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Biomedical subjects

H Lipsky

Publications and source records attributed to H Lipsky.

At least 37 records · Page 2Linked to original sources
PubMed1988

[Changes in the treatment of urogenital tuberculosis].

Potent antituberculosis drugs and new endourological measures have changed the concept of management of urogenital tuberculosis. This paper presents a report on 56 patients treated with rifampicin, ethambutol and isoniazid for 1 year. Therapy was started in hospital and continued on an ambulatory basis. Reconstructive surgery was carried out as early as 4-5 weeks after commencement of therapy, whereby only destroyed organs wee removed. Follow up continued at three-monthly intervals for a period of 2-5 years after completion of chemotherapy. All patients were cured.

Adolescent↗
PubMed1987

[Diagnosis and therapy of female incontinence].

The different types of urinary incontinence in the female are defined and described. A meticulous differential diagnosis is a prerequisite for adequate treatment. The pre-treatment examination includes a detailed history, a residual urine, a gynaecological examination, a neurological examination, an intravenous pyelogram, the incontinence test, the Bonney and Bethoux tests, and a urethrocystoscopy. In difficult cases urodynamic tests and X-rays of the bladder and the pelvic organs are added to the workup. Two types of incontinence can be differentiated. We recommend to manage type 1 with an anterior vaginal repair or with colposuspension. Type 2 should be treated with colposuspension and if necessary vaginal repair or levatorplasty. Recurrences should be managed always with colposuspension. It is stressed that after correction of incontinence bladder outlet obstruction can occur.

Female↗
PubMed1987

[Initial experiences with the Camey bladder].

The construction of a new continent reservoir after cystectomy has been a major attempt of urological surgery during recent years. We have employed an ileal conduit which was anastomosed to the urethra according to Camey in 10 patients. Two patients died postoperatively because of complications. Eight left the hospital with a sufficiently working new bladder. Capacity, flow, bladder emptying and continence were satisfactory. The results are presented in detail. Most patients were incontinent to some degree during the night. This was handled by micturition, pads and condom urinals. All patients were content with the result. The longest follow up time is 2 years.

Follow-Up Studies↗
PubMed1986

The use of split-skin mesh graft in the management of urethral strictures.

In the last 3 years 268 patients with urethral strictures have attended this unit. We treat most strictures by urethrotomy and consider an open operation only after two recurrences or in patients whose strictures are considered unsuitable for urethrotomy. Open operations have been performed on 42 patients. Although several types of operation have been used, most comprised an end-to-end anastomosis or Blandy's scrotal flaps. In the last few years a split-skin mesh graft has been used to replace the posterior urethra and the advantage of this technique is that the new urethra is soft and hairless. We present our experience with this method and our overall results.

Forearm↗
PubMed1985

A combined antireflux procedure.

The described operation is a combination of the Politano-Leadbetter procedure with advancement of the orifice. This operation was successfully performed in 26 children (37 renal units). This method is compared to others.

Child↗
PubMed1984

Dilatation of the urinary tract during pregnancy and its management.

Dilatation of the upper urinary tract in pregnancy is caused by an obstruction at the pelvic brim, of varying degree. In some women this obstruction occurs acutely, resulting in renal colics. Our experience with this condition in 17 patients is reported. In 7 patients relief of the obstruction was necessary. The method of choice was drainage with pig-tail stents. The indications for such treatment are discussed.

Adult↗
PubMed1983

Renal adenoma.

Explore the source record for details and available documents.

Adenoma↗
PubMed1983

[Diagnosis and treatment of functional bladder neck obstruction].

The experience with 32 patients with functional bladder neck obstruction is presented and this condition is discussed. This disease occurred mainly in males from the age of 6 months to 50 years. There was only one female patient. The most important investigations were the micturating cystogram, the flow-rate and the measurement of the residual urine. The bladder neck incision, as proposed by Turner-Warwick, relieved symptoms and obstruction in all patients efficiently.

Adolescent↗
PubMed1982

[Indications for urodynamic studies before and after adenomectomy].

Preoperative urodynamic examinations are an important supplement to our diagnostic repertoire in cases of adenoma of the vesical cervix. Flow measurement should always be carried out. In routine practice further urodynamic examinations are only indicated in uncertain cases. Exact preoperative diagnosis will greatly improve the results of adenectomy. Persistent dysuria or incontinence are always an indication for post operative urodynamic examinations. Here efficient therapy is made possible by exact diagnosis.

Humans↗
PubMed1980

[Dysuric symptoms following prostatectomy (author's transl)].

