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T C Gerstenberg

Publications and source records attributed to T C Gerstenberg.

22 records · Page 2Linked to original sources

Sterilization by vas occlusion without transection does not reduce postvasectomy sperm-agglutinating antibodies in serum. A randomized trial of vas occlusion versus vasectomy.

The influence of transection of the vasa on the increase in sperm-agglutinating activity in serum after vasectomy was investigated in a prospective randomized study. Sixty-eight males requesting vasectomy were allocated to either of two groups: vas occlusion by tantalum clips without transection of the vasa, or conventional vasectomy by transection and ligation. Sperm-agglutinating antibodies were determined by a micro-agglutination test before and 6 months after vasectomy or vas occlusion. A significant increase in sperm-agglutinating activity in serum after sterilization was found in both groups, but there was no intergroup difference.

Adult↗

High flow infravesical obstruction in men: symptomatology, urodynamics and the results of surgery.

High flow infravesical obstruction in male patients with severe prostatism is defined by a maximum flow rate of more than 15 ml. per second and a vesical pressure exceeding 100 cm. water at maximum flow rate. During a 9-month period urodynamic screening of 225 patients referred to our hospital with prostatism revealed high flow infravesical obstruction in 16 (7 per cent). Transurethral surgery of the prostate or bladder neck was performed in 11 of the patients, with good results observed in symptomatology as well as in maximum flow rate. A urodynamic screening program is suggested to establish the diagnosis so that these patients can benefit from surgical treatment.

Adult↗

[The effects of drugs on vesico-urethral function].

Disturbances of the bladder-urethra function may lead either to frequency, urinary incontinence, or urinary retention. A survey is given on the drugs most frequently used in the treatment of lower urinary tract dysfunction. Special attention is drawn to the use of parasympatholytics in the treatment of hyperactive detrusor function (unstable bladder), sympathomimetics in the treatment of decreased urethral resistance, parasympathomimetics in the treatment of hypoactive detrusor function and alpha-adrenergic blocking agents in the treatment of increased urethral resistance.

Adrenergic beta-Antagonists↗

Bladder function after abdominoperineal resection of the rectum for anorectal cancer. Urodynamic investigation before and after operative in a consecutive series.

In a consecutive series of 26 patients (10 men and 16 women) undergoing abdominoperineal resection of the rectum, cystometry and pressure-flow-EMG measurements were made preoperatively and three and 6-12 months after operation. Two patients developed neurogenic bladder paresis (7.7%, 95% c.l. 1-25%). Men with even slight complaints of bladder outlet obstruction preoperatively ran a risk of postoperative aggravation demanding surgery. In women no significant changes in micturition patterns were found. It is concluded that urinary flow measurement and cystometry should be available as minimum screening procedures after abdominoperineal resection of the rectum to detect bladder dysfunction at an early stage.

Aged↗