Male urethral stricture disease is prevalent and has an important impact on quality of life. Direct visual urethrotomy and dilatations have high rates of recurrence.

The aim of this review of literature was to evaluate the success rates of different techniques of urethroplasty for strictures of the bulbar urethra. Key words were: urethroplasty, urethral reconstruction, onlay, graft, urethral stricture. Inclusion criteria were original articles describing the results of urethroplasty for bulbar urethral stricture in an adult male population. A minimum follow-up of 24 months was required. From articles of the literature, 20 are studied in this review.

Only 3 studies were prospective. The success rate of anastomotic urethroplasty varied from Substitution urethroplasty with grafts presented from 75 to The success rate of urethroplasty for bulbar urethral stricture is high; the surgical technique should be adapted to the length of the stricture. Évaluer la qualité de la prise en charge diagnostique et thérapeutique des cancers prostatiques en Midi-Pyrénées en La population étudiée a été tirée au sort parmi les nouveaux cas de cancer de la prostate présentés en Réunion de concertation pluridisciplinaire RCP en La plupart des indicateurs étudiés atteignent un niveau élevé.

Toutefois, le moindre niveau de réalisation des examens complémentaires peut questionner sur leur place réelle, leur accessibilité et leur traçabilité. Assessing the quality of the clinical management of prostate cancer in the Midi-Pyrenean region in The study population was randomly selected among new cases of prostate cancer presented in Multidisciplinary Team Meeting MTM in The indicators defined with the professionals have evaluated the quality of the diagnostic care, when treatment started and at the time of the MTM.

Most of the studied indicators reach a high level. However, the lower level of realization of complementary examinations may question about their real place, accessibility and traceability. Les résections endoscopiques entraînent la combustion de tissus organiques qui pourraient induire la formation de méthémoglobine MetHb et de carboxyhémoglobine COHb. Les moyennes ont été comparées avec des tests de Student.

Des régressions simples ont été utilisées pour les variables quantitatives et des Anova pour les variables qualitatives. Des régressions linéaires multiples ont été utilisées pour les analyses multivariées. Combustion of organic tissues due to endoscopic resection could induce methemoglobin MetHb and carboxyhemoglobin COHb formation. The aim of this study is to evaluate MetHb and COHb formation in patients undergoing prostatic or bladder endoscopic procedures.

A third measurement was done in patients who stayed more than one hour in the recovery room. Means were compared using Student t -test, simple regressions were used for quantitative variables and ANOVA for categorical variables. Multiple linear regressions were used for multivariate analysis.

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COHb increased by 0. MetHb increase was 0. In univariate analysis, the variables associated with COHb increase are the length of surgery, the amount of irrigation fluid and location prostate or bladder of the procedure. In the multivariate model, COHb increase is associated with the amount of liquid and the location. MetHb did not increase during endoscopic surgery. This could be responsible for a decreased angina threshold in patients with ischemic heart disease.

En cas de difficulté par cette voie un abord inguinal reprenant la cicatrice précédente était réalisé. A été considéré bon résultat un testicule en position scrotale sans atrophie ou hypotrophie au contrôle postopératoire.

La voie scrotale seule a permis de traiter tous les patients du groupe 1. Un patient opéré par voie scrotale seule a présenté un hématome postopératoire qui a mené à une atrophie testiculaire secondaire. To report our experience of the unique scrotal incision for the redo étude scientifique maigrir of orchiopexy after previous inguinal surgery or orchiopexy for undescended testis with a special attention regarding the place of the single scrotal approach.

Thirty-six patients operated between January and September in our surgical unit for secondary orchiopexy after previous inguinal surgery or orchiopexy for undescended testis UDT were included in a retrospective study. The secondary surgical procedure was initiated by a scrotal incision Bianchi. In cases of difficulty by the scrotal incision an inguinal approach by the prior skin inguinal incision was performed. Patients were divided in two groups a group 1 of 10 patients with reascending testis following inguinal hernia repair and a group 2 of 26 patients with reascending testis after previous orchiopexy for UDT.

A good result was defined as testis in scrotal position without evidence of atrophy. All the patients of group 1 were treated by a unique scrotal incision. In group 2, seven patients required a complementary inguinal approach. One hematoma complicated a scrotal procedure leading to a testicular atrophy. Single scrotal incision is an efficient and easy way to perform secondary orchiopexy after hernia repair.

