Biomedical subjects

R J Reilly

Publications and source records attributed to R J Reilly.

16 recordsLinked to original sources

PubMed1983

Pregnancy outcomes following Tompkins metroplasty.

Eighteen patients with poor reproductive histories and 2 patients with primary infertility underwent Tompkins metroplasty for a septate uterus. There were 19 pregnancies within 2 years of surgery, and 11 patients had at least 1 viable pregnancy, for an overall success rate of 55%. One of the infertile patients conceived and delivered. The average fecundability rate for the first 24 months was 0.078 (normal, 0.20). The cumulative pregnancy rate at 27 months was 94% by the life-table method. The group of patients (n = 14) with two or more losses and no other major risk factors for reproductive failure had higher fecundability and a better success rate (71%). The Tompkins metroplasty is a technically simple procedure with a success rate similar to that of the Jones procedure.

Abortion, Habitual↗

PubMed1980

Apical suspension test.

In stress incontinence, urinary leakage can be controlled by support of the anterior vaginal wall by applying pressure directly at the bladder neck (the Marshall test) or applying pressure remotely. In the latter maneuver, a cotton ball, gripped in the jaws of a sponge stick, engages the vaginal vault near the apex and rotates it posteriorly and horizontally. This tenses the anterior vaginal wall thereby controlling stress-induced leakage. The mechanism of action and some surgical implications are discussed.

Female↗

PubMed1979

Does the conventional cystogram exaggerate reflux?

We studied 35 patients with anterograde and retrograde cystography. Many patients who had reflux on retrograde cystography either did not have reflux or the reflux was reduced significantly on anterograde cystography. Furthermore, when reflux was seen on anterograde cystography it appeared to have more prognostic value than when seen on retrograde cystography. The question is raised of whether much reflex seen on retrograde cystography is not actually an artifact of the examination and does not exist beyond circumstances of the test.

Adolescent↗

PubMed1977

Comparison of cystometrograms and urethral profiles with gas and water media.

Twenty-five female patients were studied using both gas and water media for custometrograms and urethral profiles. The results showed that gas and water did not generate equivalent data in either cystometrograms or urethral profiles. The cystometrogram data showed a high correlation of data between gas and water, with gas values consistently lower than water values. Urethral profile data with gas were very difficult to interpret in terms of water-generated data, and correlations were tenuous at best.

Carbon Dioxide↗

PubMed1976

Vesical neck suspension under vision with cystotomy enhances treatment of female incontinence.

Failure to surgically correct incontinence usually results from inadequate screening of patients with hyperreflexic incontinence, improper fixation of the urethra or yielding of tissues that have supported the repair. A surgical approach is described which fixes the bladder neck to the rectus tendon and adjacent pubic periosteum, under direct vision, through a cystotomy incision. The procedure achieves good continence in more than 90 per cent of the cases. Temporary postoperative voiding dysfunction occurred in about half of the patients.

Adult↗

PubMed1974