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Proye P, Gondran-Tellier B, Baboudjian M, Bernhard J, Bensalah K, Bigot P, Mejean A, Doumerc N, Ingels A, Paparel P, Bruyere F, Vaessen C, Olivier J, Nouhaud F, Lebacle C, Tillou X, Durand X, Pignot G, Boissier R. Diagnostic performance of tumor biopsy for the diagnosis of renal tumors in the UroCCR network. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01316-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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2
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Proye P, Gondran-Tellier B, Baboudjian M, Bernhard J, Bensalah K, Bigot P, Mejean A, Doumerc N, Ingels A, Paparel P, Bruyere F, Vaessen C, Olivier J, Nouhaud F, Lebacle C, Tillou X, Durand X, Pignot G, Boissier R. Practice and impact of tumor biopsy on the management of kidney tumors in the UroCCR registry (Ancillary Study n°118). Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01317-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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3
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Irani J, Bart S, Avrillon V, Pogu B, Madec F, Doizi S, Bensalah K, Mathieu R, Phé V, Pignot G, Lebacle C, Legeais D. Les complications en chirurgie urologique. L’urologue acteur de la gestion des risques. Prog Urol 2022; 32:998-1008. [DOI: 10.1016/j.purol.2022.08.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Accepted: 08/11/2022] [Indexed: 11/21/2022]
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4
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Phe V, Pignot G, Legeais D, Bensalah K, Mathieu R, Lebacle C, Madec FX, Doizi S, Irani J. Les complications chirurgicales en urologie adulte : chirurgie du pelvis et du périnée. Prog Urol 2022; 32:977-987. [DOI: 10.1016/j.purol.2022.08.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2022] [Accepted: 08/11/2022] [Indexed: 11/21/2022]
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5
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Mathieu R, Doizi S, Bensalah K, Lebacle C, Legeais D, Madec FX, Phe V, Pignot G, Irani J. Les complications chirurgicales en urologie adulte : chirurgie de la prostate. Prog Urol 2022; 32:953-965. [DOI: 10.1016/j.purol.2022.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2022] [Accepted: 09/05/2022] [Indexed: 11/21/2022]
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6
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Bensalah K, Pignot G, Legeais D, Madec FX, Lebacle C, Doizi S, Phé V, Mathieu R, Irani J. Les complications de la néphrectomie totale et de la néphrectomie partielle : quelles sont-elles, comment les prévenir et les prendre en charge ? Prog Urol 2022; 32:928-939. [DOI: 10.1016/j.purol.2022.09.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 09/08/2022] [Indexed: 11/21/2022]
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7
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Marra G, Agnello M, Giordano A, Peretti F, Soria F, Oderda M, Dariane C, Timsit M, Branchereau J, Hedli O, Mesnard B, Tilki D, Olsburgh J, Kulkarni M, Kasivisvanathan V, Lebacle C, Breda A, Biancone L, Gontero P. Robotic radical prostatectomy for prostate cancer in renal transplant recipients: Results from a multicenter series. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)01312-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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8
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Le Bihan E, Derman J, Salomon L, De La Taille A, Irani J, Lebacle C. Recul à 10 ans des patients opérés pour un cancer de prostate Gleason 6 (ISUP1). Prog Urol 2021; 32:108-114. [DOI: 10.1016/j.purol.2021.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 10/18/2021] [Accepted: 10/21/2021] [Indexed: 11/30/2022]
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9
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Baloche P, Szabla N, Freton L, Hutin M, Ruggiero M, Dominique I, Millet C, Bergerat S, Panayotopoulos P, Betari R, Matillon X, Chebbi A, Caes T, Patard P, Brichart N, Dariane C, Lebacle C, Gondran-Tellier B, Pradere B, Peyronnet B. Y a-t-il un effet centre dans la prise en charge des traumatismes du rein ? Prog Urol 2021. [DOI: 10.1016/j.purol.2021.08.055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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10
