D G Thomas

Publications (5)0 Total impact

• Article: Intravesical instillation of oxybutynin hydrochloride for detrusor hyper-reflexia.

  K J O'Flynn, D G Thomas
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  ABSTRACT: The effect of intravesical oxybutynin hydrochloride on detrusor behaviour was studied in 15 patients with urinary incontinence due to detrusor hyper-reflexia by ambulatory bladder monitoring. Twelve patients had a reduction in the frequency and amplitude of hyper-reflexic contractions and incontinence episodes following oxybutynin administration. Intravesical oxybutynin may have a role in the management of patients on intermittent self-catheterisation with detrusor hyper-reflexia who cannot tolerate the side effects of anticholinergic agents, including oxybutynin.
  British Journal of Urology 12/1993; 72(5 Pt 1):566-70.
• Article: Harpoon device for removal of obstructed balloon catheters.

  K J O'Flynn, D G Thomas, A Hardy
  British Journal of Urology 03/1992; 69(2):217.
• Article: Neurogenic bladder dysfunction in lumbar intervertebral disc prolapse.

  K J O'Flynn, R Murphy, D G Thomas
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  ABSTRACT: Lumbar disc prolapse with urinary dysfunction is an uncommon condition. The clinical, pathological and follow-up details of 30 patients are presented. Detrusor recovery is rare and most patients are left with an areflexic bladder. Female patients with lumbar disc prolapse and an areflexic detrusor who strain to empty their bladders are likely to develop genuine stress incontinence. This may be managed by the early institution of intermittent self-catheterisation, which may reduce the need for incontinence surgery.
  British Journal of Urology 02/1992; 69(1):38-40.
• Article: Xanthogranulomatous pyelonephritis and ureterocutaneous fistula.

  N Warnock, K J O'Flynn, D G Thomas
  British Journal of Urology 06/1991; 67(5):549-50.
• Article: Artificial urinary sphincter insertion in congenital neuropathic bladder.

  K J O'Flynn, D G Thomas
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  ABSTRACT: A series of 44 patients with neuropathic bladder dysfunction due to congenital myelodysplasia underwent implantation of an artificial urinary sphincter (AUS); in 26 patients a reconstructive procedure was performed at the same time. Five patients who initially had AUS implantation alone developed detrusor hyper-reflexia and required a clam cystoplasty. Forty patients (90%) are continent, 2 are occasionally damp and 2 are wet and awaiting further surgery; 66% of patients who underwent AUS insertion and reconstruction were found to have significant residual urine and they perform intermittent self-catheterisation (ISC). In patients with a good bladder capacity and normal compliance and detrusor hyper-reflexia controlled by anticholinergic drugs, cystoplasty is not necessary at the time of AUS insertion.
  British Journal of Urology 03/1991; 67(2):155-7.