[Transrectal ultrasound in the diagnosis of prostate cancer]

Transrectal ultrasound is an important tool in detection and management of prostate cancer. Its role is to identify and characterize focal lesions before capsular invasion and metastases and to guide biopsy of the prostate. In this paper, we present an overview of the state of transrectal ultrasound imaging in prostate cancer

[Management of complications of percutaneous nephrolithotomy with ballistic lithotripsy. A report of 82 consecutive PCNL]

In this paper, authors assessed the complication rate of percutaneous nephrolithotomy [PCNL] through a consecutive series of 82 PCNL performed on 80 patients with renal calculi [48 men and 32 women]. Patients' mean age was 42 years. Stones were located in the pelvis or lower calyx in 75% of cases with a diameter exceeding 20 mm in 56%. 11 Patients had intraoperative problems one ureteral false passage, one renal perforation by a ureteral stent, three cases of hemorrage, three cases of punctate perforations of excretory cavities. In one case, nephrostomy tube fell and could not be replaced. 6 patients had post operative complications: three patients had postoperative fever, one patient developed acute pyelonephritis and two patients had transient urinary leakage after nephrostomy tube removal. After reviewing the literature, authors conclude to the low complication rate of PCNL

La revascularisation d'une amputation accidentelle du gland par des shunts caverno-balaniques. [. propos d'un cas]

Authors reports a case of accidental amputation of the glans in 8 years- old boy during circumcision. A simple technique of reparation and revascularisation is proposed. A termino-terminal urethral anastomosis is performed after a urethral catheter is inserted, then the skin of the glans and the penis is sutured. revascularisation of the glans is created by shunts between corpora cavernosa and corpora spongiosa with simple needle punctures