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Conservative treatment of ureteral stenoses has been possible since the evolution in materials and methods available. We report our experience in 49 cases of ureteral stenoses (1 case with bilateral lesion). The etiology was as follows: 3 cases of tuberculous strictures, 10 late complications of endourological treatment of ureteral stones, 16 stenoses of ureteroenteric anastomoses or bladder reimplantation, 16 after radical pelvic surgery, 5 after external beam radiation therapy. Forty-two cases were treated with balloon dilation or by means of a coaxial dilator; in 7 cases a cold-knife treatment was performed. All patients had a ureteral stent for 40 days. The results were evaluated by IVP, sonography and DTPA renal scan, 6 to 20 months after stent removal. Overall success rate was 56%: it was lower than the 100% rate obtained in a 13 patients group surgically treated. In selected cases of ureteral stenoses, endourological approach should be the first choice treatment because of low morbidity and reduced hospitalization time.

The correlation between coronary arteriograms, E.C.G. and clinical data of two thousand patients was studied. In those suffering from angina on effort there was a significant correlation between the intensity and frequency of the anginal pain and the extension of the lesion in one, two or in all three main coronary arteries. In those suffering from angina at rest only one of the coronaires was usually affected. The greatest degree of lesions was found in patients with prolonged and spontaneous crises of anginal pain. In those patients suffering from progressive angina and intermediate coronary syndrome the lesions were spread totwo or all three coronaries. E.C.G. abnormalities were always correlated with significant lesions of the coronary vessels while normal or "atypical" E.C.G. were usually correlated with only slight lesions in these vessels or with normal vessels. In a few cases however angina and myocardial infarction were present in spite of apparently normal coronaries. The reason for this discrepancy is still under investigation: myocardial metabolism and coronary flow abnormalities could in part explain these finding.