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F Hegenscheid

Publications and source records attributed to F Hegenscheid.

11 recordsLinked to original sources
PubMed1990

[Pelvic vein varicosis--a treatable cause of chronic pelvic pain in women?].

Ovarian vein syndrome as a morphology basis of chronic pelvic pain has been discussed by means of four case reports. The much higher prevalence of venous insufficiencies in the female may be the reason for this disease. Occlusion of insufficient genital venous plexus, especially of the ovarian veins may be a possibility for treatment. But this does not meet all considerations, this disturbance of pelvic hemodynamic may be caused by misprocessing of emotional stress situations. Therefore a careful diagnostic procedure including psychodiagnostics should be play a central role.

Adult↗
PubMed1988

[Are operations for urinary incontinence using colposuspension contraindicated in low urethral closing pressure?].

In a retrospective study the influence of maximum resting urethral closure pressure (CP) and body weight on the results of 33 fascial colposuspension operations were analyzed. The success rate of incontinence surgery was most inferior in cases in which the preoperative CP was lower than 50% of the age-related normal value. Incomplete success or even failure were also attributable mostly to patients with overweight. On the other side, also patients with considerable overweight and/or very low CP were treated successfully. It was unimportant whether fascial colposuspension was performed as primary or secondary operation or in combination with or after hysterectomy. The need to bladder neck elevation and the presence of optimal vaginal condition proved to be the decisive prerequisites for this approach.

Fasciotomy↗
PubMed1987

[Colposuspension at the lateral abdominal wall using fascia strips--an adaptable elevation of the bladder neck in urinary incontinence].

Modifications of classical vesico-urethral suspension, according to Marshall-Marchetti-Krantz, are in widespread use among numerous operations for urinary incontinence, on account of their mild direct effect on both the urethra and bladder neck region. However, dysuria and dyspareunia may be quite frequent consequences later on because of retrosymphysial adhesions and rigid fixation of the vagina. We have, therefore, adopted an approach by which the advantages of mobile sling suspension are combined with indirect elevation of the urethrovesical junction, in that the vagina is fixed to strips obtained from the aponeurosis of the abdominal wall or from lyophilised dura mater. Fascial origin and dura anchorage in the abdominal wall are conducive to achieving a pronounced ventrocranial pull, and involvement of the rectus musculature in bridle action was found to add to the elevation effect in stress situations. A detailed account is given of the surgical technique. The method is contra-indicated or at least not fully sufficient only in cases of severe pelvic floor insufficiency or descensus of the vagina. Twenty-eight women have undergone this operation, within one year, with 20 of them (71 per cent) being relieved from complaints and five (18 per cent) substantively improved. Stress quotient and transmission factor are favourably affected, in terms of urodynamics, while ventral urethrovesical fixation is improved, in terms of radiography. Postoperative uroflow parameters have stayed normal. Problems of co-habitation did not occur. The small number of cases and lack of long-time results, therefore, cannot prevent the authors from recommending the technique for verification by re-use.

Abdominal Muscles↗
PubMed1986

[Is Teflon treatment of female urinary incontinence still justified?].

An analysis is made in this paper of therapeutic results obtained at Charité Berlin from 14 cases of pure stress incontinence and 6 cases of combined stress-urge incontinence, with reference being made to general benefits and setbacks of transurethral Teflon injection to cope with female urinary incontinence. Five women underwent teflon therapy as the first operation performed on them. Seven women had had one operation before and the rest more than one. Continence was restored in 6 patients (30 per cent), and 3 patients (15 per cent) were improved. The presurgical situation was of minor influence. The definite result was outlined as early as three months from surgery. Urodynamically, Teflon had a favourable impact primarily on functional urethral length and on the stress quotient. However, elevation of the bladder base was radiographically detectable in less numerous cases. Only partial agreement was found to exist between objectivated improvement and subjectively perceived and reported therapeutic results, with falsely positive and falsely negative findings occurring with equal frequency. Micturition was insubstantially impaired by Teflon. However, it should be adopted as a matter of principle that in future teflon should no longer be applied to women for urinary incontinence unless conservative therapy or other surgical incontinence techniques must be skipped for whatever reasons and unless no more effective sphincter substitute is available.

Adult↗
PubMed1986

[Urodynamic and roentgenologic findings before and following complex physical therapy of urinary incontinence in the female].

In 42 patients complaints following therapy have been correlated to the pretherapeutic urodynamic findings and in 58 patients pre- and posttherapeutic urometric and X-ray findings have been compared independent from subjective result in oder to have objective parameters for the effectivity of conservative treatment of urinary incontinence. The best results could be achieved, if in the starting urometry the pressure transmission was bad and the dosing pressure of the urethra in rest adequate to the age. In analogy about identic urethral closing pressure in rest, but significant increase of the functional urethral length and a better pressure transmission in a sitting position could be found. Good results of conservative treatment on urge incontinence symptomatology could be derived from increasing bladder capacity and compliance. Against it a posttherapeutic increase of urinary incontinence signs by training-effects of exercise therapy has to be stated in the comparison of X-rays. Altogether the high rate of 63 per cent curing and 20 per cent improvement could not be detached sufficiently by urometric and radiography findings. This discrepancy has been discussed.

Female↗
PubMed1986

[Results of electrical sensitivity tests of the urethra and vagina in functional urinary incontinence].

Urethral and vaginal sensibility has been tested in 90 patients with urinary incontinence by means of urethral catheter and vaginal electrodes. Monophasic rectangular impulses with a frequency of 2 Hz, a duration of 2 msec and a variable intensity were used. The urethral sensibility threshold was 10.5 mA in patients with urge incontinence and 14.8 mA with stress incontinence. The vaginal sensibility threshold was by 20 mA higher and correlated well with the urethral one in its differentation of stress and urge incontinence. Because the big scattering of the values there was no statistical significance. Therefore this method is only valid to clarify patients complaints and to define impulse parameters for therapeutic intravaginal electric stimulation.

Adult↗
PubMed1983

[Double-balloon urethrography in the female].

76 women with pains in the lower efferent urinary tract were urethrographically examined by the double balloon method according to Davis and Cian. The morphological changes registered were correlated with anamnestic, clinical and urodynamic findings and the following indications were derived for this X-ray examination of the female urethra: differential diagnosis between suburethral tumour and urethral diverticulum, recidive infections of the urinary tract, urethral syndrome, uromanometrically proved functional disturbances in the region of the bladder and urethra, painful catheterism and suspicion of urethrovaginal fistula.

Adult↗
PubMed1979

[Malignant ovarian tumours in young women up to 35 (author's transl)].

Fourteen malignant ovarian tumours in women up to the age of 35 years under treatment at the Gynaecological Department of Charité, between 1958 and 1957, are reported in this paper. They accounted for 3.9 per cent of all malignant ovarian tumours treated over the above period of time. Histological findings and curative results are discussed. Five-year healing was conspicuously high and accounted for 66.6 per cent. Twin malignoma developed in two cases and was accompanied by gravidity in one of them.

Adenocarcinoma↗