The authors describe their experience over 10 years regarding the treatment of 131 patients with injury to their urogenital organs. The work highlights the different diagnostic and therapeutic approach between patients with multiple injuries and those with just one. Conclusions are given after reviewing the type of injuries and relevant treatment.

The Authors describe their limited but significant experience (101 cases) regarding the diagnostic and therapeutic approach to patients with multiple traumas with involvement of the urogenital tract. Approach to the renal trauma in these patients appears to be highly controversial. Experience has shown that in cases of severe renal trauma, when the urologist is called immediately to visit the patient so that a complete and correct urological diagnostic procedure can be planned, the possibilities of conservative treatment to save the kidney are greater.

BPH patients may be asymptomatic or symptomatic and the latter with or without obstruction. Symptoms may be independent of the obstruction. The endoscopic or surgical ablation of the enlarged gland has a percentage of failure in all reports. The urodynamics study including uroflowmetry, pressure flow study with application of nomogram for the obstruction provides a certain diagnosis of obstruction in the majority of cases.

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– A retrospective analysis was carried out to assess the prognostic significance of microvascular invasion (mV) in 48 patients with pT3aN0M0 renal cell cancer. mV is defined in this study as the definite presence of neoplastic thrombosis, more or less adhering to and/or infiltrating the walls of the small venous vessels. Taking into consideration just neoplasms with a nuclear grading of 2 and 3 (according to Fuhrman), at the time of the study 65% of deceased patients were mV+, while 74% of living patients were in mV-. The probabilities of survival, according to Kaplan Mayer, in the two groups of patients appear to be significantly influenced by the mV+ and mV- factor. It can be concluded that this factor, histologically easy to determine, is useful for selecting a sub-group of patients with a more unfavourable prognosis.