Biomedical subjects

J T Andersen

Publications and source records attributed to J T Andersen.

At least 145 records · Page 8Linked to original sources

PubMed1976

Neurogenic bladder dysfunction in protruded lumbar disk and after laminectomy.

Bladder and urethral innervation was studied in 18 patients with protruded lumbar disk or persistent back pain after laminectomy. A high incidence of neurogenic dysfunction of the detrusor muscle was found, whereas impaired function of the striated external urethral sphincter was rare. The lesions were encountered among the patients with protruded lumbar disk as well as among the patients with sequelae after laminectomy, suggesting that neurogenic bladder dysfunction in cauda equina injury due to protruded disk is often irreversible.

Adult↗

PubMed1976

Electromyographic and gas urethral pressure profile.

A new technique for recording urethral pressure profile is described. The method consists of a simultaneous combined electromyographic and gas urethral pressure profile recording. Normal and pathologic patterns are described. The method provides information on the correlation between intraurethral pressure and activity in the periurethral striated musculature and has proved useful in the assessment of neurologic dysfunction of the urethra.

Electromyography↗

PubMed1976

Abnormalities of bladder innervation in diabetes mellitus.

Electrophysiologic evaluation of the neural pathways involved in bladder and urethral function is described in 30 patients with diabetes mellitus. The study showed decreased conduction velocities in patients with the detrusor reflex as well as in detrusor areflexia. The findings indicated that diabetic vesical dysfunction is principally the result of segmental demyelination in the peripheral nerve supply to the detrusor muscle and urethra.

Adolescent↗

PubMed1976

Cystometric, sphincter and electromyelographic abnormalities in Parkinson's disease.

Bladder function was studied in 24 patients with a diagnosis of parkinsonism using cystometry, sphincter electromyography, flowmetry and electromyelography. A high incidence of disturbances in detrusor function and sphincter control was documented and the signal tracing studies showed prolonged conduction times, giving evidence of peripheral neuropathy. The abnormalities of detrusor function were ascribed to the lesion of the basal ganglia, whereas the sphincter disturbances indicate impairment of the corticospinal tract as a result of Parkinson's disease.

Adult↗

PubMed1976

Postural detrusor hyperreflexia.

Postural changes in bladder function have been documented previously only in female incontinent patients without evidence of neurologic or urologic disease. In our study the syndrome of postural hyperreflexia is described in patients of both sexes having a variety of neurological disorders. The investigations showed impaired function of supraspinal control of the sacral micturition center.

Adolescent↗

PubMed1976

The syndrome of detrusor-sphincter dyssynergia.

The syndrome of detrusor-sphincter dyssynergia is described in a series of patients with a variety of neurological diseases. Bladder function studies using cystometry, sphincter electromyography and electromyelography revealed that sphincter dyssynergia may be associated with detrusor hyperreflexia as well as detrusor areflexia. Impaired function of the pyramidal tracts was documented in all patients and the majority showed impaired segmental innervation of the bladder and urethra.

Adolescent↗

PubMed1976

Neuromuscular dysfunction of the lower urinary tract in patients with lesions of the cauda equina and conus medullaris.

Bladder and urethral function was studied in 21 patients with lesions of the cauda equina or conus medullaris using gas cystometry, integrated sphincter electromyography, uroflowmetry and computer assisted measurement of detrusor and urethral innervation. An areflexic cystometrogram, impaired electromyographic sphincter activity and delayed reflex-evoked potentials from stimulation of the detrusor muscle and urethra were the most consistent indicators of lesions of the conus medullaris and/oather than the ice water test is suggested.

Adolescent↗

PubMed1976

Combined electromyography and gas urethral pressure profilometry before and after transurethral resection of the prostate.

Combined electromyographic and gas urethral pressure profilometry was done on 10 consecutive patients before and 3 months after transurethral resection of the prostate. A significant reduction was found postoperatively in the functional urethral length, whereas the maximum urethral closure pressure remained unchanged. Increase in urethral resistance in prostatic obstruction of the posterior urethra was related to the increase in the functional length of the posterior urethra rather than to mechanical occlusion of the urethral lumen. Periurethral striated muscle activity was recorded from the membranous urethra to the urethrovesical junction with the maximal activity located in the membranous urethra. Marked striated muscle activity also was found consistently at the bladder neck.

