Reviewing the contemporary therapy of vesical tumour, the authors point to the basic principles that govern the daily practice, the precise application of which may go a long way to improving the results. Not ignorable is the experience that one part of these tumours defies discovery by multifocal and cystoscopic examination. The fundamental tenet of tumour surgery to remove the tumour by incision into sound tissue, must be respected. A brief review is given of the main lines that promise headway in dealing with the disease.

Cutaneous ureterostomy with application of an introverted skin flap was performed in 9 cases over a 2-year period. The method has been developed by the authors in view of the prevalence of strictures involving the terminal ureter and the stoma after unintubated cutaneous ureterostomy in case of a normal ureteral lumen. Ureteral drainage had to be resorted to in 2 cases (necrosis of the flap in one, and allergic skin reaction in the other). The intervention was carried out with success not only when the ureteral lumen was normal, but also when it was wide, short, or relatively short.

The authors present the seamy side of the beneficial practice to handle erectile impotence with papaverine or with the papaverine-Regitin combination. Attention is called to danger. The various forms of priapism are defined. In connection with 72 cases of priapism the attained results and the way to stop the priapic condition are described.

The surgical therapy of vesicovaginal fistulae is discussed on the basis of a surgical material of 15 patients treated over a period of 5 years. The combined, transvesical-vaginal approach was used in 5, the transvesical approach in 3, and the vaginal approach in 3 cases. Ureterosigmoidostomy was performed in 1 case. Spontaneous healing of the fistula ensued in 3 cases. The types of surgery employed are commented upon.

Ureterocutaneostomy by the utilization of a trigonal section (ureteral orifice) was performed in three cases, one ureter being used in two cases, and both ureters--transuretero-ureterocutaneostomy--in the third. The surgical method is described and the results are reported in detail.