Scandinavian Journal of Urology and Nephrology 

About: Scandinavian Journal of Urology and Nephrology is an academic journal. The journal publishes majorly in the area(s): Urinary bladder & Prostate cancer. It has an ISSN identifier of 0036-5599. Over the lifetime, 5019 publications have been published receiving 80559 citations.

Percutaneous pyelolithotomy. A new extraction technique.

Abstract: Recurrent renal calculous disease is often troublesome to treat because of technical difficulties associated with reoperation. Attempts to dissolve the stones by irrigation with various solutions has not had much success. A new extraction technique has therefore been devised whereby the stones can be removed through a percutaneous nephrostomy umder radiological control. Three cases are described.

The standardisation of terminology of lower urinary tract function. The International Continence Society Committee on Standardisation of Terminology.

Abstract: We updated the terminology in the field of paediatric lower urinary tract function. Discussions were held of the board of the International Children’s Continence Society and an extensive reviewing process was done, involving all members of the International Children’s Continence Society as well as other experts in the field. New definitions and a standardised terminology are provided, taking into account changes in the adult sphere and new research results. Reprinted with permission of the Journal of Urology and Elsevier. First published 2006: The Journal of Urology. July 2006; 176(1): 314-324. NOTE: The article will be reproduced in two parts. Part II is to be published in the next edition of the Australian and New Zealand Continence Journal.

Intravaginal slingplasty (IVS) : an ambulatory surgical procedure for treatment of female urinary incontinence

Abstract: A new ambulatory procedure for treatment of female urinary incontinence (intravaginal slingplasty, IVS) was performed on 50 patients. In all patients the surgical procedure was carried out under local anaesthesia and without postoperative urinary catheterization. The technique has been elaborated from previous experimental and clinical studies and aims at restoration of the pubourethral ligament and the suburethral vaginal hammock. Thirty-eight patients suffered from genuine stress incontinence as objectively verified and 12 patients had symptoms and signs of both urge and stress incontinence. Thirty-nine (78%) patients were completely cured from their stress incontinence symptoms. Another six patients (12%) reported a considerable improvement of their urinary incontinence leaking only occasionally. Concerning urge incontinence symptoms a significant relief of the symptoms was obtained in 6 of 12 patients. No intra- or postoperative complications occurred.

An integral theory and its method for the diagnosis and management of female urinary incontinence.

Abstract: The Integral Theory on Female Urinary Incontinence states: stress symptoms, urge symptoms, and symptoms of defective flow may all derive , for different reasons, from laxity in the suburethral vagina or its supporting ligaments. This theory proposes that the pre-tensioned anterior vaginal wall transmits specific pelvic muscle contractions which open or close the bladder neck and urethra. The vagina is tensioned like the membrane of a drum against the ligaments which support it from above. In its tensioned state, the vagina can be pulled by the pelvic floor muscles to mechanically open or close bladder neck. The tensioned vagina also indirectly supports the nerve terminals at bladder base. Vaginal laxity may predispose to premature activation of the micturition reflex. If this reflex cannot be suppressed, then the subsequent uninhibited detrusor contraction may cause urinary urge incontinence ( bladder instability). Therefore, laxity* in the vaginal tissue or its supporting ligaments may, for different reasons cause symptoms of stress incontinence, urge incontinence, or of defective opening. Based on the evidence presented here and in previous studies (1), a new anatomical classification of female urinary incontinence can be made, consisting of six specific anatomical defects. Characteristic clinical, morphological and urodynamic changes which help to diagnose a particular defect are identified, as is the modifying effect of age, hormones, and iatrogenically induced scar tissue. Three separate closure mechanisms are described, urethral, bladder neck, and a separate voluntary mechanism. * excessive tightness of these structures may also cause dysfunction of the opening/closure mechanisms in the patient who has been already subjected to surgical interference.

The global burden of urinary bladder cancer.

Abstract: Statistics on the incidence of bladder cancer are particularly hard to interpret, because of changing classification, variations in counting of multiple cancers in the same individual and, most importantly, the variable inclusion of non-invasive cancers in different data sets. Mortality statistics are almost certainly more comparable, but as indirect estimators of disease risk, require some cautious interpretation, because of differing survival between populations, and over time. Cancer of the bladder is estimated to be the ninth most common cause of cancer worldwide (357000 cases in 2002) and the 13th most numerous cause of death from cancer (145000 deaths). Rates in males are three to four times those in females. Incidence rates are high in many southern and eastern European countries, in parts of Africa and the Middle East, and in North America. The highest estimated mortality is in Egypt, where rates are more than three times greater than the highest rates in Europe and eight times those in the USA. I...