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Freton L, Khene ZE, Richard C, Mathieu R, Alimi Q, Duval E, Vassal L, Bertheuil N, Aillet S, Bonnet F, Ravel C, Guenego A, Travers D, Morel-Journel N, Hascoet J, Peyronnet B. [Self-assessment of healthcare workers regarding the management of trans people in a university hospital]. Prog Urol 2021; 31:1108-1114. [PMID: 34147357 DOI: 10.1016/j.purol.2021.03.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Revised: 02/15/2021] [Accepted: 03/08/2021] [Indexed: 01/26/2023]
Abstract
INTRODUCTION Trans people face more barriers when seeking healthcare than the cisgender population probably due to a lack of knowledge, education and comfort of healthcare workers. The purpose of this study was to assess the knowledge and comfort felt by healthcare professionals in managing trans people in a French university hospital. METHODS A self-questionnaire was emailed to healthcare professionals working in departments usually involved in the care of trans people in a French university hospital "not specialized" in medical and surgical gender transition. The questionnaire included demographic questions and Likert scales regarding their knowledge and comfort in taking care of trans people. Responses on the 7-point Likert scales were categorized into "low", "medium" and "high" groups, and responses on the 5-point Likert scales were categorized into "in favour", "neutral" and "against" groups. RESULTS One hundred and two (29%) healthcare professionals answered the questionnaire. Half worked in surgical departments (urology, plastic surgery, gynecology), 24% worked in medical departments (endocrinology, reproductive medicine, cytogenetics) and 26% worked in psychiatry. The majority (60.3%) rated their level of knowledge as "low" and 39.7% as "medium". Sixteen percent rated their level of comfort in managing trans people as "low", 72.5% as "medium" and 11.5% as "high". A majority (77.5%) were in favor of having the costs of gender transition care covered by the national health insurance system, 16.4% were neutral and 6% were against this idea. Feelings about surgical and hormonal gender transition were overwhelmingly (96.4%) in favour or neutral and 91% were willing to get more training and education to manage trans people. CONCLUSION The lack of comfort felt by healthcare professionals in university hospital in managing trans people seems to be related to a lack of knowledge and training in that field and not to a disagreement with the need of transgender healthcare. LEVEL OF EVIDENCE 3.
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Affiliation(s)
- L Freton
- Université de Rennes, urologie, CHU Rennes, Rennes, France.
| | - Z-E Khene
- Université de Rennes, urologie, CHU Rennes, Rennes, France
| | - C Richard
- Université de Rennes, urologie, CHU Rennes, Rennes, France
| | - R Mathieu
- Université de Rennes, urologie, CHU Rennes, Rennes, France
| | - Q Alimi
- Université de Rennes, urologie, CHU Rennes, Rennes, France
| | - E Duval
- Réseau de Santé Trans, Rennes, France
| | - L Vassal
- Réseau de Santé Trans, Rennes, France
| | - N Bertheuil
- Université de Rennes, chirurgie plastique et reconstructrice, CHU Rennes, Rennes, France
| | - S Aillet
- Université de Rennes, chirurgie plastique et reconstructrice, CHU Rennes, Rennes, France
| | - F Bonnet
- Université de Rennes, endocrinologie, CHU Rennes, Rennes, France
| | - C Ravel
- Université de Rennes, laboratoire de biologie de la reproduction-CECOS, CHU Rennes, Rennes, France
| | - A Guenego
- Université de Rennes, endocrinologie, CHU Rennes, Rennes, France
| | - D Travers
- Université de Rennes, psychiatrie, CHU Rennes, Rennes, France
| | - N Morel-Journel
- Université de Lyon, urologie, Hospices Civils de Lyon, Lyon, France
| | - J Hascoet
- Université de Rennes, urologie, CHU Rennes, Rennes, France
| | - B Peyronnet
- Université de Rennes, urologie, CHU Rennes, Rennes, France
