[Artificial urinary sphincter in patients with urinary incontinence after High Intensity Focused ultrasound]. / Sphincter urinaire artificiel chez les patients présentant une incontinence urinaire après High Intensivity Focused Ultrasound Therapy.

INTRODUCTION: Urinary incontinence after High Intensity Focused ultrasound (HIFU) is a poorly documented issue. To our knowledge, no study has evaluated the outcomes of artificial urinary sphincter (AUS) after HIFU. The aim of this study was to evaluate the functional outcomes of AUS for post-HIFU urinary incontinence. METHODS: The charts of all male patients who underwent an AUS implantation between 2004 and 2020 in 13 centers were reviewed retrospectively. Only men with a history of HIFU were included. The primary endpoint was social continence at 3 months defined as wearing 0 to 1 pad per day. RESULTS: Out of 1318 procedures, nine men were implanted with an AUS after HIFU including four men with an history of pelvic irradiation: 3 pelvic radiation therapy and 1 prostatic brachytherapy. The patients were divided into two groups, 5 in the HIFU group without a history of pelvic irradiation, 4 patients in the HIRX group with a history of pelvic irradiation. The median age was 74 years (IQR 71-76). There was no perioperative complication. The median follow-up was 47.5 (IQR 25-85.5) months. Social continence at 3 months was 75% in the total cohort: 80% in the HIFU group and 67% in the HIRX group. CONCLUSION: AUS implantation may provide satisfactory long-term functional outcomes in the treatment of stress urinary incontinence resulting from HIFU. Larger series are needed to confirm these findings. LEVEL OF EVIDENCE: 4.

[Spontaneous intraperitoneal rupture of the bladder treated with laparoscopy]. / Rupture spontanée intrapéritonéale de la vessie traitée par coelioscopie.

The authors report the case of a 53-year-old patient admitted for spontaneous bladder rupture occurring during an episode of alcoholic intoxication. Laparoscopic treatment consisted of peritoneal toilet with bladder suture and drainage of the abdominal cavity with a favourable postoperative course.

Retroperitoneal laparoscopic nephrectomy of native kidneys in renal transplant recipients.

BACKGROUND: The purpose of this study was to compare retroperitoneal laparoscopic nephrectomy in transplant recipients and in other patients scheduled for nephrectomy. METHODS: From February 1994 to July 1996, 15 transplant recipients and 17 other patients underwent a total of 36 retroperitoneal laparoscopic nephrectomies for various indications. Operative time, morbidity, and hospital stay were compared between the two groups. RESULTS: The average operating time for the 36 procedures was 95+/-38 min (range, 35-180 min). It was shorter in transplant recipients (81+/-32 min) than in other patients (100+/-39 min, P<0.05). There was one postoperative complication in the transplant recipient group. The average length of the postoperative hospitalization was 3.7+/-1.4 days (range, 2-8 days). CONCLUSIONS: The retroperitoneal laparoscopic approach for nephrectomy is as safe and effective in renal transplant recipients as in other patients. Postoperative stay and delay to resumption of oral immunotherapy are short. This approach has become our first-line approach for native nephrectomy in transplant recipients.

[Pure primary carcinoid tumor of the testis. Apropos of a case]. / Tumeur carcinoïde pure primitive du testicule. A propos d'un cas.

The authors report a case of pure primary carcinoid tumour of the testis. This is a rare tumour which can only be diagnosed by histological examination of the resection specimen. They may be primary or metastatic, with radically different prognoses. The diagnosis of such lesions requires the search for the primary carcinoid tumour.

[A silica urinary calculus secondary to the absorption of gelopectose in a child]. / Calcul urinaire de silice secondaire à l'absorption de gélopectose chez l'enfant.

The authors report a case of silica-containing urinary stones in a child. This drug-induced urinary stone was secondary to absorption of Gelopectose and its composition was confirmed by infrared spectrophotometry. Other cases have been diagnosed but have not yet been published. Patients with such urinary stones should be investigated for possible hypercalciuria or a disorder of H+ metabolism in the context of distal tubular acidosis, which may be incomplete and/or transient.