BispebjergHospital_1913-38

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er en vanskelig, tidsranende og indtil videre ustandardiseret frern- gangsmaade, kun lidet egnet til hyppig anvendelse i kliniken. Sideordnet med de cystometriske undersøgelser, som foretages paa herværende afdeling, søger man imidlertid at tilvejebringe en sam­ menligning mellem de oplysninger, som henholdsvis kontinuerlig og diskontinuerlig kurveoptegning giver, idet man haaber, at en del af de for kliniken betydningsfulde cystometriske fænomener, som nu kun kan erkendes paa den kontinuerlige kurve, vil kunne genkendes med sikkerhed paa den diskontinuerlige. Summary. Cystometry is a functional examination of the urinary bladder; a curve is made of the degree of filling of the bladder, showing the relation between the bladder volume and the intravesical pressure as well as some other phenomena. A short report is given of the methods used by previous investiga­ tors and they are discussed and criticized. A method — worked out at our department — for making a continuous curve of the degree of filling of the bladder is described. The curve obtained in this manner is described and its different parts discussed, the curve being interpreted as three successive func­ tion tests of the bladder: 1) Involontary accomodation. 2 ) Power of inhibition. 3 ) Mode of micturition. The importance recognized by other authors as regards the dia­ gnosis and treatment of neurogeneous bladder disease as well as regarding the differential diagnosis between neurogeneous bladder disease and obstructive hindrance at the outlet is verified. The importance of cystometry to the recognition and treatment of localized diseases in the bladder and the bladder neck has not been made clear, but an example may be mentioned: 25 patients with hypertrophy of the prostate might be divided into 4 groups with very different bladder function; the corresponding curves are described; for the present the theoretical and practical conclusions which may be drawn, are left open. Litteratur. 1. Adler, A .: M itt. a. d. Grenzgeb. Med. u. Chir. 1918, Bd. 30, p. 487. — 2. Barrington, F. J . F .: Proc. R oyal Society Med. 1927, Bd. 20, p. 722. -— 3. Cheetham, J. G.: J . Urology 1938, p. 569. — 4. Dennig, H .: Die Innervation der H arnblase. B erlin 1926. ■— 5. Denny-Brown, D. da Robertson E. G .: B rain 1933, Bd. 56, p. 149. — 6 . Denny-Brown, D. db Robertson, E. G.: B rain 1933, Bd. 56, p. 397. — 7. Dubois, P . : Deutsches A rchiv f. klin. Medicin 1876, Bd. 17, p. 148. — 8 . Elliot, T. R .: Jo u rn al of Physiology 1906—07, Bd. 35, p. 367. — 9. Franke-Hochward da Zuckerkandl. (cit. e. Schwarz). — 10. Genouville, F. L .: Arch, de Physiol, norm , et pathol. 1894, Bd. 6 , p. 322. — 1 1 . Hirsch, E. W .: Jou rn. Am. med. Ass. 1928, Bd. 91, p. 772. — 12. Keller, O.: Ugeskr. f. læg. 1934, p. 166. •—- 13. Mac Kenzie, D. W. db Bech, S .: J. Urology 1937, Bd. 38, p. 131. — 14. Lane, C. A . db Hoffman, E .: Urol. & Cutan Rev. 1937, Bd. 41. p. 545. — 15. Langworthy, O. R. da Dees, J. E.: J . Urology 1936, Bd. 35, p. 213.