Consensus clinique de l'approche raisonnee des troubles erectiles chez un patient cardio-vasculaireAndrianne, Robert ; D'Orio, Vincenzo ![]() in Revue Médicale de Liège (2000), 55(5), 454-8 The most common physical risk factors for erectile dysfunction (ED) are atherosclerosis, heart disease, hypertension and diabetes. Since accessibility to easy and efficacy drug for ED therapy, GPs are ... [more ▼] The most common physical risk factors for erectile dysfunction (ED) are atherosclerosis, heart disease, hypertension and diabetes. Since accessibility to easy and efficacy drug for ED therapy, GPs are increasingly at the front line in the management of ED and are often best-placed to discuss this problem with cardiovascular male patients. This consensus aims to provide practical advice on the management of ED in patients with diagnosed cardiovascular disease and also addresses the assessment of the cardiovascular risk in restoring sexual activity in these patients. A risk assessment algorithm has been drawn up to aid clinicians in deciding the level of cardiovascular risk that would be associated with a return of sexual activity as well as criteria for referral to specialists for further cardiac evaluation. Treatment options are briefly reviewed and follow-up process identified. [less ▲] Detailed reference viewed: 23 (2 ULg)![]() Chirurgie, radiotherapie ou hormonotherapie dans le traitement du cancer de la prostateBonnet, Pierre ; Coppens, Luc ; Andrianne, Robert et alin Revue Médicale de Liège (1999), 54(11), 875-85 Prostatic cancer (PC) became the first diagnosed cancer in western men and is the second leading cause of cancer death in men. Wide utilisation of serum PSA and free PSA measurements, identifies patients ... [more ▼] Prostatic cancer (PC) became the first diagnosed cancer in western men and is the second leading cause of cancer death in men. Wide utilisation of serum PSA and free PSA measurements, identifies patients requiring transrectalultrasonography (TRUS) and TRUS guided biopsies. Most prostatic cancers diagnosed today are locally limited and may be treated by radical surgery or radiotherapy. In case of disseminated disease, hormonal manipulations remain the treatment of choice. In that field, many new drugs have been designed to allow medical castration with less complications, especially regarding sexual potency. [less ▲] Detailed reference viewed: 129 (18 ULg)![]() L'embolisation scrotale antegrade de la varicocele--resultats.; Keppenne, Véronique ; Coppens, Luc et alin Acta Urologica Belgica (1998), 66(4), 5-8 The aim of this study is to judge the effectiveness of the new treatment of varicoceles, introduced in 1987 by Tauber: the antegradal scrotal sclerotherapy of varicoceles. From february 1996 to april 1998 ... [more ▼] The aim of this study is to judge the effectiveness of the new treatment of varicoceles, introduced in 1987 by Tauber: the antegradal scrotal sclerotherapy of varicoceles. From february 1996 to april 1998, we have realised 150 antegrade embolisations of varicoceles. The study is lead on 75 patients with mean time follow-up of 12 months. Patient's mean age is 20 years. 85% of patients had a grade 3 left varicocele and 15% a grade 2 left varicocele. The criterium of success rests on the lack of veinous flow-back during clinical examination, which is than confirmed by doppler-ultrasound. Clinical success is obtained in 87% of the cases and the doppler control is normal in 80% of the cases. We have 9% of minor complications, and no major complication. The number of failures in our study is higher than in Tauber' study, but is the same as those described in the other procedures of treatment of varicocele. On the other hand the surgical procedure is simple and the morbidity is low. [less ▲] Detailed reference viewed: 78 (4 ULg) Uretero-arterial fistula: two observations.VAN DAMME, Hendrik ; KEPPENNE, Véronique ; SAKALIHASAN, Natzi et alin Acta Chirurgica Belgica (1997), 97(3), 133-6 Two cases of life-threatening haematuria, secondary to an uretero-arterial fistula, are reported. Both cases present predisposing causative factors. One patient had a combination of previous aorto ... [more ▼] Two cases of life-threatening haematuria, secondary to an uretero-arterial fistula, are reported. Both cases present predisposing causative factors. One patient had a combination of previous aorto-bifemoral bypass grafting, an iliac artery aneurysm (retrogradely perfused), and an indwelling ureteral stent for ureteral compression. The other patient had previous aortoiliac surgery and obstructive uropathy with chronic urinary tract infection. Preoperative diagnosis of uretero-arterial fistula was made in only one patient. He was successfully operated (exclusion of the iliac aneurysm). In the other patient, nephrectomy was attempted to control reno-ureteral bleeding of unknown origin. Fatal recidive of brisk