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Biomedical subjects

T C Bright

Publications and source records attributed to T C Bright.

8 recordsLinked to original sources
PubMed1978

Significance of hematuria after trauma.

There were 142 consecutive patients with post-traumatic hematuria evaluated prospectively during a 7-month period. Of these 142 cases 22 involved penetrating injuries and 120 were secondary to blunt trauma. There were 19 patients with 24 demonstrable genitourinary injuries at urologic injury. Only 8 of the 142 patients required an operation for the urologic injuries. The degree of hematuria did not correlate with the severity of injury. Liberal use of arteriography and renal scanning is proposed to delineate precisely the urologic injury.

Accidents, Traffic↗
PubMed1978

Urodynamic patterns in children with dysfunctional voiding problems.

Simultaneous measurements of the intravesical pressure, electromyographic activity of the anal sphincter and the urinary flow rate in 17 children with dysfunctional voiding problems have shown a variety of unusual patterns, each distinct for the particular child but all with the common denominator of failure to coordinate detrusor and sphincter activity. We postulate that these patterns represent persistence of the transitional phase in the development of micturitional control whereby the child learns to prevent involuntary wetting by forceful contraction of the external urethral sphincter.

Adolescent↗
PubMed1977

Ureteral injuries secondary to operative procedures. Report of 24 cases.

Twenty-four cases of ureteral injury are reviewed as to presentation, diagnosis, and treatment. Prevention and prompt primary repair of the injury are stressed. Ureteroureterostomy and ureteral reimplantation produce the best results. Nephrectomy is recommended only when potential of contamination of a vascular graft exists.

Female↗
PubMed1977

Urethral pressure profile: current concepts.

The urethral pressure profile is an artifactual assessment of urethral response to physiologic distension. It is a reproducible clinical tool used to evaluate numerous disease states. Examples of its usefulness are presented to illustrate the wide variety of clinical uses. The urethral pressure profile assists the clinician in the selection of the proper form of management in difficult cases of urinary incontinence or obstruction.

Diverticulum↗
PubMed1977

Urodynamic patterns in children with dysfunctional voiding problems.

Simultaneous measurements of the intravesical pressure, electromyographic activity of the anal sphincter and the urinary flow rate in 17 children with dysfunctional voiding problems have shown a variety of unusual patterns, each distinct for the particular child but all with the common denominator of failure to coordinate detrusor and sphincter activity. We postulate that these patterns represent persistence of the transitional phase in the development of micturitional control whereby the child learns to prevent involuntary wetting by forceful contraction of the external urethral sphincter.

Adolescent↗
PubMed1977

Ureteral injuries due to external violence: 10 years' experience with 59 cases.

Fifty-nine cases of traumatic ureteral damage are presented. Gunshot wounds comprise the majority (52/59). Need for a high index of suspicion and aggressive diagnostic measures is stressed. The effects of missile velocity on the ureter are noted. Prompt operative management is advocated: choice of procedure depends on the location of the ureteral defect. Urinary complications occurred in 11/59 (19%). Four complications resulted from operative techniques no longer recommended. The death rate of 10% is related to the high incidence (57/59) of associated visceral and vascular injuries.

Humans↗