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Biomedical subjects

F Mauffette

Publications and source records attributed to F Mauffette.

10 recordsLinked to original sources
PubMed1988

[Immediate complications of transurethral resection of the prostate: study of 1000 consecutive cases].

The authors reviewed the charts of 1000 patients who underwent transurethral resection of the prostate. When the 30-day postoperative period was studied, it was found that 139 patients suffered complications and 6 died. Infectious complications (urinary tract in 63 cases and septicemia in 23 cases) were the commonest followed by hemorrhage and urinary retention. The deaths were related to cardiac problems.

Aged↗
PubMed1984

[Usefulness of intravenous urography in the evaluation of benign prostatic hypertrophy].

Intravenous pyelography performed in 500 patients as part of the evaluation for benign prostatic hypertrophy revealed an incidence of upper tract abnormalities in 25.2% of cases. Amongst the 179 patients with haematuria and/or pyuria, the incidence of abnormalities rose to 31.2%. The incidence of significant abnormalities such as calculi, polycystic kidneys and renal neoplasm was 3%, comparable to the general population. In the light of these findings and in view of the cost of the investigation, we believe that intravenous pyelography should only be performed in selected cases.

Aged↗
PubMed1982

[Haemorrhage from an ileal loop bladder secondary to portal hypertension (author's transl)].

Whilst haemorrhage from the stoma is a classical complication of ileal canal, portal hypertension is rarely responsible since only six cases have been reported in the literature before that described here. The responsibility of portal hypertension having been confirmed by umbilico-portography, and a mesenterico-caval shunt was performed. This did not prevent a further bleed 15 months later which led to the discovery of obstruction of the shunt. Despite this there were no further problems up to the time of the patient's death 22 months later as a result of encephalopathy. On the basis of the present case and those already published, the authors discuss the mechanisms and therapeutic possibilities of this rare complication.

Gastrointestinal Hemorrhage↗
PubMed1982

Urinary calculi in pregnancy.

Between January 1975 and March 1980, 19 pregnant patients with urinary calculi were admitted to hospital, they constituted 0.23% of all women delivered at the Hôpital St-Luc during that period. The symptoms were characteristic: pain in the flank and right lower quadrant, hematuria, frequency and dysuria. Noninterventional therapy was successful in 14 patients. Two patients were operated upon during pregnancy without complications. Ultrasonography is a useful diagnostic procedure during the first trimester. Pyelography should be considered only after adequate time has elapsed to allow spontaneous elimination of the calculi and, if used, one exposure before and one 30 minutes after injection of the contrast material well ensure the radiation dose is low enough to avoid causing any fetal abnormality. The authors believe that treatment must be individualized depending on the location and size of the calculus, the degree of obstruction, presence of infection, age of the fetus and condition of the patient. Spontaneous elimination after hydration and analgesia is the ideal, lumbar ureterolithotomy or basket extraction can be considered, although surgical procedures are best postponed until the postpartum period.

Adolescent↗
PubMed1982

[Urological problems related to aorto-bifemoral surgery (author's transl)].

The authors reviewed, from a urological standpoint, the records of 400 patients undergoing aorto-bifemoral bypass between 1967 and 1980. Stenosing or aneurysmal lesions of the renal arteries were present in 106 patients, i.e. 26.5% of cases. 7% of the patients had previous pathology (2 lithiasis, 4 hydronephrosis and one non-functioning kidney). All the operations consisted of a bypass inserted posterior to the peritoneum and ureters. 39 patients (9.7%) underwent simultaneous surgery on the renal artery or vein, or the kidney, Amongst a total of 12% deaths, 1.5% were of renal causes. The postoperative urological morbidity was 24.9% being dominated by infectious lesions (16%) and ureteric lesions (5%). The majority of ureteric lesions took the form of progressive distension of the excretory apparatus. The presence of an indwelling urethral catheter was considered to be the most important factor in infection. The authors feel that it is essential to visualise the urinary tract at the time of angiographic investigation of aortoiliac disease. Amongst 18 cases of progressive dilatation of the upper urinary tract after such vascular surgery, only 3 underwent operation. Nevertheless, intravenous urography is an essential part of postoperative surveillance after surgery of this sort. Only 15% of their patients had undergone IVU and amongst them 18 were found to have a hydronephrosis.

Adult↗
PubMed1981

[Treatment of the acute phase of urinary retention (author's transl)].

The authors report on a series of 50 consecutive patients, admitted in emergency for complete urine retention of sudden onset. They all presented an enlarged bladder, containing 500 to 2 200 ml of urine. They all underwent vesical drainage through urethral catheterization, without concern for a slow decompression of the bladder. There were six cases of macroscopic hematuria needing no specific treatment. For the authors, there is no justification for slow urinary decompression.

Acute Disease↗