Publications by authors named "Jean Rouffilange"
In the era of robotic prostate surgery, various techniques have been developed to improve functional outcomes. Urinary continence has shown satisfactory results, but the preservation of lateral nerves to the periprostatic capsule is only achievable by sparing the pubovesical complex. This study aims to present the first cases of lateral-approach robot-assisted radical prostatectomy (LRRP) performed by a novice surgeon.
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- The study investigates the effectiveness of robot-assisted pudendal nerve release (RPNR) for treating chronic pelvic pain due to pudendal nerve entrapment (PNE) in 32 patients from January 2016 to July 2021.
- The surgical technique involves identifying specific anatomical landmarks and progressively dissecting tissue to relieve pressure on the pudendal nerve.
- Results show significant pain reduction at 3 and 6 months post-surgery, suggesting that timely intervention can improve outcomes, with a median symptom duration of 7 years prior to surgery and minimal complications.*
Introduction: High-resolution micro-ultrasound has the capability of imaging prostate cancer based on detecting alterations in ductal anatomy, analogous to multiparametric magnetic resonance imaging (mpMRI). This technology has the potential advantages of relatively low cost, simplicity, and accessibility compared to mpMRI. This multicenter, prospective registry aims to compare the sensitivity, specificity, negative predictive value (NPV), and positive predictive value (PPV) of mpMRI with high-resolution micro-ultrasound imaging for the detection of clinically significant prostate cancer.
View Article and Find Full Text PDFTo date, kidney transplant recipients have always undergone open surgery. The type and length of the wound vary, but most commonly, a modified Gibson's incision is made in the lower abdomen for the transplantation. Risk factors for wound complications are well defined in general surgery literature.
View Article and Find Full Text PDFThis is a report of a laparoscopic double mesh sacrocolpopexy performed in the setting of a 73-year-old woman carrying a grafted kidney. The patient had a vaginal prolapse of the anterior and posterior floor without urinary incontinence. Despite immunosuppression due to anti-rejection treatments and the presence of kidney transplant in left iliac fossa, laparoscopic intervention with the introduction of prosthetic material was conducted.
View Article and Find Full Text PDFA 47-year-old man was admitted for preventive embolisation of a 10 cm angiomyolipoma (AML) of the right kidney. Three weeks after embolisation, he was readmitted at the emergency unit for a right renal colic. The CT scan confirmed the obstruction of the right ureter due to the presence of fatty tissue into the lumen.
View Article and Find Full Text PDFBackground: The purpose of this study was to evaluate morbidity, functional, and oncological outcomes after NSS in renal tumors > 7 cm.
Materials And Methods: We retrospectively analyzed data from 168 patients with tumors > 7 cm who were treated using NSS between 1998 and 2012.
Results: Imperative and elective indications accounted for 76 (45.