Andrew J. Ball, R. C. L. FENELEY, Paul Abrams
One hundred and seven patients with symptoms of prostatic obstruction in whom prostatectomy was not clinically indicated were reviewed after an interval of 5 years. Ten had subsequently required surgery and 97 remained untreated. In the majority, symptoms did not worsen and only 2 developed acute re...
Paul Abrams, R. C. L. FENELEY
The symptomatology and urodynamic findings of 318 male patients (45–84 years) with suspected bladder outflow obstruction have been analysed. Inflow cystometry showed that 57% of patients had unstable bladders and a pressure flow analysis of micturition that 67% had obstructed micturition. The sympto...
R. C. L. FENELEY, Angela Shepherd, P. H. POWELL, Janet Blannin
The prevalence of recognised urinary incontinence in a community was found to be 1%; the prevalence of unrecognised incontinence was 3.3% in men and 8% in women in a group practice of 7000 patients. The approach to investigation and management of urinary incontinence in a urodynamic unit and the sta...
Robert S. Anderson, Angela Shepherd, R. C. L. FENELEY
Microtip catheters are being used increasingly for measurement of the urethral pressure profile. The orientation of the pressure sensor is critical and attention is drawn to variations of the measured parameters in different sensor positions. A standardization of transducer orientation is necessary ...
Keith Murray, R. C. L. FENELEY
A single blind trial of the effect of opioid blockade on lower urinary tract function, assessed urodynamically, is reported. Twenty patients (10 male, 10 female) were studied by filling and voiding cystometry and urethral pressure profilometry before and after the administration of a potent opioid a...
P. H. POWELL, R. C. L. FENELEY
The results of testing posterior urethral electrosensitivity in a variety of urological conditions are demonstrated and the relationship between urethral sensitivity and the standard urodynamic investigations discussed. The clinical features of a group of patients with urethral hyposensitivity are p...
Paul Abrams, R. C. L. FENELEY, Michael Torrens
N.J.R. George, R. C. L. FENELEY, J. B. M. ROBERTS
Summary— Twenty‐five patients with “prostatism” and chronic retention of urine have been followed up for 4 years to determine the natural history of the disorder and results of elective treatment. Twenty‐one patients with low pressure during bladder filling maintained normal upper tracts and renal f...
P. H. POWELL, Patricia Smith, R. C. L. FENELEY
Clinical and urodynamic features of patients at risk from acute retention were investigated in 2 retrospective studies. It is suggested that detrusor decompensation may be a cause of acute retention in some individuals. This factor was investigated in a series of patients with outflow obstruction by...
R. C. L. FENELEY
Thirty-two female patients with continued urinary incontinence, following a period of urethral catheterisation, have been treated by suprapubic catheterisation. A technique is described for closure of the female urethra and this has been effective in 20 out of 24 patients. The procedure has been und...
Kok Bin Lim, Andrew J. Ball, R. C. L. FENELEY
The follow-up of 28 patients with urinary incontinence treated with periurethral Teflon injection revealed significant improvement in 53.6% and complete cure in 21.4%. Patients most likely to benefit were those with weak sphincters and stable detrusors. The method is quick and safe and requires only...
C. KADOW, R. C. L. FENELEY, Paul Abrams
A randomised, prospective trial comparing transurethral prostatectomy with conservative management was carried out in 38 men with proven bladder outflow obstruction. Patients were assessed urodynamically before treatment and 6 months later. All 21 patients who had a prostatectomy showed a significan...
Paul Abrams, R. C. L. FENELEY, Michael Torrens
Paul Abrams, R. C. L. FENELEY, Michael Torrens
Paul Abrams, R. C. L. FENELEY, Michael Torrens