H. Kiesswetter

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Lioresal is a very effective compound in treatment of the neurogenic uninhibited bladder due to spinal cord lesions. It does not decrease, however, bladder spasms due to cerebral lesions. In detrusor-sphincter externus dyssynergia as frequently encountered in discreet spinal lesions Lioresal restores the normal reciprocal innervation of bladder and(More)
Urodynamic investigation consists of evaluation of detrusor stretch responses, muscle strength and motor activities. The electrosensitivity test is the only method to evaluate mucosal sensory threshold of exteroceptive receptors in urinary bladder and posterior urethra thus checking integrity of sensory reflex arcs. A constant current square wave pulse of(More)
63 patients with multiple sclerosis underwent urodynamic evaluation. Hyperreflexia of the bladder was found in 64% and areflexia in 8%. Hypertrophy or sclerosis of the bladder neck (internal sphincter) was detected in 27% of the patients and a spastic external sphincter (dyssynergia) was encountered in 57%. 16 patients were admitted for surgery: 9 for TUR(More)
The technique of a nonrefluxing end-to-end ureteroileal anastomosis is described. The conjoined ends of both ureters are formed into a 4 to 5 cm. long ureteral tube that is placed loosely into the bowel lumen. Increased intraluminal pressure during micturition closes the valve by compressing the ureter wall from outside, thus, preventing reflux. An(More)
Sixty unselected patients from two centers (40+20) with complaints indicating detrusor overactivity or hypersensitivity entered a prospective double-blind cross-over trial to test the efficacy of drug treatment. Two active drugs and a placebo were taken at random during consecutive 3-week periods. The active drugs used were emepronium bromide, which was(More)
It is shown that the site-frequency distribution of carcinomas relative to the upper and lower hemispheres of the urinary bladder is inhomogeneous. It is pointed out that the contact with urine is the important etiological factor and that other factors, if any, play only a secondary role. It is suggested that prolonged (forced) retention of urine should be(More)
On reviewing the literature most authors were found to have used needle electrodes for recording muscle potentials of pelvic floor muscles. We used for the first time a vaginal tampon electrode to record potentials of musculus levator ani in females and the same electrode to record potentials of the external anal sphincter. Recording with surface electrodes(More)
This paper presents a report on 49 patients with prostatic cancer stages A-C (pT1NxMo-pT3Nx-1Mo) treated by radical prostatectomy. 32 patients were operated on perineally without preliminary lymph staging and 17 patients by the transpubic method after pelvic lymph staging. No death occurred perioperationaly in either group. Early complications were seen in(More)