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J Biserte

Publications and source records attributed to J Biserte.

66 records · Page 4Linked to original sources
PubMed1978

Bladder neck suspension for stress incontinence: long-term evaluation.

Remembering that the diagnosis of stress urinary incontinence is essentially clinical, the authors describe the fundamental stages of their technique, i.e. the musculo-aponeurotic suspension of the bladder neck (Goebell-Stoeckel technique). This operation has enabled them to have good results in 88% of their cases. The long-term study of these results shows slight deterioration of the success rate which becomes stable after 2 years.

Adult↗
PubMedDate not supplied

[Treatment of bladder instability with interferential current. Report of 20 cases: preliminary results].

20 patients with unstable bladder unresponsive to medical treatment by anticholinergics were treated by interferential current retraining stimulations. This technique combines the advantages of retraining stimulation with external application. Each patient received 6 to 20 stimulation sessions at a rate of one per week in children and two per week in adults. 18 patients were clinically and urodynamically improved with resolution of incontinence and the follow up urodynamic assessment showed return of normal bladder volume and tone. No adverse effects were observed. No recurrences of the symptoms were observed with a mean follow-up of 18 months. The authors believe that this reliable technique constitutes an alternative to other retraining stimulation methods.

Aged↗
PubMedDate not supplied

[What can be expected from suspension of the bladder neck in effort incontinence of urine? 85 operated cases (author's transl)].

Among the large number of technics proposed to cure effort urinary incontinence in women, two types of operation are usually considered: --indirect cervico-cystopexy or colopexy (Marshall-Marchietti-Krantz operation or its derivatives); --operations of catapult type or suspension of the bladder neck, e.g. Goebell-Stoeckel's operation. The latter was chosen exclusively by us over the last ten years. We have thus grouped together 85 cases of effort urinary incontinence operated and followed up for a period of 1 to 11 years. At five years, this operation gave 82.85% good results and a delay of two years seemed to us the minimum necessary to assess these results. We noted 6 failures (7.05%) and 4 relapses (4.7%). Suspension of the bladder neck is often disputed and even denigrated. Some authors consider it is the best operation available especially in cases of relapse of effort incontinence [21]. Its technical difficulty has been reproached. Our objective thus double: --describe our technic of musculo-aponeurotic suspension of the bladder neck; --give our results emphasising the long term results. We thus hope to prove that this operation maintains its place in the treatment of effort incontinence.

Female↗
PubMedDate not supplied

[Renal angiomyolipomas. 9 cases (author's transl)].

Renal angiomyolipoma is a benign mesenchymatous tumour. Whether isolated or associated with phacomatoses, they are histologically identical and the hypothesis which suggests that isolated angiomyolipomas represent a forme fruste or tuberose sclerosis is attractive. The tumour is benign and resembles a carcinoma clincally and radiologically, to such an extent as to lead to confusion. Improved knowledge and more detailed study of radiological documents should avoid their always being, in the words of R. Couvelaire" a constant operative or histological surprise". However whilst there remains no doubt as to its benign nature, the association of true malignant tumours is possible and even seems frequent, which takes us back to the starting point and, given the difficulty of the pre-operative differential diagnosis with a carcinoma; we prefer to opt for extended nephrectomy when operation is indicated.

Adenocarcinoma↗
PubMedDate not supplied

[Urinary infections in pregnant women].

Urinary tract infection is frequent during pregnancy with a high potential risk for mother and child. Based on a review of the literature and a retrospective survey conducted in 20 representative French university hospitals during 1993, the authors propose a practical review designed to standardize the therapeutic approach to this disease. They define a high-risk group which requires systematic screening and close surveillance during pregnancy. They evaluate the need for complementary investigations in relation to the 3 clinical presentations encountered (asymptomatic bacteriuria, cystitis and acute pyelonephritis) taking into account their respective adverse effects. The therapeutic modalities of the three clinical forms are then described, including drainage of the urinary tract.

Acute Disease↗