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Bentellis I, Mellouki A, Morrone A, Khene Z, Chevallier D, Doumerc N, Rouprêt M, Nouhaud F, Lebacle C, Long J, Shaikh A, Billi M, Pillot P, Tillou X, Bernhard JC, Bensalah K, Tibi B, Durand M, Ahallal Y. Résultats définitifs de essai transfer: étude ancillaire au sein du réseau UROCCR. La transmission de savoir de la génération pionnière a la seconde génération accélère t elle la courbe d’apprentissage des néphrectomies partielles robot assistées (RAPN). Prog Urol 2021. [DOI: 10.1016/j.purol.2021.08.216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Surlemont L, Bernarhd J, Bensalah K, Bigot P, Doumerc N, De la taille A, Rouprêt M, Villers A, Bruyere F, Lebacle C, Lang H, Durand X, Tillou X, Long J, Rouget B, Durand M, Pignot G, Larre S, Cussenot O, Nouhaud F. Impact de l’obésité dans la prise en charge du cancer du rein, étude URO-CCR N°87. Prog Urol 2021. [DOI: 10.1016/j.purol.2021.08.132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Soeterik T, Van Den Bergh R, Van Melick H, Soria F, Peretti F, Oderda M, Dariane C, Timsit M, Brancherau J, Hedli O, Mesnard B, Tilki D, Kulkarni M, Kasivisvanathan V, Lebacle C, Rodriguez-Faba O, Breda A, Gandaglia G, Todeschini P, Biancone L, Gontero P, Marra G. The outcomes of active surveillance of prostate cancer in renal transplant patients: A propensity score matched comparison with a non-renal transplant cohort with prostate cancer. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)03119-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Marra G, Soria F, Oderda M, Peretti F, Giorgio C, Lamanna G, Todeschini P, Secchi A, Dariane C, Timsit O, Brancherau J, Hedli O, Mesnard B, Tilki D, Olsburgh J, Kulkarni M, Kasivisvanathan V, Lebacle C, Irani J, Breda A, Rodriguez-Faba O, Gaya J, Biancone L, Gontero P. Prostate cancer in kidney transplant recipients: large contemporary multicenter cohort study. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00833-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Marra G, Peretti F, Calleris G, Oderda M, Biancone L, Lamanna G, Todeschini P, Secchi A, Dariane C, Timsit O, Brancherau J, Hedli O, Mesnard B, Tilki D, Olsburgh J, Kulkarni M, Kasivisvanathan V, Lebacle C, Irani J, Breda A, Rodriguez-Faba O, Gaya J, Gandaglia G, Gontero P. Prostate cancer in renal transplant recipients: Results from a large multicentre contemporary cohort. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00730-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Pinar U, Rod X, Mageau A, Renard Y, Lebacle C, Barrou B, Drouin S, Irani J, Bessede T. Risque de complications chirurgicales chez les receveurs obèses et en surpoids : élaboration d’un modèle morphométrique prédictif basé sur la sarcopénie et la distance entre les vaisseaux et la peau. Prog Urol 2020. [DOI: 10.1016/j.purol.2020.07.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Marcq G, Olivier J, Xylinas E, Ouzaid I, Lebacle C, Uzan A, Schneider A, Bardet F, Pradère B, Khadhouri S, Gallagher K, Mackenzie K, Shah T, Gao C, Moore S, Zimmermann E, Edison E, Jefferies M, Nambia A, Kasivisvanathan V. Étude de la détection des néoplasies urologiques chez les patients consultant pour suspicion de cancer du tractus urinaire : résultat d’IDENTIFY étude multicentrique prospective. Prog Urol 2020. [DOI: 10.1016/j.purol.2020.07.163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Benichou Y, Bernhard J, Bensalah K, Roupret M, Dariane C, Paparel P, Lebacle C, Bruyere F, Nouhaud F, Soulie M, Villers A, Lang H, Durand X, Bigot P, Long J, Champy C. Étude UROCCR 54 RURANPO : néphrectomie partielle sur rein unique : comparaison des voies ouverte et laparoscopique robot-assistée. Prog Urol 2020. [DOI: 10.1016/j.purol.2020.07.100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Debard C, Doumerc N, Dariane C, Bruyère F, Rizk J, Lebacle C, Bigot P, De La Taille A, Nouhaud F, Lang H, Bensalah K, Mejean A, Bernhard J. Multifocal renal tumours: A matched comparative study between robotic and open partial nephrectomy. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)32637-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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19
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Mellouki A, Bentellis I, Morrone A, Doumerc N, Roupret M, Nouhaud F, Lebacle C, Long J, Chevallier D, Tibi B, Durand M, Pillot P, Tillou X, Bernhard J, Ahallal Y. Evaluation of oncological outcomes of robotic partial nephrectomy according to the type of hilar control approach - (on-clamp vs. off-clamp) multicentric Study of the French network of research on kidney cancer - UROCCR-58. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)32701-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Fraisse G, Renard Y, Lebacle C, Masson-Lecomte A, Desgrandchamps F, Hennequin C, Bessede T, Irani J. [Is sarcopenia a morbi-mortality factor in the treatment of localized muscle-invasive bladder cancer?]. Prog Urol 2019; 30:41-50. [PMID: 31818689 DOI: 10.1016/j.purol.2019.11.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2019] [Revised: 10/14/2019] [Accepted: 11/07/2019] [Indexed: 10/25/2022]
