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Patients using stoma appliances after a total cystectomy undergo a considerable psychological shock. The creation of groups of ostomates helps in the dissemination of information concerning the use of stomal appliances and in the building up of user confidence, thereby facilitating a return to a normal everyday life. Our main aim is to organize regular meetings of stoma appliance users, with frequent visits from former cystectomy patients. The usefulness of these clubs has been amply demonstrated by the introduction of the training of enterostomal therapists, the collaboration offered by the appliance manufacturers and the interest manifested by surgeons and urologists.

Due to the poor results obtained in the treatment of Peyronie's disease by ionophoresis and ultrasound, using the classical buffer solution of the cortisone thiomucase type, the authors have experimented ionophoresis with a new product: orgoteine a dismutase superoxide. Austrian authors have already demonstrated the value of this product. Its mechanism of action is still uncertain but it has an experimentally well demonstrated antiinflammatory activity. The good results are obvious not only on the pain, but also on the induration and incurvation, permitting the resumption of sexual intercourse in more than 75% of cases.

Bladder replacement enterocystoplasty in the treatment of bladder tumors provides the patient with maximum mictional comfort, and better protection of the kidneys than in the case of cutaneous urinary diversion. The remote carcinological results are satisfactory at over 60% nowadays at three years, against only 20%, seventeen years ago. The functional impact on continence is very good during the day but not yet satisfactory at night, but a sometimes lengthy re-education can help. The result on the upper urinary tract is still the delicate point in this technique, with the hope of an attenuation of the renal insufficiency thanks to the setting up of an antireflux process. However, the indications for this brilliant technique may be limited by the extension of the tumor and the fragility of the diasthesis.