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1.
Eur J Obstet Gynecol Reprod Biol ; 207: 89-93, 2016 Dec.
Article in English | MEDLINE | ID: mdl-27833061

ABSTRACT

OBJECTIVE: To investigate the long-term outcomes of unilateral mid-urethral sling transection to treat voiding dysfunction after synthetic mid-urethral sling placement for stress urinary incontinence. STUDY DESIGN: Twenty-three patients who underwent an unilateral sling transection were analyzed retrospectively. Patient records were analyzed for subjective outcome, and pre- and postoperative flow patterns were used as objective outcome parameters. RESULTS: At the first postoperative follow-up, 77.3% of the patients remained dry. After a mean follow-up of 42 months, 73.9% of patients were continent. The flow pattern after lateral sling transection was significantly better than pre-operatively, with higher maximum flow rate (24.2ml/s, p=0.001), higher mean flow rate (10.4ml/s, p=0.001), higher voided volume (308.5ml, p=0.002) and lower residual volume (28.7ml, p=0.003). At final postoperative follow-up, eight patients (34.8%) reported urgency and six patients (26.1%) were incontinent; four of these patients (17.4%) mainly had urge incontinence. CONCLUSIONS: Unilateral mid-urethral sling transection is a safe, effective technique to treat voiding symptoms with good preservation of continence. The technique repairs the obstructive flow effectively. Urgency and urge incontinence after mid-urethral sling placement are difficult to treat with transection alone.


Subject(s)
Dyspareunia/etiology , Postoperative Complications/etiology , Suburethral Slings/adverse effects , Urinary Incontinence, Stress/surgery , Urinary Incontinence, Urge/etiology , Urinary Retention/etiology , Urinary Tract Infections/etiology , Belgium/epidemiology , Cohort Studies , Dyspareunia/epidemiology , Dyspareunia/physiopathology , Dyspareunia/prevention & control , Electronic Health Records , Female , Follow-Up Studies , Humans , Middle Aged , Patient Satisfaction , Postoperative Complications/epidemiology , Postoperative Complications/physiopathology , Postoperative Complications/prevention & control , Recurrence , Retrospective Studies , Risk , Secondary Prevention , Urinary Incontinence, Stress/epidemiology , Urinary Incontinence, Stress/physiopathology , Urinary Incontinence, Stress/prevention & control , Urinary Incontinence, Urge/epidemiology , Urinary Incontinence, Urge/physiopathology , Urinary Incontinence, Urge/prevention & control , Urinary Retention/epidemiology , Urinary Retention/physiopathology , Urinary Retention/prevention & control , Urinary Tract Infections/epidemiology , Urinary Tract Infections/physiopathology , Urinary Tract Infections/prevention & control , Urodynamics
2.
J Belge Radiol ; 78(6): 345-6, 1995 Dec.
Article in English | MEDLINE | ID: mdl-8576022

ABSTRACT

The case of a 44-year-old woman with urethral diverticulum is described. The lesion was initially detected by ultrasonography. MRI proved to be very sensitive in localising and delineating the urethral diverticulum and could differentiate it from lesions arising from the vagina or bladder.


Subject(s)
Diverticulum/pathology , Urethral Diseases/pathology , Diverticulum/complications , Diverticulum/diagnostic imaging , Female , Humans , Magnetic Resonance Imaging , Middle Aged , Ultrasonography , Urethral Diseases/complications , Urethral Diseases/diagnostic imaging , Urinary Incontinence, Stress/etiology
4.
J Chir (Paris) ; 129(12): 519-22, 1992 Dec.
Article in French | MEDLINE | ID: mdl-1299664

ABSTRACT

Retrospective analysis of a consecutive series of 285 cholecystectomies carried out by laparoscopy showed that 47 patients (17.5%) required conversion laparotomy. In 55% of these cases the conversion was due to difficulty in dissecting the gallbladder or cystic duct. Peri-operative cholangiography should be performed routinely, not only to verify the vacuity of the common bile duct (13% of the conversions) but, more particularly, to ensure the integrity of the principal biliary pathway during the dissection (8.5% of the conversions). Cholecystectomy under celioscopy is a proven and safe technique, on the condition that all stages of classical surgery can be carried out under good conditions.


Subject(s)
Cholecystectomy, Laparoscopic/methods , Laparotomy/methods , Adolescent , Adult , Aged , Aged, 80 and over , Child , Cholangiography , Cholecystitis/surgery , Colic/surgery , Female , Humans , Liver Diseases/surgery , Male , Middle Aged , Pancreatitis/surgery , Postoperative Complications , Retrospective Studies
5.
Acta Chir Belg ; 92(4): 172-5, 1992.
Article in French | MEDLINE | ID: mdl-1414132

ABSTRACT

Blunt abdominal trauma and delayed colon perforations are not common and usually occur in patients sustaining other injuries, but also as isolated event. We report a case of delayed perforation of sigmoid colon, three days after a blunt abdominal trauma in a male adult. It was caused by disinsertion of sigmoid colon mesentery for about ten centimeters. This condition is discussed with literature review.


