[Coalescence of the labia minora: diagnostic problems in radiology].
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Biomedical subjects
Publications and source records attributed to E Mazeman.
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Among the large number of technics proposed to cure effort urinary incontinence in women, two types of operation are usually considered: --indirect cervico-cystopexy or colopexy (Marshall-Marchietti-Krantz operation or its derivatives); --operations of catapult type or suspension of the bladder neck, e.g. Goebell-Stoeckel's operation. The latter was chosen exclusively by us over the last ten years. We have thus grouped together 85 cases of effort urinary incontinence operated and followed up for a period of 1 to 11 years. At five years, this operation gave 82.85% good results and a delay of two years seemed to us the minimum necessary to assess these results. We noted 6 failures (7.05%) and 4 relapses (4.7%). Suspension of the bladder neck is often disputed and even denigrated. Some authors consider it is the best operation available especially in cases of relapse of effort incontinence [21]. Its technical difficulty has been reproached. Our objective thus double: --describe our technic of musculo-aponeurotic suspension of the bladder neck; --give our results emphasising the long term results. We thus hope to prove that this operation maintains its place in the treatment of effort incontinence.
Renal angiomyolipoma is a benign mesenchymatous tumour. Whether isolated or associated with phacomatoses, they are histologically identical and the hypothesis which suggests that isolated angiomyolipomas represent a forme fruste or tuberose sclerosis is attractive. The tumour is benign and resembles a carcinoma clincally and radiologically, to such an extent as to lead to confusion. Improved knowledge and more detailed study of radiological documents should avoid their always being, in the words of R. Couvelaire" a constant operative or histological surprise". However whilst there remains no doubt as to its benign nature, the association of true malignant tumours is possible and even seems frequent, which takes us back to the starting point and, given the difficulty of the pre-operative differential diagnosis with a carcinoma; we prefer to opt for extended nephrectomy when operation is indicated.
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