Seminal vesicle invasion: what is the best adjuvant treatment after radical prostatectomy?

Objective: • To evaluate the biochemical-failure free survival according to different adjuvant treatments in patients who underwent radical prostatectomy (RP) with seminal vesicle invasion (SVI).

Patients And Methods: • Between 1994 and 2008, 4090 men underwent RP in nine centres. Of these, 310 men had a SVI.

[Complications of "Acucise" balloon endopyelotomy].

Objectives: Although the results of endopyelotomy for ureteropelvic junction (UPJ) stenosis are well known, our objective was to study the specific complications of treatment of UPJ stenoses by Acucise balloon.

Material And Methods: The specific complications of 50 patients (40 women, 10 men) treated consecutively by Acucise balloon endopyelotomy for UPJ stenosis from January 1994 to February 1999 were reviewed. The mean age was 47 years (range: 19-84 years).

A French national epidemiologic survey on renal cell carcinoma. Oncology Committee of the Association Française d'Urologie.

Background: In this multicenter study, the yearly national evaluation of tumors of the kidney was out by the Oncology Committee of the French Association of Urology.

Methods: During the period from April 1, 1992, to March 31, 1994, 1486 patients from 54 centers were included in this study. For each patient, an individual chart was created, in which age, gender, discovery circumstances of the tumor, radiologic and biologic workup, treatment, TNM classification, and histologic features of the tumor were recorded.

[Laser-assisted endoscopic resection: a new surgical technique for the treatment of benign prostatic hypertrophy. Preliminary results of a study involving 100 patients].

This study was designed to assess the efficiency of 2 kind of laser prostatectomy devices in the treatment of Benign Prostatic Hyperplasia: a non contact technique versus a contact technique versus a contact one. From January 1994 to September 1994, 100 patients were included in a randomized comparison of 2 laser prostatectomy devices with right angle firing laser fibers: a non contact technique with Urolase fiber (Bard) (50 patients) versus a contact technique with Fibertom fiber (Dornier) (50 patients). The Urolase fiber was used at 60 Watts power setting for 60 seconds and administered to each lobe at 2, 4, 8 and 10 o'clock positions.

[Biopsy of the seminal vesicles in the staging of localized cancer of the prostate: technic and results].

Objective: To allow the diagnosis of pathological stage C prostatic cancer before deciding on treatment.

Method: Seminal vesicle biopsy was performed as an outpatient procedure without anaesthesia. An identical antibiotic prophylaxis to that used for prostatic biopsy was performed.

[Prognostic factors of renal adenocarcinoma: study of a series of 233 patients].

Objective: To identify certain prognostic factors of renal cell carcinoma in a retrospective series of 233 patients.

Patients And Methods: 233 patients (162 males and 71 females with a mean age of 60 years) were operated for renal cell carcinoma between January 1980 and December 1991. sith a mean follow-up of 41.

[Urachal adenocarcinoma associated with urothelial tumor of the bladder. Report of a case].

The authors report a rare association of adenocarcinoma of the urachus and urothelial bladder carcinoma. Treatment consisted of cystoprostatectomy with removal of the urachus and cutaneous ureterostomy. A review of the literature indicates that adjuvant treatment has yet to be defined.

[Surgical treatment of iatrogenic stenoses of the ureter. Apropos of 17 cases].

Objective: Assess the surgical treatment of iatrogenic stenosis of the ureter.

Methods: Seventeen cases of iatrogenic stenosis of the ureter operated between 1991 and 1995 were reviewed. There were 10 women and 7 men, mean age 52 years with pelvic (n = 12), iliac (n = 4) and lumbar (n = 1) stenosis.

Results of radical cystectomy and pelvic lymphadenectomy for bladder cancer with pelvic node metastases.

Objectives: To study the results on survival of radical cystectomy and pelvic lymphadenectomy in bladder cancer with pelvic node metastases in a retrospective study.

Patients And Methods: Of 248 patients with transitional cell carcinoma of the bladder treated by cystectomy with pelvic lymphadenectomy from 1970 to 1990, 40 (16%; 37 males, 3 females) had pelvic nodal metastases. Fifteen patients had one positive lymph node (stage pN1) and 25 patients had more than one positive node (stage pN2).

Transplantation of a horseshoe kidney into 2 recipients.

We report the case of a transplantation of a horseshoe kidney to 2 recipients after isthmic section of the kidney. A review of the literature since 1975 mentions only 14 cases of transplantation of a horseshoe kidney. In the absence of a significant urological clinical history of the donor, the presence of a horseshoe kidney, in the case of multiorgan harvesting, does not represent a contraindication for transplantation.

Prognostic value of nuclear grade of renal cell carcinoma.

Background: The authors assessed the interest and the value of Fuhrman's nuclear grade as a possible prognostic factor for renal cell carcinoma (RCC).

Methods: An 11-year retrospective study of 190 patients with RCC treated by radical nephrectomy was performed. The distribution by grade was: Grade I, 54 patients; Grade II, 58; Grade III, 58; and Grade IV, 20.

[The annual national epidemiologic survey of tumors of the kidney (April 1993-March 1994: 970 patients). The Committee of Oncology of the French Society of Urology].

Objective: Annual national epidemiological evaluation of renal tumours by means of a multicentre survey proposed by the oncology committee of the Association Française d'Urologie.

Patients And Methods: From April 1, 1993 to March 31, 1994, 970 patients were recruited by 54 centres. A computer form was completed for each patient, including: the patient's age and sex, modalities of discovery of the tumour, complementary investigations (radiological and laboratory tests) performed, treatment performed, TNM staging, histological characteristics of the tumour.