After surgery for UDT, as for primary cases, it cannot be an exclusive approach, higher testis need a combined or an inguinal approach. Les données qualitatives binaires étaient analysées en utilisant le rapport des cotes odds ratio et les données quantitatives en estimant la différence des moyennes.

Percutaneous nephrolithotomy PCNL is the gold standard treatment for kidney stones regardless of age. The aim of this meta-analysis was to compare efficacy and complications of this procedure between EP and young patients YP.

Binary qualitative data were analyzed using odds ratio OR and quantitative data by estimating the difference of means. A retrospective two-center study was performed, including patients treated.

Thirty-two patients underwent PN and radical nephrectomy RN for renal cT2 tumors between and The biological and clinical characteristics including perioperative morbidity as well as the survival rate were compared between these 2 groups.

The median age was More cT2b tumors were treated through RN The postoperative decrease in creatinine clearance was higher for the RN group — This difference was no longer significant at last follow-up. Perioperative complications were more frequent in the PN group No difference was found regarding the overall survival. Surgical margins were more frequent in the PN group 9. Cautious patient selection appeared to be required for the indication of PN for large tumors.

Quelle prise en charge pour les méga-uretères primitifs chez les enfants de moins de un an? La question est discutée dans la rupture prothese mammaire sfr 8go et la controverse persiste.

Évaluer les risques et les résultats à long terme des prises en charges médicale et chirurgicale chez les enfants de moins de un an.

Tous les enfants de moins de un an retrouvés ont eu une évaluation incluant un examen clinique, une échographie, une scintigraphie et une cystographie. Le principal enjeu de la prise en charge des MUP est la préservation de la fonction rénale. What is the proper way to manage complicated primary mega-ureter in infants under the age of one.

This has already been discussed in the literature but the controversy remains. Evaluate the long-term results of the management of mega-ureter based support under the age of one.

Single-center retrospective study from to All children under one year found were evaluated including clinical examination, ultrasound, scintigraphy and cystography.

They were divided into two groups: group 1: children operated on before the age of one year, group 2 non-operated or operated children after the age of one year.

We analyzed the long-term evolution of these children on the following criteria: reflux, pyelonephritis, changes in dilation, renal function, need for surgical revision or secondary surgery, and impact on bladder function. In total, 54 patients were included in group 1 and 56 patients in group 2. The main challenge of the MUP of management is the preservation of renal function.

Clinical monitoring, regular ultrasound and isotopic testing are necessary and should be extended to adulthood. Dear editors, Renal transplantation from living donors is now a common surgical procedure due to the shortage in deceased donors and the improvements in graft survival.

Laparoscopic kidney removal is the current gold standard. Morcellation of intravesical adenoma MIA is an important part of the endoscopic enucleation procedure. The aim of this study was to analyse the learning curve of the MIA during endoscopic enucleation of the prostate.

We conducted a prospective study of the first 90 patients treated by endoscopic enucleation of the prostate by a single surgeon without previous experience of MIA. The population was divided into 3 consecutive groups of 30 patients. The criteria selected to assess the progress of MIA over time were: duration of MIA minthe intraoperative complications encountered during MIA and weight morcelleted tissue.

The three groups were comparable in terms of age, ASA score of prostate volume. A significant decrease in the duration of MIA was found between groups 1 and 2 12 versus 5.

A significant increase in the efficiency of MIA was found between group 1 and 2 5. Bladder injuries were limited 7. In our experience, the MIA required a learning curve estimated between 30 and 60 procedures. Dans notre revue, la solifénacine et la toxine botulique A étaient les traitements les plus coûts-utiles. To provide an overview of the urological management of spinal cord injured patients based on an economic analysis.

A literature search from January to December was performed using Medline and Embase database using the following keywords: cost-effectiveness; cost-benefit; cost-utility; spinal cord injury; neurogenic bladder; botox capilar zap 500g catheterization; antimuscarinics; botulinum toxin; sacral neuromodulation; tibial nerve; Brindley; sphincterotomy.

Solifenacin and botulinum toxin A appears to be the most cost-effective treatments for spinal injured urological cares.

Swift, B. Berghmans et al. Deffieux, K. Hubeaux, and G. AmarencoIncontinence urinaire?? Cour, L. Normand, L. Lapray, J. Hermieu, J. Peyrat et al. Sajadi, D. Lin, J. Steward, B. Balog, C. Dissaranan et al. Kobata, M. Baracat, M. Kajikawa, D. Bella et al. Amarenco and A. ChantraineLes fonctions sphinctériennes CourIncontinence urinaire féminine non neurologique: physiopathologie, diagnostic et principes du traitementEMC-Urol.