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Freton L, Richard C, Hascoet J, Khene ZE, Alimi Q, Graffeille V, Verhoest G, Mathieu R, Manunta A, Zhao L, Bensalah K, Peyronnet B. Robotic YV plasty for bladder neck contracture or vesico-urethral anastomosis stenosis in a French university hospital: Preliminary results. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00749-1] [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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Peyronnet B, Hascoet J, Auble A, Pinsard M, Freton L, Alimi Q, Bensalah K, Manunta A. How to successfully manage bladder neck injury during robotic artificial urinary sphincter implantation in women? Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01610-9] [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: 12/01/2022]
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Freton L, Alimi Q, Zhao L, Haudebert C, Bourre T, Mermier M, Laine-Caroff P, Hascoet J, Mathieu R, Manunta A, Bensalah K, Peyronnet B. Plastie yv robotique et lambeau peritonéal pour sténose d’anastomose vésico-urétrale après prostatectomie radicale et radiothérapie. Prog Urol 2020. [DOI: 10.1016/j.purol.2020.08.030] [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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Freton L, Hascoet J, Khene Z, Alimi Q, Mazouin C, Graffeille V, Verhoest G, Mathieu R, Manunta A, Zhao L, Bensalah K, Peyronnet B. Plastie yv et plastie postérieur robotique pour sclérose de col vésical post-pvp. Prog Urol 2020. [DOI: 10.1016/j.purol.2020.08.029] [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: 11/27/2022]
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Bentellis I, El-Akri M, Hascoet J, Alimi Q, Mathieu R, Vincendeau S, Kerdraon J, Voiry C, Manunta A, Peyronnet B. Valeur pronostique de la pression de clôture urétrale obtenue après sphincter urinaire artificiel chez l’homme. Prog Urol 2020. [DOI: 10.1016/j.purol.2020.07.151] [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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Freton L, Khene Z, Hascoet J, Alimi Q, Verhoest G, Mathieu R, Manunta A, Duval E, Vassal L, Berteuil N, Ravel C, Guénégo A, Bensalah K, Peyronnet B. Auto-évaluation de professionnels de santé concernant la prise en charge des patient.e.s transgenres. Prog Urol 2020. [DOI: 10.1016/j.purol.2020.07.076] [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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Peyronnet B, Manunta A, Buisser J, Richard C, Dosin G, Alimi Q, Freton L, Mathieu R, Verhoest G, Bensalah K, Hascoet J. Implantation robot-assistée d’un sphincter artificiel urinaire ams 800 chez les patientes neurologique après entérocystoplastie d’agrandissement et cystostomie continente. Prog Urol 2020. [DOI: 10.1016/j.purol.2020.08.043] [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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Goujon A, Khene Z, Richard C, Hascoet J, Gasmi A, Brochard C, Jezequel M, Alimi Q, Siprouhdis L, Bouguen G, Kerdraon J, Manunta A, Gamé X, Mathieu R, Peyronnet B. Contrast-enhanced CT texture parameters as predictive markers of high-risk urodynamic features in adult patients with spina bifida. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33036-6] [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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Peyronnet B, Hascoet J, Freton L, Khene Z, Graffeille V, Alimi Q, El-Akri M, Richard C, Kerdraon J, Voiry C, Bensalah K, Verhoest G, Manunta A. Cystectomy and ileal conduit for neurogenic bladder: Comparison of the open, laparoscopic and robot-assisted approaches. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33038-x] [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] Open
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Richard C, Graziana J, Khene Z, Peyronnet B, Mallet R, Mathieu R, Verhoest G, Bensalah K, Alimi Q, Hascoet J, Manunta A, Vincendeau S, Freton L. Implantation de prothèse pénienne (AMS 700) par voie infrapubienne: résultats périopératoires et à moyen terme. Prog Urol 2019. [DOI: 10.1016/j.purol.2019.08.173] [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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Bentellis I, Alimi Q, Senal N, Mathieu L, Fontaine S, Manunta A, Voiry C, Honoré T, Hascoet J, Kerdraon J, Peyronnet B. La neurostimulation tibiale postérieure est-elle aussi efficace chez les patients neurologiques que non neurologiques ? Prog Urol 2019. [DOI: 10.1016/j.purol.2019.08.206] [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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Bentellis I, El-akri M, Hascoet J, Alimi Q, Brucker B, Rosenblum N, Manunta A, Peyronnet B. Explantation d’une bandelette tvt et mise en place d’une bandelette sous urétrale autologue aponévrotique chez une patiente neurologique. Prog Urol 2019. [DOI: 10.1016/j.purol.2019.08.013] [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] [Indexed: 11/29/2022]
