[Today's prognosis of urolithiasis caused by infection calculi in the young child]. / Die Prognose der Urolithiasis durch Infektionssteine beim Kleinkind heute.

In 24 infants (age 1-4 years) with urolithiasis a good and recurrence-free long-term prognosis is shown in 15 patients with infected stones under following conditions: early diagnosis and operative treatment without residual stones, immediate therapy of bacteriuria and close-meshed follow-up controls. In these 15 infants the morbidity peak was in the second year of life. However in the remaining 9 infants with calcium oxalate calculi recurrent stones did occur on an average of 6 years despite of non-infection. The incidence of urolithiasis in the first to sixth year of life was 1:5 in comparison with the school age.

[Treatment of the unstable bladder in children with the anticholinergic agent propiverin hydrochloride (mictonorm/mictonets)]. / Zur Behandlung der instabilen Blase des Kindes mit dem Anticholinergikum Propiverinhydrochlorid (Mictonorm/Mictonetten).

The new anticholinergic agent Propiverinhydrochlorid (Mictonorm) is used in the treatment of the Enuresis nocturna et diurna combined with urgency, frequency and small amounts of voided urine. The urodynamic investigation shows an unstable bladder. No urinary tract obstruction or neurogenic injuries are detected at the 26 normal-developed children of 5-11 years of age. Mictonorm was given for 3 months, in a dosage of 0,4 mg/kg bw/d. The bladder capacity, the volume at the desire to void and the compliance of the detrusor significantly increased and the frequency decreased. Application of placebo shows no variation of these parameters. No side-effects were to be distinguish. The wetting improved significantly in 16 of the 26 children but dryness seldom was reached. Therefore the dose was doubled in 19 children at the fourth month, and a second equal group of 26 children primary was treated with 0,7-0,8 mg/kg bw/d. With good compatibility especially the higher dose given from the beginning improved the enuresis better. All children showed a more distinct influence to the enuresis diurna than to the nocturna. The prescription of the anticholinergic neurotrope and myotrope drug is interpreted as a part of the management of the wetting child and its environment.

[Correction of hypospadias using the Cecil-Michalowski method--report of clinical experiences]. / Die Korrektur der Hypospadie nach Cecil/Michalowskiein klinischer Erfahrungsbericht.

A report is given on our own experience with the operative correction of hypospadia. The method of Cecil/Michalowski and slight variations are explained and presented. The rate of complication was extremely low in a total of 45 patients.

[Frequency of myelodysplasia in the GDR (author's transl)]. / Zur Häufigkeit der Myelodysplasie in der DDR.

All living children suffering from myelomeningoceles and being 1 to 12 years old were registered by means of a questionnaire. The death certificates of all those children who came to death from myelomeningoceles between 1973 and 1977 were also evaluated. Ratio of morbidity: 6 to 10000 live born children. In the first year of life the mortality rate amounted to 34%.