John Heesakkers

ICS General Secretary

ICS General Secretary

Yaser Saeedi

EUS President
Meeting Co-Chair

EUS President
Meeting Co-Chair

Sherif Mourad

Meeting Co-Chair

Meeting Co-Chair

Yasser Farahat

Scientific Chair

Scientific Chair

31 August - 2 September 1978

Manchester, United Kingdom

DAYS

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ICS 1978

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ICS 1978

Convenor: David Warrell

Scientific committee chair: John Gosling, Prof of Anatomy (special interest in the anatomy and nerve supply of the pelvic floor).

The Welcome Ceremony Reception was held in the Whitworth Art Gallery where the ICS was greeted by Epstein’s Genesis; a more than life sized marble statue of a heavily pregnant Lancastrian, reminding the Society of the most common cause of disturbance of urinary and faecal control in women.

The Gala Dinner was at Tatton Hall set in lush Cheshire parkland. Drinks on the lawn, Bach on the pipe organ, a welcome by Morris Dancers, and then dinner in the ancestral hall, combined to form a pleasant relaxing and memorable evening. The last bus back to the city awaited two members who could not be found. Eventually the couple emerged rather sheepishly from some bushes, to the amusement of the on-lookers!

The second evening event was held in the Piccadilly Hotel in the middle of Manchester where most members were staying. This was a light hearted affair followed by entertainment in the shape of Lancashire clog dancers.

David Warrell commented that, "This meeting was held in the Manchester Medical School Aug 31-Sept 3, 1978 at a time when the understanding of disturbances of bladder/sphincter and ano-rectal function was limited. Much of the knowledge now taken for granted had yet to be discovered, verified, accepted and taken into practice.

Indeed the perceived need to improve matters was one of the underlying reasons behind the rapid growth of the society. Meetings hadn’t developed much of a structure and were left to the host group to manage.

The group that organised this meeting came from different disciplines and its make up was fairly typical of those who had come together to form the ICS. It consisted of an anatomist, a geriatrician, three gynaecologists, a physicist, and a urologist. This group had met regularly for several years and felt they could arrange a meeting without having to hire a professional meeting organiser. The ICS records since are not clear on when professional conference organisers were first employed.

In the late seventies the main areas of interest were the need to understand the mechanism of symptoms and make a reliable diagnosis, response to treatment and the need for objective measurement of the outcome. A general call for papers produced a good response and it was possible to select enough interesting papers to be read and discussed over two days. These were grouped under broad headings; such as measurement, diagnosis and treatment to form single sessions attended by the entire membership. The four hundred or so people who came were comfortably accommodated in one lecture theatre.

An innovation of this meeting was the reproduction of papers in a single bound volume, taking over from previous collections of cyclostyled sheets.

Like all scientific meetings much of the value is gained outside the lecture theatre so attention was paid to this aspect.

An opportunity was arranged for those who wanted to watch football and Manchester United. Those who went were warned not wear any clothing of colours that might identify one as a supporter of one or other of the teams. The crowd watching was almost as interesting as the football, but we were also warned not to stand and watch any ‘bovver’ meaning fights among the yobo supporters of the two teams, as we might get drawn into it!! Amongst other attractions was a visit to a memorial to the passenger killed on the first trip of the first steam train in the world. There must be a moral somewhere!

At the debriefing meeting after the event the organising group felt that a few new bits of knowledge had been shared and quite a few professional relationships had been made or strengthened.

As a group we had enjoyed the exercise and the cementing of our friendships which went on to improve research collaboration and patient care in Manchester."

David Warrell was a Consultant Obstetrician and Gynaecologist at St Mary's Hospital, Manchester, with a special interest in Urogynaecology. He set up a highly successful Urogynaecology Unit in the 1960s which continues to this day under the direction of Mr Tony Smith. Through this department many of the Urogynaecologists in the North of England of today were trained.

David was a supreme and highly respected all-rounder, being a skilled clinician, diagnostician and surgeon who thought deeply about clinical problems and tested many theories in his research studies. He was at the centre of a distinguished group of basic clinical scientists at that time in Manchester, including John Gosling, Professor of Anatomy at the Medical School, and John Dixon, and Gordon Hosker.

