[Endoscopic resection of benign prostatic hyperplasia in men over 80 years of age: a retrospective study of 184 cases]. / La resection endoscopique de l'hypertrophie benigne de la prostate chez les personnes ages de plus de 80 ans: etude rertospective a propos de 184 cas.

OBJECTIVE: The aim of the present study was to evaluate the outcome of transurethral resection of the prostate for benign prostatic hyperplasia in men over 80 years. MATERIAL AND METHOD: 184 men over 80 years underwent transurethral resection of the prostate for benign prostatic hyperplasia. Serious concomitant disease was found in 48.92% of cases. RESULTS: The mean operating time was 49 min ( 20 - 160mn). Others conditions found at surgery were treated during the same operation in 33.68% of cases. Peroperative complications were reported in 15 patients (8.15%) and immediate post operative complications were reported in 14 patients (7.60%), with died of 3 patients. The complications at 6 month after surgery in 172 available for followup were reported in 11 patients (6.39%). CONCLUSION: Transurethral resection of the prostate for benign prostatic hyperplasia in men over 80 years has a good outcome with an acceptable morbidity and mortality.

[Retroperitoneal paraganglioma: case report]. / Paragangliome rétropéritoneal: à propos d'un cas.

Paraganglioma are rare neoplasms arising from undifferentiated cells of the primitive neural crest. We report a case of a 53 years old patient presented with a large tissular retropéritoneal tumour situated above the left kidney. Serum Adrenaline, Nor drenaline and VMA levels were normal. Surgical complete resection of the tumour was performed without intra-operative incident. The histopathological examination and the immunohistochemical analyses concluded to a non secreting retroperitoneal paraganglioma. Postoperative course was uneventful.

[Ureteritis cystica. Case report and review of the literature]. / Ureterite kystique a propos d'un cas et revue de la litterature.

The authors report one case of ureteritis cystica in 40 years old women. The diagnosis was confirmed by histologic examination. The epidemiologic, etiopathogenic, radio-diagnosis and therapeutic aspects are discussed with a review of literature.

[Renal angiomyolipoma]. / L'angiomyolipome rénal.

Anglomyolipoma is a benign kidney tumour that may be an isolated lesion or associated especially with tuberous sclerosis. The advancement of imaging technology allows a correct diagnosis in most cases before surgery. The management approach of angiomyolipoma should be aimed at parenchymal preservation: tumorectomy, partial nephrectomy and selective embolization. However, any doubt about the diagnosis should be clarified by classic surgery.

How did the endoscopic video camera change our practice in transurethral resection of the prostate? A retrospective study of 200 cases.

PURPOSE: Video camera-assisted transurethral resection of the prostate (TURP) is an invaluable teaching tool and provides physical comfort to the surgeon. However, whether it improves technical skills and reduces complications rates and hospital stay has not been well documented. PATIENTS AND METHODS: We retrospectively reviewed 100 cases of video camera-assisted (VCA) TURP and 100 cases of non-video camera-assisted (NVCA) TURP randomly chosen from 1490 cases performed over a 5-year period. The patients' mean age was similar in the two groups (70 years in the NVCA group and 71 years in the VCA group). RESULTS: The mean weight of prostatic chips was 33.2 g in the VCA and 19.02 g in the NVCA group (P < 0.05). The mean operative time was identical in the two groups (VCA 41 minutes and NVCA 42.2 minutes). The mean postoperative hospital stay was shorter in the VCA group than in the NVCA group (1.56 and 3.39 days, respectively) (P < 0.05), as was the urinary drainage time (1.68 and 4.04 days, respectively) (P < 0.05). In the NVCA group, three patients had profuse hemorrhage necessitating blood transfusions and two had TURP syndrome, while in the VCA group, one patient had TURP syndrome and no patient experienced intraoperative or postoperative hemorrhage. Urethral stricture was less frequent in the VCA group than in the NVCA group (1% and 3%, respectively). CONCLUSIONS: With video camera-assisted TURP, we resected larger prostate glands with minimal intraoperative bleeding, better hemostasis, and a shorter hospital stay.

[Chyluria]. / La chylurie.

Chyluria is the passage of chyle into the urine giving it a typical milky appearance, it's due to a communication between lymphatic and urinary system. Filariasis is the most frequent cause of chyluria. Considering the infrequency of chyluria in our environment, a literature review is made, explaining the most frequent etiological data, as well as clinical signs, diagnostic means, conservative and surgical procedures in the treatment of this process.

[Ureterocele in adults complicated with calculi: diagnostic and therapeutic features. Report of 20 cases]. / Urétérocèle de l'adulte compliquée de calculs: aspect diagnostique et thérapeutique. A propos de 20 cas.

STUDY OBJECTIVE: The authors study the various diagnostic and therapeutic aspects of adult ureterocele and evaluate the place of endoscopic treatment. MATERIALS AND METHODS: This retrospective study was based on 20 cases of ureterocele in adults complicated by stones and observed between January 1990 and December 2001. This series consisted of 8 men and 12 women with a mean age of 48.3 years (range: 24-75 years). The clinical features were dominated by low back pain. The diagnosis of ureterocele was based on intravenous urography in 19 patients and was discovered on endoscopy in one patient. The ureterocele affected a single ureter in 16 cases (80%) and a duplex ureter at the expense of the upper renal segment in 4 cases. All patients were treated by endoscopic horizontal meatotomy with stone fragmentation and extraction. The mean operating time was 27 min (range: 18-58 min). RESULTS: The postoperative course was uneventful in 19 patients. One patient developed postoperative sepsis. All patients were reviewed clinically and radiologically at 3 months and at 6 months. Satisfactory results were obtained in every case with no residual stones and resolution of low back pain. Only one patient presented vesicoureteric reflux which had resolved on the follow-up urethrocystography performed at 6 months. CONCLUSION: Adult ureterocele complicated by stones is a well tolerated, rare entity that can often be easily diagnosed. Endoscopic meatotomy is easy to perform and gives good results. The associated stones constitute an additional argument in favour of endoscopic treatment.