Academic literature on the topic 'Appareil urinaire pathologie'

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Journal articles on the topic "Appareil urinaire pathologie"

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Bléry, M., M. Bléry-Krissat, Y. Hammoudi, and L. Rocher. "Pathologie infectieuse du haut appareil urinaire." EMC - Radiologie et imagerie médicale - Génito-urinaire - Gynéco-obstétricale - Mammaire 1, no. 4 (January 2006): 1–20. http://dx.doi.org/10.1016/s1879-8543(06)70644-9.

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Astorg, P. M., A. Moroy, S. Lamy, L. Jehel, and J. M. Sigward. "Étude descriptive du profil des patients hospitalisés dans le service de psychiatrie du CHU de Martinique (syndrome métabolique, psycho-traumatisme et comorbidités). Résultats préliminaires." European Psychiatry 29, S3 (November 2014): 571. http://dx.doi.org/10.1016/j.eurpsy.2014.09.256.

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ContexteLes malades de psychiatrie meurent 25 ans plus tôt que la population générale, en particulier de maladies cardiovasculaires dont un des facteurs de risque est le syndrome métabolique. Les psychiatres sont souvent les seuls médecins à prendre en charge les patients hospitalisés dans des services psychiatriques, avec une approche somatique limitée.MéthodologieNous avons réalisé une étude observationnelle de novembre 2013 à juillet 2014 afin d’établir un profil des sujets pris en charge en psychiatrie au CHU de Martinique (CHUM).ObjectifNotre objectif principal est de décrire le profil des personnes hospitalisées dans le service de Psychiatrie du CHUM : comorbidités somatiques (dont syndrome métabolique) et psychiatrique, niveau socio-économique, histoire de vie (avec recherche de traumatisme).RésultatsCent quarante-quatre dossiers ont été documentés ; 62 % de femmes et 38 % d’homme avec une moyenne d’âge de 46 ans [18 ; 79]. 68 % de la population est créoles martiniquais et 17 % métropolitains. 85,7 % présentent des troubles somatiques (moyenne 2,2) et se répartit comme suit : 31 % problème cardiaque, 26 % endocrinologique, 16 % respiratoire, 25 % appareil locomoteur, 17 % maladie du système nerveux, 16 % appareil génito-urinaire et 28 % autres. 18 % présentent un syndrome métabolique. Nous ne retrouvons pas dans cette étude préliminaire de maladies psychiatriques prédisposantes pour développer un syndrome métabolique. Nous ne retrouvons pas non plus de lien entre l’histoire de vie traumatique avec diagnostic d’état de stress post-traumatique et la présence d’un syndrome métabolique (Chi2 et tests exact de Ficher).ConclusionsCes résultats soulignent la nécessité de sensibiliser les professionnels en psychiatrie sur la nécessité d’identifier les facteurs de risque de pathologie somatique (notamment métabolique et cardio-vasculaire) et de développer un réseau de prise en charge multidisciplinaire pour les patients hospitalisés en psychiatrie.
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Pisipati, Sailaja, Christian Bach, Datesh Daneshwar, Edward W. Rowe, and Anthony J. Koupparis. "Concurrent upper and lower urinary tract robotic surgery: A case series." Canadian Urological Association Journal 8, no. 11-12 (November 24, 2014): 853. http://dx.doi.org/10.5489/cuaj.1836.

