[Use of Eductyl(®) suppository for rectal preparation before prostate biopsy: an observational survey]. / Utilisation d'Eductyl(®) pour la préparation rectale avant biopsies de prostate. Une enquête de pratique.

BACKGROUND: Local preparation of rectum governs the possibly survenue of complications during transrectal ultrasound guided biopsies of prostate. OBJECTIVE: To determine the efficacy and acceptability of rectal preparation (Eductyl(®) suppository) in patients undergoing a transrectal prostate biopsy. PATIENTS AND METHODS: From May to August 2005, eight urologists (Bel-Air Urological Center, Bordeaux) included 137 patients (mean age 66.4 years) with an indication of prostate biopsies. All patients were administrated prophylactic antibiotic therapy. They used Eductyl(®) effervescent suppositories for local preparation, the day before and/or the morning of the exam. RESULTS: Rectal vacuity was satisfactory or very satisfactory for 99% of patients. Introduction of probe and tracking of prostate were easy or very easy in 99% of cases. Eight days after the exam, only 35% of patients had suffered anal or rectal pain during a mean of 2 days. Most of patients recovered bowel function without requiring treatment and without any difficulty or pain. The bowel function recovery occurred the day of prostate biopsy and the day after for 28.4% and 62.2% of patients, respectively. CONCLUSION: Urologists considered that the use of Eductyl(®) suppositories before prostate biopsies ensured a satisfactory rectal preparation and optimal conditions for the exam. Moreover, this preparation was well accepted by patients.

[Posterior urethral valves in newborns and infants. Treatment and clinical course]. / Les valves de l'urèthre postérieur chez le nouveau-né et le nourrisson. Traitement et évolution.

Severe forms of posterior urethral valve are essentially seen in neonates and infants. In 6 neonates under the age of 3 months, the predominant presenting features were a deterioration in the general status and renal failure. Transurethral section of the valves, after urinary drainage for an average of one month, restored patency of the lower urinary tract in every case. All children have persistent renal failure, which is moderate or severe in 4 cases. In 6 infants between the ages of 3 and 11 months, the clinical presentation was dominated by signs of infection. Section of the valve was able to be performed earlier, with subsequent urethral stricture in one case. Five infants, initially presenting with renal failure, have persistent moderate renal failure. The degree of obstruction accounts for the severity of the uropathy and its early clinical presentation. The renal prognosis is poor and related to the uretero-renal consequences of the valve as well as associated renal dysplasia.

[Isolated and unilateral malacoplakia of the upper urinary tract. Apropos of a case]. / Malacoplakie isolée et unilatérale du haut appareil urinaire. A propos d'un cas.

Malakoplakia, strictly unilateral and localised to the upper urinary tract, is a rare presentation of this uncommon inflammatory disease. In this 53 year old woman, the disease presented in the form of a tumour of the left upper urinary tract. Radical nephroureterectomy was performed and histological examination of the resection specimen revealed the diagnosis.

[Cancer of schistosomiasis-infected bladders. Apropos of 6 cases]. / Le cancer sur vessie bilharzienne. A propos de six observations.

It is a well known fact that patients with urinary schistosomiasis are at risk for carcinoma of the bladder. Although relatively few cases are seen in France. Among 130 patients with urinary schistosomiasis hospitalized in our department from April 1980 to December 1984, 6 cases of carcinoma of the bladder were diagnosed. Our series has a number of specific characteristics: patients are Black Africans, and the anatomoclinical characteristics of these tumors differ from those found in vesical tumors in Europeans free of schistosomiasis, with, apparently, a greater sensitivity to chemotherapy.