Abstract
INTRODUCTION Sarcopenia evaluated from the measurement of skeletal muscle index (SMI) has been evaluated as a predictive factor of morbidity and mortality after surgery. The objective of this study was to evaluate whether it was predictive of morbidity and mortality in patients managed by cystectomy or tri-modality therapy (TMT), combining radiotherapy and chemotherapy after endoscopic resection of the tumour, for localized muscle-invasive bladder cancer. MATERIALS AND METHODS In all, 146 consecutive patients from 2 university hospital centres treated by cystectomy between January 2012 and April 2017 or TMT between October 2008 and October 2014 were included. The SMI was measured on axial computed-tomography at the level of the transverse process of L3, before treatment. Sarcopenia was assessed in two ways: either by SMI without muscle mass adjustment or according to the definition by Martin and al. based on gender and patient BMI, then called "adjusted sarcopenia". The primary endpoint was overall survival (OS) for sarcopenia. The secondary endpoints were OS, progression-free survival (PFS) and survival without re-admission (SRH) for the total population and for each treatment group. Survival analyses were performed using the Cox model. The association between sarcopenia and complications has been investigated by the Chi2 test. RESULTS The characteristics of sarcopenic (n=67) and non-sarcopenic (n=79) patients were comparable except for 2 criteria: older patients in the sarcopenic group and a higher proportion of neo-adjuvant chemotherapy in non-sarcopenic patients. Sarcopenia was not significantly associated with any type of survival. Sarcopenia was not associated with the proportion or severity of complications. CONCLUSION Unlike unadjusted SMI, sarcopenia was not associated with survival or complications. LEVEL OF EVIDENCE 3.
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Affiliation(s)
- G Fraisse
- Service d'urologie, CHU Bicêtre, 94270 Le Kremlin-Bicêtre, France.
| | - Y Renard
- Service de chirurgie digestive, CHU de Reims, 51100 Reims, France
| | - C Lebacle
- Service d'urologie, CHU Bicêtre, 94270 Le Kremlin-Bicêtre, France
| | | | | | - C Hennequin
- Service de radiothérapie, CHU Saint Louis, 75010 Paris, France
| | - T Bessede
- Service d'urologie, CHU Bicêtre, 94270 Le Kremlin-Bicêtre, France
| | - J Irani
- Service d'urologie, CHU Bicêtre, 94270 Le Kremlin-Bicêtre, France
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21
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Nyangoh Timoh K, Deffon J, Moszkowicz D, Lebacle C, Creze M, Martinovic J, Zaitouna M, Diallo D, Lavoue V, Fautrel A, Benoit G, Bessede T. Smooth muscle of the male pelvic floor: An anatomic study. Clin Anat 2019; 33:810-822. [PMID: 31746012 DOI: 10.1002/ca.23515] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2019] [Revised: 10/14/2019] [Accepted: 10/20/2019] [Indexed: 01/06/2023]
Abstract
Knowledge of the anatomy of the male pelvic floor is important to avoid damaging the pelvic floor muscles during surgery. We set out to explore the structure and innervation of the smooth muscle (SM) of the whole pelvic floor using male fetuses. We removed en-bloc the entire pelvis of three male fetuses. The specimens were serially sectioned before being stained with Masson's trichrome and hematoxylin and eosin, and immunostained for SMs, and somatic, adrenergic, sensory and nitrergic nerve fibers. Slides were digitized for three-dimensional reconstruction. We individualized a middle compartment that contains SM cells. This compartment is in close relation with the levator ani muscle (LAM), rectum, and urethra. We describe a posterior part of the middle compartment posterior to the rectal wall and an anterior part anterior to the rectal wall. The anterior part is split into (1) a centro-levator area of SM cells localized between the right and left LAM, (2) an endo-levator area that upholsters the internal aspect of the LAM, and (3) an infra-levator area below the LAM. All these areas are innervated by autonomic nerves coming from the inferior hypogastric plexus. The core and the infra-levator area receive the cavernous nerve and nerves supplying the urethra. We thus demonstrate that these muscular structures are smooth and under autonomic influence. These findings are relevant for the pelvic surgeon, and especially the urologist, during radical prostatectomy, abdominoperineal resection and intersphincteric resection. Clin. Anat., 2019. © 2019 Wiley Periodicals, Inc.
