[The present-day aspects of urogenital tuberculosis. Comments on 113 cases]. / Aspecte actuale ale tuberculozei urogenitale. Consideratii pe marginea a 113 cazuri.

One hundred and thirteen new cases of urogenital tuberculosis, admitted and treated in the interval 1980-1986 (an average number of 16 cases yearly) are reported. The analysis of these patients includes age, sex, bacillary history, symptoms, clinical forms, diagnostic methods, therapeutical management and late results. Seven cases are detailed. It is concluded that the treatment with the actual tuberculostatic drugs is efficient provided the urogenital tuberculosis is early detected. In case this disease is late detected the treatment is associated, drug and surgical.

[Malignant infiltrating bladder tumors. Comments on 157 cases]. / Tumorile vezicale maligne infiltrante. Consideratii pe marginea a 157 de cazuri.

157 cases of malignant infiltrative tumors of urinary bladder admitted and treated in a 5-year interval (1983-1988) are presented. Considerations on age, sex, urological history, associated urological disorders, symptoms and clinical examination, diagnostic methods, surgical procedures and their association with other non-surgical procedures, postoperative evolution, pathological examination of the resection sample, tumoral stage, recurrences are made. Five cases treated by various methods are presented in detail. The clinical and laboratory diagnosis, therapeutical methods and the staged therapeutical indications are also commented upon. In the malignant infiltrative tumors of urinary bladder the authors recommend the partial cystectomy which, when correctly indicated and performed, gave similar results as total cystectomy. It is also underlined that in case of an urographically silent kidney the attitude should be conservative and the treatment of the malignant infiltrative tumors of urinary bladder should be multimodal.

[On tihe diagnosis, treatment and late results in prostatic carcinoma]. / Asupra diagnosticului, tratamentului si rezultatelor tardive în neoplasmul de prostata.

209 cases of prostatic carcinoma out of which 112 with coexistance adenoma-cancer and 97 true carcinomas are analysed. The diagnosis was determined by histological examination of adenomectomy or transrectal or perineal needle biopsy specimens. Out of the 112 adenoma-cancer cases in 65 the existence of a single or multiple nodule, having a more firm consistency, was noticed and in 47 the rendering evident of the malignant lesion was a histological surprise of the adenomectomy specimens. The age distribution is the following: 42.7% between the age of 71 and 80, 31.5% between 61 and 70, 13% between 51 and 60, 70% between 45 and 50, 5.8% above 80. The treatments employed were: 112 adenomectomies, 50 removals of the pelviprostatic capsular ligament associated with bilateral castration and hormonotherapy and 47 estrogen hormonotherapies. The importance of the histological examination of the surgical specimens (in the case of adenomectomy) and biopsy for specifying the malignant nature of the prostatic alterations is emphasized.

[Entero-urinary fistula]. / Fistula entero-urinara.

A patient with an entero-urinary fistula who underwent 5 surgical interventions before being admitted to our clinic is presented. At the admittance it was specified that it is an enterourinary fistula, but the repeated investigations showed that it is an ulceration situated on the posterior wall of the descending colon, at its junction with the sigmoid, from which two fistulas come out: one towards the urinary bladder and the other towards the left iliac fossa. After debridement of the fistulas the segmentary colectomy and immediate restoration of the transit were performed. In the immediate evolution a stercoral fistula, closing itself spontaneously, reappeared. The late examination showed normal colon and urinary system without clinical alterations.