Search PubMed⌕ Search

Biomedical subjects

H Lipsky

Publications and source records attributed to H Lipsky.

At least 55 records · Page 3Linked to original sources

[Urodynamic assessment of women with urethral syndrome (author's transl)].

Thirty women presenting with urethral syndrome were investigated. A full urologic, radiologic, gynecologic and urodynamic assessment was carried out. In most patients the cause of their troubles was found. In 19 of them an obstruction was demonstrated. Two types of obstruction were seen: The first occurred mainly in postmenopausal women. Here, a narrow distal segment of the urethra was demonstrated. The second type of obstruction was seen mainly in younger patients. The cause was an incomplete relaxation or a spasm of the external striated sphincter. Other causes of symptoms were instability and atony of the detrusor. In some women no cause for their symptoms and recurrent urinary infection was found.

Adult↗

[Ectopic ureterocoele and its treatment (author's transl)].

An ectopic ureterocele is a congenital ballooning of the submucosal part of an extopic ureter in the bladder. It is a relatively common anomaly, usually presenting in childhood. The anatomy, functional pathology, and the clinical symptoms of this disease are described. The authors present a series of 15 cases seen over a 4-year period, 3 patients being adults. Diagnostic and therapeutic problems of this anomaly are discussed in the light of the reported cases.

Child, Preschool↗

The role of angiography in diagnosis and management of blunt renal trauma.

In a series of 223 patients with blunt renal injury, 40 patients underwent angiography. From this experience the following conclusions have been drawn: If a renal injury is suspected the IVP must be done as soon as possible. In most cases the diagnosis can be confirmed. Mild injuries should be managed conservatively and therefore need no angiography. In life endangering injury there is no time for angiography. The operation should be done preferably by a transperitoneal approach to allow good control of the renal pedicle. Patients with severe injuries should undergo angiography. If there is no function on the IVP, angiography should be done immediately to diagnose possible arterial thrombosis. In most cases angiography can be carried out some days after the trauma. This investigation provides an exact diagnosis and helps in deciding about further treatment. If a major part of the kidney has no blood supply, or there is a rupture with a large perirenal extravasation of urine, we recommend conservative surgery to avoid early and late complications. All operations should be done some days after the trauma. All patients with renal injuries, either operated or conservatively managed, should be carefully followed up. Angiography should be done in all cases of post-traumatic hypertension.

Angiography↗