["Meatoskenectomy" with perineal urethrostomy: treatment of recurrent cystitis in women].

Objective: To study the results of an original surgical technique for the treatment of recurrent acute cystitis in women: "meatos-kenectomy" or terminal periurethral adenectomy with meatectomy completed by perineal urethrostomy.

Patients And Method: Retrospective review of the medical files of 102 patients operated according to this technique for recurrent urinary tract infections between January 1991 and March 1995. The annual infection rate was: 1 to 4 episodes for 5 patients, 5 to 11 episodes for 69 patients and 12 or more episodes for 28 patients: 24 patients had presented at least one episode of acute pyelonephritis.

[Pseudotumor eosinophilic cystitis with very acute course. Report of a case].

The authors report a case of eosinophilic cystitis with a very acute course after partial cystectomy, requiring semi-urgent total cystoprostatectomy with ileal bladder replacement. The patient is completely asymptomatic ten years after the operation. This case can be classified with the pseudoneoplastic forms of interstitial cystitis occurring in patients with a history of urological surgery.

[Preperitoneal trans-ileal cutaneous ureterostomy. Apropos of 46 cases].

A technic of preperitoneal trans-ileal cutaneous ureterostomy, first described by Archimbaud in 1979, was used to treat 46 patients. Results are compared with those of a series of 12 cases reported by Bricker. Postoperative mortality was relatively high (8/46) particularly as the diagnosis in most cases (39/46) was a cancer and not a neurologic bladder.

Thoracic duct drainage and antilymphocyte globulin for renal transplantation in man.

Thoracic duct drainage resulting in a lymphocyte depletion of more than 20 x 10(9) cells was performed during the three months prior to transplantation in 37 patients. Results obtained in this group of patients were compared to those in transplant recipients similarly treated, over the same period, but not subjected to thoracic duct drainage. Both groups received comparable doses of antilymphocyte globulins, azathioprine and corticosteroids.

Histological and hormonal testicular changes in spinal cord patients.

Hormonal dosages and testicular biopsy are discussed in paraplegic patients of several neurological levels. There are no absolute biological criteria but histology showed slowing of spermatogenesis.

[Impaired statics of bladder and urethra in some lower motor neurobladders and its treatment by colocystopexia (author's transl)].

In spite of sphincter paralysis, the peripheric moto-neurone lesions induces bladder retention. Secondary retention forces fail to open the bladder neck owing to detrusor flaccidity. Long-dated, abdominal straining increases this static dysfunction by inducing posterior bladder prolapsus upon a flaccid perineum.

Differential diagnosis and limitations of external sphincterotomy.

A study of 1000 neurologic bladders has shown us that a well-balanced working of the bladder must be keenly searched for, and that sphincterotomy must be early indicated, and even performed several times if necessary. So 100 sphincterotomies performed on male patients, out of 730 cases, have shown us that their one-and-only risk, incontinence, depended chiefly of the condition of the detrusor, therefore on the short or long evolution of the sclerosis of the external sphincter, which is only one out of all the possible impediments.

Pathology of the striated urethral sphincter in spinal cord injury patients: indications and results of external sphincterotomy (100 cases).

Up to date, we have carried out 100 external sphincterotomies, of which 65 only concerned traumatic spinal cord injuries.