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The da Vinci Surgical System (Intuitive Surgical Inc.) continues to develop as a platform in urological surgery. Synchronous upper and lower urinary tract tumours requiring extirpative surgery are not uncommon. We report the first case robotic series of combined complex upper and lower urinary tract surgery. Six high-risk anaesthetic patients with a median age of 71 years and apparent synchronous upper and lower urinary tract pathologies underwent concurrent robotic surgery. Five underwent robotic nephroureterectomyand robotic-assisted radical cystectomy (RARC); 1 had combined robotic nephroureterectomy and robotic-assisted radical prostatectomy (RALP). The mean length of stay was 10 days, with an average blood loss of 416.7 mL. The median console time for nephroureterectomy, RALP and RARC was 90, 90 and 210 minutes, respectively. Four patients had intra-corporeal ileal conduit urinary diversion. There were no Clavien grade 3, 4, or 5 complications. In all patients, 30- and 90-day mortality was nil. Margins were clear in the entire cohort. We concluded that combined upper and lower urinary tract robotic surgery is safe and technically feasible with acceptable complications and oncological outcomes.
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Carvajal, Cristian A., Alejandra Tapia-Castillo, Andrea Vecchiola, Rene Baudrand, and Carlos E. Fardella. "Classic and Nonclassic Apparent Mineralocorticoid Excess Syndrome." Journal of Clinical Endocrinology & Metabolism 105, no. 4 (December 31, 2019): e924-e936. http://dx.doi.org/10.1210/clinem/dgz315.

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Abstract Context Arterial hypertension (AHT) is one of the most frequent pathologies in the general population. Subtypes of essential hypertension characterized by low renin levels allowed the identification of 2 different clinical entities: aldosterone-mediated mineralocorticoid receptor (MR) activation and cortisol-mediated MR activation. Evidence Acquisition This review is based upon a search of Pubmed and Google Scholar databases, up to August 2019, for all publications relating to endocrine hypertension, apparent mineralocorticoid excess (AME) and cortisol (F) to cortisone (E) metabolism. Evidence Synthesis The spectrum of cortisol-mediated MR activation includes the classic AME syndrome to milder (nonclassic) forms of AME, the latter with a much higher prevalence (7.1%) than classic AME but different phenotype and genotype. Nonclassic AME (NC-AME) is mainly related to partial 11βHSD2 deficiency associated with genetic variations and epigenetic modifications (first hit) and potential additive actions of endogenous or exogenous inhibitors (ie, glycyrrhetinic acid-like factors [GALFS]) and other factors (ie, age, high sodium intake) (second hit). Subjects with NC-AME are characterized by a high F/E ratio, low E levels, normal to elevated blood pressure, low plasma renin and increased urinary potassium excretion. NC-AME condition should benefit from low-sodium and potassium diet recommendations and monotherapy with MR antagonists. Conclusion NC-AME has a higher prevalence and a milder phenotypical spectrum than AME. NC-AME etiology is associated to a first hit (gene and epigene level) and an additive second hit. NC-AME subjects are candidates to be treated with MR antagonists aimed to improve blood pressure, end-organ damage, and modulate the renin levels.
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Navarro, Junior J. Araiza J. Araiza, Raúl D. Lara Sánchez, Oyuki A. Morales Uscanga, María I. Tolentino Sosa, Fernando López Reyes, and Jorge A. Barbabosa Vilchis. "Refractory hyperactive bladder treated with sacral neuromodulator: case report and literature review." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 7 (June 27, 2018): 2937. http://dx.doi.org/10.18203/2320-1770.ijrcog20182910.

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The overactive bladder syndrome is a chronic medical condition that affects the quality of life of patients whether men or women, has a prevalence of 16.5%, however, it is known to increase with age, affecting up to 25% of women older than 65 years and up to 80% in the elderly. More than 90% of cases have no apparent cause. The OAB (Overactive Bladder) It is a condition with characteristic symptoms of urinary urgency, usually accompanied by frequency and nocturia, with or without urge incontinence, in the absence of urinary tract infection or other obvious pathology. The different therapeutic steps are not always sufficient to restore the quality of life.
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Panicker, Jalesh N., Sara Simeoni, Yasuo Miki, Amit Batla, Valeria Iodice, Janice L. Holton, Ryuji Sakakibara, and Thomas T. Warner. "Early presentation of urinary retention in multiple system atrophy: can the disease begin in the sacral spinal cord?" Journal of Neurology 267, no. 3 (November 12, 2019): 659–64. http://dx.doi.org/10.1007/s00415-019-09597-2.

