The new generation Siemens Multiline lithotripter tube "M": early results in ureteral calculi.

The Siemens electromagnetic Lithostar tube "C" and the new multiline tube "M" lithotripters were compared for the in situ treatment of ureteral calculi. A series of 248 patients with a calcium oxalate ureteral stone (proven by stone analysis) more than 4 mm in diameter were treated between December 1994 and September 1995 with the tube M Multiline lithotripter. The results were compared with those of 462 patients treated in prior years with tube C.

Cough-induced electrostimulation in incontinence.

A new method for treatment of urinary stress incontinence is described. Through a vaginal plug the pelvic floor muscles receive a series of electric stimulations which are triggered by an increase of abdominal pressure, detected by an inbuilt pressure sensor. In this study the best parameters for the stimuli are determined during three successive coughs, which are the most common course of urine loss.

High pressure versus low pressure electromagnetic extracorporeal lithotripsy.

A low pressure and an upgraded high pressure electromagnetic lithotriptor were compared for the treatment of calculi within the ureter. The upgrading allows for increased energy density onto the stone surface. We targeted 139 ureteral calculi (average diameter 8.

Eosinophilic granuloma of bladder.

Eosinophilic granuloma of the bladder, a rare and certainly poorly known disease, simulates bladder neoplasms. Clinical aspects, histology, and therapy in a young boy are described.

Secondary pyelo-pyelic anastomosis in renal transplant patients.

Secondary pyelo-pyelic anastomosis has been a successful method of management of the renal transplant patient in whom a ureteral slough or stenosis developed. We herin report our experience with 3 cases.

Psychological and sexual aspects in different types of bladder dysfunction.

Different types of dysfunctional voiding are described and correlated with psychological characteristics and sexual dysfunctions. Motoric as well as sensoric urge incontinence seems to be more frequently associated with psychological problems than stress incontinence and a psychosomatic therapy often results in cure without any surgery. A multidisciplinary approach to the problem is stressed.

Computer assisted pantropic urethral pressure profile.

A computerized method for urethral pressure measurement along the whole length and at every angle of the urethra is presented. The main advantage is the exact study of physiological versus artificial factors in pressure distribution in the urethra. Details of the technique are presented.

Sexual activity of men presenting with prostatism: effect of prostatectomy.

The sexual activity of 153 patients was compared before and three years after transurethral or open prostatectomy. A significant decrease of sexual activity was noted. Multifactorial causes are responsible such as age, general physical and psychological conditions, partners attitudes.

Discrepancies between clinical and urodynamical findings: which are true?

Of 211 incontinent women the answer to each item of a questionnaire is correlated with the urodynamical data and the discriminative value for the type of incontinence is calculated. The relevant questions are discussed.

Primary neoplasm of the ureter: a review of twenty-eight cases.

Twenty-eight patients with primary ureteral neoplasms of which 7 of a benign type were reviewed retrospectively. Sixteen of these patients underwent segmental resection, with a 2-year survival of 81% and with no ureteral recurrence. Eleven other patients underwent a complete nephroureterectomy with bladder cuff excision with a subsequent 2-year survival of 63.