Study design, materials and methods Between 2011-2013 we have done 30 midurethral slings (TOT) for stress urinary incontinence by self tailored polypropylene mesh. Concomitant surgeries were excluded. Sucess rate was measured in terms of overall urinary incontinence, which required a negative pad test, no urinary incontinence, a negative cough and Valsava stress test, no self reported symptoms, no retreatment for the condition. We have also asseses postoperative urge incontinence, voiding dysfunction, and adverse events

Purpose: To evaluate efficacy and role of emergency extracorporeal shock wave lithotripsy in the treatment of symptomatic ureteral stones. Methods: Retrospective study which was conducted between July 2007 to July 2008 among 112 patients treated with urgent ESWL treatment of 803 patients treated with ESWL treatment at Urology Clinics of Clinical Center University of Sarajevo. Renal colic was diagnosed on a clinical basis, by ultrasound examination, and by plain x-ray of abdomen. The success rate of ESWL was defined by fragmentation and spontaneous elimination after ESWL treatment. Failed was defined as a need for auxiliary procedures. Results: Mean age of patients was 46,6 years (range 22-65). Male/female ratio was 78/34. Mean stone size was 7,90 mm. Fragmentation after a single session was complete in 62 patients, incomplete fragmentation in 29, and absent in 21 patients. Patients presenting with incomplete fragmentation underwent second (n=29) or even third session (n=17). Of the 21 patients where initial ESWL treatment had no impact on the stone, some underwent a second (n=16) or even a third session (n=11) without success. Of these patients, ureteroscopy was performed in 4 cases, three patients had spontaneous passage of the stones, and ureterolithotomy was performed for 4 patients with impacted stones. The DJ stent was placed for 4 patients due to fever and impossibility to manage the patients medically for the persistent pain. Conclusion: ESWL is a safe, effective, noninvasive method in the treatment of ureteral stones. Stone-free rate for stones in the upper and mid-ureter is above 80%. Stone size may be the main predictive factor for re-treatment. Even complete elimination of the stones is very hard to achieve after single ESWL session - real role of the ESWL treatment for the acute urinary obstruction is to provide ureteral canalization and recover renal function.

Urolithiasis is very common disease. Among different urinal system problems, calculosis is on the third place. Bilateral calculosis takes about 10-25%. Huge stones which fill the pyelon have sprayed shape like sea coral (staghorn calculus), they are also known as coral shaped stones. It is noticed that the result of treatment of coral shaped stones depends largely from the kidney stone volume. Making decision about best method of treatment is often very delicate and it is based on evaluation of all individual features of illness. Optimal treatment of the coral shaped lithiasis is still a controversial problem. In our paper we will present a case of complicated urolithiasis, and the treatment with staged solution for urolithiasis.

hematology, immunology, cytology, etc) the and up delivery of The number of completed clinical-laboratory analysis in the shows high rate of growth that annually ranges from 10-17. the disorder of immune regulation which manifested by activation of T and B lymphocytes, production of antibodies, and the formation of immune complex causing to tissues. SLE is a time and to the doctors for more a while being a prototype of autoimmune disease. Kidney function loss is the most serious complication of SLE which represents a threat for long-term survival. Goal: The aim is to show the clinical and labora- tory parameters of lupus nephritis and principle of therapeutic protocol for the treatment of lupus nephritis using aggressive immunosuppressive therapy at the Institute of Nephrology of Clinical Center of the Sarajevo University by monitoring activity of disease. Patients and methods: Randomized retrospective study includes 14 patients with SLE and lupus nephritis that are treated at the Institute of Nephrology of Clinical Center University of Sarajevo in the period from the beginning of 2000 to 2003. Discussion: In our retrospective study, all patients were females with mean age of 34.5±13.5 years. Mean age at the beginning of SLE was 30.5±12.5 years. Most often clinical manifestations observed in patients with SLE are general ones (85.7%) - skeletal muscle (64.3%), skin (78.6%), hematologic (64.3), cardiac and pulmonal (42.9), neurologic (21.4%), thrombosis (35.7%), eye (14.3%) and abortion (7%). Conclusion: Females in reproductive age have SLE and lupus nephritis more frequently , which indicates that hormonal status (estrogen) has important role in illness pathogenesis. Most relevant parameters in evaluation of illness activity are the levels of complement components C3 and C4, level of antidsDNA, activity of urine sediment and proteinuria level. Aggressive immunosuppressive therapy that includes corticosteroids and cyclophosphamide, with control of side effects and its prevention, and duly treatment can lead to improvement of clinical symptoms and improvement of patient life. As long as new therapeutic modalities and more efficient treatment of autoimmune illnesses is not available, the greatest impact on mortality and morbidity can be achieved by monitoring late manifestations and treatment of extracranial manifestations that can lead to kidney function loss.

