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Biomedical subjects

N Baum

Publications and source records attributed to N Baum.

At least 19 recordsLinked to original sources
PubMed1992

Evaluation of urinary incontinence in the elderly.

Urinary incontinence affects millions of elderly American men and women. This paper reviews the causes of urinary incontinence and the evaluation that can be easily accomplished as an outpatient with minimal expense and morbidity.

Aged↗
PubMed1992

Putting the 'manage' into managed care.

Managed care is part of our modern medical vocabulary just like Medicare and Medicaid were 20 years ago. Other areas of the country are significantly impacted by managed care. Now the concept of businesses and industries representing large numbers of patients and potential patients have become an integral component of nearly every physician in Louisiana. Most physicians are out of their "comfort zone" when contracts with managed care providers are discussed. This article provides guidelines for selecting and solving problems with managed care providers.

Louisiana↗
PubMed1992

Treatment of urinary incontinence in the elderly.

Urinary incontinence affects millions of American men and women. Treatment consists of drug therapy, exercises, mechanical devices, surgery, and injection therapy. This article reviews the advantages and disadvantages of all treatment modalities for this common medical problem.

Female↗
PubMed1991

Urinary incontinence. Not a 'normal' part of aging.

Urinary incontinence is a common problem that affects millions of elderly men and women and their caregivers. Evaluation of incontinence is easy and inexpensive and does not require hospitalization. A basic evaluation consists of history taking (including a review of drug use), physical examination, and appropriate laboratory testing. Urodynamic evaluation may also be necessary. Treatment may consist of behavior modification techniques (eg, Kegel exercises, biofeedback, bladder retraining), use of a mechanical device or pharmacologic agent, or surgery. Should medical and surgical methods fail, alternatives are available to ensure patients' well-being and comfort.

Aged↗
PubMed1990

Carcinoma of the prostate. Treating disease that has metastasized.

Common manifestations of metastatic carcinoma of the prostate are bone pain, spinal cord compression, and disseminated intravascular coagulation. Prostate-specific antigen represents a useful marker to monitor tumor progression and response to therapy. Until recently, no therapy was available to prolong survival in these patients. Now, the use of a luteinizing hormone-releasing hormone agonist (leuprolide acetate [Lupron]) plus an antiandrogen (flutamide [Eulexin]) to provide total androgen blockade has demonstrated a 25% increase in survival time.

Antigens, Neoplasm↗
PubMed1990

Kidney stones. How to identify the cause and prevent recurrence.

Up to 10% of Americans will have a kidney stone at some point in life. The challenge for physicians is to reduce the high recurrence rate of this painful condition. To this end, Drs LaPorte and Baum propose an outpatient diagnostic workup that cost-effectively pinpoints the type of stone present. They also outline medical measures that help prevent recurrent stone formation.

Calcium↗
PubMed1989

Evaluation of hematuria.

Hematuria is an important sign that indicates the presence of a pathologic condition in the genitourinary tract. Causes can be categorized by where in the urinary tract the problem is located--above the kidney, in the kidney or one of its structures, or below the kidney. Another category is false hematuria, such as urine that has been discolored by intake of a certain food or drug. A thorough history, physical examination, and appropriate laboratory studies, followed by more sophisticated diagnostic tests chosen on the basis of the assembled clues, can establish the diagnosis in most cases. Patients rarely have to be hospitalized or undergo invasive procedures for assessment of hematuria.

Female↗
PubMed1988

Iatrogenic chordee following insertion of inflatable penile prosthesis.

Chordee deformity is a rare complication following insertion of the inflatable penile prosthesis through a penoscrotal incision. The deformity occurs as a result of failure to inflate and deflate the device and to maintain the penis against the abdomen in the immediate postoperative period. When this occurs it can be corrected by incision of the fibrous scar and replacement with synthetic graft material.

Humans↗
PubMed1988

Urinary incontinence in women. Evaluation in the primary-care office.

Urinary incontinence in women is common and can be a significant social problem. The most common type is stress incontinence, caused by displacement of the bladder neck and urethra and experienced during activities that increase intraabdominal pressure. Other types are urge, overflow, and mixed incontinence. Diagnosis of the type and cause can usually be made using simple, cost-effective office procedures. Nonsurgical treatment is often successful and may consist of pharmacologic management, intermittent self-catheterization, Kegel exercises, and use of a mechanical device.

Female↗
PubMed1987

Treatment of impotence. 1. Nonsurgical methods.

Male sexual dysfunction is a problem that is quite prevalent in our society. Until recently, the only treatments for impotence were testosterone injection, sex therapy, and implantation of a penile prosthesis. These methods remain in use when appropriate. However, now that the pathophysiology of erection is better understood, the dopamine agonist, intracorporal injection, and the alpha 2-adrenergic receptor blocker have been added to the treatment list. Gadgets that artificially increase the blood supply to the penis are sometimes used. The withdrawal of drugs that affect sexual function may be sufficient.

Bromocriptine↗
PubMed1987

Treatment of impotence. 2. Surgical methods.

Most patients with an organic or physical cause of their impotence can be helped, because noninvasive diagnostic testing to identify the disorder and specialized surgical techniques to repair it are available. Occlusion or leakage of the blood supply to the penis is treated with graft bypass, endarterectomy, transluminal balloon angioplasty, or vein ligation. Patients with persistent Peyronie's disease may require plaque excision and graft placement, and sometimes, a penile prosthesis. Different types of penile prostheses have been used successfully.

Arterial Occlusive Diseases↗
PubMed1987

Male infertility. 1. Patient evaluation.

Although the cause of male infertility is often obscure, proper evaluation can reveal physiologic abnormalities on which a concept of management can be based. Evaluation includes history taking, physical examination, laboratory studies, semen analysis, radiographic studies, and occasionally, testicular biopsy and other studies. The history and physical examination are the foundation of evaluation and may provide clues to diagnosis. However, semen analysis is the most informative test in evaluation of male infertility. For optimum results, proper collection techniques must be followed and data must be carefully interpreted.

Humans↗