Publications by authors named "Bardet F"
Article Synopsis
- The study investigates gender discrimination and pregnancy barriers faced by female urology residents and fellows in France.
- A national online survey showed that 39% of female respondents felt their gender hindered career advancement, and many perceived a lack of respect compared to male counterparts.
- The results highlight significant challenges, with 25% of women feeling unable to pursue pregnancy during training and 9% receiving threats about their fellowship status if they became pregnant.
Article Synopsis
- Chemotherapy with carboplatin and etoposide (CE) is often used for metastatic prostate cancer, but the actual benefits are not well documented in recent studies.
- A study analyzed the effects of CE on 69 patients, showing limited efficacy, especially in heavily pretreated adenocarcinoma patients, with a PSA response in only 15.8% of cases and differing survival rates based on neuroendocrine marker status.
- The findings suggest that combining different types of metastatic prostate cancer for treatment evaluation may not be appropriate, as CE chemotherapy appears to have a poor risk-benefit balance, marked by high toxicity and low response rates in heavily treated patients.
Purpose: Cut-off time to avoid orchiectomy relies on small series of patients. The objective was to determine the cut-off time to avoid orchiectomy in torsion of the spermatic cord in a large cohort.
Methods: We performed a retrospective multicenter study (TORSAFUF cohort) of patients with suspected spermatic cord torsion between 2005 and 2019.
Background: The purpose of our study was to assess preoperative clinical biological and Magnetic Resonance Imaging (MRI) predictive factors of early biochemical failure (BF), defined as persistence of significant post-operative plasmatic prostate specific antigen (PSA) level after radical prostatectomy (RP) in patients with localized prostate cancer (PCa).
Methods: In a retrospective cohort study we included 142 patients from our university hospital with newly diagnosed PCa, who underwent 3T multiparametric MRI prior to RP. Only the MRI target lesions [Prostate Imaging Reporting and Data System (PIRADS) ≥3] with histological correspondence were considered significant.
Introduction: Restaging transurethral resection (re-TUR) of high grade T1 bladder cancer (HGT1-BC) is recommended but the impact in terms of recurrence-free survival (RFS) and progression-free survival (PFS) is discussed. The objective of this study was to evaluate our practice of re-TUR for these tumors and its impact on overall survival (OS), RFS and PFS.
Materials And Methods: A retrospective observational study was conducted between 2010 and 2020.
Background: To assess whether data from pre-therapeutic multiparametric magnetic resonance imaging (mpMRI) combined with three-dimensional magnetic resonance spectroscopy (3D MRS) provide prognostic factors of biochemical relapse in patients with localized prostate cancer treated by external radiotherapy or brachytherapy.
Methods: In our single institution observational retrospective study we included a cohort of 230 patients treated by external radiotherapy or brachytherapy who had an initial mpMRI with 3D MRS from January 2008 to December 2015 for newly diagnosed localized prostatic cancer, proven histologically. Three trained radiologists recorded tumor characteristics, MRI T-stage and metabolic abnormalities from 3D MRS data.
Introduction: In 2018, the French High Authority of Health (HAS) included a "time-out" phase in the latest version of the checklist for the operating room in order to improve the safety of operated patients. The aim of this study is to evaluate the practice of French urologists concerning the check list (CL) of the operating room.
Material And Methods: A survey of 30 items was developed by the committee of accreditation of the French Association of Urology (AFU) and other contributors.
Acute scrotal pain (ASP) requiring surgical exploration is common in the pediatric population, but little has been reported on this subject with regard to the adult population. The aim of this study was to investigate the demographic and clinical characteristics and outcomes of scrotal explorations performed on adult patients. Patients over 21 years of age who underwent surgical exploration for ASP with suspected testicular torsion (TT) at 14 French hospitals between January 2005 and December 2019 were included in this study.
View Article and Find Full Text PDFContext: Surgical activity contributes to global warming though the production of greenhouse gases and consumption of resources. To date, no clinical practice guidelines have been made to promote and implement climate-smart actions.
Objective: To perform a systematic review of the available actions that could limit CO emission in the operating room (OR) and their potential benefits upon the environment, whilst preserving quality of care.
