[Anhidrotic ectodermal dysplasia. Apropos of 3 cases in the same family].
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Biomedical subjects
Publications and source records attributed to M Fall.
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Techniques are described for recording evoked potentials in humans in response to stimulation of the urinary bladder. Twenty patients with various disorders of their urinary function were investigated. Evoked cortical potentials following stimulation of the urinary bladder could be recorded from all patients except subjects with complete transverse spinal cord lesions. The response was most evident at the central site (Cz) and had its most prominent peaks at 45, 65, 82 and 102 msec. This technique may become a useful diagnostic tool in the study of neurogenic bladder dysfunctions.
We analyzed the functional results of urinary diversion in 21 patients who had a funneled ureteroileal anastomosis to avoid stricture and stenosis. No attempt was made to avoid reflux from the conduit to the ureter but special care was taken to construct a cutaneous stoma to prevent reflux from the appliance. The results of the procedure were satisfactory. No urinary leakage, or stricture of the ureters or ureteroileal anastomosis was observed in any patient and kidney function was preserved. One of the main advantages of this technique is simplicity in construction, which means increased safety when used by surgeons not extensively trained in urinary diversion operations.
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We treated 14 women with chronic interstitial cystitis with long-term intravaginal or transcutaneous nerve stimulation. Clinical and urodynamic evaluations were done after 6 months to 2 years. Improvement was not immediate but required a considerable period of continuous, daily use of electrical stimulation. The results were favorable--a substantial decrease in pain and frequency of micturition in all patients after long-term treatment. Since the methods seem effective and are simple, cheap and non-destructive electrical stimulation is recommended for all patients with chronic interstitial cystitis.
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Results of formalin therapy for hemorrhage owing to post-radiation cystitis have been studied with special reference to the frequency and severity of ureteral complications. Gross bleeding stopped in 25 of 27 patients within 48 hours. However, 5 patients became anuric immediately after the instillation and in another 7 patients a transient increase in the serum creatinine level was observed. Urinary diversion was necessary in 11 of the 27 patients. The complication rate in the present study is considerably higher than reported previously. Complications may be explained by vesicoureteral reflux of a too strong formalin-alcohol solution. To avoid future complications we suggest that 1) a high diuresis should be induced peroperatively, 2) a 1 to 2 per cent formalin solution without alcohol should be used and 3) the instillation pressure should not exceed 15 cm. water.