[Palliative care in rural areas- it's possible!].

Many rural areas, far from hospitals, are seeing a decline in the number of general practitioners, making it more difficult for patients in these regions to access care. However, there are relevant solutions, as illustrated by the Dousopal network in Normandy, which, teaming up with home care providers, contributes to organising palliative care support for all, in optimal conditions.

[Tuna: clinical retrospective study addressing mid-term outcomes].

Purpose: To estimate the efficiency and morbidity of the radiofrequency (Tuna) for treatment of symptomatic benign prostatic hyperplasia (BPH) in patients with medical treatment failure.

Material And Methods: Between September 2003 and July 2007, 31 patients, mean age 59,5 years (50-76), were treated for BPH with Tuna. Patients had initially received medical treatment, which happened to fail and Tuna was offered as surgical treatment.

[Anastomosis of ectopic trifid ureter into the prostatic urethra with ureteropelvic reflux].

Trifid ureter is a rare malformation with less than one hundred cases reported in the literature. However, like ectopic ureter, it is often asymptomatic and its real incidence is uncertain. The authors report a unique case of ectopic ureter draining into the prostatic urethra associated with trifid ureter, discovered during adulthood in a context of symptomatic ureteropelvic reflux.

[Bilateral renal metanephric adenoma].

The authors report a case of bilateral renal metanephric adenoma in a 51-year-old patient, discovered during assessment of hypertension associated with microscopic haematuria. The left tumour was 60 mm in diameter and protruded into the renal pelvis. The right tumour was 11 mm in diameter and was situated in the external cortex.

[Effect of bicalutamide 150 mg, after 3 years of median follow-up, in non-metastatic prostatic cancer].

Objective: To determine the efficacy and safety of bicalutamide, at the dose of 150 mg per day, as first-line monotherapy or as curative adjuvant therapy in patients with non-metastatic prostate cancer, and to investigate the possibility of a greater benefit for certain patient subgroups.

Material And Methods: This article recalls the preliminary results of an international endocrine therapy programme comprising three double-blind placebo-controlled clinical trials in patients with non-metastatic prostate cancer (T1-T4. Nx/N0/N1, M0).

[E coli spondylitis after ureteroscopy for lithiasis].

The authors report a rare complication of ureteroscopy for stones of the lumbar ureter: Escherichia coli spondylitis.

Implantation of anterior sacral root stimulators combined with posterior sacral rhizotomy in spinal injury patients.

Brindley-Finetech sacral anterior root stimulators combined with posterior sacral rhizotomy were implanted in 68 males and 28 females with spinal cord lesions. In 9 patients the electrodes were implanted extradurally in the sacrum, and in 90 patients they were implanted intradurally (3 patients had a second extradural implant after a first intradural implant). Three patients died from causes unrelated to the implant.

[Electrostimulation of nerve roots in neurogenic bladder].

Thirty per cent of the patients with spinal injuries present chronical urinary problems. For these, G.S.

[Electrostimulation of anterior sacral nerve roots in the treatment of central neurogenic bladders. G.S. Brindley's technique. Results of the 40 first French cases].

The results of the first 40 cases who underwent implantation of a sacral anterior root stimulator (G.S. Brindley) in France are reported.

Adjuvant drug therapy: a review of 30 cases of sacral anterior root stimulator.

Implantation of a sacral anterior root stimulator in spinal cord injured patients must achieve two main goals to maintain a vesicosphincteral balance: complete bladder voiding and correct continence. During the postoperative period, difficulties may arise or persist with either an incontinence due to an insufficient deafferentation with bladder hyperreflexia or an incomplete voiding because of an insufficient contraction of detrusor and/or too high urethral resistances (vesicosphincteral dyssynergia). A third of our patients required specific therapies after implantation to promote interstimulation continence and complete bladder voiding.

Evolution of bladder contraction in course of time after implantation of a sacral anterior root stimulator.

We reviewed bladder contraction evolution after sacral anterior root stimulator implantation in thirty patients operated on from 1984 to 1991. Two patients underwent a complete denervation with a reinnervation within a maximal time of seventeen months. One patient underwent a lesion, like a neuropraxia with a complete recovery at four months.

[Electrostimulation of anterior sacral nerve roots in spinal cord injury patients (evaluation of the 1st 25 cases)].

The authors analyse the first 25 patients with spinal cord injuries treated by G. Brindley's technique based on section of the posterior sacral nerve roots to control detrusor hyperexcitability and electrostimulation of the anterior sacral nerve roots to ensure bladder emptying and to facilitate erection and defecation. The indications for this technique are essentially unstable bladders with incontinence and certain hypoactive bladders.

[Electrostimulation of the anterior sacral nerve roots. An International Congress--Le Mans--24-25 November 1989].

Electrostimulation of the anterior sacral nerve roots in patients with spinal injuries according to the technique described by G. S. Brindley was the subject of an International conference held in Le Mans on 24th and 25th November, 1989.

Extradural implantation of sacral anterior root stimulators.

A technique for extradural deafferentation of the S2 to S5 segments and extradural implantation of stimulating electrodes is described, and its application to twelve patients with spinal cord lesions is reported. Nine patients use their implants for micturition, and seven are fully continent. The advantages and disadvantages of this technique compared with the more usual intrathecal procedure are discussed.

Total androgen blockade with Zoladex plus flutamide vs. Zoladex alone in advanced prostatic carcinoma: interim report of a multicenter, double-blind, placebo-controlled study.

A double-blind, placebo-controlled, randomized, multicenter study was undertaken to investigate the effects of Zoladex plus flutamide vs. Zoladex plus placebo in patients with advanced prostatic cancer. Interim analysis has revealed no differences between the 2 groups in objective or subjective responses at 6 months' follow-up or in overall survival and time to disease progression at 15 months' follow-up.

Zoladex as primary therapy in advanced prostatic cancer. A French cooperative trial.

From April 1984 to May 1986, 129 patients with prostate cancer entered a prospective trial with a new LH-RH agonist, Zoladex. Mean age was 72 years (range of 45-94 years) and, in most cases, patients had metastatic disease, not previously treated by chemotherapy or hormone therapy. Patients received a monthly injection of 3.

[Choice of a technic in the treatment of primary vesico-renal reflux in the adult].

This article compares five techniques for the surgical management of primary vesicorenal reflux in adults, with reference thirty six cases. The techniques used were Bischoff (8), Lich-Gregoir (6), Politano-Leadbetter (8), Glenn-Anderson (10) and Cohen (4). Surgery provided good results in 30 cases and poor results in six.

[Colonic changes in perinephritis. Value of double contrast examinations (author's transl)].

The differential diagnosis of cancer and abscesses of the kidneys with perinephritic inflammatory masses is sometimes difficult. In these cases, radiological examination of the colon can be of great value by demonstrating the presence of inflammatory colonic perivisceritis. Double contrast examination can reveal the presence, not only of an inflammatory type of narrowing, but characteristic changes in the mucous folds of the transverse "in palisade" type with thickening extending throughout the circumference of the colon.