In 1978 a very successful meeting of the ICS was held in Manchester which was masterminded by David as Chairman of the Organising Committee. An abiding memory of the regular committee meetings needed to organise this large and important International Conference was that they were always preceded by drinks then supper with copious supplies of wine. Thus they were enjoyable and hilarious events and committee members were more than happy to take on whatever chores required to be done. The end result was memorable event both from a scientific and social point of view which set a very high standard for future organisers to emulate.

David had many international friends in urology and gynaecology made through ICS meetings, such as Jack Robertson (Santa Monica, California) and Don Ostergard (San Diego). David was a major force in the UK in the early days of urodynamics and his influence is still appreciated by those who were trained by him. He retired to North Wales with his wife, Valerie, and he still keep in touch with many friends made through the ICS.

VIIIth International Continence Society Meeting

31 August - 2 September 1978
Held at The Medical School, Manchester, England, United Kingdom

View the Abstracts Presented at ICS 1978 Manchester

INCONTINENCE IN OLD AGE

Abstract Authors Page
The prevalence of incontinence in the community. T. M. Thomas, K. R. Plymat, J. Blannin and T. W. Meade 3
Urodynamic studies in the very elderly. H. D. H. Eastwood 7
Large capacity bladders in old age. J. C. Brocklehurst. 9
Therapeutic distension for detrusor instability in the elderly. F. L. Willington. 13
Trial of long term catheterisation in the elderly-initial findings. N. J. R. George, R. C. L. Feneley and N. Slade 19
Evaluation of a female urinary incontinence device. L. D. Cardozo and S. L. Stanton. 21
Failure in therapy o f incontinence in old age. E. Petri , H. Heidler and U. Jonas. 25

THE UNSTABLE BLADDER

Abstract Authors Page
The assessment of the contractility of the urinary bladder. R. van Mastrigt, D. J. Griffiths and W. A. van Duyl. 31
The functional abnormality of "non-provocative" bladder instability in children. H. Palmtag, H. Heering and G. Ziegler. 35
Adult enuresis. J. R. Hindmarsh. 39
Urinary incontinence in the female. The value of detrusor reflex activation procedures. J. Nordling, H. H. Meyhoff, J. T. Andersen and S. Walter. 45
The uninhibited bladder caused by phasic detrusor contractions? K-U. Laval, J. Hannappel and W. Lutzeyer. 49
Effects of calcium antagonists in women with unstable bladder. T. Rud, K-E. Andersson and U. Ulmsten. 53
A comparison between Bromocriptine and Indomethacin in the treatment of detrusor instability. L. D. Cardozo and S. L. Stanton. 59
Effect of Flavoxate on hyperactive detrusor muscle. U. Jonas, E. Petri and J. Kissel. 63
A comparison of Flavoxate Hydrochloride, Emepronium Bromide and Propantheline for the treatment of female urinary incontinence due to bladder instability. R. Gaudenz and A. Weil. 67
Influence of Lignocaine on bladder instability. N.J.R.Gorge. 71
An analysis of first time prolonged bladder distension in 65 patients with idiopathic detrusor instability. R. W. Higson, J. C. Smith, P.D. Ramsden and G. M. Ardran. 73
Detrusor instability following surgery for genuine stress incontinence. L. D. Cardozo, S. L. Stanton and 3. E. Williams. 77

URETHRAL FUNCTION

Abstract Authors Page
The neurophysiological basis of bladder inhibition in response to intravaginal electrical stimulation. M. Fall , S-E. Erlandson, C-A. Carlsson and S. Lindstrom. 83
Alpha-adrenoceptor binding sites in the urinary bladder of the rat. D. Jonas, S. Jenner and H. G. Baumgarten. 87
Effect of the a-adrenergic blocking agent Thymoxamine on the urethra and bladder studied by urethral pressure profile and cystometry. E. Pedersen, J. Tdrring and B. Klemar. 91
Effect of Clonidine on urethral pressure. J. Nordling, H. H. Meyhoff and N. J. Christensen. 95
The effects of epidural anesthesia on the urethal closure pressure profile in patients with prostatic enlargement. R. A. Appell, H. R. England, A. R. Hussell and E. J. McGuire. 99
Treatment of delayed onset of spontaneous voiding following incontinence surgery. S. L. Stanton and L. D. Cardozo. 103
Urethral pressure distribution. C. E. Constantinou and D. E. Govan 107
Short and long term reproducibility of urethral closure pressure profile parameters. H.H. Meyhoff, J. Nordling and S. Walter. 111
Voiding reflexes and their relationship to vesical and urethral pressure distribution. D. E. Govan and C. E. Constantinou. 115
The importance of postural influences on urethral musculature. N. J. R. George and R. C. L. Feneley. 117
Dilatation of the resting posterior urethra in spinal cord injury patients. J. Nordling, K. P. Olesen and T. Hald. 119
Urodynamic and electromyographic assessment of urethro-vesical activity in spinal shock patients. A. B. Rossier, B. A. Fam, M. DiBenedetto and M. Sarkarati. 123

