H(3)Si(37)Cl Revisited with High Resolution: The Ground State and the v(2) = 1; v(3) = 1, 2, and 3; v(5) = 1; v(6) = 1 and 2; and v(3) = v(6) = 1 States.

The infrared spectrum in the range 400-1600 cm(-1) of isotopically pure H(3)Si(37)Cl has been recorded at high resolution (2.4-6.6 x 10(-3) cm(-1)) and analyzed. Fifteen bands have been studied, namely the four fundamentals nu(3) (543.968 cm(-1)), nu(6) (663.738 cm(-1)), nu(2) (947.982 cm(-1)), and nu(5) (950.657 cm(-1)), the overtone bands 2nu(3), 2nu(0)(6), and 2nu(-/+2)(6), the combination band nu(3) + nu(6), and seven hot bands. Improved ground state constant parameters have been obtained, including all four sextic distortion constants. As for the J-independent parameters A(0), D(0)(K), and H(0)(K), they were determined mainly through the "loop method" involving nu(6), 2nu(-/+2)(6), and 2nu(-/+2)(6)-nu(+/-1)(6) and checked through the strong interactions between nu(2) and nu(5), producing some "forbidden lines." The nu(2)/nu(5) dyad was fitted with success using two different reduced Hamiltonians. Concerning nu(3) and nu(6), in spite of their relatively large separation, a Coriolis interaction could be evidenced. In both nu(2)/nu(5) and nu(3)/nu(6) interacting systems the sign of the interaction was found positive. As for the overtones, 2nu(3) was treated as isolated and 2nu(0)(6) and 2nu(-/+2)(6) as linked together by an l(2, 2) interaction. The data on the v(3) = v(6) = 1 levels were obtained mainly from the two hot bands nu(3) + nu(6) - nu(3) and nu(3) + nu(6) - nu(6), and marginally from the weak band nu(3) + nu(6), and also fitted as for an isolated level. A weak x,y-Coriolis interaction with level crossing between K/(kl - 1) = 21 and 22, and a local l(1, -2) resonance at K = 13/kl = -15 between 2nu(3) and nu(5) were furthermore detected. Copyright 1999 Academic Press.

[Treatments of perineal neuralgia caused by involvement of the pudendal nerve]. / Traitements des névralgies périnéales par atteinte du nerf pudendal. A propos de 170 cas.

We report 170 cases of perineal neuralgia due to pudendal nerve compression within Alcock canal or by ischiatic spine. 117 women and 53 men were investigated. Mean age was 60.3 years and the follow-up one year. Infiltrations of the pudendal nerve in the ischio-rectal fossa (pudendal canal or Alcock canal) with corticoids under CT-scan guidance, were successful immediately in only 1/3 of the cases. Infiltrations of the nerve near by ischiatic spine (radioscopic guidance) were successful in 57 p. 100, but only in 15 p. 100 of the cas after one year. Surgical treatment (performed in 27 cases) was good (8 or excellent (9). For all treatments, the results are good in 65 p. 100 of the cases. Perineal neurophysiologic examinations are useful to confirm pudendal nerve lesion and propose specific medical and/or surgical treatment.

[Penile neuropathy: clinical and electrophysiologic study. Report of 186 cases]. / La neuropathie pénienne: Etude clinique et électrophysiologique: A propos de 186 cas.

Penile neuropathy is a common disease due to lesion of the sensory branch of the pudendal nerve, ie, the dorsal nerve of the penis. Sexual disorders (deterioration of erection) and sensory signs (hypoesthesia or paresthesia of the penis) are noted in patients with penile neuropathy. Electrophysiological recordings help guide the diagnosis (reduction of the sensory velocity of the dorsal nerve of the penis). Many etiologies can be found (traumatic, toxic, compressive), but the most common lesion is neuropathy related to diabetes.

[Stress urinary incontinence and genito-sexual conditions. Study of 35 cases]. / Incontinence urinaire à l'effort de la femme et troubles génito-sexuels. Etude de 35 cas.

OBJECTIVES: To determine frequency and type of sexual disorders in stress urinary incontinence. To determine their physiopathologic mechanisms and psychologic impact. METHODS: 35 patients with stress urinary incontinence were prospectively investigated with special attention for sexuals disorders. Clinical examination, visual analogic scores testing psychologic impact, urodynamic investigation and electrophysiologic testing (electromyography, sacral latency and terminal pudendal nerve latency measurements) were performed. RESULTS: Sexual dysfunction was noted in 86% of the cases. Urinary incontinence during sexual intercourse was seen in 28%, anorgasmia noted in 60%. No correlation was demonstrated between different parameters (age, anorectal disorders, prolapsus, weight, pregnancy, visual analogic scales testing disturbance of the quality of life induced by urinary incontinence) and the presence of sexual dysfunction. CONCLUSION: This fact suggest that perineal stretch neuropathy, with progressive denervation of striated pelvic sphincter musculature due to repeated stretch injury of the innervation when the pelvic floor is weak, is not probably the most important factor to determine sexuals disorders. Psychogenic factors may be always considered in diagnosis and treatment.

[Urologic complications of multiple sclerosis. 180 cases]. / Les complications urologiques de la sclérose en plaques. 180 cas.

OBJECTIVES: The aim of this study was to assess frequency and importance of urological complications in multiple sclerosis. METHODS: A total of 180 patients with multiple sclerosis (115 women, 64 men; mean disease duration 13.4 years) underwent the following examinations: neuroperineal examination, bladder and kidney echography, intravenous pyelography, creatinine assay, urodynamic investigation and sphincter electromyography. RESULTS: Detrusor hyperreflexia (70%) and areflexia (15%) were the commonest findings on cystometry and correlated with clinical data (urinary incontinence in 62% and retention in 18%). Urologic complications were noted in 56% with benign lesions in 37% (diverticula, urinary infections) and serious lesions in 19% (hydronephrosis, pyelonephritis, renal reflux). No correlations were found between complications and dyssynergia, overactivity and urinary retention. CONCLUSIONS: The presence of these complications suggests the need for frequent urodynamic and radiologic controls in patients with multiple sclerosis.