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M Halaska

Publications and source records attributed to M Halaska.

At least 73 records · Page 4Linked to original sources
PubMed1993

[Personal experience with the modified pad-weight test].

Subjective evaluation of urinary incontinence cannot assess the degree of abnormality. Objective assessment of the escape of urine is essential for assessment of the degree of incontinence or for evaluation of the therapeutic results. Therefore a simple standard test was elaborated which can be used for the objective measurement of urinary losses in all patients. The International Continence Society (I.C.S.) recommended in 1983 a one-hour test for objective assessment of escape of urine. The latter assesses the loss of urine by weighing pads or dispers before and after standard activities. The authors tried in their clinical department to assess the significance of a modified 40-minute test in women with urinary incontinence--it was only 44%. They also compared the results of the PWT and Puraclo,max and compared these results with the number of women operated on account of incontinence. In the group of patients with a positive PWT a neg-puraclo,max was recorded in 88.2%. Conversely in patients with a neg-puraclo,max the PWT was positive only in 50%. Surgery was used in neg-puraclo,max in 75% and in positive PWT in 76.6% women. In a negative PWT a neg-puraclo,max was recorded in 65% of the patients of whom 61.5% were operated and two refused operation. In the conclusion the authors emphasize that PWT alone provides only basic objective information on the patient's complaints. The reliability of evaluation of the patient's complaints is increased by complete urodynamic examination.

Female↗
PubMed1993

[Drug therapy of urge incontinence in the female].

In this study we urodynamically examined 105 women suffering from urge incontinence before and 4 weeks after treatment with various drugs. The subjective and objective findings in the 3 patients' groups are compared. The results showed that the patients treated by spasmolytics (Oxyphenonium bromatum/Hexasonium jodatum/Papaverin) had the lowest rate of side effects in comparison with the women treated by calcium channel blockers and spasmolytics (Diltiazem/Oxyphenonium bromatum) and those with imipramine therapy. But the success rate of the first group was the lowest, too.

Adult↗
PubMed1990

[The atropine test in patients with stress incontinence and their treatment with a combination of diltiazem and oxyphenonium].

The authors applied the Atropine test in 28 patients with the motor type of urgent incontinence in an attempt to establish the prognosis of the success of treatment with parasymthatholytics. Atropine was administered in amounts of 0.01 mg/kg body weight by the i.m. route and after 30 mins. a urodynamic control examination was made. The assumption that a reduced frequency or amplitude of detrusor contractions will occur or that they will disappear in patients, where subsequent treatment with parasympatholytics will be successful, was not confirmed. The patients were subsequently treated by a combination of dilthiazem (Diacordin), 3 X 30 mg by the oral route per day and oxyphenonium (Oxyphenon dupl.) 2 X 10 mg by the oral route per day. After evaluation of the therapeutic results the group was divided into two sub-groups. The first one comprised patients where during the urodynamic check-up examination a drop of the intracystic pressure occurred after Atropine administration. The second group comprised patients where the drop of intracystic pressure did not occur. The therapeutic effect in these groups was evaluated separately. In the course of treatment there was a relatively high percentage of undesirable side-effects of the drugs in 43% of the patients. After the general evaluation of the therapeutic effect when the patients had no complaints or improved markedly in 70.4% there were no marked differences between the sub-groups.

Atropine↗
PubMed1990

[Urogynecologic follow-up examinations after radiotherapy of gynecologic malignancies].

47 women treated by radiotherapy for gynecologic malignancies have been examined urogynecologically. There are only some changes of subjective cystometric parameters (volume of the first desire to void, bladder capacity), but statistical significant changes of the parameters "compliance" and "bladder pressure at capacity". The parameters of urethrocystometry and uroflowmetry are not influenced by irradiation. The urethroscopy demonstrates a white mucosa of the bladder wall caused by irradiation fibrosis, agreeing to data reported by literature. Only 10 of the 47 patients examined had to be treated by drugs.

Adult↗