EAU guidelines for the management of urogenital schistosomiasis.

More than 100 million people worldwide are affected by bilharziasis, caused by Schistosoma haematobium. For travellers precaution is most important. For the population in endemic areas, an integrated approach including health education is necessary.

[Vesico-sphincter disorders in neurosyphilis].

The authors report 8 cases of disorders of the bladder and sphincter in neurosyphylis. Urodynamic study suggested preponderant damage to the sensory pathways and in particularly the posterior roots. The most common clinical manifestation was dysuria or chronic retention, these occasionally being signs of neurological disease.

[Perineal neuralgia and Alcock's canal syndrome].

Perineal neuralgia is characterised clinically by pain (burning type of perineal pain) exacerbated in the sitting position. It is secondary to impairment of the internal pudendal nerve in its musculo-osteo-aponeurotic tunnel composed by the ischium and the obturator internus muscle (ischiorectal fossa or pudendal canal). As in any nerve tunnel syndrome, pre-existing neuropathy constitutes a predisposing factor and should therefore be identified.

[Value of the stop-test in the diagnosis of detrusor hyperactivity. Concept of the isometric zone. Preliminary study of 30 cases].

The authors propose a new pathophysiological and diagnostic approach to detrusor hyperactivity by the study of the isometric pressure obtained during the stop-test. This test consists of the sudden interruption of micturition by voluntary contraction of the striated urethral sphincter, resulting in sudden contraction of the bladder against the closed sphincter. This isometric contraction is equal to 20 to 30 cm of water.

[Value of evoked sacral potentials in studying bladder sphincter disorders in peripheral neuropathies and central nervous system diseases. A study of 110 cases].

The sacral spinal cord is one of the main sites of integration of bladder and anal sphincter and sexual function. Clinical tests (bulbocavernous reflex, perineal reflexes) are often inadequate and urodynamic investigations (cystomanometry, urecholine test, Susset's test) are sometimes unhelpful. The integrity of this structure is essential for normal sphincter function and disease at this level (or of its afferent or efferent limbs) produces a peripheral type of disorder.

[Transjejunal subpyelic cutaneous ureterostomy. A solution to upper urinary diversion in pelvic oncology].

In the operation described the second jejunal loop is isolated through an horizontal incision linking the tips of the 12 th ribs. The ends of the loop are then anastomosed with the sub-pyelic ureters and the resulting V-shaped conduit is brought to the skin. The main complication is a salt-deficiency syndrome due to the physiology of the isolated jejunal loop.

[Retroperitoneal lymph node metastasis of an infraclinical testicular seminoma (author's transl)].

The authors report a case of retroperitoneal lymphatic dissemination of a seminoma without any demonstrable primary testicular tumour. Irradiation of the patient led to complete cure, apparently stable with two years' follow up. The authors explored both sides of the scrotum clinically and surgically without finding any testicular tumour.

[Intra-renal arterio-venous aneurysm after renal puncture biopsy. Supra-selective embolization. Cure (author's transl)].

This case emphasizes the value of: 1. Treatment of malignant hypertension with the combination of hemodialysis and beta-blockers. 2.