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Biomedical subjects

R R Syme

Publications and source records attributed to R R Syme.

29 records · Page 2Linked to original sources

Bladder neck closure for neurogenic incontinence.

Some female patients with neurogenic bladders are treated by means of an indwelling urethral catheter, which, in the long term, commonly leads to marked urethral dilatation, such that, despite the use of larger catheters with bigger balloons bypassing incontinence occurs with distressing frequency. This problem has been overcome by operation to close the bladder neck and drain the bladder with a suprapubic catheter. Two techniques are described. Provided that there is correct catheter placement with unobstructed drainage, continence is total. Patients with sufficient dexterity have been taught to change their own catheters, and catheter problems have been nil. A technique for males is also described.

Adult↗

Urinary tract infection in adult women: morbidity without mortality.

This condensed paper deals with that relatively common malady, urinary tract infection in the adult female, from a practical point of view. It serves to emphasise that the great majority of these infections cause distressing morbidity, but little serious renal impairment or mortality. It indicates how the natural history of these infections may be studied to select the minority with serious infection. It stresses the aetiology of urinary tract infection, and thereby indicates a practical management.

Adult↗

Ureterostomy-in-situ.

A simple operation is described, which in the presence of upper urinary tract obstruction is under certain conditions an alternative to nephrostomy, and which may be modified for use in conjunction with conservative upper urinary tract surgery.

Adolescent↗