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J Aubert

Publications and source records attributed to J Aubert.

At least 253 records · Page 14Linked to original sources

[The psoic bladder or Boari's knell. 4 cases (author's transl)].

Repairing a pelvic ureter is always an ideal when the kidney above it is still functional. But this operation imposes technical artifices when direct urtero-vesical implantation is not possible. Referring to four cases, the authors show the value of the psoic bladder and compare it with the tubulate vesical strip and vesical bipartition.

Adult↗

[Action to be taken in traumatic rupture of the urethra in boys (4 cases) (author's transl)].

On the occasion of four cases, the authors studied the problems posed by traumatic rupture of the urethra in boys. They draw a very clear distinction between fresh rupture where the urethral lesions are only one of the elements of multiple trauma. The clinical picture and the I.V.P. form the basis for the diagnosis, and the indwelling catheter when it can be placed in position remains a valid mode of treatment. At the stage where complications have arisen, a clinical as well as a radiological check-up is indispensable before taking any decision. If action must be taken, suture-resection seems to be the best solution.

Adolescent↗

[Correlation between chemical composition, density, and results of extracorporal lithotripsy in renal and ureteral lumbar calculi].

Based on a series of 388 patients with a total of 466 renal and lumbar ureteric stones (414 kidneys) treated between 1987 and 1990 by extracorporeal shock wave lithotripsy (ESWL) using the SONOLITH 3000* apparatus, the authors analyse the indications and results criteria for ESWL. The success criteria adopted excluded any residual fragment and considered patients lost to follow-up as failures. The success rate varied between 48.3% and 73.8% when residual fragments less than 5 mm were included and when drop-outs were excluded. A correlation was established between the radiographic appearance of the stone (dense, smooth, spiculated), its predominant spectrophometric nature and the results of ESWL: low density, spiculated Weddellite (WD) stones gave good results and very dense, smooth Whewellite (WW) stones gave less favourable results. The authors propose a refinement of the indications for ESWL in order to improve the results. Predominantly WW stones may be suitable for primary percutaneous nephrolithotomy.

Adolescent↗

[Impotence in pelvic fractures. Report of 16 cases].

The authors study impotence secondary to a pelvic fracture on the basis of a retrospective series of 16 cases. All these patients had a lesion of the membranous urethra and seven of them underwent a deferred emergency urethral repair. Although the constancy of the urethral lesion is probably related to the fact that this series was recruited from a urology department, impotence is classically considered to be more frequent in the presence of a urethral lesion than in the absence of such a lesion. Two patients presented with incomplete impotence and fourteen with complete impotence. Ten of these sixteen patients spontaneously regained satisfactory erections. When erections were not obtained, the authors analysed the various therapeutic possibilities available, stressing the arterial factor which is usually insufficiently investigated.

Adolescent↗

[Calcified renal cancers. 7 case reports].

The authors report a series of 7 patients with calcified renal cancer (5 men and 2 women with a mean age of 51 years). The calcifications had a variable appearance:arcuate (1 patient), disseminated throughout the mass (5 patients), mixed (1 patient). The distribution according to stage was as follows: T1: 1 patient, T2: 3 patients, T4: 3 patients. Five patients were treated by radical nephrectomy, but surgery was impossible in 2 patients due to the local extension of the tumour. Two patients are alive with no signs of recurrence (follow-up: +7 years and +7 months), 1 died 10 years after his nephrectomy, from myocardial infarction, 1 was lost to follow-up and 3 died within several months. These 3 patients had a spindle cell renal cancer. In the light of this series, the authors situate calcified renal cancers in relation to other calcified renal masses (of various origins) and in relation to adult renal cancers. They demonstrate that any calcified renal mass must raise the suspicion of cancer and they describe the diagnostic approach to such a hypothesis.

Adult↗

[Sarcomatoid cancer of the kidney in the adult. 7 case reports].

Based on a retrospective series of 7 patients (6 men and 1 woman) with a mean age of 56.5 years, the authors describe the clinical, radiological and pathological features and the clinical course of sarcomatoid renal cancers in adults. They stress the severity of this type of tumour, due to the fact that the lesion is usually very advanced at the time of diagnosis (3 cases of Robson's stage III tumours and 4 stage IV tumours). Radiological assessment frequently reveals calcifications within the mass (4 out of 7 patients). Surgical excision is sometimes impossible and, when it can be performed, it has little influence on the prognosis or the survival.

Adenocarcinoma↗

[Uroperitoneum].

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Adult↗