[Therapy of ulcus molle].
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Biomedical subjects
Publications and source records attributed to H Heise.
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There is no known effective treatment for lichen sclerosus et atrophicus. It is therefore necessary to check new methods of treatment. We treated 14 patients with testosterone propionate ointment. In 10 of 14 cases the desired result was achieved. This therapeutic effect was more effective than the results in the control group.
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There is no perfect surgical method for vasoepididymostomy under the four main methods with 24 modifications. Two new microsurgical methods of end-to-side anastomosis, an indirect and a direct vasoductulostomy, are offered. There were good results in animal experiments. In the meantime, the two methods have been proved in man for refertilization. The spermatozoa were able to pass after bilateral indirect vasoductulostomy in 8 out of 10 cases. The presuppositions for the direct anastomosis technique in man will be explained in detail; these results are not utilized at present. In animal experiments the direct vasoductulostomy seems to be the ideal method.
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Treponemal antibodies in CSF are often to be found by FTA-ABS and TPHA, also in cases without syphilis cerebrospinalis. The checking of the CSF barrier allows--together with the TPHA-index--the diagnostic of the syphilis cerebrospinalis. Antibodies against treponema pallidum have been proved in 15 patients at different stages of syphilis until 30 years after treatment, but the titres were low. Only in one case we have found an active syphilis cerebrospinalis by the help of the TPHA- and IgG-index.
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