URETHRAL MEASUREMENTS - RESULTS OF SURGERY

Abstract Authors Page
Accuracy and interpretation of results from the DISA momentum flux meter. H. H. Meyhoff, D. J. Griffiths, J. Nordling and T. Hald. 131
Gas urethral profile with simultaneous recording of EMG-activity from peri-urethral striated muscles. What is true and what is artifact? G. C. Vignoli, A. Martelli and G. Cecolin. 137
Introduction of Ampullometrogram (AMG) and anal profilometry in urodynamic evaluation. C. J. Godec and A. S. Cass. 141
Deformation of the proximal urethra. W. Schafer K-U. Laval, H. Lindow and W. Lutzeyer. 143
Detection of fluid entry into the proximal urethra during coughing. M. Brown and J. R. Sutherst. 147
Urethral cross sectional area measured by urinary stream impedance to HF electrical current. S. Mortensen, J. C. Djurhuus, H. R. Andersen and C. Frimodt-Moller 151
Surgical treatment of incontinence in elderly women. S. L. Stanton and L. D. Cardozo. 155
A pre and post-operative evaluation of the use of the colposuspension with two vaginal flaps for the correction of urinary stress incontinence. U. Bologna. 159
Urinary incontinence before and after pelvic floor surgery. T. M. Thomas, A. M. Fisher, J. M. Walsh, J. Imeson and T. W. Meade. 163
A new method in the treatment of female urinary incontinence. Preliminary results. C. Frimodt-Mller, J. Keilmann, E. L. Nielsen, T. Bonnesen and S. Mortensen. 167

POSTER PRESENTATIONS

Poster Authors Page
Videotape evaluation of vesical neck function in the female. J. R. Robertson 173
The startlstop trial. A. Shepherd and R. C. L. Feneley. 177
Repeat cystometry. A. Murray, J. R. Sutherst and M. Brown. 179
Fluid in the proximal urethra and the unstable bladder. J. R. Sutherst and M. Brown. 183
The sitting and standing urethral pressure profile - a simple test for stress incontinence. R. O. Witherow and R. C. Tiptaft. 187
The aetiology and objective investigation of psychosomatic urgency incontinence. W. K. Frewen. 191
The co-ordinated management of incontinence. D. A. Mandelstam. 195
A clinical trial of pants and pads used in cases of urinary incontinence. A. Shepherd, J. P. Blannin and R. C. L. Feneley. 201
An antepubic sling operation. A. Ingelman-Sundberg, J. Rosen and A. Obrink 205
The catheter as a source of error in urodynamic study. M. Koraitim. 207
An objective comparison of the effects of parenterally administered drugs in patients suffering from detrusor instability. L. D. Cardozo and S. L. Stanton. 211
Clinical experience of phenoxybenzamine for benign prostatic hypertrophy. A. Kondo, T. Otani, H. Narita, M. Kobayashi, T. Takita and H. Mitsuya. 215
Theoretical consideration of urethral resistance and bladder work in view of micturition energy. T. Takita, A. Kondo and H. Mitsuya. 219
Reflex responses i n the anal sphincter recorded by electromyography. E. Pedersen, B. Klemar and J. Torring. 221
Continent urinary diversion via an ileum reservoir - An experimental study in dogs. L. Norlgn, N. G. Kock, A. E. V. Nilson, T. Sundin and H. Trasti. 225
Urethral closure mechanism under stress conditions. H. Heidler, U. Jonas and E. Petri. 229
Treatment of female urge incontinence with rnethautheline bromide. H. J. Deck, P. Faber, J. Herberger and J. Heidenreich. 233
Urethral pressure profile and urethral pressure-time variations. S. Plevnik and J. Janez. 235
Acute and post-acute effects of electrical stimulation in patients, with reflex neurogenic bladder. J. Janei, S. Plevnik and G. Homan. 239
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