SVIBOR - Project code: 3-01-204


Strossmayerov trg 4, HR - 10000 ZAGREB
tel.: +385 1 459 44 44, fax: +385 1 459 44 69


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Project code: 3-01-204

The Role of Urodynamics in Evaluation of Urologic Diseases

Main researcher: RADEJ, MARJAN (106336)

Type of research: basic
Duration from: 01/01/91. to 12/31/93.

Papers on project (total): 33
Papers on project quoted in Current Contents: 5
Institution name: Bolnica "Sveti duh", Zagreb (129)
Department/Institute: Department of Urology
Address: Sveti Duh 64
City: 10000 - Zagreb, Croatia
Phone: 385 (41)171-111/147
Phone: 385 (41)579-241
Fax: 385 (41)570-224

Summary: Using the urodynamic investigation of urinary bladder and sphincter we explore: 1. Continent procedures in replacement of bladder and sphincter (in malignancy and total affunction) with detubularised bowel or aloplastic matherial tending to create the continent low pressure reservoir. 2. The assessment of erectile insufficiency and obstructive azoospermia with suggestions for adequate treatement. 3. Possibility for creation of plausible expert system.

Keywords: urodynamics, cystectomy, incontinence, male sterility, urinary prosthesis, expert system

Research goals: If we summarize our intentions, the aim of our research could be defined in three points: 1. Defining of the suitable surgical parameters in the usage of alloplastic material (endoprotheses) and detubulated bowel segments in surgical healing of heavily damaged bladder and sphyncter. The aim is to establish a completely continent low pressure reservoir which would be controlled by urodynamic, ultrasonic and Doppler investigation. The expected contribution would be manifested in clinical treatements applied on the patients with certain malignant tumors or denervated bladders, e.g. paraplegics. 2. Another group would include patients with the secondarz male sterility due to obstructive azoospermy or complete neurogenic denervation. This would be followed by the functional dynamic investigation of corpora cavernosa, ductus deferens or seminal vesicles according to the indication and disease defined. The aim is to establish clear diagnostic and treatment protocol, which would be based on the relation between (pressure-volume-flow) parameters registered by urodynamic device, ultrasound and Doppler. 3. Continuation and finalization at Urodynamic expert system. Due to various interpretations of the urodynamic parameters by nonexperts in the veryfield, the aims are construction and realization of the computer program, which would give the most probable diagnoses, and direstions for the further treatements.

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Last update: 10/10/95