[Cancer of the breast and uterine cervix: knowledge level and preventive practices in a segment of the Tunisian population]. / Cancers du sein et du col utérin: profil éducatif et pratiques de prévention dans une partie de la population tunisienne.

Women get most of their information about gynaecological cancers from their encourage. Breast cancer is more frequently recognised than cervical cancer. Nevertheless, for both cancers, risk factors and opportunities for screening are rarely identified by women. Generally, most women would like information about cancer and the majority is in favour of screening. However, the absence of preventive practice by health professionals is a problem. Changes in health professionals' attitudes are required to enhance women's participation in screening programmes, particularly in primary health care.

[Breast self-examination practice in Tunisia based on a survey of first-line patients]. / La pratique de l'auto-examen des seins en Tunisie à travers une enquête chez les consultantes en première ligne.

As the first phase of a breast cancer screening campaign in central Tunisia, a survey aimed at evaluating the frequency of self-examination of the breasts (SEB) and identifying factors which might influence this practice took place in the Kalâa Kbira region of Tunisia, involving 300 first-line out-patients. Women answered a questionnaire presented by a resident in medicine during the course of the visit. The survey showed that the use of SEB remains slight (28%). Discriminant analysis enabled identification of parameters influencing this practice. Thus age of the patient, educational level of the woman and/or spouse and the source of information were the most significant parameters, in increasing order of importance. The results of this survey should enable definition of the content and form of information to be given to women in order to obtain their participation in a breast cancer screening campaign in central Tunisia.

[Knowledge, attitude and behavior of Tunisian women apropos of gynecological cancers]. / Connaissances, attitudes et comportements des femmes tunisiennes a propos des cancers gynécologiques.

With the aim to analyze population needs in the field of cancer screening (cervical and breast cancer), attitudes, behaviors and knowledge of a Tunisian women group of health service user's were studied. Results clearly demonstrate the necessity to inform the concerned population about risk factors particularly concerning breast cancer (the most frequent cancer in Tunisia) but also early symptoms and available screening methods. This role is alloted to health professionals, more for general practitioners and midwives than for gynaecologists. Health education for women and groups, however, have to go hand in hand with training of health professionals in matter of test screening.

[Urinary tuberculosis and bladder tumors. A case report]. / Tuberculose urinaire et tumeurs de vessie. A propos d'un cas.

The authors report the case of a patient presenting with both a bladder tumor and urinary tract tuberculosis. The bladder tumor was treated by transurethral resection and instillation of mitomycin C. The author describes this case and discusses this unusual association.

[Xanthogranulomatous pyelonephritis in children. Apropos of 8 cases]. / La pyélonéphrite xanthogranulomateuse de l'enfant. A propos de huit cas.

Eight pediatric cases of the diffuse form of xanthogranulomatous pyelonephritis are reported. These patients were selected among 17 with destruction of one kidney. Clinical symptoms were suggestive of a tumor in some instances. However, an infectious etiology was strongly suggested by the presence of a renal lithiasis in seven cases (including five staghorn stones) and of a urinary tract infection in six cases (usually caused by a Proteus). Nephrectomy was performed in every case.

[Results of detubulate enterocystoplasty. Apropos of 17 cases]. / Résultats des entérocystoplasties détubulées. A propos de 17 cas.

From January 1988 to October 1989, 17 patients underwent radical cystectomy for bladder cancer. They had a bladder replacement by Hautmann pouch. Good results were obtained after a period of observation of 6 to 24 months. Two patients died. Hyperchloremic acidosis was observed in 20% cases. The urinary continence was achieved in 13 patients who were willing to wake up twice every night. One patient preferred the collecting device. Our study showed that the Hautmann pouch is a particular low pressure reservoir with a capacity of 200 ml to 800 ml, and assessed the mechanism of loss of urine at night in one case. The urinary continence was achieved after a good training period and depended on patient's cooperation. This technique permitted to obtain a very satisfactory diurnal and nocturnal continence in our patients, however a longer follow up is mandatory to confirm the efficiency of this method on long term basis.