[Problems of fever after surgery of the bladder neck. How to classify the causal efficiency of reflux mechanisms].
Fever following operations on the vesical cervix was analysed in 167 patients, whereby the closing of the ostia was observed. Vesicoureteral reflux caused by lesion of the trigonal unit in the region of the inner vesical sphincter causes parenchymatous infection of the kidney to a lesser extent than expected. The specific conditions after the removal of an adenoma of the vesical cervix, with heavy bleeding, the necessity of urine drainage with all its weak points, the high level of bacteria in the urine combined with a delayed epithelization of the "inner wound" can be the starting point for a rise in temperature, whereby haematogenous pyelonephritis is of special significance. A decision on the expediency of antibiotic therapy should in any case only be made after obstructive and locally retentive processes have speedily been excluded as possible causes.
D000236:Adenoma / Q000601:surgery; D000368:Aged; D005334:Fever / Q000209:etiology*; D006801:Humans; D011183:Postoperative Complications; D001743:Urinary Bladder / Q000601:surgery*; D001744:Urinary Bladder Calculi / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000601:surgery; D014718:Vesico-Ureteral Reflux / Q000150:complications* / Q000209:etiology; D014945:Wound Healing
Zum Problem der fieberhaften Verläufe nach Blasenhalsoperationen. Wie ist die kausale Effizienz refluxiver Mechanismen einzuordnen?