[Incidence of psychiatric peculiarities in females with urinary incontinence]. / Zur Häufigkeit psychischer Auffälligkeiten bei Frauen mit Harninkontinez.

Psychodiagnostic studies were conducted in 100 women with urinary incontinence. The VNPI test proposed by Regel and Schulze, a neurosis screening test, was adopted. Fifty-two of the patients studied revealed test results which were either pathological or called for further elucidation. Pathological VNPI findings were obtained in 23% of the women with stress incontinence, in 48% of those with combined incontinence, and in 85% of the patients with urgency incontinence. The present study suggests that psychodiagnosis is necessary beside comprehensive somatic urinary incontinence diagnosis.

[The patient record of the use of hormonal contraceptives--a possibility for better monitoring]. / Der "Ausweis bei Einnahme hormonaler Kontrazeptiva"--Eine Möglichkeit zur verbesserten Betreuung.

A card is introduced, which in addition to essential anamnestic data permits registration of entry of diseases, side effects, smoking habits, additional drug intake and results of examinations during steroid medication. The card to be presented whenever a physician is consulted is intended to convey better pill-taking information to other specialists, while also ensuring follow-up of such patients.

[Use of controlled hemotherapy in operative gynecology]. / Der Einsatz der gezielten Hämotherapie in der operativen Frauenheilkunde.

Hemotherapy performed in our clinic was investigated in patients operated on in the years 1973 and 1982. A total of 832 operations (638 gynaecological interventions and 194 cesarean sections) were used for evaluation. - Transfusion rates decreased from 72% (1973) to 13% (1982) due to systematic application of crystalloid and colloidal infusions to cases of blood loss of up to 20% of the total blood volume. The percentage of erythrocyte concentrate applied increased from 0.4% (1973) to 42% (1982), while it even reached 80% when related to the total blood transfusions of our clinic. To conclude, strict principles should be adopted in deciding for blood transfusion as well as in purposefully applying blood constituents lost. The advantageous development in the economy of surgery is outlined.

[Modified technic of vaginography in the diagnosis of vaginal fistulas]. / Modifizierte Technik der Vaginographie zur Diagnostik von Scheidenfisteln.

Vaginography is recommended to detect and determine the exact location of uretero-vaginal fistulas and vaginal fistulas extending as far as into the upper intestine. Use of a modified Sengstaken probe for instillation of the contrast medium permits meaningful X-ray photographs to be obtained while ensuring definite sealing of the vagina to the outside.

[Tumor degeneration of an autogenous ovarian transplant]. / Tumoröse Entartung eines autogenen Ovartransplantates.

At a woman, at that time only 27 years old, because of a one-sided ovarian tumour, the abdominal hysterectomy with the resection of both appendages had been carried out. At the same time the other ovary macroscopically without pathological findings had been implanted into the Retzius cavity, where later it degenerated tumourously like the histological picture of a cystoma serosum papilliferum proliferans. Since the resection of the second tumour, which was carried out 28 years after the first operation, there has been found no more manifestation of a tumour up to now.

[Measurement of transmembrane potentials - a new method of in vitro tumor sensitivity testing]. / Messungen des Transmembranpotentials - eine neue Methode zur in vitro Tumorsensibilitätstestung.

Based on the idea that a relationship might exist between cell growth, cell metabolism and functional cell physiological parameters, particularly the bioelectrical membrane properties, the transmembrane potential (TMP) was measured on cultured ovarian tumour cells. After addition of cytostatic drugs to the cell cultures changes in TMP were observed, compared with the controls. The results clearly support that the TMP is a sensitive and objective measuring parameter in pretherapeutic sensitivity tests of tumours.

[Pregnancy and labor in juvenile primigravidae]. / Schwangerschaft und Geburt bei jungen Erstgebärenden

A report is given on 100 juvenile primigravidae delivered in the period from 1965 to 1973. Course of pregnancy, delivery, postpartum period, rate of premature infants, and perinatal mortality are evaluated. EPH gestosis was observed in juvenile primigravidae at a rate approximately twice that encountered in the total number of all pregnant women. This group of patients is characteristic in that intensive care for pregnant women is required in both out-patient and in-patient treatment. In addition, intensive care for pregnant women has the target of minimising the increased rate of premature infants and the associated elevated perinatal mortality.

[Uterine rupture and infant mortality]. / Uterusruptur und kindliche Mortalität

The paper reports on nine metrorrhexes corresponding to a percentage of 0,056 in the overall number of births. The respective obstetrical anamneses and diagnoses are discussed. Perinatal mortality amounts to 66,7%, maternal deaths did not occur. It is concluded that metrorrhexis has not lost its risks in view of child prognosis, but today's importance of prospective obstetrics enables us to exclude factors causing a rupture to a high degree.