Jack Lapides

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Three cases of an unusual congenital anomaly of the spinal column, anterior sacral meningocele, are reported. A brief review of the literature and discussion are presented. Anterior sacral meningocele is an unusual anomaly consisting of a spinal fluid-filled sac in the pelvis which communicates via a narrow neck with the spinal subarachnoid space. This sac(More)
We studied 53 neurologically normal children with recurrent urinary tract infection who were found to have bladder-sphincter incoordination characterized by voluntary sphincteric constriction during involuntary uninhibited bladder contraction. Increased intravesical pressure was documented during these events and was associated with vesicoureteral reflux in(More)
A non-sterile technique of intermittent self-catheterization was used for 218 patients with an inability to void in a normal fashion because of obstructive uropathy, decompensated detrusor or neurogenic bladder. Marked improvement was noted in urinary continence, urinary infection, renal function, bladder emptying and, perhaps most important, the mental and(More)
We evaluated the cystometric and uroflowmetric effects of bethanechol chloride on non-neurogenic, non-decompensated human bladders. Statistically significant changes were measured using cystometric and uroflowmetric parameters. We discuss the indications and methods for therapy with bethanechol chloride.