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Goujon A, Khene Z, Richard C, Hascoet J, Alimi Q, Kerdraon J, Manunta A, Voiry C, Game X, Peyronnet B. La radiomique : une alternative non invasive à l’urodynamique pour l’évaluation du régime de pression vésicale chez les patients spina bifida. Prog Urol 2019. [DOI: 10.1016/j.purol.2019.08.203] [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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Peyronnet B, Auble A, Hascoet J, Pinsard M, Alimi Q, Bensalah K, Manunta A. Plaie du col vésical pendant l’implantation d’un sphincter artificiel urinaire par voie robot-assistée chez la femme : comment s’en sortir ? Prog Urol 2018. [DOI: 10.1016/j.purol.2018.07.242] [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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Peyronnet B, Pinsard M, Hascoet J, Aublé A, Alimi Q, Mathieu R, Verhoest G, Bensalah K, Manunta A. Cure de fistule vésico-vaginale trans-vésicale robot-assistée avec épiplooplastie laparoscopique. Prog Urol 2018. [DOI: 10.1016/j.purol.2018.07.262] [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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Richard C, Peyronnet B, Bendavid C, Hascoet J, Alimi Q, Khene Z, Kerdraon J, Manunta A, Gamé X. Physiopathologie de l’hyperactivité détrusorienne neurogène : rôle relatif des neurotrophines, de l’inflammation et de la matrice extracellulaire en fonction de la pathologie neurologique. Prog Urol 2018. [DOI: 10.1016/j.purol.2018.07.166] [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: 10/28/2022]
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Pradere B, Freton L, Eyronnet B, Alimi Q, Khene Z, Mathieu R, Bensalah K. Résultats périopératoires du traitement des calculs urinaires de plus de 20 mm par urétéroscopie souple. Prog Urol 2018. [DOI: 10.1016/j.purol.2018.07.109] [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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Peyronnet B, Gao F, Brochard C, Oger E, Scailteux L, Alimi Q, Khene Z, Jezequel M, Olivari-Philiponnet C, Ménard H, Kerdraon J, Senal N, Gamé X, Siproudhis L, Manunta A. Urological disorders are still the leading cause of death in patients with spinal dysraphism. Ann Phys Rehabil Med 2018. [DOI: 10.1016/j.rehab.2018.05.883] [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: 10/28/2022]
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Reix B, Bernhard JC, Patard JJ, Bigot P, Villers A, Suer E, Vuong N, Verhoest G, Alimi Q, Beauval JB, Benoit T, Nouhaud FX, Lenormand C, Hamidi N, Cai J, Eto M, Larre S, El Bakhri A, Ploussard G, Hung A, Koutlidis N, Schneider A, Carrouget J, Droupy S, Marchal S, Doerfler A, Seddik S, Matsugasumi T, Orsoni X, Descazeaud A, Pfister C, Bensalah K, Soulie M, Gill I, Flamand V. Overall survival and oncological outcomes after partial nephrectomy and radical nephrectomy for cT2a renal tumors: A collaborative international study from the French kidney cancer research network UroCCR. Prog Urol 2018; 28:146-155. [DOI: 10.1016/j.purol.2017.12.004] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Revised: 11/12/2017] [Accepted: 12/07/2017] [Indexed: 01/20/2023]
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Pradere B, Peyronnet B, Bosquet É, Khene Z, Alimi Q, Bensalah K. Résultats périopératoires de l’urétéroscopie souple sans gaine d’accès pour lithiases rénale : étude comparative monocentrique. Prog Urol 2017. [DOI: 10.1016/j.purol.2017.07.177] [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, Bosquet E, Pradere B, Khene Z, Alimi Q, Verhoest G, Mathieu R, Peyronnet B, Bensalah K. Faisabilité de la néphrectomie partielle robot-assistée pour tumeur hilaire kystique. Prog Urol 2017. [DOI: 10.1016/j.purol.2017.07.256] [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: 11/27/2022]
