[Modification of the infectious state following surgical treatment of primary vesicorenal reflux in adults. Apropos of a series of 17 patients]. / Modification de l'état infectieux aprés traitement chirurgical du reflux vésico-rénal primitif de l'adulte. A propos d'une série de dix-sept patientes.

Seventeen adult female patients with primary vesico-renal reflux were treated surgically (6 nephrectomies, 5 reimplantations and 3 ureteropelvic anastomoses). The risk of severe upper tract infection was eliminated in all seventeen cases, but lower urinary tract infection persisted in two cases.

[Demonstration of specific antibodies against diethylstilbestrol during treatment of prostatic cancer]. / Mise en évidence d'anticorps spécifiques anti-diéthylstilboestrol au cours du traitement du cancer prostatique.

Antibodies against diethylstilboestrol were detected in prostatic cancer patients treated with diethylstilboestrol (DES). Direct radioimmunoassay (DRIA) was performed in 109 patients divided into three groups: a control group of 33 patients (group I), a group of 38 patients treated by DES and free of cardiovascular complications (group II), and a group of 38 patients treated by DES with cardiovascular complications (group III). Antibody count was significantly higher in group III than in the two other groups (p less than 0.05). These results suggest that DES antibodies may play a role in estrogen-associated cardiovascular toxicity. For this reason, DES should not be used in patients with a positive assay.

[Percutaneous nephrolithotomy in 1984. Technics, results, indications]. / La néphrolithotomie percutanée en 1984. Techniques, résultats, indications.

Percutaneous nephrolithotomy - PCNL - was made possible by technological progress, with the introduction of nephroscopes, lithotomy forceps, and mechanical, ultrasonic or electrohydraulic lithotriptors. The procedure includes four stages. First needle puncture of the inferior or middle calyx. Secondly, dilatation of the pathway and creation of a tunnel. Thirdly, investigation of the collecting system. And, finally, extraction of the stone. The results of 302 published cases show a success rate of 87 per cent, a complete failure rate of 13 per cent, and residual stones in 10 per cent of cases. The complication rate is 7 per cent, with hemorrhage and sepsis in roughly equal proportions. A few other complications are occasionally reported, such as colic wounds, perirenal collections, traumas of the ureteropelvic junction, pneumothorax, or a stone left in the lumbar wall. There was one case of death. The hospitalization period is the same as for lombotomy, but the return to work is more rapid. The best indications are pelvic and inferior calyceal stones (with a success rate of over 80 per cent). Despite their enthusiasm for this procedure, the authors feel that is still remains to be seen or whether it will in turn be superseded by ultrasound lithotripsy.

[Disease of branches of the renal artery. Choice of a revascularization procedure]. / Maladie des branches de l'artère rénale. Choix du procédé de revascularisation.

In situ versus extra-corporeal and microvascular reconstruction are discussed in relation to the treatment of renal branch artery disease. Ten cases are reported: 4 aneurysms, 1 atherosclerosis, 1 trauma, 1 embolism and 1 dissection. In three cases, the disease involved only the segmental artery branches and in seven cases both the main artery and the branches. An in situ procedure was performed in 5 cases and extra-corporeal surgery was necessary in 5 others. Four of the kidneys were iliac autotransplanted. Anatomical and immediate functional results were good in ten cases, but there was one postoperative death by heart failure due to a mitral disease. In our series extracorporeal and microvascular surgery were not routinely used for the treatment of renal artery branch disease. But these procedures can widen the indications for renal revascularisation, which then replaces medical treatment or a nephrectomy.