PURPOSE To present minimally invasive treatment of symptomatic renal cysts and compare treatment efficacy of single-session percutaneous aspiration and sclerotherapy using 96% alcohol versus prolonged percutaneous drainage without sclerosing agents in the treatment of symptomatic non-parasitic renal cysts. METHODS A retrospective-prospective study, was conducted between January 2005 and May 2008, among 68 patients (both sexes) that were diagnosed symptomatic non-parasitic renal cysts and treated in Urology Clinic, Clinical Center University of Sarajevo. RESULTS Initial average volume of cysts did not significantly differ between both groups while final average volume was significantly lower in group of patients treated by prolonged catheter drainage. During three months follow-up, 25 cysts (41%) completely disappeared and could not be detected by ultrasound exam, of which 16 cysts (53,3%) were in the examinees' group with prolonged catheter drainage and 9 cysts (30%) were in examinees' sclerotherapy group using alcohol as sclerosing agent (p=0,244). None of the completely disappeared cysts have had recurrence during follow- up period. Probability of disappearing of cysts was well correlated with volume of the cysts in both groups. Probability was less for the large cysts with initial volume higher than 500 ml. Probability of disappearing of cysts for the group of the prolonged drainage was p=0,0449. CONCLUSION Percutaneous treatment is the first choice treatment of symptomatic renal cysts. Percutaneous treatment of symptomatic cysts is both safe and effective whether we use prolonged catheter drainage or aspiration followed by instillation and 2-hr exposure to 96% alcohol.

Primary retroperitoneal mucinous cystadenocarcinoma is very rare disease. It is very similar to cystadenocarcinoma ovary. Histogenesis of this tumour still remains unknown. In our case report tumour was noticed in left retroperitoneum during routine ultrasound check of stomach in female patient 43 years old. CT studies of kidney, retroperitoneum and pelvis, irigography studies and gynecological examination was done additionally.

Primary retroperitoneal mucinous cystadenocarcinoma is very rare disease. It is very similar to cystadenocarcinoma ovary. Histogenesis of this tumour still remains unknown. In our case report tumour was noticed in left retroperitoneum during routine ultrasound check of stomach in female patient 43 years old. CT studies of kidney, retroperitoneum and pelvis, irigography studies and gynecological examination was done additionally.

Haemangiopericytoma is an uncommon tumour of vascular origin. We report a case of one of the rarer sites of this tumour in man: pelvic paravesical site. We report case of 47 years old man with pelvic hemangiopericytoma and discuss imaging studies and pathohystological findings. Although modern imaging techniques have provided useful information concerning the hypervascular and clearly demarcated appearance of this tumour which displaces but does not invade adjacent organs, its diagnosis can only be established by histology. Its degree of malignancy and its invasive potential are unclear. The risk of local recurrence and metastases in more than one half of cases justifies wide surgical excision, possibly combined with adjuvant radiotherapy, and long-term follow-up. That is to say, that hemangiopericytoma malignum pelvis is the very rare sites of this tumour and till now it is not reported in Bosnia and Herzegovina.