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H Kotalla

Publications and source records attributed to H Kotalla.

4 recordsLinked to original sources

[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↗

[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↗

[Method of colpo-urethrocystography. Part I: Method-dependent reproducibility and interpretation of colpo-urethrocystograms - comparison between chain and wick techniques (author's transl)].

Two colpo-urethrocystographic examinations each were applied to twelve patients with functional urinary incontinence and to one continent woman. A ball chain and a wick were used for urethra marking, with the view to identifying possible effects of metallic foreign bodies on physiological parameters of the urethra and urethrovesical transition. The findings obtained from the two techniques were clearly different. Visibility of details and diagnostic information were unambiguously improved in the wake of the wick technique. Morphological changes in the urethral region and urethrovesical transition were recordable by the ball chain method. The two techniques yielded differentiated data of PUV and PU angles. Examinations were undertaken in two hospitals on a rotational basis for more information about reproducibility and for better comparability of findings obtained by different examiners. Such approach was considered to be essential to general assessment of the methods reviewed.

Anthropometry↗