[Treatment of vesicovaginal fistulas using the musculofascial flap of the levator ani muscle: 26 case reports]. / Le traitement des fistules vésicovaginales par l'utilisation du lambeau musculofascial du muscle releveur de l'anus: à propos de 26 cas.

OBJECTIVE: The authors reported the preliminary results of levator ani muscle flap in the treatment of vesicovaginal fistula. MATERIALS AND METHODS: Twenty-six patients whose age varied between 13 and 18 years (mean: 30 years) are selected. All the patients are treated by the vaginal approach using the part of superficial rectal fibers of the levator ani muscle. RESULTS: Among the 26 patients, 14 are free after the first cure of vesicovaginal fistula (54%), and 4 patients (15%), after the treatment of some complications. CONCLUSION: The musculofascial levator ani flap with its vascular pedicle and its mobilisation can successfully close the vesicovaginal fistula. The preliminary results obtained (88%) tie up with that previously described in the literature.

Computer assisted anatomical reconstruction: a prostate model.

We report a computer assisted three dimensional reconstruction technique using serial sections. This reconstruction was achieved by means of a common microcomputer. The organ analyzed in this study was the common European rabbit prostate.

[Extracorporeal lithotripsy as the primary procedure in the treatment of large kidney calculi]. / La lithotritie extra-corporelle de première intention dans le traitement des calculs rénaux volumineux.

Extracorporeal shock wave lithotripsy (ESWL) as primary treatment for large renal stones has been evaluated in this clinical study of 55 patients. Patients were treated using the Dornier HM-3 lithotripter. Twenty-one (38%) patients presented with a stone burden greater than 4 centimeters. Nineteen patients had "steinstrasse", of which 8 had to undergo a secondary procedure. Sixteen (29%) patients had no residual stone, 5 had clinically non significant stones and 34 had clinically significant stones. Out of the 15 patients who underwent a second ESWL, only 2 were rendered stone-free. In this study, ESWL was not found to be a satisfactory treatment for large renal stones.