Subject(s)
Abdominal Injuries/complications , Colon, Sigmoid/injuries , Intestinal Perforation/etiology , Wounds, Nonpenetrating/complications , Adult , Colon, Sigmoid/surgery , Humans , Intestinal Perforation/surgery , Male
6.
Acta Chir Belg ; 92(1): 46-51, 1992.
Article in French | MEDLINE | ID: mdl-1553849

ABSTRACT

Schwannomas as neurofibromas are neurogenic mesenchymal tumors of the stomach. They arise from the Schwann cells of nerves of th gastric wall and are usually benign. The incidence of malignant schwannomas is uncertain because of the variable pathologic criteria used. Immunohistochemistry is a diagnostic tool used to distinguish between schwannomas and leiomyomas both constituted by spindle-cells. In this issue we report a case of malignant schwannoma with lymph node involvement. The clinical and histological features of gastric schwannomas are discussed with evaluation of their diagnostic and therapeutic modalities.


Subject(s)
Neurilemmoma/pathology , Stomach Neoplasms/pathology , Humans , Immunohistochemistry , Lymphatic Metastasis , Male , Middle Aged , Neurilemmoma/diagnostic imaging , Neurilemmoma/surgery , Prognosis , Stomach Neoplasms/diagnostic imaging , Stomach Neoplasms/surgery , Tomography, X-Ray Computed
7.
Acta Chir Belg ; 91(3): 145-9, 1991.
Article in French | MEDLINE | ID: mdl-1862682

ABSTRACT

Mesenteric cysts are rare intraabdominal tumors in surgical pathology. Their etiology has been subject to much discussion. Symptoms are variable and depend on specific complications. Localisation in the gastro-hepatic mesentery is uncommon and has been reported only in two previous issues. We describe a new case with literature review.


Subject(s)
Mesenteric Cyst/diagnostic imaging , Adolescent , Adult , Aged , Child , Humans , Male , Mesenteric Cyst/pathology , Mesenteric Cyst/surgery , Radiography
8.
J Chir (Paris) ; 127(4): 209-12, 1990 Apr.
Article in French | MEDLINE | ID: mdl-2361968

ABSTRACT

Authors have described 2 cases of benign schwannomas of pelvian origin and with abdominal extension. The diagnosis is often late because of the absence of early clinical signs and of specific investigations. The reliability of the diagnosis is based on the mobid anatomy of the surgical pieces, the hypervascularization. Schwannomes with bone adherences complicate the surgical treatment. These tumors very seldom degenerate. The pronostic is related to the risk seldom degenerate. The pronostic is related to the risk of recurrence if their ablation is incomplete.


Subject(s)
Neuroma/surgery , Retroperitoneal Neoplasms/surgery , Adult , Humans , Male , Middle Aged , Neuroma/diagnostic imaging , Pelvic Neoplasms , Prognosis , Retroperitoneal Neoplasms/diagnostic imaging , Tomography, X-Ray Computed
10.
Acta Urol Belg ; 58(1): 159-61, 1990.
Article in English | MEDLINE | ID: mdl-2371936

ABSTRACT

Urethral advancement is a less well known technique for the repair of distal hypospadias. We treated 37 patients with a median age of 3 years for coronal and subcoronal hypospadias, with excellent results.


Subject(s)
Hypospadias/surgery , Urethra/surgery , Child, Preschool , Humans , Infant , Male , Methods
12.
Clin Rheumatol ; 5(2): 225-30, 1986 Jun.
Article in English | MEDLINE | ID: mdl-3731717

ABSTRACT

Three regios of cancellous bone, two subchondral and one central, from the femoral heads of five normal and ten osteoarthrotic individuals were analysed for their content of collagen, sialoprotein, proteoglycan and carbohydrate. Confirming previous findings in osteoarthrotic bone this study shows that there are significant quantitative changes in matrix composition consisting of a decrease in collagen content and increase in noncollagenous proteins in osteoarthrosis. Since these matrix alterations were present in all areas of the femoral head, also at areas distal from the subchondral area, it is unlikely that these changes are secondary to bone remodeling near the joint destruction. Difference in matrix composition according to the area of the femoral head was also found in the controls, indicating that bone matrix proteins are related to mechanic properties of the bone. The more stress the bone has to withstand, the lower the collagen/noncollagenous protein ratio in its matrix. These observations suggest that in osteoarthrosis, the bone is stiffer and can therefore absorb less well impact loading and by transmitting it back to the cartilage provokes cartilage dysfunction.


Subject(s)
Bone Diseases/metabolism , Bone Matrix/analysis , Femur Head/analysis , Joint Diseases/metabolism , Aged , Collagen/analysis , Glycosaminoglycans/analysis , Hexoses/analysis , Humans , Hydroxyproline/analysis , N-Acetylneuraminic Acid , Sialic Acids/analysis , Uronic Acids/analysis
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