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Abstract Lower urinary tract (LUT) dysfunction presents early in multiple system atrophy (MSA), usually initially as urinary urgency, frequency and incontinence, and voiding difficulties/urinary retention becomes apparent over time. We have observed a subset of patients who instead presented initially with urinary retention requiring catheterisation. At presentation, these patients had only subtle neurological signs that would not fulfil the diagnostic criteria of MSA; however, the anal sphincter electromyography (EMG) was abnormal and they reported bowel and sexual dysfunction, suggesting localisation at the level of the sacral spinal cord. They subsequently developed classical neurological signs, meeting the diagnostic criteria for probable MSA. One patient was confirmed to have MSA at autopsy. We postulate that in a subset of patients with MSA, the disease begins in the sacral spinal cord and then spreads to other regions resulting in the classical signs of MSA. The transmissibility of alpha-synuclein has been demonstrated in animal models and the spread of pathology from sacral cord to other regions of the central nervous system is therefore plausible. Patients presenting with urinary retention and mild neurological features would be an ideal group for experimental trials evaluating neuroprotection in MSA
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Kilinç, R., O. G. Doluoglu, B. Sakman, D. S. Ciliz, E. Yüksel, O. Adsan, and M. Cetinkaya. "The Correlation between Diffusion-Weighted Imaging and Histopathological Evaluation of 356 Prostate Biopsy Sites in Patients with Prostatic Diseases." ISRN Urology 2012 (June 26, 2012): 1–5. http://dx.doi.org/10.5402/2012/252846.

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Purpose. The aim of this study is to investigate the reliability of diffusion MRI for detection of cancer foci by comparing diffusion-weighted imaging (DWI) results and pathology results of prostate biopsy sites. Methods. Of the patients who applied with lower urinary tract symptoms, 36 patients who had suspected DRE and/or PSA ≥2.5 ng/mL were included in the study. Patients underwent DWI prior to 10 cores-prostate biopsy. 356 biopsy cores were obtained from the patients. Foci from the patients with prostate cancer were labeled as malignant or benign foci, likewise foci from the patients with benign pathology were grouped as BPH and inflammation foci. Apparent diffusion coefficients (ADCs) of biopsy groups were compared with each other in order to measure the reliability of DWI in detection of PCa foci. Results. When ADC values of adenocarcinoma foci and BPH foci were compared, a statistically significant difference was found (P<0.001). When ADC values obtained from adenocarcinoma foci and chronic inflammation foci are compared, the difference between two groups is statistically significant, too (P<0.001). Conclusions. Biopsies focused on suspected regions after formation of ADC maps by means of DWI would provide to start definitive treatment immediately as well as being beneficial to prevent morbidity related to repeated prostate biopsies.
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Kozlova, Daria, Yinon Gilboa, Chen Sade-Zalts, Yuval Gielchinsky, Shimon Shteingart, and Debora Kidron. "Fetal Urinoma Due to Circulatory Disorders in an Umbilical Artery: Case Report." Pediatric and Developmental Pathology 24, no. 4 (March 22, 2021): 383–87. http://dx.doi.org/10.1177/10935266211002730.

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Fetal urinoma is defined as an encapsulated accumulation of extravasated urine within the perirenal space or retroperitoneum. It is an uncommon finding in prenatal practice, and the vast majority of known cases are strongly associated with the existence of a urinary obstruction, such as posterior urethral valves, ureteropelvic junction obstruction, or ureterocele. We report a unique case of prenatally detected fetal bladder urinoma that occurred in the absence of an apparent obstructive uropathy, but was associated with extensive ischemic necrosis and calcifications of adjacent bladder wall, coexistent with signs of vascular supply decompensation.
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Evans, Andrew J., Jaudah Al-Maghrabi, John Tsihlias, Ginette Lajoie, Joan M. Sweet, and William B. Chapman. "Primary Large Cell Neuroendocrine Carcinoma of the Urinary Bladder." Archives of Pathology & Laboratory Medicine 126, no. 10 (October 1, 2002): 1229–32. http://dx.doi.org/10.5858/2002-126-1229-plcnco.

