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Biomedical subjects

B Festge

Publications and source records attributed to B Festge.

11 recordsLinked to original sources
PubMed1983

Determination of the urethral stress profile with the aid of perfused catheters.

To make manometric studies of urethral function and obtain exact recordings of the so-called stress profile requires a pressure rise rate which exceeds that of the pressure complex due to coughing. The syringe perfusion pump commonly used in urodynamics limits the pressure rise rate. The rate ist also reduced by catheters with high compliance. A suitable recording accuracy necessitates values greater than 150 kPa/s. This can be achieved with the aid of an improved pneumatic-hydraulic infusion system and low-compliance catheters. We describe the improvement of a recording system and demonstrate the importance of a suitable pressure rise rate.

Female↗
PubMed1983

[Diagnosis, classification and therapy of urge incontinence].

The motor urge incontinence is characterized through a hyperactivity of the detrusor muscle. Whereas in the secundar form of motor urge incontinence the evoked moment must be abolished in the primar form no method of choice exist. Many different drugs are used in the pharmacological therapy. Biofeedback will be more important in the future. The sensor urge incontinence is caused through urethral relaxation. For the objective assessment must be taken out intraurethral pressure measurements. In this measurements it gives some problems due to the influence of physiological functions.

Benzilates↗
PubMed1982

[Subvesicular obstruction in the girl and in the women. 1. Etiology, forms, diagnosis].

An account is given of aetiological and pathophysiological peculiarities related to various forms of subvesical obstructions in girls and women. There are obstructions with morphologically visible background, but great importance should be attributed also to neuromuscular functional disorders. Clinical symptoms reflect secondary pathological mechanisms of function. On top of endoscopy, radiography, and urethral calibration, closest attention should be given to urodynamic approaches to the diagnosis of subvesical obstructions. Measurement of bladder pressure and urine flow together with calculation of urethral flow resistance, and preparation of pressure-flow diagrams should be undertaken simultaneously for better assessment of the functional extent and severity of subvesical obstruction in the patient concerned. This will provide information needed for compensation or decompensation of the disorder.

Adolescent↗
PubMed1982

[Subvesicular obstruction in the girl and the female. 2. Therapy].

Treatment of subvesical obstructions in girls and women is indicated by specific clinical symptoms and secondary changes in the upper urinary tract. Relative urgency in time should be decided by urodynamic measurement of quantitative severity of the given voiding disorder. - In cases of distal urethral stenosis, good results proved to be obtainable from dilatation and urethrotomy. Hormonal treatment and chemotherapy may be used as flanking approaches. Conservative action should be given priority for all forms of neuromuscular bladder outlet obstructions. Several groups of pharmaceuticals are available for conservative treatment, once causes have been elucidated. In patients the micturitional disorders due to faulty micturitional education, growing importance must be attached to methods aimed at positive biofeedback mechanisms. Surgical action comes at the bottom of the therapy list for patients with neuromuscular subvesical obstructions.

Adolescent↗
PubMed1982

[Simultaneous urodynamic and electromyographic micturition studies].

The clinical significance of micturition investigations is to be seen not only in the quantification of urethral obstructions e.g. after operations for stress incontinence. Such measurements in fact give information on very different forms of voiding dysfunctions with and without morphological substrates. Simultaneous EMG measurements permit further differentiation, especially in the case of purely functional neurogenic or mitigated neurogenic voiding dysfunctions.

Electromyography↗
PubMed1979

[Triplet pregnancy with papyraceous foetuses (author's transl)].

Reported is the case of a primigravida, 22 years of age, with a triplet pregnancy. Two of the three foetuses were papyraceous. One case of this kind is related to 32,800 deliveries. An attempt was made towards aetiopathogenetic elucidation of the phenomenon.

Adult↗