Efficacy and acceptability of tadenan (Pygeum africanum extract) in the treatment of benign prostatic hyperplasia (BPH): a multicentre trial in central Europe.

Pygeum africanum extract is available as Tadenan in many countries, including those in central and eastern Europe, for the treatment of mild to moderate BPH. Its efficacy and acceptability have been demonstrated in numerous open and placebo-controlled studies in large populations. The present open three-centre efficacy and safety study was conducted according to common protocol at urology clinics in the Czech and Slovak Republics and in Poland, in order to confirm the therapeutic profile of Pygeum africanum in conditions of daily practice, using International Prostate Symptom Score (IPSS) and flowmetry assessments.

[Prevention of hematoma and edema after scrotal surgery].

Postoperative hematoma and edema are the most frequent complications of scrotal surgery. The authors refer their own experience with a simple, reliable method for prevention of postoperative hematoma and edema described by Oesterling.

[Advantage of conversion of a uretero-ileostomy to a continent reservoir].

The authors refer their own experience in conversion of incontinent urinary diversion to a continent one. In 6 patients with ureteroileostomy they constructed continent reservoir. Reservoirs were formed from isolated ileocecal segment of the intestine together with the previous ileal loop.

[Complications of continent urinary diversion].

Continent urinary diversion over its advantages, in comparison with incontinent urinary diversion, has serious complications. The authors analyse results and complications, which they registered in 26 patients 10-50 (average 20) months after supravesical continent urinary diversion. The commonest complications were in connection with the continent mechanism, these lead in 8 patients to urinary incontinence.