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Biomedical subjects

F Pontonnier

Publications and source records attributed to F Pontonnier.

At least 55 records · Page 3Linked to original sources
PubMed1991

Single-dose fosfomycin trometamol (Monuril) versus multiple-dose norfloxacin: results of a multicenter study in females with uncomplicated lower urinary tract infections.

The results of an open, randomized study comparing the efficacy and safety of Fosfomycin trometamol (Monuril), 3-gram single dose, and Norfloxacin (Noroxine 400), 400 mg twice daily for 5 days, are reported. Clinical and bacteriological assessments were performed before and 3-4 (short-term) and 25-30 days (long-term) after treatment. Only female patients with uncomplicated lower urinary tract infection were eligible for inclusion in the study: 33 cases were given Fosfomycin trometamol and 30 cases Norfloxacin. In the overall etiology, Escherichia coli (74% of the strains found), Proteus mirabilis (6%) and Klebsiella pneumoniae (6%) are highly predominant. With regard to bacteriological efficacy, the percentages of eradication in the two groups were similar: after the short-term test, 93.9% (31 of 33 patients) in the Fosfomycin trometamol group and 86.6% (26 of 30) in the Norfloxacin group, and after the long-term tests, 73.3% (22 of 30) in the Fosfomycin trometamol group and 77.89% (21 of 27) in the Norfloxacin group. There are no statistically significant differences. The duration of the reported side effects was significantly lower in the Fosfomycin trometamol group. The simplified dosage regimen (single dose) and its favorable benefit/risk ratio justifies the use of Fosfomycin trometamol as a treatment for uncomplicated urinary tract infections in female patients.

Drug Evaluation↗
PubMed1991

[Nosocomial infections in an urological department. Incidence and etiological factors].

The authors report a prospective study with active request of data for nosocomial infections (NI) in an urological department during six months. From 453 patients, 43 developed an NI (incidence = 9.5%): urinary tract infections (53.5%), bloodstream infections (16.3%), lower respiratory tract infections (7%), surgical wound infections (2.3%) and sepsis syndrome (20.9%). For microorganisms, most often Pseudomonas aeruginosa (22.5%) and E. coli (20%) were encountered. Other microorganisms were the next-ones: Staphylococcus aureus (15%), Staphylococcus epidermidis (7.5%), Acinetobacter baumanii (7.5%), Streptococcus group D (7.5%), Klebsiella pneumoniae (7.5%), Candida albicans (2.5%) and others (10%). Urological interventions with a high risk of NI were cystectomy with intestinal urinary diversion (68.7%), pyeloplasty for ureteropelvic junction obstruction (40%) and percutaneous nephrolitothomy (30%). Even if the last two interventions classically do not have a high risk of NI, we think that their antibioprophylaxis is recommended.

Aged↗
PubMed1991

[The effect and consequences of inflammation on urethral cytology in the 9th month of pregnancy].

Qualitative and quantitative modifications were observed in urethral smears made from week 37 to week 41 of amenorrhoea and showing leucocytes in the desquamation. The number of cell clusters decreased; the numbers of false clusters and of isolated cells with rounded borders increased. Columnar cells and degenerating isolated nuclei are often seen in these inflammatory smears. The quantitative fluctuations of epithelial clusters and of columnar cells are connected with the number of weeks of amenorrhoea on the one hand, and the quantity of leucocytes on the other. The presence of an inflammatory process can alter the diagnosis as far as the term of the pregnancy is concerned; and therefore limits the use of urethral cytology.

Cell Count↗
PubMed1991

[Functional outcome of a U-shaped ileocystoplasty (the Camey I procedure) in cancer of the bladder. Apropos of 14 cases].

The authors studied postoperatively fourteen men who underwent urinary diversion with a Camey ileal bladder for bladder cancer in association with radical cystoprostatectomy, from March 1986 to June 1988. Mean follow-up was 19.5 +/- 9 months. Three patients died (21.4%), two other patients are alive with metastases. Ureteral reflux and upper tract dilatation occurred in 14.3 and 28.6% of the renal units, respectively. Daytime continence was achieved in 92.9% of the patients (13 patients), frequently 6 months after the operation. Nocturnal incontinence was almost universal (1 patient circumvented this problem by getting up to void every three hours during the night). Thirteen patients had urodynamic testing after the operation. Mean capacity of the ileal bladder was 344 ml with mean intraluminal pressure of 24 cm water. Mean urethral closing pressure was 49 cm water. Voiding was accomplished by abdominal straining concomitant with external sphincter relaxation. Post-void residual was less than 50 ml, except in one patient. The authors discuss these results and compare them to those of other studies.

Adult↗
PubMed1990

Comparison of the incidence of Ureaplasma urealyticum in infertile men and in donors of semen.

