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Biomedical subjects

C Einhorn

Publications and source records attributed to C Einhorn.

5 recordsLinked to original sources

Use of stresscath for diagnosing stress incontinence.

The modified fluid bridge (flow) test (MFBT) is a simple procedure for detecting bladder neck incompetency using a fluid-filled catheter. The Stresscath (Hollister) female diagnostic catheter is an improved version of the MFBT. We evaluated the ability of the Stresscath to detect bladder neck incompetence in the first 66 female patients referred for urodynamics. The absence or presence of stress incontinence was based on the results from history and physical examinations. The results from the Stresscath correlated with the history showed that the Stresscath had a sensitivity of 0.73 and a specificity of 0.88 in determining stress incontinence due to bladder neck incompetency. The results from the Stresscath correlated with the physical examination (Marshall test) showed that the Stresscath had a sensitivity of 0.86 and a specificity of 0.87 in determining stress incontinence due to bladder neck incompetence. The Stresscath was at least as accurate as the urethral pressure profile in the diagnosis of stress incontinence, at less capital cost.

Adult↗

The effect of sacral nerve stimulation for bladder control during pregnancy: a case report.

Neural stimulation was used to reduce bladder hyperreflexia and incontinence in a woman with myelodysplasia. The stimulation was delivered via an electrode placed in a sacral foramen and attached to a stimulator placed subcutaneously. The patient activated the device to inhibit the bladder and deactivated it to allow voiding. The device proved to be helpful in reducing bladder hyperreflexia and its use during pregnancy did not seem to have any adverse effect.

Adult↗

[Role of sodium nitrite in histamine urticaria of dietary origin].

Although genuine gastro-intestinal allergy is sought as the cause of chronic urticaria or repeated vaso-motor headaches, a non-allergic intolerance of one or more ingested substances, additives to foodstuffs (colourants and conserving agents) are likely to be implicated. Dietary histories from such patients often reveal heavy consumption of charcuterie. Oral provocation tests, performed using additives and placebo, can reproduce symptoms reliably. The substance most frequently incriminated is sodium nitrite (E 250): out of 76 tests, 4 were positive and 4 doubtful. In these cases complete avoidance of E 250 led to significant improvement or cure. We discuss various hypotheses on the harmful effects of sodium nitrite, such as denaturation of histamine-binding SH-group rich mucoproteins, direct toxicity on microvilli or inhibition of intestinal histaminase.

Adult↗