Pub Date : 2022-09-01Epub Date: 2022-06-05DOI: 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.
{"title":"[Congenital penile curvature: Guidelines from the Andrology and Sexual Medicine Committee of the French Association of Urology (CAMS-AFU)].","authors":"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","doi":"10.1016/j.purol.2022.04.010","DOIUrl":"10.1016/j.purol.2022.04.010","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Materials and methods: </strong>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?</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>These recommendations provide support for the management of patients consulting with CPC.</p>","PeriodicalId":67244,"journal":{"name":"法国哲学研究","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72565897","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}
Pub Date : 2022-06-01DOI: 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
{"title":"Impact on quality of life in multiple sclerosis patients: Which urinary symptoms are to blame?","authors":"T. Ziadeh, G. Mjaess, J. El Helou, J. Zalaket, C. Mouawad, C. Azar, H. Abboud, S. Koussa, E. Nemr, E. El Helou","doi":"10.1016/j.purol.2022.05.003","DOIUrl":"https://doi.org/10.1016/j.purol.2022.05.003","url":null,"abstract":"","PeriodicalId":67244,"journal":{"name":"法国哲学研究","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87000393","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}
Pub Date : 2022-06-01DOI: 10.1016/j.purol.2022.05.002
A. Schirmann, E. Boutin, A. Faix, R. Yiou
{"title":"Pilot study of intra-cavernous injections of platelet-rich plasma (P-shot®) in the treatment of vascular erectile dysfunction.","authors":"A. Schirmann, E. Boutin, A. Faix, R. Yiou","doi":"10.1016/j.purol.2022.05.002","DOIUrl":"https://doi.org/10.1016/j.purol.2022.05.002","url":null,"abstract":"","PeriodicalId":67244,"journal":{"name":"法国哲学研究","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86715062","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}
Pub Date : 2022-06-01DOI: 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":null,"pages":null},"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}
Pub Date : 2022-05-01DOI: 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
{"title":"[Recent advances in the management of localized high-risk prostate cancer: An update by the Prostate Cancer Committee of the French Association of Urology].","authors":"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","doi":"10.1016/j.purol.2022.04.007","DOIUrl":"https://doi.org/10.1016/j.purol.2022.04.007","url":null,"abstract":"","PeriodicalId":67244,"journal":{"name":"法国哲学研究","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77491753","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}
Pub Date : 2022-03-12DOI: 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.
{"title":"WITHDRAWN: The benefit of adopting Microultrasound in the prostate cancer imaging pathway : A lesion-by-lesion analysis","authors":"P Martel, A Rakauskas, J Dagher, S La Rosa, J Y Meuwly, B Roth, M Valerio","doi":"10.1016/j.purol.2022.02.005","DOIUrl":"10.1016/j.purol.2022.02.005","url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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).</p><p><strong>Conclusion: </strong>Adding MicroUS to the conventional pathway seems to increase the detection rate of clinically significant disease in unselected men undergoing biopsy.</p>","PeriodicalId":67244,"journal":{"name":"法国哲学研究","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84808483","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}
Pub Date : 2020-11-01DOI: 10.1016/j.purol.2020.07.169
S. Kutchukian, M. Baboudjian, H. Robin, É. Lechevallier, B. Gondran-tellier, M. Vallée
{"title":"Étude multicentrique et rétrospective évaluant l’impact des différentes modalités de traitement antibiotique d’une colonisation urinaire avant chirurgie urologique","authors":"S. Kutchukian, M. Baboudjian, H. Robin, É. Lechevallier, B. Gondran-tellier, M. Vallée","doi":"10.1016/j.purol.2020.07.169","DOIUrl":"https://doi.org/10.1016/j.purol.2020.07.169","url":null,"abstract":"","PeriodicalId":67244,"journal":{"name":"法国哲学研究","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72962674","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}
Pub Date : 2020-11-01DOI: 10.1016/j.purol.2020.07.118
R. Aoun, I. Ouzaid, A. Lavollé, N. Stivalet, E. Xylinas, J. Hermieu
{"title":"Prise en charge d’un diverticule de l’urètre durant la grossesse : expérience monocentrique dans un centre expert de chirurgie urétrale","authors":"R. Aoun, I. Ouzaid, A. Lavollé, N. Stivalet, E. Xylinas, J. Hermieu","doi":"10.1016/j.purol.2020.07.118","DOIUrl":"https://doi.org/10.1016/j.purol.2020.07.118","url":null,"abstract":"","PeriodicalId":67244,"journal":{"name":"法国哲学研究","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73218871","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}
Pub Date : 2020-11-01DOI: 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
{"title":"Urétérolyse coelioscopique robot-assistée pour fibrose rétro-péritonéale","authors":"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","doi":"10.1016/j.purol.2020.08.038","DOIUrl":"https://doi.org/10.1016/j.purol.2020.08.038","url":null,"abstract":"","PeriodicalId":67244,"journal":{"name":"法国哲学研究","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73424051","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}
Pub Date : 2020-11-01DOI: 10.1016/j.purol.2020.07.106
J. De Leval, D. Waltregny
{"title":"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","authors":"J. De Leval, D. Waltregny","doi":"10.1016/j.purol.2020.07.106","DOIUrl":"https://doi.org/10.1016/j.purol.2020.07.106","url":null,"abstract":"","PeriodicalId":67244,"journal":{"name":"法国哲学研究","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75302173","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}
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