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Biomedical subjects

O A Festge

Publications and source records attributed to O A Festge.

At least 19 recordsLinked to original sources
PubMed1990

[Urodynamics of urethral valve resection].

Basing on the cases of 8 children with urethral valves who were diagnosed and treated during the first year of life we report on the urodynamic results. It is concluded that after valve resection enhanced pressure levels may still exist during micturition for some time even if the flow of urine has become normal. A morphologically and functionally satisfactory treatment result (separate lasix clearance on both sides) can be expected only after the pressure has dropped, a phenomenon that often occurs spontaneously.

Follow-Up Studies↗
PubMed1990

[Rectoanal perfusion manometry--methods and results in healthy persons].

The authors elaborated a method of rectoanal perfusion manometry as part of the objective examination of the functional state of continence structures. They describe in detail the examination method and manometric equipment. In a group of 10 volunteers, 8 incontinent patients and 23 subjects after operations causing improved continence they draw attention to the great sensitivity and specificity of the examination as well as to the correlation of manometric results with results of Holschneider's evaluation by a point system. This method should be used in departments concerned with rectoanal surgery.

Adult↗
PubMed1989

[Urinary incontinence in the female over 60 years of age--urodynamic findings].

A group of 20 urinary continent postmenopausal women and two stress incontinent groups in the age of 60-69 and 70-79 years have been examined concerning standardized conditions without and with stress. The measurements using the pneumatic-hydraulic pump perfusion were recorded under standardized conditions. The whole pressure profile without stress decreased with increasing age and with stress incontinence. The maximum urethra closure pressure has been displaced in the distal part of the urethra. The stress profile demonstrated a shortening of the continence zone, a clear decrease of the urethra closure pressure and a bad pressure transmission in the whole urethra, especially in its distal part. These fluctuations make us expect, that there are only a few promising possibilities of conservative treatment in stress incontinent postmenopausal women over 70 years.

Aged↗
PubMed1988

[Etiology and therapy of peritonitis in childhood].

The causes of peritonitis in childhood, particularly in infancy, were found to differ substantially from those in adult age. An overall account is given in this paper of general and differential diagnosis of extra-abdominal diseases which may be potentially mistaken for peritonitis. Clinical diagnosis is of crucial importance in childhood. Perforated appendicitis was the absolutely major cause of peritonitis in 119 children who received surgical treatment in the course of 18 years. An initial antibiotic combination of gentamicin with ampicillin, and metronidazole together with immune treatment have proved to be an effective therapeutic approach to this form of peritonitis.

Appendicitis↗
PubMed1987

[Experiences in the diagnosis and therapy of neurogenic disorders of bladder emptying].

Today extensive urodynamic investigations are indispensable for diagnosing and for an on-target treatment of neurogenic bladder dysfunction. Classifications and forms used according to functional aspects are explained. Possible treatment methods are commented in respect of own experiences, especially with regard to chemotherapy, intermittent catheterisation, transurethral electrostimulation, biofeedback therapy and supravesical urinary diversion.

Child↗
PubMed1986

[New trends in diagnosis and therapy in pediatric surgery].

The advent of new and improved diagnostic methods has had favourable bearings on therapeutic achievements in paediatric surgery. Ultrasonography, computer tomography, manometry, and endoscopy are major examples of relevance. Prenatal diagnostic ultrasonography has been assuming a growing role in prenatal detection of malformations. Postnatal corrective surgery can thus be properly planned and performed under conditions which are optimum for mother and child. Many examples are given to demonstrate that in today's paediatric surgery possibilities for diagnosis and therapy have substantially improved, last but not least, owing to efficient interdisciplinary cooperation.

Abdominal Muscles↗
PubMed1986

[Compartment pressure measurements with a wick catheter].

There is no generally accepted method for compartmental pressure measurement, as yet. Substantial disadvantages are implied in methods based on outflow resistance measurement, and, above all, these methods are hardly suitable for long-time pressure measurement nor for objectivation of dynamic pressure alterations. Described in this paper is the authors' own method, using a wick catheter. It is highly reproducible and is characterised by high measuring dynamics. A comparatively large amount of hardware is required. Evidence is produced to the impact of differentiated conditions of examination on measuring results. Values measured by means of this method in the anterotibial compartment of the lower leg did not normally exceed a pressure level of 2.0 kPa.

Adolescent↗
PubMed1986

[Effect of local estriol therapy on the urethral pressure profile in the postmenopausal period].

Measurements of the pressure in the urethra were performed under standardized conditions with the aid of perfused catheters in 20 fertile and 20 postmenopausal women, from it 12 women after local estrogen therapy by means of Ostriol-Ovula. Hormone-cytological swabs from the urethra, vagina and from the urinary cells were done. Proliferation of the urogenital epithelialia under the estriol-therapy and an ascent of the MUP and MUCP in the urethra pressure profile under resting conditions could be achieved. The maximum of the pressure profile could be displaced proximaly. In the urethra pressure profile the distal pressure transmission increased. Estriol therapy was without secondary effects and is suitable for the conservative therapy of the stress incontinence type I to III.

Administration, Intravaginal↗
PubMed1985

[Manometry studies in the evaluation of anal continence].

In a complex measuring program performing anorectal perfusion manometry a great number of parameters were determined in incontinent patients, patients after continence improving operations and in healthy persons. In this way, we were able to select 20 parameters in which healthy persons differ from incontinent patients, the difference occurring with a security of 99.0 to 99.9%. Our investigations were carried out with test persons at rest, after distension of the rectal ampulla, during abdominal straining and coughing. Rectoanal resting profiles and stress profiles were recorded and the measuring values obtained compared with an anamnestic score.

Adolescent↗
PubMed1985

[Manometry studies of continence performance in patients following gracilisplasty].

Out of a total of 10 patients who had undergone a Pickrell-procedure of the gracilis muscle from 1970-1980, 6 were now followed-up by clinical examination and perfusion manometry of the anal canal. The manometric parameters were compared with an anamnestic score. For anal continence the degree of resting activity of the transposed gracilis muscle is in our opinion not decisive. For that reason, there is no necessity for a permanent contraction.

Adolescent↗
PubMed1979

[Urodynamic miction studies--physiological aspects].

In this work, definition and interpretation of different functional parameters, which were obtained through urodynamic investigations, are given. Normal patterns in child age are presented. They were the results of personal studies in patients with normal urinary tract. The pressure curve must be seen as an entity. The so-called after contraction is no detrusor contraction. But possibly it is the result of a determined lapse of contracting and relaxing occurrences in the different parts of the bladder and its outlet at the end of micturition.

Adolescent↗
PubMed1979

[Neurogenic disorders of bladder emptying in children].

Disturbed micturition of the neurogenic type is found in children suffering from spinal tumors and anomalies of the vertebral column. The most frequent cause is the so-called myelomeningocele. Myelodysplasia can occur in 1-2 out of every 1,000 new-born babies. Operative treatment is available today (closing the celes immediately after birth and drainage of the associated hydrocephalus) so that these children survive and their fate essentially depends on the early diagnosis and therapy of the neurogenic micturition disturbance. Urodynamic examinations and the determination of the urethra pressure profile are vital for diagnosis. Using the results four different groups can be established each requiring a specific therapy. Individual therapies must also be selected for each individual case. Apart from operative treatment, drugs and electrostimulation can be used on a large scale. The authors present their own experience and results with regard to diagnosis and therapy.

Child↗