569 infertile patients and 75 fertile men (donors of semen) were included in our study from 1985 to 1987. We compared the frequency of Ureaplasma urealyticum in semen specimens in these two groups: 40 infertile men (7%) and 4 donors of semen (5.3%) had U. urealyticum in semen cultures. This difference was not statistically significant. We concluded that U. urealyticum was not more frequent in infertile than in fertile men. We also report the results of semen cultures for other bacteria and the parameters of routine semen analysis in these two groups. All infertile patients infected by U. urealyticum were treated with doxycycline: the infection was eradicated in 77.5% of them.

Humans↗
PubMed1990

[Long-term results of the treatment of male urethral stricture].

The authors present 56 patients treated for urethral stricture between 1976 and 1983. Patients without recurrence of the stricture were followed for more than 5 years, the mean follow-up was 8 years +/- 2.1 (standard-deviation) (5 to 12 years). Thirty-eight patients (67.9%) had a recurrent stricture. Patient age ranged from 29 to 86 years (mean age 61 +/- 12.8 years). The best results were obtained with a one-stage anastomotic procedure and urethroplasty with foreskin graft. Patient age and topography of the stricture are not prognostic factors. Traumatic and infectious strictures have a better prognosis than other forms (the difference is statistically significant: chi-square = 3.9; P inferior to 0.05).

Adult↗
PubMed1989

Testicular size in infertile men: relationship to semen characteristics and hormonal blood levels.

Testicular volume was assessed in 1029 infertile men and found to be normal in 704; 71 patients had unilateral and 213 had bilateral testicular hypotrophy; 4 had unilateral and 37 had bilateral atrophy. Sperm count and motility decreased in accordance with testicular volume. The lowest mean sperm counts and lowest mean motility percentages were found in patients with bilateral testicular atrophy. An increase in mean FSH and LH was also significantly linked to decreasing testicular volume; the increase in the former was not related to a drop in sperm count. A significant correlation was found between testicular volume and spermatogenesis and testicular volume is considered to be a reliable indicator of testicular function.

Follicle Stimulating Hormone↗
PubMed1989

[The course of 203 superficial urothelial malignant tumors of the bladder during conservative treatment].

The authors present a total of 203 patients with histologically proven superficial bladder transitional cell cancer. Patients without recurrence had a follow-up longer than 12 months. The mean follow-up from the time of diagnosis was 35 months +/- 27 (standard deviation). Transurethral resection was not systematically followed by intravesical therapy. The following drugs were used: thiotepa, doxorubicin, BCG and rarely mitomycin C. Although BCG was generally used after failure of thiotepa or doxorubicin, it achieved the best results. 13 patients had a total cystectomy (6.4%). Patients without complete remission had a higher percentage of high grade and stage T1 tumors than patients without recurrence (the difference was statistically significant). The same applied to mortality: it was statistically more frequent in the first group than in the second group of patients.

Adult↗
PubMed1989

[Treatment of ureteral lithiasis using rigid ureteroscopy].

The authors report 46 cases of rigid ureteroscopy for ureteral stone removal. Ureteroscopy procedures for extraction of lithiasis are the next-ones: stone forceps, stone basket, ultrasonic lithotripsy and electrohydraulic lithotripsy. Manipulation of calculi is done under direct vision. A success rate of ureteroscopy was of 89% (41 patients). All of the patients with stone removal failure underwent immediate operative intervention (open ureterolithotomy in 4 patients and ureteral reimplantation in 1). The best results were obtained for distal calculi (pelvic lithiasis): success rate of 91.4%. The success rate of lumbar lithiasis was of 87.5% and of iliac lithiasis of 66.7%. Complications did not preclude a successful stone manipulation. These results are compared with other series and procedures for stone extraction are discussed.

Adult↗
PubMed1988

Glycerophosphocholine in seminal plasma of fertile and infertile men.

Glycerophosphocholine (GPC) was measured in seminal plasma from 65 fertile men, 276 infertile men and 10 men before and after vasectomy, using a new enzymatic method. Extra-epididymal excretion of GPC accounted for 30% of the total seminal levels of GPC. From a diagnostic point of view, GPC determination did not appear to be a specific tool which could discriminate between secretory and excretory azoospermia. Although the seminal content of GPC was related positively to the total sperm count in both fertile and infertile men, there was an inverse relationship between the level of GPC and sperm motility when considering classes displaying the same total sperm count. This was observed in all classes from infertile men as well as in fertile men with a total sperm count lower than 200 x 10(6) sperm/ejaculate. These results suggest a possible role of GPC in the regulation of human sperm motility, which warrants further investigation.

Glycerylphosphorylcholine↗
PubMed1988

The frequency of Chlamydia trachomatis in acute epididymitis.

Twenty-five patients with bacteriologically proven epididymitis were studied between 1984 and 1986. Thirteen were less than 35 years old and in 11 of them Chlamydia trachomatis was isolated; of the 2 remaining patients Escherichia coli was found in 1 and Neisseria gonorrhoeae in the other. In patients more than 35 years old, gram negative bacteria were the cause of infection in 10 and only 1 case was attributable to Chlamydia trachomatis. These results suggest that Chlamydia trachomatis is much more frequent in men under the age of 35 and the difference is statistically significant.