A certain number of patients suffer from symptoms after the operation for benign prostatic hypertrophy. 22 patients with persisting symptoms after TUR were investigated. Neither obstruction nor infection was seen. The urodynamic assessment showed pathological changes of detrusor function in most patients. In 5 patients detrusor instability was seen and in 12 patients hypotonic or atonic detrusors were demonstrated. 5 patients had normal bladder function. Causes for persisting symptoms after operation are discussed. It is stressed, that patients with preoperative normal flow-rates should be investigated urodynamically in order to avoid a wrong indication for prostatectomy. If symptoms persist postoperatively, an urodynamic assessment is again helpful for a reasonable therapeutic approach.

Aged↗
PubMed1979

[Urodynamic assessment of enuretic children (author's transl)].

Urodynamic assessment was carried out in 33 children with persistent enuresis in spite of previous therapy. According to these investigations it was possible to divide our patients into several groups. One group of children displayed a normal urodynamic pattern. Another group showed neurogenic non-inhibited detrusor contractions on cystometry. Obstruction was noted in a third group of patients by means of urodynamic parameters. A small group of children was urodynamically normal, but suffered from recurrent urinary infections. The therapeutic results and the aetiology of enuresis is discussed.

Adolescent↗
PubMed1978

[The differential diagnosis of female urinary incontinence (author's transl)].

The different types of urinary incontinence in the female are defined and described. A meticulous differential diagnosis is a prerequisite for adequate treatment. The pre-treatment examination includes a detailed history, a residual urine, a gynaecological examination, a neurological examination, an intraveinous pyelogram, the incontinence test, the Bonney and the Bethoux tests, and a urethro-cystoscopy. In difficult cases urodynamic tests and X-rays of the bladder and the pelvic organs are added to the workup. Among 54 patients with urinary incontinence, 31 had stress incontinence and 23 had incontinence of another cause such as detrusor instability or a urethral syndrome.

Cystoscopy↗
PubMed1977

Prostatectomy with a no-catheter technique.

A method of no-catheter prostatectomy is described and the results of 350 operations are presented. It has been demonstrated that this method of prostatectomy can be done aseptically.

Humans↗
PubMed1977

Direct vision urethrotomy in the management of urethral strictures.

A series of 32 patients underwent direct vision urethrotomy. The technique is simple and the stay in hospital short. Intra- and postoperative complications are rare. Postoperatively, a silicon catheter is left for approximately 7 days, then hydraulic self-dilatation is performed by the patient for 6 months. 25 patients in this series (83%) voided satisfactorily after the procedure and needed no further treatment. Unsatisfactory results were obtained in patients with long strictures, in traumatic strictures with large scarred areas and in patients who failed to carry out regular hydraulic self-dilatation. We advise direct-vision urethrotomy as a treatment of choice for urethral strictures which do not exceed a length of 3 cm.

Adolescent↗
PubMed1977

[The functional obstruction of bladder neck (author's transl)].

The functional obstruction of bladder neck in male patients is a well-known and long-known entity. Etiology, natural history and mechanism of this condition are not yet fully understood. The patients suffer from obstructive symptoms since childhood. The results of a full radiological, urological and urodynamics assessment of 10 patients with such symptoms are presented. Diathermic incision of bladder neck was the therapy of choice. Retrograde ejaculation of seminal fluid was not observed. The prognosis of this disease is good. Uroflowmetry, cystometry and micturating cysto-urethrography are mandatory for the correct diagnosis.

Adolescent↗
PubMed1977

Urodynamic assessment of women with urethral syndrome.

43 women with urethral syndrome were investigated. A full urologic, gynecologic and urodynamic assessment was carried out. In 27 women an obstruction was demonstrated by urodynamic and other parameters. Two types of obstruction were seen: the first one occurred mainly in postmenopausal women. Here, a narrow distal segment of the urethra was noted. These women responded well to dilatation and external urethroplasty. The second type of obstruction was mainly seen in younger women. The cause was an incomplete relaxation or spasm of the external striated sphincter. This dysfunction was caused by various disorders like local inflammation, colpitis, etc. Dilatation and urethroplasty did not cure all patients of this group. Other causes of symptoms were instability and atony of the detrusor. In some women the cause for their symptoms and recurrent urinary infection could not be found.

Adult↗
PubMed1976

[Blunt renal trauma: diagnosis, therapy and possible complications].

223 cases of blunt renal injuries, which were observed over a period of 19 years at the department of Surgery, University of Graz, are presented in this study. The value of several diagnostic procedures and the therapy are discussed in respect of early and late complications and the literature reviewed.

Adult↗