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Biomedical subjects

C Godec

Publications and source records attributed to C Godec.

12 recordsLinked to original sources
PubMed1981

Neonatal perirenal urinary extravasation with posterior urethral valves.

Renal dysplasia and atrophy are associated with congenital urinary tract obstruction, such as posterior urethral valves, and are thought to result from the increased pressure in the developing obstructed urinary system. This increased pressure is likely to be alleviated by perirenal urinary extravasation and urinary ascites. Whether this relief of pressure in the obstructed developing kidney results in a lessened degree of renal abnormality is likely to depend on the time during the period of gestation when the urinary leak occurs and the degree of renal dysplasia and atrophy at the time of the urinary leak.

Ascites↗
PubMed1981

Prenatal diagnosis of fetal urinary tract abnormalities by ultrasound.

The prenatal detection of renal enlargement and sonolucent "cystic" lesions in 4 fetal abdomens by ultrasound is described. These were later proved to be congenital urinary tract anomalies. Only one of the other 4,628 mothers who had ultrasound gave birth to a child with a congenital urinary tract anomaly that was missed, and 1 fetus was falsely diagnosed as having a congenital urinary tract anomaly based on the ultrasound. Obstruction in the developing urinary tract is associated with renal dysplasia and insufficiency. More experience and improved ultrasonography may enable an accurate diagnosis of urinary tract obstruction; and early relief of the obstruction may be a possible method of management to minimize the renal damage.

Abnormalities, Multiple↗
PubMed1979

Necrotizing infection of scrotum.

Necrotizing infection of the scrotum (Fournier gangrene) rapidly spreads to adjacent skin with fever and toxemia and is life-threatening. Subcutaneous gas and a foul-smelling wet discharge from the skin are usually present. The infection is not cured with antibiotic therapy alone and requires immediate extensive debridement of all necrotic tissue. Repeated debridement each several days under general anesthesia is necessary until healthy granulation is present in the wound. Reconstruction with skin flaps or skin grafts shortens hospitalization and prevents the dense scar tissue and immobility of the tests that can occur with spontaneous epithelization.

Adult↗
PubMed1979

Electrical stimulation for voiding dysfunction after spinal cord injury.

Incontinence and frequency of voiding were present after spinal cord injuries in 18 patients. A hyperreflexic bladder and/or pelvic floor weakness was found in these patients. Functional electrical stimulation resulted in relief or improvement of symptoms in 9 of the 11 patients in whom this procedure was used. An increase in anal sphincter pressure with functional electrical stimulation was a more reliable criterion than an increase in maximum urethral pressure in the selection of patients for the procedure.

Electric Stimulation Therapy↗
PubMed1978

Acute electrical stimulation for urinary incontinence.

Acute or maximal electric stimulation of the pelvic floor muscles has been used in incontinent patients who are suitable candidates for electrical stimulation, but unwilling or unable to use the anal plug electrodes. Seventeen of 20 patients had relief or improvement of their incontinence. However 5 of these 17 patients had a relapse of symptoms on follow-up, requiring a repeat treatment with acute or maximal electrical stimulation.

Electric Stimulation Therapy↗
PubMed1977

Electrical stimulation of the rectal ampulla causing reflex voiding.

Electrical stimulation of the rectal ampulla resulted in a desire to void and defecate in 11 patients with an intact nervous system. There was a contraction of the detrusor and the rectal ampulla with relaxation of the anal sphincter. Electrical stimulation of the rectal ampulla and anal sphincter has clinical applications in patients with incontinence of, or inability to empty, the lower urinary tract or fecal system.

Anal Canal↗
PubMed1976

Electrical stimulation for incontinence. Technique, selection, and results.

Incontinence due to hyperreflexic bladder and/or pelvic floor weakness can be corrected by chronic functional electrical stimulation (FES). Cystometry, electromyography of pelvic floor muscles, and anal sphincter pressure measurements with and without electrical stimulation determines if chronic FES will be successful. Post-acute stimulation improvement occurred in patients with incontinence due to hyperreflexic bladder and/or pelvic floor weakness. A success rate of 92 per cent was achieved with chronic FES in incontinent patients with this method of selection.

Electric Stimulation↗
PubMed1976

Selection of patients with urinary incontinence for application of functional electrical stimulation.

Contradictory data from the literature along with our own experience using functional electrical stimulation (FES) have facilitated the determination of objective criteria for the application of FES in correcting urinary incontinence. Simultaneous urodynamic, neurophysiological, and radiological examinations employed during our studies enabled us to determine changes in these parameters due to FEX. Among a large number of patients with urinary incontinence (for example: paraplegics, patients with spina bifida, stress incontinence following prostate operations, or resistant enuresis) we have determined that FES is appropriate if applied to properly selected patients. FES is indicated on the basis of the following criteria: the degree of morphological lesion of the urinary tract, the peripheral denervation of the muscles of the pelvic floor, the condition of the spinal center for miction, and, above all the quality of response to FES. FES not only activates the closing muscles of the bladder, but also inhibits the reflex contractions of the detrusor. Here, it should be noted that FES is indicated for cases of reflex incontinence. During FES of the pelvic floor muscles intravesical pressure normally diminishes and the reflex contractions of the detrusor subside. Sometimes, however, the reflex of miction occurs. In such a case, two reflex mechanisms are engaged. Their equilibrium, i.e. controlled miction, can be achieved with an afferent in flow which inhibits the reflex of miction. The use of FES for the correction of urinary incontinence can be a very good method if the FES parameters are individually chosen and patients properly selected.

Electric Stimulation Therapy↗
PubMed1975

Bladder inhibition with functional electrical stimulation.

Spastic or hyperreflex bladder dysfunction can cause frequency, urgency, and incontinence. Detrusor activity was inhibited by FES (functional electrical stimulation) applied to the anal sphincter causing decreased bladder spasticity and increased bladder capacity. FES is indicated for incontinence not only because of weakness of the pelvic floor but also because of hyperreflex bladder.

Anal Canal↗