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Affiliation(s)
- Krystel Nyangoh Timoh
- UMR 1195, University Paris Sud, INSERM, Université Paris-Saclay, Le Kremlin-Bicetre, France.,Department of Obstetrics and Gynecology, Hopital Universitaire de Rennes, University Rennes 1, Rennes, France
| | - J Deffon
- UMR 1195, University Paris Sud, INSERM, Université Paris-Saclay, Le Kremlin-Bicetre, France
| | - D Moszkowicz
- UMR 1195, University Paris Sud, INSERM, Université Paris-Saclay, Le Kremlin-Bicetre, France
| | - C Lebacle
- UMR 1195, University Paris Sud, INSERM, Université Paris-Saclay, Le Kremlin-Bicetre, France.,Urology Department, Hopitaux Universitaires Paris-Sud, APHP, Le Kremlin-Bicetre, France
| | - M Creze
- UMR 1195, University Paris Sud, INSERM, Université Paris-Saclay, Le Kremlin-Bicetre, France
| | - J Martinovic
- Department of Fetal Pathology, Hopitaux Universitaires Paris-Sud, APHP, Clamart, France
| | - M Zaitouna
- UMR 1195, University Paris Sud, INSERM, Université Paris-Saclay, Le Kremlin-Bicetre, France
| | - D Diallo
- UMR 1195, University Paris Sud, INSERM, Université Paris-Saclay, Le Kremlin-Bicetre, France
| | - V Lavoue
- Department of Obstetrics and Gynecology, Hopital Universitaire de Rennes, University Rennes 1, Rennes, France
| | - A Fautrel
- Université de Rennes 1, Rennes, France.,INSERM, UMR991 Liver Metabolism and Cancer, Rennes, France
| | - G Benoit
- UMR 1195, University Paris Sud, INSERM, Université Paris-Saclay, Le Kremlin-Bicetre, France
| | - T Bessede
- UMR 1195, University Paris Sud, INSERM, Université Paris-Saclay, Le Kremlin-Bicetre, France.,Urology Department, Hopitaux Universitaires Paris-Sud, APHP, Le Kremlin-Bicetre, France
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Freton L, Pradere B, Fiard G, Chebbi A, Caes T, Hutin M, Olivier J, Ruggiero M, Dominique I, Millet C, Bergerat S, Panayatopoulos P, Betari R, Patard PM, Szabla N, Brichart N, Sabourin L, Guleryuz K, Dariane C, Lebacle C, Rizk J, Gryn A, Madec FX, Rod X, Nouhaud FX, Matillon X, Peyronnet B. [Renal Trauma]. Prog Urol 2019; 29:936-942. [PMID: 31668829 DOI: 10.1016/j.purol.2019.09.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2019] [Revised: 09/25/2019] [Accepted: 09/28/2019] [Indexed: 11/30/2022]
Abstract
INTRODUCTION Renal traumas are common, observed in 10% of patients with abdominal trauma. Most renal traumas are blunt, resulting from a direct hit or from an abrupt deceleration. MATERIAL AND METHODS We realized a synthesis of renal trauma management for nurses. RESULTS Clinical presentation often encompasses gross hematuria and lumbar pain. The best diagnostic tool is computed tomography (CT) urogram. Based on CT urogram images, renal traumas are classified according to the American Association for the Surgery of Trauma (AAST) classification in five grades of increasing severity. The management is conservative in the vast majority of cases and has been largely simplified over the past few years, being now mostly based on observation. Radiological interventional and endoscopic procedures are used only in very selected cases and surgical exploration has become extremely rare. CONCLUSION The prognosis has also considerably improved and renal trauma rarely result in death or loss of the kidney nowadays.
