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Biomedical subjects

L B Gibod

Publications and source records attributed to L B Gibod.

14 recordsLinked to original sources

Management of the urethra in patients undergoing radical cystectomy for bladder carcinoma.

Urethral carcinoma recurrence after radical cystectomy for bladder carcinoma is a rare but devastating condition. Among 140 male patients submitted to radical cystectomy, urethral carcinoma recurrence occurred in 11. Nine of whom died. Nine other patients underwent urethrectomy at the time of cystectomy or shortly afterwards. Five are alive with no evidence of disease, 4 died of local recurrence or distant metastasis. Prophylactic urethrectomy should be performed in the presence of carcinoma in situ in the prostatic urethra or involvement of the prostatic urethra from the bladder tumor. These criteria should be considered as an absolute contraindication for substitution enteroplasty.

Aged↗

Abdominoperineal-prostatocystectomy for infiltrating bladder carcinoma.

Combined abdominoperineal prostatocystectomy was described eighty years ago but has fallen into disuse. The authors performed this operation, two surgeons working simultaneously, in 14 patients with deeply infiltrating bladder carcinoma. Although 1 patient died postoperatively, morbidity has been minimal. The combined approach makes the cystectomy easier and allows excellent drainage through the perineum.

Abdomen↗

[Organic impotence. Diagnostic and therapeutic aspects (author's transl)].

Organic impotence is far more frequent than usually thought. Diagnosed frequently on clinical grounds, organic impotence is confirmed by more sophisticated and invasive techniques (Multi Modal Psychologic interview: MMPI, Nocturnal penile tumescence detection, pelvic angiography). Apart from local and neurogenic factors, vasculogenic impotence seems very frequent although its treatment has not met with the anticipated success. Intracavernous prosthesis remains the best form of palliative treatment in cases of organic impotence.

Adult↗

Uretero-colic anastomosis by the 'cuff' or 'flap' procedure--Goodwin's modified technique: preliminary report.

Goodwin's procedure of uretero-colic anastomosis under direct vision, performed completely extraperitoneally by the endo-intestinal route marks a considerable progress when compared with the different variations of Coffey's operation. This technique may safely be applied after palliative cystectomy for proliferating bladder cancer if the anastomosis is performed at some distance from the common site of pelvic recurrence, and is provided with a system against back flow. In this regard the 'cuff' process seems quite satisfactory.

Colon↗