For ureteral lesions without loss of substance our preferences are, at the level of the lesion, either for end-to-end ureteral suture, or antireflux uretero-vesical reimplantation. For ureteral lesions with loss of substance we prefer the psoas bladder, if the bladder is healthy, large and supple, or inter-ureteral anastomosis if the bladder for some reason (radiotherapy, retracted bladder, small "blocked pelvis") is not available. Synthetic ureteral prosthesis may be a rapid and elegant solution in cancer patients with a limited hope of survival. Guided by these principles, we have repaired 10 ureters : 1 by ureterolysis, 2 by end-to-end suture, 3 by inter-ureteral anastomosis, 4 by antireflux uretero-vesico reimplantation. These 10 repairs gave 9 successes. The only failure (end-to-end ureteral suture) was due to our lack of experience, for in a similar case we would now perform an inter-ureteral anastomosis.

Adult↗

PubMed1979

[Ureteral stenosis following antireflux uretero-vesical reimplantation in the child (5 observations)].

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Adolescent↗

PubMed1978

[Coralliform urolithiasis. A report of 56 case histories (author's transl)].

Analysis of 56 cases of coralliform urolithiasis has shown, among other things, the normally poor symptomology. This is in contrast to the poor prognosis which, in the absence of treatment, almost always ends in the destruction of the kidney. Besides ten immediate nephrectomies, 52 conservative operations were performed on forty patients. These conservative operations are difficult, long and meticulous. They are greatly facilitated by using an endocavitary lighting source of cold light. The use of contact X-ray is indispensable. Removal of stones must be absolutely complete. The number and extent of the nephrotomies must be reduced to a strict minimum. One must avoid the big, destructive nephrotomies--except, perhaps, in children. With the help of all these precautions, the results are encouraging; no secondary nephrectomies until present time, only two real relapses, and three small previously-undetected calculi. Yet, thanks to the systemic use of the cold light and of the contact X-rays, there were no more "undetected" calculi for the last 4 1/2 years.

Adolescent↗

PubMed1977

[Endoscopic resection in the treatment of non-invasive excreto-urinary carcinomas of the bladder 146 endoscopic resections carried out in 53 patients].

The authors divided their cases of excreto-urinary tumours of the bladder using the classification of Chome and Algazi. The diagnosis was made in 8 cases out of 10 on the basis of the cystogram obtained by IV pyelography. The upper urinary tract was free of disease in all cases. All patients were treated by endoscopic resection with or without the addition of intravesical instillations of triaziridinyl phosphine sulphide. The effectiveness of such instillations would not appear to have been conclusively demonstrated at the present time. Recurrences of intravesical tumours are extremely common (33/53 patients), but were always at the initial stage: i.e. highly differentiated non-invasive carcinoma. Up to the present none of these 53 patients (maximum follow-up 10 years) has died of an invasive carcinoma of the bladder.

Adult↗

PubMed1977