Acute Disease↗
PubMed1988

Simple, rapid enzymatic determination of glycerophosphocholine in human seminal plasma.

We have devised a new enzymatic determination of sn-glycero-3-phosphocholine (GPC) in human seminal plasma. This is based on GPC hydrolysis by a phosphodiesterase (PDE), free choline being then determined by the choline oxidase method. The whole procedure involves a first incubation in the presence of choline oxidase and catalase, to eliminate the excess of choline present in seminal plasma (10-fold, compared with GPC). Absorbance and concentration are linearly related up to at least 100 nmol per assay, analytical recovery ranges between 89% and 105%, and intra- and interassay CVs are 3.2% and 5.6%, respectively, at the highest substrate concentration. Using this procedure, we found seminal plasma from 21 fertile men to contain 5.22 (SD 3.33) mumol per ejaculate--within the same range as previously reported values obtained chromatographically. After vasectomy, GPC in seminal plasma decreased to 28% of its original value, as determined in 10 volunteers. Thus this new method displays appropriate characteristics of specificity, reliability, and convenience, allowing its use in routine evaluation of male fertility.

Alcohol Oxidoreductases↗
PubMed1988

[Bilateral testicular Leydig cell tumor. Procedure to follow].

The authors report one case of a bilateral testicular Leydig cell tumor in a man of 29 years old. There are few cases of such tumors reported in the literature. Gynecomastia force the patient to consult his doctor. His hormonal profile is practically normal; however, the serum estradiol is at the limit superior of normal range, and serum testosterone at the limit inferior. Testicular palpation is normal. It is the scrotal ultrasonography which confirms the diagnosis of testicular tumor. The scrotal ultrasonography has to be performed in every patient with unexplained gynecomastia. There is no metastasis. Before the treatment, the sperm conservation is performed (his sperm is normal). Our surgical sequence for this man without children was the next one: 1. inguinal orchiectomy was performed at the side of bigger tumor. Histological diagnosis was the benign Leydig cell tumor; 2. one month later, an inguinal orchidotomy at the other side was performed and the tumor palpable of 9 mm was removed. The extemporaneous biopsy confirmed the same diagnosis as at the other side; 3. one year later, there is no metastasis and the woman of our patient becomes pregnant.

Adult↗
PubMed1987

Evidence for the activation of phospholipases during acrosome reaction of human sperm elicited by calcium ionophore A23187.

Incubation of washed human sperm with [3H]- or [14C]arachidonic acid allowed a major incorporation of the label into phospholipids, provided that the final concentration of the fatty acid did not exceed 20 microM. A further challenge with calcium ionophore A23187 of spermatozoa suspended in a calcium-containing medium led to phospholipid hydrolysis, which could account for 10-12% of total cell radioactivity. Degradation products were identified as free, unconverted arachidonic acid, occurring with some diacylglycerol. Phospholipid hydrolysis was significant after 15 min of incubation and became maximal after 120 min. It was found to be calcium dependent, diacylglycerol and free arachidonate production occurring maximally at 2 mM and 5 mM CaCl2, respectively. Phosphatidylcholine and phosphatidylinositol were the most significantly degraded phospholipids after 60 min of incubation. Similar incubations conducted with 32P-labeled sperm confirmed the selective hydrolysis of phosphatidylcholine and revealed an increase production of phosphatidic acid probably due to a phosphorylation of diacylglycerol. Under the same conditions, one third of the cells remained motile and electron microscopy revealed that acrosome reaction was completed in 40% of the cells and displayed an intermediary state in 40-50% of the spermatozoa. Furthermore, a good parallelism was observed between the extent of the acrosome reaction and the extent of phospholipid hydrolysis promoted by increasing concentrations of A23187. It is concluded that calcium entry into the cells activates both a phospholipase A2 and a phospholipase C, leading to the production of substances, like lysophospholipid, diacylglycerol or phosphatidic acid, which may or may not be involved in acrosome reaction.

Acrosome↗
PubMed1987

Association of scrotal hyperthermia with impaired spermatogenesis in infertile men.

Scrotal temperatures, testicular volumes, and sperm characteristics were studied in 150 infertile, nonazoospermic men and in 37 fertile men, used as a control group. The mean scrotal temperature values of the infertile men were significantly greater than those observed in the fertile men (+0.4 degrees C for the right; +0.5 degrees C for the left). In the infertile men, it was found that the higher the scrotal temperature, the more alterated the sperm characteristics. The only clinical element that seemed to be linked to the existence of scrotal hyperthermia in the infertile men was testicular hypotrophy. Although the scrotal temperatures of the infertile men with varicocele were significantly higher than those of the fertile men, they did not significantly differ from those of the infertile men without varicocele. No other specific pathologic factor, infectious or surgical urogenital history was found to be responsible for the scrotal hyperthermia observed in the infertile men.

Body Temperature↗