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Biomedical subjects

B Lobel

Publications and source records attributed to B Lobel.

152 records · Page 9Linked to original sources
PubMedDate not supplied

[Male sterility and bronchial dilatation (author's transl)].

Male infertility in patients with bronchial dilatation is related to the progressive obstruction of the epididymo-deferential loop. When bronchial dilatation is diagnosed early enough, a spermogram should be performed to conserve the quality of the semen before it starts to deteriorate. In cases of excretory azoospermia it is essential to consider the diagnosis of bronchial dilatation and possible mucoviscidosis among the various etiologies.

Bronchiectasis↗
PubMedDate not supplied

[Percutaneous surgery for lithiasis: results and perspectives. Apropos of 390 operations].

Percutaneous nephrolithotomy (PCNL) has radically changed the treatment of renal stones. The indications for this technique have been modified by the development and refinement of extracorporeal lithotripsy (ECL). The authors present their experience of 390 PCNL performed between 1984 and 1991, for solitary stones in 75% of cases. There were only 11 cases of failed puncture (3.8%). The overall morbidity was 18% with only 4.4% of major complications, i.e. life threatening or requiring reoperation. There were two deaths (0.5%). Stones were completely eliminated in 80.25% of patients, after a second operation (PCNL or other technique) in 32 cases (11%). 45 staghorn calculi were treated with 11% of complications and a 51% complete cure rate. The mean hospital stay was 6 days (2 to 30). PCNL is a safe and reliable technique. Its indications have decreased (6.5% of our patients treated for renal stones), but it still retains a place in the therapeutic approach to patients with renal stones.

Adolescent↗
PubMedDate not supplied

[Reno-colic fistula, spontaneous rupture of the ureter, triple urter: ureterocoele: an unusual combination (author's transl)].

The authors report a case which is exceptional both on the basis of the association of malformations present as well as the presenting complications. Right triple ureter with ectopic implantation. Spontaneous fistulisation into the colon of a supernumerary pelvis. Rupture of a megaureter into the retroperitoneal space, the initial episode. Finally, double ureter on the left with ureterocoele. The difficulty of precise diagnosis before operation is emphasised. The latter did not permit immediate complete assessment of the lesions, the discovery and treatment of which required several operations.

Colonic Diseases↗
PubMedDate not supplied

[Dose adaptation during training of intracavernous self-injections of prostaglandin E1].

OBJECTIVE: Dose adaptation in self-administered intracavernous PGE1 injections is poorly defined in learning protocols and its degree of difficulty depends on the aetiology of the erectile dysfunction. The authors tried to standardize this phase by studying the results and complications of a protocol using an identical initial dose of PGE1 regardless of the aetiology of erectile dysfunction. MATERIAL AND METHODS: 101 patients consulting for erectile dysfunction participated in a learning protocol of self-administered intracavernous PGE1 injections, consisting of 3 injections systematically starting with 10 micrograms of PGE1, following assessment of the aetiology. RESULTS: For an efficacy of 58.4%, 79.2% and 88.1% after one, two or three injections, respectively, the prolonged erection rate (> or = 6 hours) was 2.7% after the first injection and 0% after the other injections. However, erection durations of 2 to 6 hours have frequently been reported in neurological patients. Discontinuations during the learning phase were only observed in patients presenting with tumescence without rigidity after one injection (5.4%) or two injections (21%). CONCLUSION: In the light of these results and to minimize prolonged erections and discontinuations, while ensuring efficacy, PGE1 dose adaptation can be simply performed by starting with 10 micrograms in all patients except for neurogenic patients (5 micrograms) with an increase to 20 or 30 micrograms in the case of failure.

Adult↗