Backgrounds: Spermatic cord torsion is a frequent urological emergency that mostly concerns teenagers and young adults. This study aimed to determine the clinical and surgical characteristics of young adults who had scrotal exploration for suspected spermatic cord torsion and to identify clinical risk factors associated with needless scrotal exploration.
Methods: We retrospectively collected national data from patients aged 12years and older who underwent a surgical exploration for suspicion of torsion of the spermatic cord between 2005 and 2019 in 17 hospitals.
Objective: To evaluate the educational impact of a pilot MOOC (Massive Open Online Course), validated by the French College of Urology Teachers (FCUT), on the surgical technique of kidney transplantation.
Materials And Methods: We developed a MOOC on the surgical technique of kidney transplantation, based on a video of a surgical procedure, performed by an expert surgeon. The MOOC has been validated by the FCUT.
Background And Objectives: The prognosis of patients undergoing kidney tumor resection or kidney donation is linked to many histologic criteria. These criteria notably include glomerular density, glomerular volume, vascular luminal stenosis, and severity of interstitial fibrosis/tubular atrophy. Automated measurements through a deep-learning approach could save time and provide more precise data.
View Article and Find Full Text PDFPurpose: We evaluate the safety of immediate contralateral orchiopexy (ICLO) at the time of scrotal exploration for testicular torsion suspicion.
Materials And Methods: Patient data were retrieved from the TORSAFUF cohort project, which is a multicenter national study conducted at 14 academic French hospitals between 2005 and 2019. Each patient who underwent surgical exploration for testicular torsion suspicion was included.
Background: The limitations of the assessment of tumor aggressiveness by Prostate Imaging Reporting and Data System (PI-RADS) and biopsies suggest that the diagnostic algorithm could be improved by quantitative measurements in some chosen indications. We assessed the tumor high-risk predictive performance of 3.0 Tesla (3.
View Article and Find Full Text PDFObjective: The main objective was to evaluate the complications of continuous urinary shunts in a French university hospital according to surgical technique and functional results especially on continence. The secondary objective was to evaluate the management of complications.
Methods: A retrospective study was conducted between January 2008 and August 2017.
Introduction: The objective was to evaluate, by self-questionnaire, the feeling of participants in surgical training sessions on a live porcine model.
Methods: A computerized questionnaire (GoogleForm ©) was sent to the members of the French Association of Urologists-in-Training (AFUF) (fellows and residents). Only questionnaires from Urologists-in-training who had participated in surgical training sessions were included.
Purpose: The emergence of new communication media such as digital contents are progressively replacing more traditional medias in the field of educational programs. Our purpose was to assess urologist in training aspirations regarding urological education.
Methods: Members of a national urologist in training association were sent an anonymous online questionnaire regarding their medical formation in the field of urology.
Background: Use of Doppler ultrasonography (DUS) for patients with suspected testicular torsion (TT) is highly controversial and remains debated, as it can delay surgery and its performance may vary.
Objective: To assess the role, impact, safety, and performance of DUS in the management of patients with suspected TT before scrotal exploration.
Design, Setting, And Participants: The TORSAFUF cohort retrospectively included patients older than 12 yr who underwent surgery for suspected TT in 14 academic hospitals between 2005 and 2019.
Introduction: The COVID-19 outbreak in France is disturbing our health system. Urologists in training who are already known to have burnout, are in the front line to face this disease. The aim of our study was to assess the psychological impact of COVID-19 pandemic on young French urologists in training.
View Article and Find Full Text PDFPurpose: The goal of our study was to describe general practitioner's (GP) practice regarding prostate cancer screening, the prescribing of prostate MRI and to investigate the factors associated with the prescribing of prostate MRI (pMRI).
Methods: A survey was addressed to 1127 GP of the "Bourgogne-Franche Comté" region before the new CCAFU's guidelines publication.
Results: 93 practitioners responded, giving a response rate of 8.
Article Synopsis
- The mid-urethral sling (MUS) is the most common surgical treatment for stress urinary incontinence (SUI), but complications like bladder or urethral sling exposure can occur, requiring surgical management.
- A study on 18 women revealed various cases of sling exposure, classified by severity, confirmed through flexible urethro-cystoscopy, and treated with surgical removal of eroded materials.
- After follow-up, 17 out of 18 patients showed no sling exposure, and many reported improved urologic comfort, with some requiring multiple surgical procedures to address complications.