Vol 2, No 1 (2012)

The article is devoted to the St.-Petersburg society of urologists named after S. P. Fedorov which is the oldest in Russia and was founded in 1907. The key stages of the development of the society as well as the information concerning the leading urologists who are the members of society beginning with its founder S. P. Fedorov and their main achievements are described. The data concerning the society’s activity at present time are provided.

The aim of study: to evaluate the relations nature between urodynamic indexes and indexes showing kidneys function in patients with benign prostate hyperplasia (BPH).Patients and methods: complex urological investigation of 291 patients with BPH (middle age 61,3 ± 0,7 years) including urodynamic investigation was done, and for 63 patients the evaluation of glomerular filtration rate was carried out as well.Results: A power of detrusor’s contractility makes an influence to the serum kreatinine level after surgical treatment of BPH (r = –0,54; p = 0,048). The relation between the power of detrusor’s contractility (r = –0,2; p = 0,047) and urea level was showed up, so in case of decreased bladder contractility the level of urea becomes increased. Presence and grade of infravesical obstruction did not influence on kreatinine and urea concentration in a blood (r = –0,16; p = 0,22; r = –0,02; p = 0,89). If detrusor’s contractility become decreased the glomerular filtration rate is decreased too (r = 0,41; p = 0,035) and enlargement of calyxes-pelvic system is present (CPS) (r = 0,41; p = 0,035). The detrusor’s pressure (r = 0,52; p = 0,01) and the bladder capacity (r = 0,44; p = 0,035) in the process of maximal spontaneous contractility make in influence into the CPS as well. At the same time no relations (r = 0,06; p = 0,74) between detrusor’s hyperactivity and enlargement of CPS were found.Сonclusion. Decreasing of detrusor’s contractility and the presence of uncontrollable constructions in case of large volumes of bladder inflating make a bigger influence to the functional condition of upper urinary tract at the patients with benign prostate hyperplasia then a presence and grade of infravesical obstruction.

In the literature review some modern data concerning epidemiology, etiology and carcinogenesis for prostate cancer are contained based on the Russian and foreign scientific sources.

Carcinoma in situ of the urinary bladder is a wide spread urological malignancy with unpredictable clinical course and prognosis. While diagnostic modalities develop the treatment and follow-up regimen recommended have been standardized.

Today radical nephrectomy (RN) is a gold standart of treatment localized kindney cancer (stage T1–2). The partial nephrectomy (PN) shows the same oncological outcomes as RN on this stage. However there are few artikles of efficiasy PN in kidney cancer more than 7 cm. The case report and review of literature is presented.