[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).