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Urodynamics - Upper and Lower Urinary Tract (Paperback, Softcover reprint of the original 1st ed. 1973)
Loot Price: R2,821
Discovery Miles 28 210
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Urodynamics - Upper and Lower Urinary Tract (Paperback, Softcover reprint of the original 1st ed. 1973)
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Once urology was established as a medical specialty, the initial
anatomic-morpho logical point of view was soon supplemented by
functional considerations and diagnostic procedures, thanks to the
introduction of the cystoscope (NrTzE, 1877) and retrograde
pyelography (VOELCKER, ]OSEPH and VON LrCHTENBERG, 1903).
Intravenous urography (VOLKMANN, 1924; VON LrCHTENBERG, PFLAUMER
and SWICK, 1929) lent roentgen examinations a more functional
aspect. The word "urodynamics" refers to the functional approach to
the urinary trac- from the renal pelvis and calyces, the ureter and
bladder down to the bladder neck and urethra. The embryologically
denned topographie regions of the urogenital tract are peripheral
relays, while the actual site of action of both normal and patho
logical urodynamics is to be found in the various hollow muscular
organs. Despite extensive basic research and much knowledge
acquired in this neld, the active transport system between site of
production and storage, i. e. the renal pelvis and ureter, is still
regarded in clinical practice mainly from the
anatomic-morphological viewpoint. It is not easy to obtain adequate
information for the clinical assessment of functional disturbances
of the ureter. For instance, retrograde exploration methods may
often be complicated by infection. Clinically applicable methods
for functional assessment of the upper urinary tract are
(RUTISHAUSER): direct observation of the ureteral orinces,
intravenous and retro grade visualization by roentgen contrast
medium, sequential pyelography, roentgen kymography, and
cinematography. Such methods allow good functional exploration by
an experienced investigator but they yield hardly any objectively
reproducible records."
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