Incidence and diagnostic aspects of the bladder disorders in diabetics.

Bladder disorders are important among the various complications of diabetes, both because of their frequency and the severe involvements they can cause to the urinary tract and ultimately to the renal function. Because they are often mild, especially in the first stage, bladder disorders call for early detection and for a judicious assessment as possible by careful investigation. The incidence of bladder disorders was studied in 50 diabetics by performing cystoscopy, micturition cystourethrography and cystometry. The results emphasize the importance of these investigations, particularly the cystometric one, in recognizing such bladder troubles before severe complications occur.

Incidence and complications of ureteral stump pathology.

The authors report on 58 patients with ureteral stump disease. Therapeutic errors, certain specific conditions, but also nephrectomies done for diseases other than pyelo-calyceal tumors and tuberculosis may increase the severity of ureteral stump pathology. The clinical symptoms are often vague, and are demonstrated too late. The incidence may be reduced and the outcome improved by removal of the ureter whenever favourable conditions for development exist, and by looking for them by efficient exploration and complete excision, if nephrectomy is followed by even less marked changes.

Urinary lithiasis associated with urinary tuberculosis.

In a series of 2,500 patients with urinary tuberculosis, 74 cases evidenced an associated lithiasis (2.96%). Intensifying and amplifying the noxious effects, the association of these affections is misleading. Referring to the published data and their own experience, the authors therefore draw attention to this association which although relatively rare, is important because of the diagnostic problems it involves.