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J Chailley

Publications and source records attributed to J Chailley.

10 recordsLinked to original sources

[Epidemiology of tumors of the testis in Indre-et-Loire from 1978 to 1987].

All the testicular tumors found among the inhabitants of the Indre-et-Loire department between 1978 and 1987 were reviewed. There was a total of 122 tumors, i.e. a direct standardised incidence rate of 4.55/100,000. The incidence increased over the years 1978-1982, with an abrupt decrease at 50% in 1983 and the increase since then has been minimal. There was an excessive morbidity rate of 22% for patients living in an urban environment. There was no preferential side for the tumor. The histological types of the tumors permit to distinguish three types of populations: non seminiferous germ cell tumors (51.3%) at the age of 30 years; seminoma (41.3%) at the age of 40 years and lymphoma (7.4%) at the age of 74 years. An indirect standardisation revealed an excessive rate of 22% for the socioprofessional category of employers and a rate of 28% for artisan, business men and company directors. The study confirms the known notions about the age and the histologic distribution of testicular tumors. The highest incidence rate of all the French departments, the drop in the rate of this growth curve in 1983 and the over representation of the employee category appear to be the most specific notions in the Indre-et-Loire department.

Adolescent↗

[Transurethral resections of the prostate without probe].

The author reports a consecutive series of 100 trans-urethral resections for prostatic hypertrophy with only one stenosis developing in a patient who had a urethral catheter before resection. In 99 patients who had never had a urethral catheter, transurethral resection never caused urethral stenosis. Drainage was ensured via supra-pubic catheter inserted at the start or end of the resection.

Humans↗

[Ureteral lithiasis: excision by ureteroscopy].

The authors report the first 6 cases in the world of removal of ureteric stones under visual control with the aid of a rigid ureteroscope . In 5 of the 6 cases, the authors were able to extract the stone endoscopically. The only failure was a case in which the stone was too large for the Dormia basket. The only source of difficulty was passing the ureteric meatus. A very small meatotomy may be required. Only the future will tell whether this results in reflux.

Adult↗

Kidney-graft rejection: has the need for steroids to be re-evaluated?

In a group of azathioprine-treated patients whose renal allografts functioned immediately, 53 received prophylactic steroid treatment while 54 were given steroids only at the onset of the first renal failure. Three types of renal failure were identified, and their distribution in the patient groups was different, but the incidence of both reversible and irreversible renal failure episodes was identical in the two groups, suggesting that steroid treatment of early rejection episodes may not be necessary.

Azathioprine↗