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Affiliation(s)
- L Freton
- Service d'urologie, université de Rennes, 35000 Rennes, France.
| | - B Pradere
- Service d'urologie, PRES Centre Val-de-Loire, CHRU de Tours et université François-Rabelais de Tours, 37000 Tours, France
| | - G Fiard
- Service d'urologie, université de Grenoble, 38700 Grenoble, France
| | - A Chebbi
- Service d'urologie, université de Rouen, 76000 Rouen, France
| | - T Caes
- Service d'urologie, université de Lille, 59000 Lille, France
| | - M Hutin
- Service d'urologie, université de Montpellier, 34000 Montpellier, France
| | - J Olivier
- Service d'urologie, université de Lille, 59000 Lille, France
| | - M Ruggiero
- Service d'urologie, université de Paris Sud, CHU de Bicêtre, 94270 Paris, France
| | - I Dominique
- Service d'urologie, université de Lyon, 69002 Lyon, France
| | - C Millet
- Service d'urologie, université de Clermont-Ferrand, 63100 Clermont-Ferrand, France
| | - S Bergerat
- Service d'urologie, université de Strasbourg, 67000 Strasbourg, France
| | | | - R Betari
- Service d'urologie, université de Brest, 29200 Brest, France
| | - P-M Patard
- Service d'urologie, université de Toulouse, 31300 Toulouse, France
| | - N Szabla
- Service d'urologie, université de Caen, 14033 Caen, France
| | - N Brichart
- Service d'urologie, CHR d'Orléans, 45100 Orléans, France
| | - L Sabourin
- Service d'urologie, université de Clermont-Ferrand, 63100 Clermont-Ferrand, France
| | - K Guleryuz
- Service d'urologie, université de Caen, 14033 Caen, France
| | - C Dariane
- Service d'urologie, université de Paris-Descartes, 75006 Paris, France
| | - C Lebacle
- Service d'urologie, université de Paris Sud, CHU de Bicêtre, 94270 Paris, France
| | - J Rizk
- Service d'urologie, université de Lille, 59000 Lille, France
| | - A Gryn
- Service d'urologie, université de Toulouse, 31300 Toulouse, France
| | - F-X Madec
- Service d'urologie, hôpital Saint-Joseph, 75014 Paris, France
| | - X Rod
- Service d'urologie, université de Nantes, 44000 Nantes, France
| | - F-X Nouhaud
- Service d'urologie, université de Rouen, 76000 Rouen, France
| | - X Matillon
- Service d'urologie, université de Lyon, 69002 Lyon, France
| | - B Peyronnet
- Service d'urologie, université de Rennes, 35000 Rennes, France
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De Hauteclocque A, Dariane C, Doumerc N, Bruyère F, Campy C, Nouhaud F, Bigot P, Risk J, Lang H, Lebacle C, Pignot G, Long J, Charles T, Tillou X, Paparel P, Boissier R, Bensalah K, Bernhard J. Facteurs de risque d’upstaging des tumeurs rénales localisées (étude UroCCR no 15). Prog Urol 2019. [DOI: 10.1016/j.purol.2019.08.185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Beauval J, Méjean A, Doumerc N, Roupret M, Paparel P, Villers A, Bruyere F, Lebacle C, Nouhaud F, De la Taille A, Rizk J, Lang H, Durand M, Dariane C, Charles T, Boissier R, Long J, Bensalah K, Bernard J. Résultats de la néphrectomie partielle RObot-assistée chez les patients oBESEs avec IMC >30 kg/m2 (étude UroCCR-43 : RoBèse). Prog Urol 2019. [DOI: 10.1016/j.purol.2019.08.189] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Boissier R, Bernhard J, Bigot P, Dariane C, Lang H, Doumerc N, Beauval J, Lebacle C, Bruyere F, Nouhaud F, Tillou X, Long J, Durand M, Charles T, Chevreau C, Oudard S, Albiges L, Ravaud A, Mejean A, Bensalah K. Intérêt du traitement adjuvant par antiangiogénique versus surveillance après néphrectomie pour tumeur rénale M0 avec thrombus de la veine rénale ou de la veine cave (étude UroCCR-56). Prog Urol 2019. [DOI: 10.1016/j.purol.2019.08.052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Ze Ondo C, Pescheloche P, Bessede T, Parier B, Lebacle C, Irani J. [Is it necessary to perform urine culture systematically prior to double J ureteral stent removal?]. Prog Urol 2019; 29:504-509. [PMID: 31387836 DOI: 10.1016/j.purol.2019.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Revised: 06/15/2019] [Accepted: 07/02/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVE To assess the value of systematic urine culture before ureteric double j removal. MATERIAL AND METHODS This prospective audit was performed to assess the validity of our current clinical practice. A cohort of informed patients without clinical signs of urinary tract infection and without predefined risk factors were programmed for ureteral double j stent removal in an outpatient setting. Urine was sampled for culture immediately before the procedure. Patients had to complete a self-questionnaire 15 days following stent removal, inquiring about tolerance and complications which were to be analyzed according to the culture results. The primary endpoint was the occurrence of febrile urinary tract infection. RESULTS Among the 56 participants, immediate preoperative urine culture revealed colonization in 9 patients (16.1%) and contamination in 6 patients (10.7%). A significant association was found between bacteriuria and double j placement following surgery with urinary tract injury (P<0.02) and diabetes (P<0.009). Two patients had fever including a man with sterile urine and a woman with Staphylococcus Aureus infection. No hospitalization was necessary. Twelve patients reported functional signs with lumbar pain being the most common. There was no significant association between functional signs and patients' clinical characteristics. CONCLUSION This evaluation was not in favor of modifying our protocol of care i.e. the lack of performing neither antibiotic prophylaxis nor systematic urine culture before JJ ureteral stent removal in a selected population. LEVEL OF EVIDENCE 4.