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Peyronnet B, Vincendeau S, Freton L, Tondut L, Alimi Q, Khene Z, Pradere B, Bensalah K, Senal N, Kerdraon J, Hascoet J, Manunta A. Implantation de sphincter urinaire artificiel pour incontinence urinaire d’effort chez la femme : comparaison des voies ouverte, cœlioscopique et robot-assistée. Prog Urol 2017. [DOI: 10.1016/j.purol.2017.07.159] [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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Graffeille V, Peyronnet B, Verhoest G, Bensalah K, Verhoest G, Mathieu R, Alimi Q. Profil des récidives après cystectomie par voie laparoscopique robot assistée et voie ouverte : une série contemporaine 2012–2016. Prog Urol 2017. [DOI: 10.1016/j.purol.2017.07.147] [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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Fardoun T, Peyronnet B, Oger E, Verhoest G, Mathieu R, Khene Z, Pradere B, Alimi Q, Manunta A, Rioux-Leclercq N, Patard JJ, Kammerer-Jacquet SF, Bensalah K. [Impact of robotic assistance on the use and the outcomes of nephron-sparing surgery: A single center experience]. Prog Urol 2017; 26:1163-1170. [PMID: 28279366 DOI: 10.1016/j.purol.2016.09.074] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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: 12/24/2015] [Revised: 09/23/2016] [Accepted: 09/30/2016] [Indexed: 01/20/2023]
Abstract
INTRODUCTION The aim of this study was to assess the impact of the acquisition of a Da Vinci® robot on the use and outcomes of partial nephrectomy (PN). PATIENTS AND METHODS It was a single center retrospective study including 280 patients who underwent PN from January 2006 to May 2013. The number of PN, tumors and patients' characteristics and perioperative outcomes have been assessed over 3 periods defined according to the main surgical approach: 2006-2008 (open PN), 2008-2010 (laparoscopic PN) and 2010-2013 (robotic PN). RESULTS Over the study period, the surgical approach has changed significantly in favor of minimally-invasive surgery and especially robotic approach. The PN/nephrectomy rate has also evolved to a higher proportion of PN over radical nephrectomy (P=0.002). No significant difference was noted between the three periods in terms of tumor size but there was a higher rate of highly complex tumors (RENAL score≥10) during the last period (10.7%; 18.6% and 33.2%; P=0.04). Warm ischemia time increased from 2006-2008 to 2008-2010 (26 vs. 23minutes) but decreased thereafter during the robotic era (14.5minutes; P<0.001). Regarding postoperative outcomes, the only change was a decreased length of stay over time (P=0.003). CONCLUSION In this single center series, the robotic approach was associated with a spread of PN and with an improvement of nephron-sparing surgery outcomes. LEVEL OF EVIDENCE 4.
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Affiliation(s)
- T Fardoun
- Service d'urologie, CHU de Rennes, 35000 Rennes, France
| | - B Peyronnet
- Service d'urologie, CHU de Rennes, 35000 Rennes, France.
| | - E Oger
- Service de pharmacologie, CHU de Rennes, 35000 Rennes, France
| | - G Verhoest
- Service d'urologie, CHU de Rennes, 35000 Rennes, France
| | - R Mathieu
- Service d'urologie, CHU de Rennes, 35000 Rennes, France
| | - Z Khene
- Service d'urologie, CHU de Rennes, 35000 Rennes, France
| | - B Pradere
- Service d'urologie, CHU de Rennes, 35000 Rennes, France
| | - Q Alimi
- Service d'urologie, CHU de Rennes, 35000 Rennes, France
| | - A Manunta
- Service d'urologie, CHU de Rennes, 35000 Rennes, France
| | - N Rioux-Leclercq
- Service d'anatomopathologie, CHU de Rennes, 35000 Rennes, France
| | - J-J Patard
- Service d'urologie, CHU Kremlin-Bicêtre, 94043 Le Kremlin-Bicêtre, France
| | | | - K Bensalah
- Service d'urologie, CHU de Rennes, 35000 Rennes, France
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Thierry S, Kammerer-Jacquet SF, Dugay F, Berquet G, Couapel JP, Alimi Q, Bensalah K, Rioux-Leclercq N. [Oncocytoma with a thrombus into the renal vein: A case report]. Prog Urol 2016; 27:1-2. [PMID: 27889176 DOI: 10.1016/j.purol.2016.10.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2016] [Revised: 10/16/2016] [Accepted: 10/21/2016] [Indexed: 11/17/2022]
Affiliation(s)
- S Thierry
- Service d'anatomie et cytologie pathologiques, université de Rennes 1, CHU Pontchaillou, 2, rue Henri-le-Guilloux, 35033 Rennes cedex 9, France.
