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[Congenital penile curvature: Guidelines from the Andrology and Sexual Medicine Committee of the French Association of Urology (CAMS-AFU)]. 【先天性阴茎弯曲:法国泌尿外科协会(CAMS-AFU)男科和性医学委员会指南】。
Pub Date : 2022-09-01 Epub Date: 2022-06-05 DOI: 10.1016/j.purol.2022.04.010
F-X Madec, W Akakpo, L Ferretti, D Carnicelli, J-É Terrier, C Methorst, S Beley, J-P Graziana, V Hupertan, R Yiou, N Morel Journel, F Marcelli, A Faix, É Huyghe

Introduction: Guidelines regarding congenital penile curvature (CPC) are lacking, and this pathology has not been the subject of French recommendations to date. The Andrology and Sexual Medicine Committee (CAMS) of the French Association of Urology (AFU) propose a series of clinical practice recommendations (CPR) by answering five clinical questions concerning the diagnosis and treatment of this pathology.

Materials and methods: After a bibliographic research between 2000 and 2021, followed by a critical reading according to the CRP method. These recommendations were written to answer five questions: (1) What are the different types of CPC? (2) What are the reasons for consultation? (3) What are the assessment methods for CPCs and their consequences? (4) What are the indications for CPCs treatment? (5) What are the corrective modalities for the treatment of CPC?

Results: There are two main phenotypes: CPC type 4 (the most common) and chordee without hypospadias. The diagnosis of CPC is clinical and established through enquiry and clinical examination associated with photos of the erect penis. Support can be offered if the curvature is responsible for a disability and/or sexual dissatisfaction linked to a deformation making penetration difficult and/or in the event of significant psychological impact. Only surgical treatments have demonstrated their effectiveness. For type 4 CPCs, corporoplasty (excisional, incisional, or incisionless techniques) is the gold standard.

Conclusion: These recommendations provide support for the management of patients consulting with CPC.

导言:关于先天性阴茎弯曲(CPC)的指导方针是缺乏的,这种病理尚未成为法国迄今为止建议的主题。法国泌尿外科协会(AFU)的男科和性医学委员会(CAMS)通过回答有关该病理诊断和治疗的五个临床问题,提出了一系列临床实践建议(CPR)。材料和方法:经过2000年至2021年的书目研究,然后根据CRP方法进行批判性阅读。这些建议是为了回答五个问题而写的:(1)方案协调会有哪些不同类型?(2)咨询的原因是什么?(3)重点关注事项的评估方法及其后果是什么?(4) cpc治疗的适应症是什么?(5)治疗CPC的纠正方式是什么?结果:主要有两种表型:CPC 4型(最常见)和无尿道下裂脊索型。CPC的诊断是临床的,通过询问和临床检查以及阴茎勃起的照片来确定。如果弯曲导致残疾和/或与变形相关的性不满,使插入困难和/或在重大心理影响的情况下,可以提供支持。只有手术治疗证明了其有效性。对于4型cpc,公司成形术(切除,切口或无切口技术)是金标准。结论:这些建议为CPC患者会诊的管理提供了依据。
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引用次数: 1
Impact on quality of life in multiple sclerosis patients: Which urinary symptoms are to blame? 对多发性硬化症患者生活质量的影响:哪些泌尿系统症状是罪魁祸首?
Pub Date : 2022-06-01 DOI: 10.1016/j.purol.2022.05.003
T. Ziadeh, G. Mjaess, J. El Helou, J. Zalaket, C. Mouawad, C. Azar, H. Abboud, S. Koussa, E. Nemr, E. El Helou
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引用次数: 3
Pilot study of intra-cavernous injections of platelet-rich plasma (P-shot®) in the treatment of vascular erectile dysfunction. 海绵穴内注射富血小板血浆(P-shot®)治疗血管性勃起功能障碍的初步研究。
Pub Date : 2022-06-01 DOI: 10.1016/j.purol.2022.05.002
A. Schirmann, E. Boutin, A. Faix, R. Yiou
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引用次数: 3
Feasibility of EXIME® temporary prosthesis placement and removal in men with acute or chronic urinary retention after failure or inability to selfcatheterize. exme®临时假体放置和移除在自我导尿失败或无法导尿后急性或慢性尿潴留的可行性
Pub Date : 2022-06-01 DOI: 10.1016/j.purol.2022.04.012
C. Charbonnel, P. Neuville, P. Paparel, A. Reichenbach, R. Ruffion
{"title":"Feasibility of EXIME® temporary prosthesis placement and removal in men with acute or chronic urinary retention after failure or inability to selfcatheterize.","authors":"C. Charbonnel, P. Neuville, P. Paparel, A. Reichenbach, R. Ruffion","doi":"10.1016/j.purol.2022.04.012","DOIUrl":"https://doi.org/10.1016/j.purol.2022.04.012","url":null,"abstract":"","PeriodicalId":67244,"journal":{"name":"法国哲学研究","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80197150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
[Recent advances in the management of localized high-risk prostate cancer: An update by the Prostate Cancer Committee of the French Association of Urology]. 【局部高危前列腺癌治疗的最新进展:法国泌尿外科协会前列腺癌委员会的最新进展】。
Pub Date : 2022-05-01 DOI: 10.1016/j.purol.2022.04.007
M. Baboudjian, J. Beauval, E. Barret, L. Brureau, G. Créhange, C. Dariane, G. Fiard, G. Fromont, M. Gauthé, R. Mathieu, R. Renard-Penna, G. Roubaud, A. Ruffion, P. Sargos, M. Rouprêt, G. Ploussard
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引用次数: 0
WITHDRAWN: The benefit of adopting Microultrasound in the prostate cancer imaging pathway : A lesion-by-lesion analysis 撤回: 在前列腺癌成像路径中采用微创超声的益处:逐个病灶分析
Pub Date : 2022-03-12 DOI: 10.1016/j.purol.2022.02.005
P Martel, A Rakauskas, J Dagher, S La Rosa, J Y Meuwly, B Roth, M Valerio

Introduction: Microultrasound (MicroUS) is a novel imaging modality relying on a high-frequency transducer which confers a three-fold improvement in spatial resolution as compared with conventional transrectal ultrasound. We evaluated the diagnostic value of MRI-MicroUS fusion biopsy and determined the additional benefit of employing MicroUS.

