Bladder and buccal mucosa graft in urethral stricture reconstruction.

Purpose. Our aim was to determine the success of urethroplasty using a free graft of buccal or bladder mucosa for the treatment of complex anterior urethral stricture in adults. MATERIALS AND METHODS. From October 2000 to February 2005, 11 patients with complex anterior urethral stricture underwent substitution urethroplasty, using mucosal grafts, 6 buccal and 5 bladder. RESULTS. The mean follow-up time was 50 months for 8 out of 11 patients (range 24 to 72). The procedure was successful for 6 patients (75%). Urethral stricture recurred in 2 patients (25%) and was treated by urethrotomy or meatoplasty with positive outcomes. CONCLUSION. Our limited experience with the reconstruction of a complex stricture of the anterior urethra confirmed that buccal and bladder mucosa grafts are excellent materials for substitution urethroplasty but that case selection is important.

Vesico-sphincter dysfunctions in Pure Cerebellar Syndrome (PCS): a possible basis for the study of anatomo-functional correlations.

The neurological polymorphism of Pure Cerebellar Syndromes (not including the heredodegenerative patterns) led the Authors to try to verify the possible correlations between neurological damages and urodynamic findings. MATERIAL AND METHODS. From 2001 to 2006 thirty patients affected by PCS were studied. They underwent several neurological and urological investigations, including videourodynamics. RESULTS. Sixteen cases (76%) showed urinary incontinence due to non-inhibited detrusor contractions, with no evidence of vesico-sphincter dyssynergia; the remaining patients showed a moderate degree of incoordination. CONCLUSIONS. The authors highlight the basic role of cerebellum in modulating the motor activities and the coordination of the bladder-sphincter structures, also in the light of the outcomes gathered in these patients, who were not suffering from other superior structure deficiencies.

[Complications of endoscopic bladder resection for neoplasia]. / Le complicanze della resezione vescicale endoscopica per neoplasia.

The improvement of the endoscopic strumentation and technique has permitted a large diffusion of the transurethral resection of the vesical (TURV) for malignant neoplasms. We report the complications of this method described in literature and a review of the cases observed at the Urological Division of Niguarda Hospital in Milan from January 1985 to December 1989 has presented. The adequate treatment of the complications permits to minimize the damage for the patient.