Adenocarcinoma↗

PubMed1976

Combined cystometric, sphincter electromyographic and uroflowmetric studies before and after transurethral resection of the prostate.

Detrusor and urethral function was studied in 10 patients before and 3 months after transurethral resection of the prostate by means of flowmetry, and simultaneous gas cystometry and integrated sphincter electromyography. THE PATIENTas cystometry and integrated sphincter electromyography. The patient had no clinical signs of neurological disease. Six had neurogenic exaggeration of the detrusor reflex in the preoperative studies. In 3 patients changes in the detrusor reflex were found postoperatively. Postural changes in detrusor reflex excitability were encountered preoperatively and postoperatively. The preoperative finding of detrusor hyperreflexia in the majority of the patients is ascribed to lesions in the detrusor reflex organization at 2 anatomical sites: 1) a subclinical lesion of the cerebral circuits of the detrusor reflex control owing to arteriosclerosis and 2) an increase of sensory detrusor-reflex triggering stimuli from the morphologically changed prostatic urethra. The study calls for diagnostic techniques for delineation of minimal cerebrospinal impairment and objective assessment of the sensory innervation of the urethra.

Aged↗

PubMed1976

Detrusor hyperreflexia in benign infravesical obstruction. a cystometic study.

Cystometry was performed on 94 consecutive patients with benign prostatic hypertrophy or bladder neck obstruction, 45 per cent of whom had detrusor hyperreflexia. Of those cases with detrusor hyperreflexia 21 patients were re-examined 6 months postoperatively and 62 per cent of them had regained normal bladder function. The underlying pathophysiologyand the clinical aspects are discussed.

Humans↗

PubMed1976

The urethral electromyographic and gas pressure profile. Technique and patterns.

A new technique for recording of the urethral pressure profile is described. The technique consists of a combined electromyographic and gas urethral pressure profile recording. Normal and pathological patterns are described. The method provides information of the correlation between intra-urethral pressure and activity in the periurethral striated musculature, and has proved useful in the assessment of neurological dysfunction of the urethra.

Electromyography↗

PubMed1976

Electrophysiological techniques for the study of urethral and vesical innervation.

A new electrophysiological technique for the study of urethral and vesical innervation is reported. The method gives valuable information on the structural integrity and function of two of the reflex arcs involved in micturition. Normal and pathological patterns are described, illustrating the diagnostic value of the method in the assessment of neurogenic disturbances of bladder and urethral function.

Anal Canal↗

PubMed1976

The urethral closure pressure profile. A new technique using gas and simultaneous EMG-recording from the urethra.

A new technique for recording of the urethral closure pressure profile using gas-inflation and simultaneous EMG-recording from the urethra is described. With the present technique, the parameters of the urethral closure pressure profile in healthy volunteers were in accordance with previous reports using water-infusion. The effect of alpha-adrenergic blockade on the pressure profile was studied in a series of patients. Half of the patients showed a marked reduction of the intraurethral pressure in the presphincteric part of the profile after alpha-adrenergic blockade. This indicated that sympathetic innervated smooth musculature gives a significant contribution to the total intraurethral pressure.

Carbon Dioxide↗

PubMed1976

Detrusor and urethral dysfunction in prostatic hypertrophy.

Assessment of bladder and urethral function in 9 patients with prostatic hypertrophy before and after transurethral resection of the prostate was performed utilising gas cystometry, detrusor reflex activating procedures, combined electromyographic and gas urethral pressure profilometry and uroflowmetry. A high incidence of detrusor hyperreflexia was found preoperatively indicating neurogenic dysfunction of the bladder. Removal of the obstructive tissue implied a change in detrusor reflex function in a part of the patients confirming the findings from a larger series studied with watercytsometry. Decompression or injury of sensory nerve endings in the prostatic urethra thus seem to determine detrusor function after surgery to the prostate. The impact of the resection upon urethral function was an increase in maximum urinary flow due to a significant shortening of the functional urethral length. No change in maximum urethral intramural pressure could be demonstrated.