Methods: Retrospective analysis of consecutive treatment-naïve men undergoing MRI-MicroUS fusion biopsy between May 2018 and March 2019. Pre-biopsy MRI was systematically reviewed in a dedicated meeting where suspicious lesions PIRADS≥3 were registered and uploaded in the ExactVu MicroUS device. MRI and MicroUS lesions were individually marked in a PIRADS v2 scheme. The biopsy protocol included MRI-MicroUS fusion and MicroUS targeted biopsies; systematic biopsies were performed at clinician's discretion. The diagnostic value was evaluated in terms of detection rate of clinically significant prostate cancer, defined as Gleason pattern≥4 at histology.

Results: In all, 148 patients with a median age of 69 years (IQR 63-74) and median PSA density of 0.16ng/ml/cc (0.10-0.23) were included. Clinically significant cancer was detected in 42.5% (63/148) patients. MRI detected 89 lesions in the peripheral zone; 73% (65/89) were visible on MicroUS. Clinically significant cancer was detected in 46.1% (30/65) MRI and MicroUS visible lesions, and in 4.2% (1/24) lesions only visible on mpMRI. MicroUS additionally identified 35 suspicious lesions non-visible on MRI of which clinically significant cancer was present in 25.7% (9/35).

Conclusion: Adding MicroUS to the conventional pathway seems to increase the detection rate of clinically significant disease in unselected men undergoing biopsy.

简介:显微超声(MicroUS)是一种新型成像模式,依赖于高频换能器,与传统的经直肠超声相比,其空间分辨率提高了三倍。我们评估了 MRI-MicroUS 融合活检的诊断价值,并确定了采用 MicroUS 的额外益处:回顾性分析2018年5月至2019年3月期间接受MRI-MicroUS融合活检的连续治疗无效男性。活检前 MRI 在专门会议上进行系统审查,可疑病变 PIRADS≥3 被登记并上传到 ExactVu MicroUS 设备中。MRI 和 MicroUS 病灶均按 PIRADS v2 方案单独标记。活检方案包括 MRI-MicroUS 融合和 MicroUS 靶向活检;系统性活检由临床医生决定。诊断价值根据有临床意义的前列腺癌的检出率进行评估,前列腺癌的定义是组织学检查时格里森模式≥4:共纳入 148 名患者,中位年龄为 69 岁(IQR 63-74),PSA 密度中位数为 0.16ng/ml/cc (0.10-0.23)。42.5%的患者(63/148)发现有临床意义的癌症。核磁共振成像在外周区发现了 89 个病灶;73%(65/89)的病灶在显微US上可见。在 46.1%(30/65)的 MRI 和 MicroUS 可见病灶以及 4.2%(1/24)的 mpMRI 可见病灶中发现了有临床意义的癌症。此外,MicroUS 还发现了 35 个核磁共振检查未见的可疑病灶,其中 25.7%(9/35)的病灶存在有临床意义的癌症:结论:在常规检查路径中加入 MicroUS 似乎能提高未经选择的男性活组织检查中具有临床意义疾病的检出率。
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引用次数: 0
Étude multicentrique et rétrospective évaluant l’impact des différentes modalités de traitement antibiotique d’une colonisation urinaire avant chirurgie urologique 多中心回顾性研究评估不同抗生素治疗方法对泌尿外科手术前尿定植的影响
Pub Date : 2020-11-01 DOI: 10.1016/j.purol.2020.07.169
S. Kutchukian, M. Baboudjian, H. Robin, É. Lechevallier, B. Gondran-tellier, M. Vallée
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引用次数: 1
Prise en charge d’un diverticule de l’urètre durant la grossesse : expérience monocentrique dans un centre expert de chirurgie urétrale 怀孕期间尿道憩室的管理:在专家尿道手术中心的单中心经验
Pub Date : 2020-11-01 DOI: 10.1016/j.purol.2020.07.118
R. Aoun, I. Ouzaid, A. Lavollé, N. Stivalet, E. Xylinas, J. Hermieu
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引用次数: 0
Urétérolyse coelioscopique robot-assistée pour fibrose rétro-péritonéale 机器人辅助腹腔镜输尿管溶解治疗腹膜后纤维化
Pub Date : 2020-11-01 DOI: 10.1016/j.purol.2020.08.038
J. Long, C. Lanchon, J. Rambeaud, G. Fiard, Q. Franquet, J. Lefrancq, N. Terrier, D. Poncet, B. Boillot, A. Khogeer, C. Overs, C. Thuillier, J. Descotes
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引用次数: 0
Évaluation des complications et échecs nécessitant réintervention chirurgicale après implantation initiale d’une bandelette transobturatrice pour incontinence urinaire d’effort chez la femme : résultats d’une série rétrospective avec suivi médian de 10 an 女性压力性尿失禁首次植入经充血带后需要再手术干预的并发症和失败的评估:中位数随访10年的回顾性系列结果
Pub Date : 2020-11-01 DOI: 10.1016/j.purol.2020.07.106
J. De Leval, D. Waltregny
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引用次数: 0
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法国哲学研究
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