Biomedical subjects
H R Osterhage
Publications and source records attributed to H R Osterhage.
Endoscopic procedures in the treatment of urologic disorders in children.
Cystoscopy has been a well established procedure in adult urology for years and more recently for the endoscopic evaluation of the lower urinary tract of infants and children. Utilizing small caliber cold light endoscopes and resectoscopes, therapeutic manipulations are readily possible. Among these are extraction of ureteral stones, lithotripsy of bladder calculi, transurethral resection of bladder tumors, as well as transurethral incision and resection of bladder-neck obstructions, urethral valves and urethral stenoses. The excellent results obtained in the treatment of infravesical urinary obstruction have contributed to the importance of transurethral surgery in pediatric urology.
[Urological complications following gynecological surgery (author's transl)].
Lesions of the urinary tract occur in a constant percentage no matter what type of gynecological operation is performed. In the last 11 years we saw 150 immediately postoperative complications, 85 of which involved the ureter, 58 the bladder and 7 the urethra. 8 lesions of the ureter healed spontaneonsly. 15 ureters were mounted with a stent. Surgical treatment had to be performed on 62 ureters. 50 of which were ureteroplasties: 21 ureteroneocystostomies, 28 ureteroplasties with a bladder flap (Boari-Küss), 1 uretero-ureteral-anastomosis. The results were good in 80%. Therapy of vesical-fistulae consisted in operative closure 3 month after the primary lesion. (54 cases: 30 vaginal approaches, 7 transvesical approaches, 14 transvesical a. with a peritoneal flap and 3 transvesical a. with interposition of the omentum.) Continence was achieved in all but one cases. Two cases required a second intervention. 4. fistulas were treated only conservative, in 3 times successfull, one event of bladder abdominal-wall fistula. The 4th case was not closed because of the rejection of the operation from the patient. All urethral fistulae could be closed successfully.
[Present status and treatment of urogenital tuberculosis].
Urogenital tuberculosis has not decreased in incidence like other forms of tuberculosis and this is not to be expected in the coming years. Following combined modern chemotherapy the chances of conversion and also clinical cure are increased. The patient's cooperation during a systematic triple drug therapy in adequate dosage is important. The possibility of ambulatory treatment will depend on the clinical findings and the patient's social situation. Physical and occupational therapy and early resocialization of the patient are important. Prolonged unemployment should be avoided. Urological care of the patient is particularly important in the early phases of the treatment.