Transurethral transvesical endoscopic management of a retrovesical hydatid cyst.

We present a technique of transurethral transvesical endoscopic management of an intraperitoneal retrovesical hydatid cyst. Cystoscopy is performed using a 20.8F nephroscope. The cyst is punctured using an 18-gauge, 36-cm needle through the nephroscope operating channel. Saline (20%) is used as scolicidal agent. After balloon tract dilation, the nephroscope is introduced into the cyst, and the hydatid material is evacuated.

The split-leg modified lateral position for percutaneous renal surgery and optimal retrograde access to the upper urinary tract.

OBJECTIVES: To present our experience with percutaneous nephrolithotomy (PCNL) in the split-leg modified lateral position. MATERIAL AND METHOD: The patient is placed with the thorax in the lateral position and the pelvis in an oblique position. Then the lower limbs are split and bent in the lowest position. Initial placement of a retrograde ureteral catheter, tract formation, stone fragmentation and retrieval, and optional extra procedures were accomplished with the patient in the same position. RESULTS: PCNL in the split-leg modified lateral position resulted in decreased operating room time, less manipulation of the anesthetized patient, and maintaining the sterility of the retrograde ureteral catheter. In addition, it allowed simultaneous antegrade and retrograde endoscopic approach to the upper urinary tract. Ureteral catheter placement, PCNL, and associated procedures were possible in all patients. Adjunct procedures were internal urethrotomy, transurethral resection of the prostate, rigid and flexible ureteroscopy, and endopyelotomy or endopyeloplasty. CONCLUSIONS: Performing PCNL in the split-leg modified lateral position has several advantages for the patient and the urologist, with greater versatility of stone manipulation along the entire urinary tract.

A vacuum cleaner for the pelvicalyceal system during percutaneous nephrolithotomy.

Removing small stones, fragments and debris, clots, or clusters of small stones can be bothersome and time consuming. We perform a technique to sweep out fragments from the kidney during percutaneous nephrolithotomy using suction. The nephroscope is used as a vacuum cleaner by adapting the suction tube to the nephroscope operating channel. The fragments are quickly aspirated through the nephroscope working channel under direct vision. This technique gives the best opportunities to render a patient stone-free from even the fine sand debris.

[Small cell carcinoma of the prostate: a case report]. / Carcinome à petites cellules de la prostate: à propos d'un cas.

Pure small cells carcinoma of the prostate is a rare tumour with a pejorative forecast. We report a case of neuroendocrine small cells carcinoma developed at a 68 years old patient. This tumour expressed a positive marking immunohistochimic with chromogranin A, the rate of PSA was on the other hand normal (2.9 ng/ml). The patient was treated by chemotherapy associating etoposide and cisplatinium and external radiotherapy. He is deceased 4 months afterwards.

[Penile reconstruction following amputation by electrocution]. / Reconstruction pénienne après amputation par électrocution.

We report a case of penile reconstruction after traumatic loss of the penis in a 27-year old man who was electrocuted. Phalloplasty using the remaining stumps of the corpora cavernosa was performed. The functional and cosmetic aspects of the organ are good.

["Cystic incidentaloma" of the adrenal gland: report of a case]. / "Incidentalomes kystiques" de la surrénale: à propos d'un cas.

Cystic tumors of the adrenal gland are uncommon, but are being increasingly more frequently diagnosed during routine radiological evaluation. The management of these "incidentalomas" remains to be defined. Adrenal cysts have been traditionally managed by excision or aspiration to rule out malignancy. Actually, for some authors, in the cases of incidentally found cysts, if the suspicion of malignancy is low, and the lesion is non-functional, observation of the patients with regular follow-up may be an alternative. We report a case of a non-aspirated incidental adrenal cyst with a follow-up of four years.