[An incrusted ureteral stent: use of a Lithoclast. Apropos of a case].

Ureteric stents can be complicated by incrustations, sometimes making it impossible to withdraw or replace the stent over a guide. In this exceptional indication, we report a case in which the use of the Swiss-Lithoclast pneumatic lithotriptor allowed withdrawal of an incrusted double J stent. There was no morbidity related to the use of the Lithoclast.

[Outcome of kidney transplants with multiple arteries].

Objectives: To evaluate the morbidity of multiple artery renal transplants (> 1 artery) and to assess the value of this parameter as a risk factor for complications of renal transplantation in adults.

Methods: 140 renal transplants derived from brain dead donors with multiple arteries (2 arteries = 123, 3 arteries = 17) were reviewed with a mean follow-up of 3 years (6-120 months). Pedicle restoration was performed in 57 cases (end-to-side reimplantation of a polar artery = 17, composite aortic patch graft = 14, multiple procedures = 10, ligation of a polar artery = 8, arterial wound = 5, "gun barrel" anastomosis of 2 arteries = 4).

[Cystectomy followed by cecocystoplasty: functional and oncologic results. An experience of 101 cases].

From 1979 to 1992, 101 radical cystectomy with caecoplasty were performed by the same operator (MR). Mean age of the patients was 62 years with a sex-ratio: 10 males/1 female. The indications were: Transitional Cell Carcinoma in 89 cases, neurologic bladder in 5 cases, interstitial cystitis in 3 cases tuberculosis bladder in 3 cases and lymphoma in one case.

Prognostic significance of incidental renal cell carcinoma.

From 1980 to 1991, 236 patients with renal cell carcinoma were treated in our department. We studied the characteristics and the prognostic significance of 74 patients with incidental renal cancer in comparison with those with symptomatic tumors. The mean age of the patients was 59.

[Value of radiologic examinations in the diagnosis and staging of upper urinary tract tumors].

From 1980 to 1991, 109 patients were treated for a tumour of the upper urinary tract. All patients were examined by intravenous urography (IVU) which had a sensitivity of 61%. The combination of IVU + RUP established the diagnosis in 72% of cases.

Influence of preoperative positive seminal vesicle biopsy on the staging of prostatic cancer.

A total of 71 patients with clinically localized prostatic cancer underwent preoperative biopsy of each seminal vesicle. Group 1 (67 patients) underwent 2 seminal vesicle biopsies before lymph node dissection and vesiculo-prostatectomy, while group 2 (4 patients) underwent seminal vesicle biopsy and lymph node dissection before radiation therapy. In group 1 there were 11 positive biopsies (16.

[The morbidity of radical prostatectomy using a retropubic approach: a series of 150 cases].

The authors studied the morbidity of retropubic radical prostatectomy in 150 patients operated between December 1983 and March 1993. The perioperative mortality was zero. A rectal injury occurred in 3 cases (2%) and was repaired immediately without colostomy.

[Tumors of the superior urinary tract and associated bladder tumors: clinical and etiological aspects].

In a series of 107 patients treated over an 11-year period for upper urinary tract tumours (UTT), 30 had a synchronous or metachronous associated bladder tumour. The bladder tumour preceded the UTT in 10.3% of cases, the bladder tumour was synchronous in 6.

[Treatment of stage Ta,T1 and Tis bladder tumors using Calmette-Guérin bacillus vaccine].

The authors report a series of 71 patients (sex ratio: 1F/4M, mean age: 68 years) with stage Ta (n = 20), T1a (n = 32), T1b (n = 14) and Tis (n = 5) bladder tumours treated by endoscopic resection followed by a course of intravesical BCG instillation (120 mg/week for 6 weeks). The mean follow-up was 15 months (3-36 months). The overall recurrence rate was 42%.

[Ultrasonographic study of adrenal gland tumors (report of 5 cases)].

The authors study the ultrasound signs of the adrenal gland based on 5 different types of operated adrenal tumours (a lipoma, an adrenal cortical adenoma, a cyst, a corticoadrenaloma, an adrenal metastasis from a renal cell carcinoma). The ultrasonographic morphological criteria of the normal adrenal gland and each type of tumour are recalled and are illustrated by clinical cases. The value of ultrasonography in the investigation of this organ was evaluated in comparison with other imaging techniques.

Urethral stricture in children: treatment by urethroplasty with bladder mucosa graft.

Urethral strictures in children, which are not frequent, often require urethroplasty when dilations and/ or urethrotomies have failed. A bladder mucosa graft was used successfully for urethral reconstruction to treat posterior hypospadias. We describe our experience with a bladder mucosa graft during urethroplasty for acquired urethral strictures in 8 children.

Posterior hypospadias repair: a new technical approach. Mobilization of the urethral plate and duplay urethroplasty.

We describe our experience with a new technique of complete repair of severe posterior hypospadias in one stage. The operative technique includes some innovative points: penile straightening is realized by urethral mobilization (without detaching it from the glans) to excise the chordee, and then urethroplasty according to Duplay and glanuloplasty are performed. We report our preliminary results in 6 patients.

[Surveillance of renal function by scintigraphy with 99m Tc-DMSA after a trans-ileal cutaneous ureterostomy].

The renal function of sixty one adult patients was monitored by 99mTc-DMSA renal scan after cystectomy for a malignant tumour followed by ileal conduit urinary diversion. The postoperative follow-up period was 10 years. The stenosis rate of the uretero-ileal anastomosis was 12.