Aged↗

PubMed1976

Abnormalities of detrusor and sphincter function in multiple sclerosis.

Bladder and urethral function was studied in 52 patients with multiple sclerosis using gas-cystometry combined with sphincter electromyography. 96% of the patients showed abnormalities of either detrusor or sphincter function. The abnormal patterns discovered indicated demyelinating lesions in the corticospinal as well as in the reticulospinal tract. Urgency and urge-incontinence were the predominant symptoms, whereas no signs of involvement of the upper urinary tract found. The use of gas-cystometry provides a fast and differentiated method for assessment of the detrusor function.

Adult↗

PubMed1976

Disturbances of micturition in Parkinson's disease.

During the years 1970-1974, a total of 44 patients referred by neurologists to the Urological Laboratory were classified in the following groups: paralysis agitans (27), postencephalitic parkinsonism (5), cerebral arteriosclerosis and parkinsonism (7) and cerebral arteriosclerosis and parkinsonism, suspected (5). Bladder function was assessed on the basis of cystometry and urodynamic investigation. A high frequency of supranuclear bladder paresis (SNP) was found, although unequally distributed in the different diagnostic groups. Stereotactic operations on the thalamic nuclei seemed to be correlated with SNP. The question was raised whether SNP was part of the parkinsonian syndrome or merely signs and symptoms related to ageing.

Adult↗

PubMed1976

Early detection of diabetic visceral neuropathy. An electrophysiologic study of bladder and urethral innervation.

The segmental and supraspinal innervation of the detrusor muscle and periurethral striated musculature was studied in 27 patients with diabetes mellitus by gas cystometry, integrated sphincter electromyography, and spinal evoked-response latency measurements. Slowing of neural conduction velocities was a consistent finding in all the patients, even when cystometry did not show abnormalities. Thus, neuropathy in the segmental innervation of the bladder and urethra was documented.

Adolescent↗

PubMed1976

Detrusor hyperreflexia. A survey on its etiology and treatment.

Detrusor hyperreflexia (DH) is a frequently occurring condition. The symptomatology is characterized by frequency, urgency and urge incontinence. DH is defined as involuntary, uninhibited detrusor contractions. The physiology and pathophysiology of the micturition reflex is reviewed. The balance between cerebral stimulation and supraspinal inhibition is discussed. DH is caused by disturbances in this balance. Whereas increased afferent impulses to the central nervous system due to local disorders in bladder and/or urethra may produce DH, a neurological disorder affecting the inhibitory nervous pathways from cortical and subcortical centres always result in uninhibited detrusor contractions. DH was found in 25% of 2000 patients. In the majority of the patients the DH was caused by a neurological disorder. The incidence of DH in patients with enuresis, gynecological patients with urinary incontinence and/or genital prolapse and patients with benign prostatic hyperplasia (BPH) is reported. In 62% of the patients with BPH the DH was eliminated after adequate surgical treatment of the infravesical obstruction. By contrast, DH in women with genital prolapse and/or incontinence persisted despite operative treatment. In a retrospective investigation of 152 patients with DH, the cause of the DH was unknown in 32 patients (21%). A clinical neurological examination revealed no evidence of neurological disease in 45% of the 22 patients examined. Voiding symptoms were the only complaint in these patients as well as in 30-40% of the patients in the other groups mentioned. This calls for improved investigatory methods in the evaluation of the balance between stimulation and inhibition of the micturition reflex. The presence of uninhibited detrusor contractions in apparently healthy patients should indicate a neurological examination since DH may be the first sign of a neurological disorder. The micturition reflex is conducted through long, uninterrupted neurons with a marked central integration. Therefore cystometry may be used as a supplement to the clinical neurological examination in the early diagnosis of pyramidal or extrapyramidal central nervous system disorders.

Adolescent↗