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Affiliation(s)
- C Ze Ondo
- Service d'urologie du CHU Aristide-Le Dantec, Dakar, Sénégal.
| | - P Pescheloche
- Service d'urologie du CHU Bicetre, Le Kremlin-Bicêtre, France
| | - T Bessede
- Service d'urologie du CHU Bicetre, Le Kremlin-Bicêtre, France
| | - B Parier
- Service d'urologie du CHU Bicetre, Le Kremlin-Bicêtre, France
| | - C Lebacle
- Service d'urologie du CHU Bicetre, Le Kremlin-Bicêtre, France
| | - J Irani
- Service d'urologie du CHU Bicetre, Le Kremlin-Bicêtre, France
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Freton L, Scailteux L, Olivier J, Langouet Q, Ruggiero M, Dominique I, Millet C, Bergerat S, Panayotopoulos P, Lebacle C, Rizk J, Matillon X, Gryn A, Madec F, Nouhaud F, Rod X, Hutin M, Fiard G, Pradere B, Peyronnet B. Traumatisme rénal de bas grade et durée de séjour : vers une prise en charge ambulatoire ? Résultats de l’étude multicentrique traumAFUf avec analyse par score de propension. Prog Urol 2018. [DOI: 10.1016/j.purol.2018.07.150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Gas J, Matillon X, Bart S, Dominique I, Akakpo W, Olivier J, Gambachizde D, Lebacle C, Nedelec M, Baron M, Gondran-Tellier B, Manuguerra A, Perrot E, Bergerat S, Pradére B. Évaluation du burn-out chez les urologues en formation en France. Prog Urol 2018. [DOI: 10.1016/j.purol.2018.07.131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Caës T, Rizk J, Olivier J, Hutin M, Bergerat S, Betari R, Freton L, Ruggiero M, Panayatopoulos P, Patard P, Dariane C, Fiard G, Peyronnet B, Pradere B, Nouhaud FX, Langouet Q, Dominique I, Matillon X, Chebbi A, Szabla N, Brichart N, Sabourin L, Guleryuz K, Bohem A, Millet C, Rod X, Lebacle C, Gryn A, Madec FX. Facteurs de risque d’échec du traitement conservateur des traumatismes du rein : une étude multicentrique (TRAUMAFUF). Prog Urol 2017. [DOI: 10.1016/j.purol.2017.07.059] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Patard P, Abbo O, Gryn A, Bergerat S, Matillon X, Betari R, Ruggiero M, Dominique I, Freton L, Rod X, Dariane C, Lebacle C, Pradere B, Fiard G, Peyronnet B, Panayatopoulos P, Olivier J, Langouet Q, Millet C, Hutin M, Chebbi A, Caes T, Szabla N, Brichart N, Sabourin L, Guleryuz K, Rizk J, Madec FX, Nouhaud FX. Comparaison des caractéristiques et de la prise en charge des traumatismes rénaux entre la population adulte et pédiatrique. Prog Urol 2017. [DOI: 10.1016/j.purol.2017.07.056] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Freton L, Olivier J, Langouet Q, Ruggiero M, Dominique I, Millet C, Bergerat S, Panayatopoulos P, Betari R, Matillon X, Chebbi A, Caes T, Patard P, Szabla N, Brichart N, Sabourin L, Guleryuz K, Dariane C, Lebacle C, Rizk J, Gryn A, Madec F, Nouhaud F, Pradere B, Bensalah K, Fiard G, Peyronnet B. Traumatismes du rein de bas grade : vers une prise en charge en ambulatoire ? Résultats de l’étude multicentrique nationale Traumafuf. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Pradere B, Freton L, Olivier J, Langouet Q, Ruggiero M, Dominique I, Millet C, Bergerat S, Panayotopoulos P, Betari R, Matillon X, Chebbi A, Caes T, Boehm A, Patard P, Szabla N, Brichart N, Sabourin L, Guleryuz K, Lebacle C, Rizk J, Gryn A, Nouhaud F, Madec F, Dariane C, Bensalah K, Fiard G, Peyronnet B. Incidence et facteur prédictifs des pseudo-anévrysmes au cours des traumatismes du rein : résultats de l’étude multicentrique nationale Traumafuf. