Vol 3, No 1 (2013)

Our analysis of the results of urodynamic studies in 341 patients with overactive bladder showed the possibility of using the new urodynamic index — the index of bladder sensitivity (IBS). IBS is calculated as the ratio of the maximal bladder capacity to bladder volume at the time of first desire to urinate. IBS values depend on the sex of the patient, the presence of involuntary detrusor contractions and urgency rate (R2 = 0,03; F = 5,80; p < 0,004). IBS value reflects the intensity of increasing of the urgency rate and can be additional criteria for urodynamic assessment the severity of overactive bladder

The efficiency of pelvic muscle exercises combined with biofeedback in the treatment of stress urinary incontinence was accessed in 39 women. The duration of treatment was 3 months. 11 (28.2 %) of women after treatment were complete free from the symptoms of stress urinary incontinence, and 20 (51.3%) — had significant decrease in the severity of symptoms. The positive effect was absent in 8 (20.5%) patients, 7 of them had stress urinary incontinence secondary to urethral sphincter deficiency

The article describes the history and background of the ambulatory urodynamic monitoring (AUM). In details are described the indications, method of implementation and especially interpretation of study results. The results of the OUM in clinical practice and the benefits of the use are presented.

Penile cancer is a rare disease with aggressive malignant potential. Organ-preserving methods of treatment are feasible at earlier stages; hence the prompt diagnostics and staging of the tumor spread are mandatory. The review of recent literature in penile cancer is presented; a case report from the authors’ clinical practice is used to discuss the approach to patients’ diagnostics and treatment.