| | - S F Kammerer-Jacquet
- Service d'anatomie et cytologie pathologiques, université de Rennes 1, CHU Pontchaillou, 2, rue Henri-le-Guilloux, 35033 Rennes cedex 9, France
| | - F Dugay
- Service de cytogénétique et biologie cellulaire, université de Rennes 1, CHU Pontchaillou, 2, rue Henri-le-Guilloux, 35033 Rennes cedex 9, France
| | - G Berquet
- Service d'urologie, université de Rennes 1, CHU Pontchaillou, 2, rue Henri-le-Guilloux, 35033 Rennes cedex 9, France
| | - J P Couapel
- Service d'urologie, université de Rennes 1, CHU Pontchaillou, 2, rue Henri-le-Guilloux, 35033 Rennes cedex 9, France
| | - Q Alimi
- Service d'urologie, université de Rennes 1, CHU Pontchaillou, 2, rue Henri-le-Guilloux, 35033 Rennes cedex 9, France
| | - K Bensalah
- Service d'urologie, université de Rennes 1, CHU Pontchaillou, 2, rue Henri-le-Guilloux, 35033 Rennes cedex 9, France
| | - N Rioux-Leclercq
- Service d'anatomie et cytologie pathologiques, université de Rennes 1, CHU Pontchaillou, 2, rue Henri-le-Guilloux, 35033 Rennes cedex 9, France
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Peyronnet B, Alimi Q, Pradère B, Khene Z, Fardoun T, Mathieu R, Verhoest G, Bensalah K. Principes de la néphrectomie partielle robot-assistée simplifiée. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.09.025] [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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Tondut L, Enderlé I, Alimi Q, Freton L, Gires B, Senal N, Bonan I, Bensalah K, Kerdraon J, Manunta A, Peyronnet B. Résultats des ballonnets ACT® chez les femmes âgées de plus de 80ans et sur terrain radique. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.274] [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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Peyronnet B, Vincendeau S, Grison P, Alimi Q, Freton L, Tondut L, Gires B, Bensalah K, Senal N, Bonan I, Kerdraon J, Manunta A. Implantation robot-assistée péricervicale du sphincter artificiel urinaire AMS 800 pour incontinence urinaire par insuffisance sphinctérienne neurogène chez l’homme. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.09.002] [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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Tondut L, Peyronnet B, Vaessen C, Bernhard J, Doumerc N, Sèbe P, Pradère B, Guillonneau B, Nouhaud F, Brichart N, Alimi Q, Beauval J, Rammal A, De la Taille A, Baumert H, Droupy S, Bruyère F, Rouprêt M, Méjean A, Bensalah K. Impact du volume de cas par hôpital et par chirurgien sur les résultats de la néphrectomie partielle robot assistée : une étude multicentrique. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.043] [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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Peyronnet B, Locher C, Khene Z, Tondut L, Alimi Q, Pradère B, Mathieu R, Verhoest G, Bensalah K. Modélisation de la courbe d’apprentissage de la néphrectomie partielle robot assistée. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.044] [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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Alimi Q, Peyronnet B, Sebe P, Guillonneau B, Colau A, Ahallal Y, Graffeille V, Tondut L, Verhoest G, Bensalah K. Comparaison des néphrectomie partielle robot assistée et laparoscopique pure après la courbe d’apprentissage : une étude prospective multicentrique. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.027] [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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Alimi Q, Seisen T, Bruyere F, Brichart N, Verhoest G, Graffeille V, Tondut L, Pradere B, Vanalderwerelt V, Rammal A, Vaessen C, Colin P, Roupret M, Bensalah K, Peyronnet B. Résultats périopératoires de la néphro-urétérectomie totale par voie laparoscopique pure versus robot assistée pour le traitement des tumeurs de la voie excrétrice urinaire supérieure. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.018] [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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Alimi Q, Peyronnet B, Kammerer-Jacquet SF, Lefevre M, Gires B, Mathieu R, Tondut L, Vincendeau S, Manunta A, Rioux-Leclercq N, Guille F, Bensalah K, Verhoest G. [Oncologic and perioperative outcomes of robot-assisted radical cystectomy: A single-center prospective series]. Prog Urol 2016; 26:538-46. [PMID: 27590100 DOI: 10.1016/j.purol.2016.07.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2016] [Revised: 07/03/2016] [Accepted: 07/22/2016] [Indexed: 11/18/2022]
Abstract
