Biomedical subjects
R Couvelaire
Publications and source records attributed to R Couvelaire.
[Essential features in the exploration and treatment of female urinary incontinence with a healthy bladder].
On the basis of more than 40 years' experience, the author emphasises the importance of a simple approach: history and physical examination. They must never be neglected, despite a number of traps which must be avoided. A review of technical data concludes with an assurance of the curability of this unpleasant condition provided certain precautions are taken. So-called "stress" incontinence is in fact only a surgically curable incontinence.
[Complex vesicovaginal fistulas].
The author reviews the therapeutic indications (it being necessary to abstain from repair of certain fistulae) in vesico-vaginal fistulae. Fistulae following pelvic irradiation, african fistulae of obstetric origin and the various difficulties (and their possible solutions) which may arise when the fistula passes through an extensive zone of fibrous tissue, is close to a ureteric orifice, at the neck of the bladder or associated with a loss of the urethra or with a recto-vaginal fistula, are studied. In the opinion of the author, classification between simple and complex vesico-vaginal fistula corresponds better to reality than the historical classification into high and low fistulae. The preferred surgical approach remains vagino-perineal. Finally, the complexity of the lesions may require combination of a surgical stage via a superior approach with the essential surgical stage which even today must be performed by an inferior approach.
[Nephrectomy without hemostasis of the pedicle].
The authors report a case of lithiasis of the renal pelvis which had progressed for several years and was complicated by severe perinephritis and peripyelitis. This inflammatory reaction around the kidney affected the renal pedicle and caused constriction of the renal artery. This arterial obstruction resulted in hypertension and such a reduction in the blood supply to the kidney that nephrectomy was performed without any haemostasis of the pedicle. This case is reported because of its rarity.
[Should urinary drainage be conducted, and if so, how, after pyelo-ureteral junction resection? (author's transl)].
The author recalls the risks associated with plastic surgery on the pyelo-ureteral junction without proximal urinary drainage, the beneficial effects of ureteral intubation and anastomosis, and the innocuity of the emergence of the drainage tube and of intubation through the pyelic wall, according to the technique that he has developed.
[Surgical mortality of prostatic adenoma during the last 80 years: quantification of the vital risk].
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[Urogenital tuberculosis at present].
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[Surgery of male impotence intracavernous prosthesis of the penis (author's transl)].
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[11 cases of aponeurotic suspension of the urethra in urinary incontinence in men].
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[Interstitial cystitis. Report of 28 cases (author's transl)].
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[Does colpocleisis have a place in the treatment of vesicovaginal fistulas?].
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[Suppurative perinephritis (apropos of 19 cases)].
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[Total prostatectomies and compulsory prostatotrigonectomies in the treatment of prostatic cancer].
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[Special indication for rectal bladder after total prostatocystectomy for tumor: the rectal injury].
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[Renal failure in urogenital schistosomiasis].
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[The general practitioner and urologic diagnosis].
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