Videocystography with synchronous detrusor pressure and flow rate recordings.

Abstract:

:The addition of pressure and flow rate recordings to conventional cystourethrography is relatively inexpensive in terms of cost and of radiologist's time, each investigation requiring approximately half an hour.The value of this investigation in males lies in assessing the severity and site of outlet obstruction, particularly when the prostate is not clinically enlarged. Its value in demonstrating detrusor instability in cases of obstruction and in patients with post-prostatectomy problems is discussed. It is essential to the adequate assessment of sphincter mechanisms in both males and females. The particular importance of this in the female lies in the poor results of routine surgery for incontinence where this is due to detrusor instability.Finally the importance in neurological patients of a urodynamic evaluation of continence mechanisms and voiding dysfunction, both as a preliminary assessment and as a guide to the efficacy of treatment, is outlined.Various criticisms of the technique are reviewed and appropriate rebuttals provided.

journal_name

Ann R Coll Surg Engl

authors

Arnold EP,Brown AD,Webster JR

subject

Has Abstract

pub_date

1974-08-01 00:00:00

pages

90-8

issue

2

eissn

0035-8843

issn

1478-7083

journal_volume

55

pub_type

杂志文章
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  • Tuberculosis: a surgical viewpoint.

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    authors: Hodgson TJ,Duncan JL,Rogers K

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    authors: Smedley FH,Rimmer J,Taube M,Edwards L

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    authors: London J,London NJ,Kay SP

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  • Intravenous urography after acute urinary retention.

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    authors: Gajraj HA,Taube M

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  • Perioperative tranexamic acid in day-case paediatric tonsillectomy.

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    doi:10.1308/rcsann.2016.0288

    authors: Parikh S,Dawe E,Lee C,Whitehead-Clarke T,Smith C,Bendall S

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  • An evaluation of operative training lists for senior house officers in a district general hospital.

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    authors: Feldman M,Nasmyth G

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  • Emergency and elective surgical treatment of portal hypertension. A review of 23 years' experience.

    abstract::A retrospective review of surgical treatment for portal hypertension during a 23-year period in a regional unit is reported and the immediate and subsequent management of patients with bleeding oesophageal varices is discussed. Fifty-four patients with recurrent varix haemorrhage uncontrolled by conservative methods h...

    journal_title:Annals of the Royal College of Surgeons of England

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    authors: Kirby R,Burke FD,Jones JD

    更新日期:1975-09-01 00:00:00

  • The response of general surgeons to HIV in England and Wales.

    abstract::The prevalence of HIV in the UK has been estimated to be 1 in 1000 of the population. Surgeons are at particular risk of occupational transmission from infected blood. To determine the effect of HIV on surgical practice we sent a questionnaire to 681 general surgeons in England and Wales; 450 replied (66%). Of those w...

    journal_title:Annals of the Royal College of Surgeons of England

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    authors: Stotter AT,Vipond MN,Guillou PJ

    更新日期:1990-09-01 00:00:00

  • Experience in the surgical management of medullary thyroid carcinoma.

    abstract::The management of 12 patients with medullary thyroid carcinoma is reviewed. All patients underwent total thyroidectomy. Local nodal and extracapsular spread was aggressively resected, followed by radiotherapy. No patient died from uncontrolled local disease. Prolonged survival after radical treatment is demonstrated e...

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    authors: Lannigan FJ,Watkinson JC,Clarke SE,Maisey MN,Shaheen OH

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  • Palliation in oesophageal neoplasia.

    abstract::Oesophageal cancer is an increasingly common disease in the UK. Sadly, the overall results of treatment remain poor with overall 5 year survival of approximately 10%. More than 50% of patients receive purely palliative care from the outset. Of those having potentially curative treatment, 40% will not survive the first...

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    authors: Bancewicz J

    更新日期:1999-11-01 00:00:00

  • Trends in paediatric distal radius fractures: an eight-year review from a large UK trauma unit.

    abstract:INTRODUCTION:This observational study investigated the incidence of distal radius fractures in children, to determine whether the rate is rising, the effect of seasonal variation on incidence and whether fracture type and rate of surgical intervention has changed, to help in determining costs for secondary care and to ...

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  • Temporary gastric neuromodulation for intractable nausea and vomiting.

    abstract:INTRODUCTION:Gastric neuromodulation (GNM) has been advocated for the treatment of drug refractory gastroparesis or persistent nausea and vomiting in the absence of a mechanical bowel obstruction. There is, however, little in the way of objective data to support its use, particularly with regards to its effects on gas...

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    authors: Ullah S,Arsalani-Zadeh R,Sedman P,Avery G,Duthie GS,MacFie J

    更新日期:2011-11-01 00:00:00

  • Hunterian peptic ulcers and Helicobacter pylori.

    abstract::Gastric spiral organisms were first described in man in 1939 and identified as Helicobacter pylori causing peptic ulcers in the early 1980s. Surgical specimens of gastric resections from 1939 showed H. pylori to be present. Full-thickness sections of gastric mucosa from gastric specimens from the eighteenth-century Hu...

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    pub_type: 历史文章,杂志文章

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    authors: Walker MM,Baron JH

    更新日期:1997-09-01 00:00:00

  • Anaesthesia for bronchography in small children.

    abstract::General anaesthesia is infrequently requested for bronchography in small children. The clinical indications, recommendations for the anaesthetic technique, and problems associated with the investigation are discussed. ...

    journal_title:Annals of the Royal College of Surgeons of England

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    更新日期:1980-05-01 00:00:00

  • A new insight into non-specific abdominal pain.

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    journal_title:Annals of the Royal College of Surgeons of England

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    doi:10.1308/003588406X85751

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    更新日期:2006-03-01 00:00:00

  • The supratrochlear lymph nodes: their diagnostic significance in a swollen elbow joint.

    abstract::In the differential diagnosis of a swollen elbow, the palpation of the supratrochlear glands is useful. They are not enlarged in a traumatic elbow joint. They are enlarged, discrete and shotty in rheumatoid arthritis. In tuberculosis, they are enlarged, matted and they may caseate and form a cold abscess on the medial...

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    authors: Patel DA

    更新日期:2001-11-01 00:00:00

  • Clostridium difficile: how much do hospital staff know about it?

    abstract:INTRODUCTION:The aim of this study was to determine the awareness of Clostridium difficile infection amongst healthcare professionals. SUBJECTS AND METHODS:A total of 132 healthcare professionals (18 consultants, 40 trainee doctors, and 74 nursing staff) in our hospital were randomly surveyed using a questionnaire con...

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    更新日期:2009-09-01 00:00:00

  • Colossal pilomatrixoma.

    abstract::We describe the largest reported case of pilomatrixoma in the literature. While pilomatrixomas typically present as small soft-tissue nodules of the head, neck and upper extremities, they can also present as much larger masses in atypical locations. When they present in their usual size, pilomatrixomas have typical im...

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  • Oesophageal replacement in children.

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    doi:10.1308/003588408X242222

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    更新日期:2008-01-01 00:00:00

  • Treatment of non-endemic hepatolithiasis in a Western country. The role of hepatic resection.

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