Tumeurs de vessie: Tribulations des nouvelles classifications histologiques.

Bladder cancer is a public health problem because of its increasing incidence. The histological grade being an important prognostic parameter in evaluating mainly superficial, non-infiltrative, urothelial tumors, it is of great interest to define a reproducible classification that can be made available to oncologists, urologists and family doctors as well. New classifications have been recently proposed. They will be discussed here. It will be argued that the current classification is still valid and should be maintained

Hyperparathyroidie primaire experience de l'Hotel-Dieu etude clinique de 28 cas

Primary hyperparathyroidism is a more frequently recognized entity. The clinical picture historically severe, has changed overtime. We present herein our experience relating 28 cases with emphasis of our results compared to the medical literature

Traitement de l'hypospadias par le lambeau pedicule preputial transverse

With a better understanding of the penile vasculature, many one-stage techniques were proposed for mid-shaft and posterior hypospadias repair including the Duckett's technique with the transverse preputial island flap [TPIF]. We performed the Duckett's technique on 25 patients with penile hypospadias with the following no cases of meatal stenosis and three cases of urethrocutaneous fistula [12%]. The three cases of urethrocutaneous fistula were reported in the first 15 patients where the neo-urethra was closed in one layer but no case of fistula was reported in the last 10 patients where the neo-urethra was closed in two layers: the difference is significative [P< 0.05]. in conclusion, the duckett's technique with the two-layer closure technique of the neo-urethra is a good alternative for penile hypospadias repair