[Clinical and urodynamic results after various ileum neobladder procedures].

Urinary diversion after cystectomy in 15 male patients suffering from advanced transitional cell carcinoma of the bladder (pT-pT3b) was performed by ileal neobladder in different ways: S type n = 5, U type n = 3, J type n = 3 and W type n = 4. The perioperative mortality was nil, the overall complication rate 60%. The patients were followed up by means of regular urodynamic controls after 3, 6 and 12 months.

[Neurogenic bladder as a cause of urinary tract infection].

Life expectancy and physical fitness of patients with neurogenic bladder dysfunctions is highly dependent on the urine status of the patient, and on the integrity and function of the upper urinary tract. Residual urine and urine incontinence give rise to infections, a vicious circle which ends with uraemia. Following nerve disorders can be the cause of a bladder dysfunction with outflow obstruction thus bearing the risk of ascending urine infection: 1) complete or incomplete spinal cord lesion, 2) myelomeningocele, 3) diseases of the CNS, 4) peripheral neuropathy (diabetes, chronic alcoholism, infectious diseases), 5) effect or side-effect of medications.

[Radical prostatectomy in the treatment of prostatic cancer. Perineal and transpubic methods].

This paper presents a report on 49 patients with prostatic cancer stages A-C (pT1NxMo-pT3Nx-1Mo) treated by radical prostatectomy. 32 patients were operated on perineally without preliminary lymph staging and 17 patients by the transpubic method after pelvic lymph staging. No death occurred perioperationaly in either group.

[Disorders of micturition following intervertebral disk operations. Neurologic diagnosis and therapy].

Urodynamic investigation was carried out in 33 patients (14 male, 19 female) who presented with micturition disorders after prolapsed disc operation. The predominant symptom was urinary incontinence in 16 cases and urinary retention or residual urine in 17 cases; faecal incontinence was encountered in 15 patients. The main nerve supply for detrusor and sphincter muscles stems from the S-3 segment.