Ileal low-pressure bladder replacement: Camey type II. Stapling technique and preliminary results (57 cases, 1987-1989).

In keeping with the basic principles of Camey's procedure and with a view to improve continence, we decided in 1987 to experiment with the technique of ileal low-pressure bladder replacement (Camey II). We introduced the stapling technique in order to save time and to obtain watertight, reliable sutures. 57 patients underwent a Camey II intervention following radical cystectomy.

[Rigid ureteroscopy and the pulsed laser. Apropos of 325 treated calculi].

A pulsed dye laser (Candela) was used in our lithiasis treatment center during the period 02/88-09/89 to remove 325 calculi in 278 patients, requiring 285 endoscopic instrumentations. The pulsed laser allowed to obtain fragmentation of 318 calculi, 238 of which were reduced to thin sand and 80 to coarser fragments. The latter were either cleared using a Dormia probe or further disintegrated by electrohydrolytic shock wave treatment or extracorporeal shock wave lithotripsy (ESWL).

Pulsed dye laser in the treatment of 325 calculi of the urinary tract.

The pulsed dye laser (Candela) has been used from February 1988 to September 1989 in order to treat 325 stones in 278 patients. A total of 285 endoscopies has been performed. The pulsed laser has helped to achieve the fragmentation of 318 stones.

[External radiotherapy after radical prostatectomy for cancer of the prostate, stage C or DI. Preliminary study].

Between february 1985 and february 1988, 45 patients upstaged to stages C or D 1 cancer after radical prostatectomy, were treated by adjuvant radiotherapy with a view to control the risk of local recurrence and distant metastases. Radical prostatectomy has a low morbidity (less than 10%) whereas the radiotherapy morbidity rate is important (40% with 10% severe complications). With an average 33.

[Uretero-ileal anastomosis using the modified Leduc-Camey technic. Surgical technic].

A modified Leduc-Camey technic for uretero-ileal anastomosis was used in 96 patients over a period of one year, complications related to this type of anastomosis, and requiring recovery surgery, being noted in 2 cases. When compared with more than 300 anastomoses performed using the original Leduc-Camey technic, this modified procedure using absorbable sutures appeared to be simple, effective and very rapid. It is a valid method for Camey type reconstruction bladders and also for Bricker type or Kock's pouch type continent diversion operations.