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The information given by urodynamic investigations has been of practical value in clinical practice and we feel that the time and money spent has been worthwhile. The results are particularly useful in patients with neuropathic bladders, women with stress incontinence in whom detrusor instability is also suspected, young men with 'obstructive' symptoms and in men with post-prostatectomy problems. Its value in the large group of women with frequency, urgency and nocturia is debatable given our present lack of satisfactory treatment for these patients. Generous grants from the East Anglian Regional Hospital Authority and the Norfolk and Norwich Institute for Medical Education enabled the Department of Urology to purchase the equipment. We should also like to thank Mr G. Carvell of the Physics Department, Norfolk and Norwich Hospital for his invaluable help in commissioning the equipment and to Ms S. Green, Ms J. Birch and Miss F. Holdgate for their secretarial work. [ABSTRACT FROM AUTHOR]

Random bone marrow biopsies were examined in 28 patients with proven carcinoma of the prostate. In 6 cases (28-5%) bony metastases were demonstrated and in 2 of these X-ray skeletal surveys were negative. It is suggested that bone marrow biopsy should be done in the staging of carcinoma of the prostate when other investigations are negative, especially when an occult primary is suspected, when radical treatment is contemplated and in clinical trials.