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Lebacle C, Zanaty M, Alnazari M, Rajih E, Alenizi A, Hueber P, El-hakim A, Zorn KC. Le délai de la prostatectomie radicale affecte-t-il le pronostic pathologique des patients ? Étude rétrospective sur 1258 patients. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Peyronnet B, Bergerat S, Betari R, Freton L, Olivier J, Ruggiero M, Panayatopoulos P, Langouet Q, Dominique I, Matillon X, Chebbi A, Caes T, Patard P, Szabla N, Brichart N, Bohem A, Sabourin L, Guleryuz K, Millet C, Dariane C, Lebacle C, Rizk J, Gryn A, Madec F, Nouhaud F, Pradère B, Bensalah K, Fiard G. Faut-il maintenir les patients en décubitus dorsal après un traumatisme du rein ? Résultats de l’étude multicentrique nationale Traumafuf. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.255] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Lebacle C, Audenet F, Dariane C, Le guilchet T, Beaugerie A, Hurel S, Fontaine E, Timsit M, Mejean A. Rôle pronostique des caractéristiques anthropométriques dans les carcinomes à cellules rénales. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Dominique I, Ruffion A, Matillon X, Freton L, Betari R, Dariane C, Millet C, Ruggiero M, Chebbi A, Olivier J, Langouet Q, Bergerat S, Panayotopoulos P, Caes T, Patard P, Szabla N, Brichart N, Sabourin L, Guleryuz K, Lebacle C, Rizk J, Madec F, Nouhaud F, Pradere B, Saint F, Fiard G, Peyronnet B. Complications rénales à long terme des traumatismes rénaux : résultats de l’étude multicentrique nationale Traumafuf. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Madec FX, Dariane C, Pradere B, Amadane N, Bergerat S, Gryn A, Lebacle C, Matillon X, Olivier J, Nouhaud FX, Panayotopoulos P, Peyronnet B, Rizk J, Sanson S, Seisen T, Salomon L, Fiard G. [French resident's performance on laparoscopic surgery box trainer: 7-year results of pelvitrainer contests]. Prog Urol 2016; 26:1171-1177. [PMID: 28279367 DOI: 10.1016/j.purol.2016.09.068] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2016] [Revised: 09/21/2016] [Accepted: 09/26/2016] [Indexed: 10/20/2022]
Abstract
OBJECTIVES The study objectives were to analyze the resident's laparoscopic surgery performance in order to build a self-assessment data set, to identify discriminatory exercises and to investigate the suturing time changes. METHODS From 2007 to 2014, the French Association of Urologist in Training (AFUF) organized 7 pelvitrainer contests. Participant scores on 11 laparoscopic surgery exercises were evaluated. RESULTS Sixty-six residents participated to these contests and performed 11 exercises each. Twenty-two (33.3 %) participants were beginners, 26 (39.4 %) intermediates et 18 (27.3 %) experienced. The participant scores were gathered into a data set including the average time per exercise. We found a time scoring improvement related to the resident experience for all exercises. A significant decline in time was noted for exercise 8 and 9 between beginners and intermediates (139s [±71]), (173.9s [±118.3]) and between beginners and experienced (80.6s [±26.7]), (94,1s [±42.7]) with a P<0.05. The correlation coefficient for the exercise 11 duration (vesico-uretral anastomosis) was 0.04 over a 7-year period (P=0.44). CONCLUSION The study provided a data set on 11 laparoscopic surgery tasks which can be consulted by all residents as a reference in a self-assessment process. Two exercises (8 and 9) discriminated beginners from intermediates and experienced groups and could be used as a benchmark ahead of an operating room procedure. The vesico-uretral anastomosis duration (exercise 11) did not improve significantly between 2006 and 2014. LEVEL OF EVIDENCE 4.
