Biomedical subjects

T Huschke

Publications and source records attributed to T Huschke.

5 recordsLinked to original sources

PubMed1997

[Implants in urology].

During the past three decades, the use of implants both in urology and other surgical specialties has experienced exponential growth. The development of implantable genitourinary prostheses has similarly grown from simple testicular substitutes to the large group of implantable penile prostheses, artificial urinary sphincters, prostheses in neurology, and possible future developments of artificial bladder and ureteral materials. The majority of urologic prostheses are constructed of silicone, because it is relatively inert, but nevertheless silicone causes some local tissue reactions and deteriorates with time. Currently, much research is underway studying the effects on the human host. Although multiple mechanical malfunctions of these prosthetic devices have occurred, periprosthetic infection is the most disastrous complication which usually leads to removal of the prostheses. This article gives the clinician an overview of common complex urologic implants, especially the current development of prostheses in the field of neurology.

Cost-Benefit Analysis↗

PubMed1997

[Analysis of primary management of bladder malfunction in traumatic paraplegic patients].

UNLABELLED: Intermittent catheterisation is the demanded therapy of bladder paralysis during the spinal shock. We investigated the realisation of this concept. In 1994 after first treatment in other hospitals 97 patients were treated in the Thuringian Spinal Cord Centre Sülzhayn. The primary treatment of the paralysed bladder was: indwelling catheter: 44 patients (45.4%), suprapubic catheter: 30 patients (30.9%). Only 15 patients (15.5%) were catheterized intermittently. No urological treatment was carried out in seven cases. CONCLUSION: The primary treatment of bladder analysis in spinal cord injured patients has to be improved.

Adult↗

PubMed1997

Diagnostic value of natural fill cystometry in neurogenic bladder in children.

OBJECTIVE: Investigation of the diagnostic value of natural fill cystometry (NFC) in children with neurogenic bladder in comparison to conventional videocystometry (CVC). METHODS: We investigated 20 children (aged 6-11; 15 girls and 5 boys) with the following diagnoses: 6 myelomeningocele, 2 tethered cord syndrome, 1 syringomyelia, 1 Vater syndrome, 1 suprasacral spinal cord injury, 9 suspected neurogenic bladder. We carried out a NFC after completing standard diagnostic including a slow-filling CVC. RESULTS: All investigations were completed successfully. The investigation lasted 6-20.5 h (mean 11:15 h). We registered phases of sleep, waking consciousness and micturition. CVC findings were confirmed in 45%: normal bladder function was confirmed in 2 patients (10%), bladder hyperactivity was confirmed in 7 patients (35%). In 55% we obtained different findings on NFC in comparison to the slow-filling CVC: bladder hyperactivity was not confirmed in 2 (10%), detection of bladder hyperactivity was found in 4 children (20%) with normal bladder function on CVC, detection of bladder hyperactivity on NFC was found in 5 children (25%) with low-compliance bladder on CVC. In 45% of all children, NFC detected new findings compared with CVC diagnoses. In 10%, possible artifacts (e.g. due to catheterization) of CVC were recognized. CVC findings were confirmed in 45%. CONCLUSION: These results are preliminary but they suggest that this is a new diagnostic method for improving the diagnostic standard in the childhood neurogenic bladder.

Child↗

PubMed1997

[EMG surface polygraphy of the pelvic floor--description of functional changes after radical prostatectomy].

Urinary stress incontinence after radical prostatectomy could be cured by physiotherapy in a high percentage. The authors developed an investigation procedure for description of myoelectrical activity of pelvic floor with surface electrodes. 10 patients were studied 1 day before, 10 days and 6 months after radical prostatectomy. Significant changes of amplitude and frequency characteristics could not be found in rest and during the stationary intervals of maximal contraction. But after the operation in all patients changed the activation pattern within the interval of increasing muscle contraction. The mean and median frequency decreased significantly (Friedman-test, p < 0.001). This was interpreted as a problem of intramuscular coordination. After physiotherapy urinary incontinence was cured or improved. The typical activation pattern of dyscoordination was not more evident after 6 months.

Aged↗

PubMed1996

[Possibilities of therapy and rehabilitation of patients with urinary incontinence].

Rehabilitation of incontinent patients is an interdisciplinary challenge. Many therapeutical options in gynecological urology reveal an optimal rehabilitation of these patients. In the last years, a great scientific progress in the area of neurourology offers patients with severe dysfunction of the lower urinary tract (e.g. spinal cord injury) new concepts to improve their urological problems.

Combined Modality Therapy↗