INTRODUCTION The aim of this study was to report perioperative and oncological outcomes of robot-assisted radical cystectomy (RARC) in a single-center series and to evaluate the impact of the experience on perioperative outcomes. METHODS Between March 2012 and January 2016, 41 patients underwent RARC associated with extended pelvic lymphadenectomy for muscle-invasive bladder cancer. All RARC included were performed by a single-surgeon in one center. Perioperative and oncological datas were collected prospectively. Recurrence-free (RFS), overall (OS) and cancer-specific survivals (CSS) were estimated using the Kaplan-Meier Method. The impact of the experience on perioperative data was estimated using Spearman's correlation test. RESULTS Mean age was 67,7years (±10.6). Most patients underwent neoadjuvant chemotherapy (73.2%). Mean operative time and mean estimated blood loss were respectively 319.5minutes (±85.3) and 662.5mL (±360.9). Eight patients needed perioperative blood transfusion (19.5%). Conversion to open surgery was necessary in 3 cases (7.3%). Ileal neobladder was performed in 26.8% of the cases (54.5% being performed intracorporeal), and non-continent urinary diversion in 73.2%. Mean nodal yield was 17.7 (±9.3). Positive surgical margins were observed in 1 patient (2.3%). Mean length of stay was 13.2 days (±9.8). Postoperative complication rate was 46,3%. After a median follow-up of 16months, estimated 2 year-OS and CSS were respectively 62 and 76.1%. Estimated 2-year RFS was 67.6%. Perioperative outcomes improved with experience with a significant decrease in operative time (P=0.04) and a significant increase of nodal yield (P=0.05). CONCLUSION In this single-center prospective study, satisfactory perioperative and oncological outcomes after RARC were observed despite the learning curve. Perioperative outcomes improved with surgeon's experience. Further studies are needed to confirm these findings. LEVEL OF EVIDENCE 4.
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Affiliation(s)
- Q Alimi
- Department of urology, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France.
| | - B Peyronnet
- Department of urology, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | | | - M Lefevre
- Department of urology, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - B Gires
- Department of urology, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - R Mathieu
- Department of urology, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - L Tondut
- Department of urology, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - S Vincendeau
- Department of urology, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - A Manunta
- Department of urology, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | | | - F Guille
- Department of urology, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - K Bensalah
- Department of urology, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - G Verhoest
- Department of urology, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
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Peyronnet B, Alimi Q, Guillé F, Bensalah K, Bensalah K, Verhoest G. Intérêt du système Ligasure® dans la cystectomie pour cancer : une étude contrôlée non randomisée. Prog Urol 2015; 25:767-8. [DOI: 10.1016/j.purol.2015.08.107] [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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Peyronnet B, Alimi Q, Freton L, Tondut L, Goujon A, Verhoest G, Rioux-leclercq N, Bensalah K, Manunta A. Faut-il préserver la surrénale lors d’une néphro-uréterectomie pour tumeur urothéliale ? Prog Urol 2015; 25:806-7. [DOI: 10.1016/j.purol.2015.08.181] [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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Pradère B, Peyronnet B, Alimi Q, Bosquet E, Mathieu R, Fardoun T, Verhoest G, Bensalah K. Néphro-urétérectomie totale robot assistée simplifiée : technique et résultats d’une série monocentrique. Prog Urol 2015; 25:863-4. [DOI: 10.1016/j.purol.2015.08.302] [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: 10/22/2022]
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Bernhard J, Patard J, Bigot P, Suer E, Vuong N, Verhoest G, Alimi Q, Flamand V, Reix B, Beauval J, Benoit T, Nouhaud F, Lenormand C, Hamidi N, Eto M, Larre S, El bakri A, Baco E, Ploussard G, Koutlidis N, Schneider A, Roupret M, Leon P, Carrouget J, Droupy S, Marchal S. Cancer du rein cliniquement localisé : quels sont les facteurs prédictifs du risque d’upstaging pathologique pT3a par invasion de la graisse ? Prog Urol 2015; 25:800. [DOI: 10.1016/j.purol.2015.08.169] [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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Peyronnet B, Alimi Q, Mathieu R, Laguerre B, Vauleon E, Vincendeau S, Manunta A, Guille F, Rioux-Leclercq N, Bensalah K, Verhoest G. Intérêt de la surveillance scannographique après cystectomie pour cancer. Prog Urol 2014; 24:808. [DOI: 10.1016/j.purol.2014.08.057] [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: 10/24/2022]
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Verhoest G, Thoulouzan M, Peyronnet B, Huet R, Alimi Q, Mathieu R, Vincendeau S, Bensalah K. La cystoprostatectomie robotique : step by step. Prog Urol 2014; 24:894. [DOI: 10.1016/j.purol.2014.09.010] [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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