Granulomatous renal mass during endovesical BCG therapy for bladder carcinoma. Diagnosis by fine-needle aspiration.

One case of pseudotumoral granulomatous renal mass during endovesical bacillus Calmette-Guérin (BCG) therapy for superficial bladder neoplasm is reported. Such an adverse effect is exceptional and is clearly related to a vesicorenal reflux in our patient. In this case ultrasound-guided fine-needle aspiration was able to settle the diagnosis and avoid surgery. The patient responded to triple antituberculous therapy.

[Multilocular cyst of the kidney in adults. Problems in arteriographic and tomodensitometric diagnosis. Apropos of a case]. / Kyste multiloculaire du rein de l'adulte. Difficultés du diagnostic artériographique et tomodensitométrique. A propos d'un cas.

A case of multilocular cyst of the kidney in a forty-eight old female is reported. The urography-ultrasonography association had shown the heterogeneous character of the renal tumor. The angiography and the computed tomography were alarming. The real diagnosis was established by histologic study after nephrectomy.

[The new Iglesias resectoscope with simultaneous irrigation and suction (author's transl)]. / Le nouveau résecteur d'Iglesias avec irrigation et aspiration continues

This new resectoscope is the result of over 30 years experience of T.U.R. Its principle is a double flow running through the resectoscope: inflow and outflow under succion. The advantages are: 1. T.U.R. can be performed continuously, quicker than with conventional resectoscopes and theoretically with no limit of time. 2. T.U.R. is done under intra-vesical pressure, avoiding the T.U.R. syndrome. 3. T.U.R. is done more confortably: better vision bleeding control by watching the suction bottle, no more wet surgeon.

[New concept on the T.U.R. prostate syndrome (author's transl)]. / Physiopathologie du syndrôme de résection endoscopique de prostate. Rôle de l'hypervolémie et de l'hyponatrémie de dilution

The T.U.R.P. syndrome is always secondary either to the perforation of the prostatic capsula or to the opening of a veinous sinus. If the T.U.R.P. syndrome occurs, it can be or early, or late. Generally attributed to hemolysis with hemoglobinemia, we denie it. In fact the T.U.R.P. syndrome is to be attributed to hypervolemia and hyponatremia. The proper treatment requires the use of hypertonic sodium solution. The use of sterile water as irrigant for the T.U.R. is absoluetly convenient and not dangerous, unless one perforates the capsule or open a veinous sinus.