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Affiliation(s)
- F-X Madec
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Service d'urologie, CHU de Nantes, 1, place Alexis-Ricordeau, 44093 Nantes cedex 1, France.
| | - C Dariane
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Service d'urologie, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France
| | - B Pradere
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Service d'urologie, CHRU de Tours, 2, boulevard Tonnellé, 37044 Tours cedex 9, France
| | - N Amadane
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Service d'urologie et transplantation rénale, hôpital Lapeyronie, CHRU de Montpellier, 371, avenue du Doyen-Giraud, 34295 Montpellier cedex 5, France
| | - S Bergerat
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Service d'urologie, centre hospitalier universitaire de Strasbourg, 1, place de l'Hôpital, 67000 Strasbourg, France
| | - A Gryn
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Département d'urologie, hôpital Rangueil, CHU de Toulouse, 1, avenue du Pr-Jean-Poulhès, 31059 Toulouse cedex, France
| | - C Lebacle
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Service d'urologie, hôpital Henri-Mondor, CHU Paris-Est, 51, avenue du Marechal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France
| | - X Matillon
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Service d'urologie et chirurgie de la transplantation, hôpital Édouard-Herriot, centre hospitalier universitaire de Lyon, 3, place d'Arsonval, 69003 Lyon, France
| | - J Olivier
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Service d'urologie, hôpital Claude-Huriez, CHU de Lille, 2, rue Michel-Polonovski, 59000 Lille, France
| | - F-X Nouhaud
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Service d'urologie, CHU de Rouen Charles-Nicolle, 1, rue de Germont, 76000 Rouen, France
| | - P Panayotopoulos
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Service d'urologie, CHU d'Angers, 4, rue Larrey, 49100 Angers, France
| | - B Peyronnet
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Service d'urologie, CHU de Rennes, 2, rue Henri-le-Guilloux, 35000 Rennes, France
| | - J Rizk
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Service d'urologie, hôpital Claude-Huriez, CHU de Lille, 2, rue Michel-Polonovski, 59000 Lille, France
| | - S Sanson
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Département d'urologie, hôpital Rangueil, CHU de Toulouse, 1, avenue du Pr-Jean-Poulhès, 31059 Toulouse cedex, France
| | - T Seisen
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Service d'urologie, hôpital Pitié-Salpétrière, Assistance publique-Hôpitaux de Paris, université Pierre-and-Marie-Curie, 75013 Paris, France
| | - L Salomon
- Service d'urologie, hôpital Henri-Mondor, CHU Paris-Est, 51, avenue du Marechal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France
| | - G Fiard
- Association française des urologues en formation (AFUF), 11, rue Viète, 75017 Paris, France; Service d'urologie et de la transplantation rénale, CHU de Grenoble, BP 217, 38043 Grenoble cedex 09, France
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Lebacle C, Nyangoh Timoh K, Martinovic J, Zaitouna M, Diallo D, Benoit G, Bessede T. Dissection anatomique assistée par ordinateur (DAAO) du plexus rénal pour affiner la dénervation rénale dans le traitement de l’hypertension artérielle réfractaire. Prog Urol 2015; 25:818-9. [DOI: 10.1016/j.purol.2015.08.208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Pignot G, Salomon L, Neuzillet Y, Masson-Leconte A, Lunardi P, Rischmann P, Legoux C, Zerbib M, Lebacle C, Patard JJ, Lacarriere E, Champy C, Roupret M, Comperat E, Molimard B, Houlgatte A, Gres P, Hetet JF, Colls P, Soulie M, Pfister C. Prévalence et impact pronostique des cancers de prostate sur pièce de cysto-prostatectomie : résultats préliminaires d’une étude multicentrique française. Prog Urol 2012. [DOI: 10.1016/j.purol.2012.08.054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Lebacle C, Pignot G, Mateus C, Bigot P, Rocher L, Ferlicot S, Patard JJ. [Metastatic melanoma in upper urinary tract: three cases and literature review]. Prog Urol 2012; 22:736-9. [PMID: 22999122 DOI: 10.1016/j.purol.2012.07.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2012] [Revised: 07/07/2012] [Accepted: 07/09/2012] [Indexed: 11/29/2022]
Abstract
Melanoma is a slowly growing malignancy, with potential distant metastasis at various sites. In this article, we reported three original cases of melanoma metastases in the upper urinary tract, and we achieved a literature review. Symptoms are inconstant and non-specific (pain or haematuria). Nephroureterectomy is performed in the majority of cases. Even if this metastatic location remains uncommon, it should be timely detected in order to allow an appropriate management and to improve the prognostic of melanoma.
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Affiliation(s)
- C Lebacle
- Service d'urologie, université Paris XI Paris-Sud, CHU Bicêtre, Le Kremlin-Bicêtre, France.
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