Digesu, V. Khullar, L. Cardozo, and S. Kerdraon and G. KarsentyPhysiopathologie de l'hyperactivité vésicale. Pelvi-Périnéologiepp. Kerdraon and L.

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SiproudhisPathophysiology of bladder overactivityLa Lettre de m?? Brothier, A. Guinet, and M. JousseDémarche devant une incontinence urinaire chez la femmeRev Pratvol. Saussine and. L-'incontinence-urinaire-chez-la-femmeL??? Vallée, J. Charpentier, L. Noc, and Y. Peyrat, O. Haillot, F. Bruyère, J. Boutin, P. Bertrand et al. Legendre, V. Ringa, H. Panjo, M. Zins, and X.

Supplpp. Sykes, R. Castro, E. Pons, M. Hampel, C. Hunskaar et al. Hannestad, G. Rortveit, A. Daltveit, and S. HunskaarAre smoking and other lifestyle factors associated with female urinary incontinence? FritelDu mode d??? Berecki-gisolf, N. Begum, and A. DobsonSymptoms reported by women in midlifeMenopausevol. Hannestad, R. Lie, G. Rortveit, and S. HunskaarFamilial risk of urinary incontinence in women: population based cross sectional studyBMJvol.

Jean-baptiste and J. HermieuFuites urinaires et sport chez la femmeProgr?? Hermieu, S. Conquy, B. Leriche, P. Debodinance, E. Delorme et al. Lucas, D. Bedretdinova, L. Berghmans, J. Bosch, F. Burkhard et al. European Association of Urologyp. Capon, R. Caremel, M. Les injections étaient réalisées en utilisant un cystoscope, sans anesthésie et en épargnant le trigone. Les patients étaient suivis pendant 24 semaines.

Parmi les patients, 11 étaient atteints de SEP. Tous les patients avaient reçu une injection de UI de toxine botulique dans le muscle détrusorien. EnSchulte-Baukloh et al. Les UI étaient dilués dans 20 mL de solution saline. Une dose de 50 à UI était administrée dans le sphincter. Les patients étaient suivis à 4 semaines, à 3 et à 6 mois après le traitement.

EnKalsi et al. Tous les patients ont eu un bilan urodynamique et clinique avant le traitement et à 4 ut perdre du poids xls à 16 semaines après le traitement.

Par la suite, en cas de réapparition de symptômes, les patients pouvaient demander un deuxième traitement. De telles améliorations étaient encore présentes lors du suivi à 16 semaines. EnGame et al. Les auteurs ont constaté que les patients dont les résultats étaient décevants avaient une plus longue durée de maladie que ceux des deux autres groupes. Enpar exemple, Herschorn et al. Les premiers résultats publiés par Cruz et al. Dans la deuxième partie, 12 semaines minimum après le premier traitement, les patients pouvaient demander une réinjection.

Il y avait également une amélioration significative par rapport à tous les paramètres urodynamiques et par comparaison avec le placebo dans les deux groupes de traitement actif et sans différence significative entre ceux-ci.

Cette étude a également confirmé les résultats de Schurch et al. Cette affirmation a été justifiée par Schurch et al. Dans deux études, Kalsi et al. Des patients, 99 sont revenus pour le deuxième traitement, et 47, 25, 14 et 5 sont revenus pour les traitements 3 à 6. Les résultats font ressortir une amélioration significative des deux scores après chaque traitement.

Des évaluations ont été effectuées à 1, à 2 et à 3 mois après le traitement. Herschorn et al. Dans une série de cas, Mouttalib et al. À partir de telles données et de leur expérience, ils ont préconisé une prophylaxie antibiotique après la procédure.

De manière similaire, Khan et al. De manière tout aussi similaire, Ginsberg et al. En dernier lieu et en vue de diminuer le risque de rétention urinaire, Mehnert et al.

Le but consistait à évaluer si oui ou non cette dose suffisait pour contrôler les symptômes et éviter la rétention urinaire. Brigitte Schurch has received research grants and speech honoraria from Allergan, Astellas and Pfizer.

Français Español Italiano. Previous Article Therapeutic strategies of urinary disorders in MS. Practice and algorithms P. Denys, V. Phe, A. Even, E. Journal page Archives Sommaire.

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Schurch, S. Outline Masquer le plan. Studies evaluating the efficacy of onabotulinumtoxinA in MS. Disclosure of interest.

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