haematuria occurred some days later. Factors contributing to the development of uretero-arterial fistula, their diagnosis and optimal treatment are discussed. [less ▲] Detailed reference viewed: 13 (1 ULg)![]() The experience of the CHU Liege with conservative surgery in the management of upper urinary tract tumors.Bouffioux, Christian ; Andrianne, Robert ; Bonnet, Pierre et alin Acta Urologica Belgica (1994), 62(4), 39-43 A review of 20 cases of conservative surgery for urothelial tumors of the upper tract is presented. The morbidity is limited; the recurrence rate is around 15% in the ipsilateral urinary tract with a mean ... [more ▼] A review of 20 cases of conservative surgery for urothelial tumors of the upper tract is presented. The morbidity is limited; the recurrence rate is around 15% in the ipsilateral urinary tract with a mean follow up of 41 months. Conservative surgery does not seem to carry a higher fatal risk as compared to more radical surgery. It has indications in some cases which are defined. [less ▲] Detailed reference viewed: 40 (3 ULg)![]() The experience of radical prostatectomy for locally confined prostate cancer in Liege.Bouffioux, Christian ; de Leval, Jean ; Andrianne, Robert et alin Acta Urologica Belgica (1994), 62(1), 51-9 The authors report their experience of 148 radical prostatectomies performed for adeno-carcinoma. They expose the reasons which have led them to adopt this kind of treatment and the reasons explaining a ... [more ▼] The authors report their experience of 148 radical prostatectomies performed for adeno-carcinoma. They expose the reasons which have led them to adopt this kind of treatment and the reasons explaining a nearly exponential increase of the frequency of the operation during the last 5 years. They underline the importance of lymphadenectomy and the safety of frozen sections of the nodes. The surgical technique is briefly commented and the (low) morbidity of the operation is reviewed. They compare the results of RPV to those of external radiotherapy, watchful attitude or immediate hormonal treatment and they conclude in insisting on the benefit of the surgical approach as far as indications (which are defined) are strictly followed. [less ▲] Detailed reference viewed: 13 (0 ULg)![]() Original lithotomy positioning for transperineal extracorporeal shockwave lithotripsy for distal ureteric calculi with Tripter X1.Andrianne, Robert ; Vandeberg, Colette ; Bonnet, Pierre et alin European Urology (1992), 22(2), 134-6 Extracorporeal shockwave lithotripsy (ESWL) has been initially designed for stones located in the kidney and the upper ureter. Our lithotripter is no exception. Its components (the table and the ... [more ▼] Extracorporeal shockwave lithotripsy (ESWL) has been initially designed for stones located in the kidney and the upper ureter. Our lithotripter is no exception. Its components (the table and the orientation of the semi-ellipsoid reflector) are adapted for the treatment of kidney or lumbar ureter stones. However, the elements forming the unit of treatment (the table, the C-arm and the Tripter) can be modified in such a way that focalization of stones of the lower ureter becomes possible through a perineal exposure. The aim is to avoid the pelvic bone shield while a good focalization of the stone is realized. From June 1989 to March 1991, 35 patients were treated for distal ureteric stones by ESWL in this original positioning. [less ▲] Detailed reference viewed: 15 (2 ULg) Résection ureteroscopique du polype fibreux de l'uretère; Vandeberg, Colette ; Bonnet, Pierre et alin Acta Urologica Belgica (1991), 59(3), 119-30 From a new case of fibroepithelial polyp in a 41 year old woman, we reviewed literature on this rare and benign pathology, for which differential diagnosis with malignant tumor is most often obtained ... [more ▼] From a new case of fibroepithelial polyp in a 41 year old woman, we reviewed literature on this rare and benign pathology, for which differential diagnosis with malignant tumor is most often obtained surgically. We emphasize both diagnostic and therapeutic advantages of endoscopic approach of this lesion. [less ▲] Detailed reference viewed: 91 (4 ULg) Tumeurs developpees apres ureterosigmoidostomie (U.S.S.). Revue de la litterature a propos de deux cas cliniques.; Bonnet, Pierre ; Vandeberg, Colette et alin Acta Urologica Belgica (1991), 59(4), 73-82 Detailed reference viewed: 12 (0 ULg) Belgian experience with the Direx Tripter X1.Andrianne, Robert ; Bonnet, Pierre ; et alin Lingeman, J.; Newman (Eds.) Shock wave lithotripsy. (1989) Detailed reference viewed: 17 (0 ULg)![]() Lithotritie extracorporelle--systeme Direx. Resultats preliminaires a l'ULg.de Leval, Jean ; Andrianne, Robert ; Bonnet, Pierre et alin Revue Médicale de Liège (1988), 43(9), 332-8 Detailed reference viewed: 56 (5 ULg) |
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