Browsing by Author "De Kock, M. L. S."
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- ItemEosinophilic cystitis associated with Glanzmann's thromboasthenia : a case report(Health & Medical Publishing Group, 1987) Botma, J. P.; Burger, E. G.; De Kock, M. L. S.Eosinophilic cystitis is a rare condition, only 41 cases having been recorded in the literature. Glanzmann's thrombasthenia has been documented more than 100 times. The presence of these two conditions in one patient has, to our knowledge, not yet been reported in the English-language literature.
- ItemEpidemiology of urethral stricture at Tygerberg Hospital(Health & Medical Publishing Group, 1994) Steenkamp, J. W.; De Kock, M. L. S.Over a 12-month period, 120 consecutive male patients with confirmed urethral stricture were prospectively studied with regard to the epidemiology of the disease. Specific urethritis is the main aetiological factor (45%) and internal and external trauma account for an alarming 38,3% of cases. The prevalence is highest among 40 - 50-year-old coloured men who have had little schooling, multiple sexual partners and who have a low annual income. The incidence can be reduced by upliftment of moral and educational standards of the local population, and by emphasising the potential dangers of catheterisation and instrumentation to medical personnel.
- ItemIntravesikale BCG as behandeling van herhalende oppervlakkige en in situ oorgangselkarsinoom van die blaas(Health & Medical Publishing Group, 1990) Schmidt, A. C.; De Kock, M. L. S.; De Klerk, D. P.Intravesical BCG is already established as effective therapy in the management of superficial bladder cancer. However, varying results have been obtained with different BCG strains; these are ascribed to variations in their immunogenicity. The locally available BCG strain which contains approximately 1.2 x 109colony-forming units per 120 mg was used for intravesical instillation in 27 patients with recurrent superficial transitional cancer of the bladder. Ten of the 13 patients who received BCG prophilactically to reduce or stop recurrencies completed therapy and 7 (70%) were in remission after 1 or 2 courses with a mean follow-up of 2 years. Fourteen patients received BCG therapeutically for in situ carcinoma. Thirteen of these patients completed therapy and 9 (69%) responded favourably after 1 or 2 courses of BCG for a mean follow-up period of 23 months. Adverse effects of the treatment were mild and well tolerated except in a patient who received radiotherapy. Although 21 patients experienced irritable bladder symptoms only 1 discontinued treatment as a direct result. The only other patient in whom treatment had to be stopped, developed severe polyarthritis after 3 instillations. A statistically significant reduction in the number of recurrences (P < 0.001) was experienced by the patients who received BCG prophylactically. Although this is a very limited study, the locally available BCG strain exhibited therapeutic activity. It is cost-effective and warrants further study.
- ItemNieroorplanting by die Tygerberg-hospitaal : 'n oorsig van chirurgiese komplikasies(Health & Medical Publishing Group, 1982) De Kock, M. L. S.; Schmidt, A. C.; De Klerk, J. N.From May 1976 until January 1981 74 patients received 76 renal transplants at Tygerberg Hospital. Forty-one patients (55%) developed at least one surgical complication. Four patients (5.4%) died from widespread sepsis. In this article we review the possible causes of and preventive measures against surgical complications after renal transplantation.
- ItemTransurethral prostatectomy - studies with different intravesical pressures(Health and Medical Publishing Group -- HMPG, 1982-05) Rabe, H. B.; De Kock, M. L. S.In an attempt to study the safety of transurethral prostatectomy in our unit, the use of a low-pressure continuous-flow water irrigation system was compared with our routine method of intermittent bladder emptying during transurethral prostatectomy in 14 patients. The products of haemolysis and parameters of haemodilution were studied, and no significant differences were noted. However, a simple suprapubic shunt provided significant surgical advantages.