
Abstract

KIDNEY 

Hydronephrosis.  —Lichtenberg1 described a pathologicophysiologic principle which aids in differentiating the dynamic and the mechanical form of renal obstruction and in selecting the method of surgical treatment with more assurance and success. Testing the response of the pelvic and ureteral musculature to electrical stimulation at the time of operation will reveal whether conservative surgical therapy is indicated. Lichtenberg stated that a pathologicophysiologic point of view of renal obstruction might open up new methods in treatment in those cases in which surgical intervention is not necessary.Pelliccia2 discussed the etiology of intermittent hydronephrosis in 2 cases in which he recently had occasion to operate. Defining intermittent hydronephrosis as the phenomenon of successive attacks of acute and sudden retention of urine in the renal pelvis, which are followed within a few hours or during the course of a day by its complete outflow, with no disturbances between attacks, he

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