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Abstract Reports of primary large cell neuroendocrine carcinomas of the urinary bladder are few; we identified only 2 cases in the literature. Both of these cases involved male patients with rapid progression of disease culminating in death with widespread metastases. We report a case of primary large cell neuroendocrine carcinoma of the bladder, with an admixed minor element of adenocarcinoma, in an 82-year-old man. This solitary lesion arose in a bladder diverticulum lateral to the left ureteric orifice. Two attempts at transurethral resection were unsuccessful at achieving local control. The patient underwent a partial cystectomy with left-sided pelvic lymphadenectomy following preoperative staging investigations that found no metastatic disease. Pathologically, the tumor invaded into the deep aspect of the muscularis propria, without extension into perivesical fat. The lateral resection margin was microscopically positive for tumor, but no malignancy was found in the pelvic lymph nodes. The adenocarcinoma comprised less than 5% of total tumor volume, and areas of transition between the neuroendocrine and adenocarcinoma components were apparent. The patient developed a local recurrence 8 months postoperatively, which was managed by a combination of transurethral resection and radiation therapy. Currently, the patient has no evidence of local or metastatic disease 2 years after initial diagnosis.
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Майбородин, И. В., Г. Ю. Ярин, И. А. Вильгельми, and В. И. Майбородина. "AGE-RELATED CHANGES OF THE FEMALE URETHRA." Успехи геронтологии, no. 5 (January 22, 2021): 945–55. http://dx.doi.org/10.34922/ae.2020.33.5.017.

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Минимальные и максимальные показатели длины, ширины, площади или объема органов и структур нижних мочевых путей в норме могут различаться до 2-3 раз. С возрастом у здоровых женщин не меняются абсолютная и относительная длина мочеиспускательного канала, уретровезикальный угол и наклон уретры. И гладкая, и поперечнополосатая мышечные ткани, входящие в состав различных отделов женской уретры, подвергаются атрофии в процессе старения организма. Гладкая мышечная ткань менее изменчива с возрастом, но поперечнополосатые мышечные симпласты иногда полностью отсутствуют в биоптатах уретры пожилых пациентов. С возрастом уменьшаются васкуляризация и плотность иннервации структур мочеиспускательного канала, но возрастает содержание соединительной ткани в наружном сфинктере уретры. Мобильность мочеиспускательного канала у молодых женщин более выражена, чем у пожилых. Явная недостаточность современных работ, посвященных возрастным изменениям нижних мочевых путей, указывает на актуальность и необходимость продолжения изучения трансформации органов и тканей мочевыводящей системы при старении. Это может быть важным для определения этиологии и патогенеза некоторых патологических состояний, таких как стрессовое недержание мочи, а также для дифференциальной диагностики между возрастной нормой и патологией. The minimum and maximum indicators of the length, width, area or volume of organs and structures in the lower urinary tract can normally vary up to 2-3 times. With age, at healthy women the absolute and relative length of the urethra, the urethrovesical angle, and the inclination of the urethra do not change. Both smooth and striated muscle tissues, which are part of various departments of the female urethra, undergo atrophy during the aging process. Smooth muscle tissue is less variable with age, but striated muscle symplasts are sometimes completely absent in urethral biopsies from elderly patients. With age, the vascularization and density of the innervation decrease in the urethral structures, but the content of connective tissue in the external urethral sphincter increases. Urinary tract mobility at young women is more pronounced than at older women. The apparent insufficiency of modern investigations about age-related changes in the lower urinary tract indicates the relevance and need to continue studying of the organ and tissue transformation in the urinary system during aging, this may be important for determining the etiology and pathogenesis of some pathological conditions, such as stress urinary incontinence, as well as for differential diagnosis between age norm and pathology.
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Dissertations / Theses on the topic "Appareil urinaire pathologie"

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Rafla, Mona Helmy. "Cancer de la vessie avec schistosomiase : modeles pronostiques de recidive et leur evaluation." Paris 7, 1987. http://www.theses.fr/1987PA077149.

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Ismaili, Khalid. "Evaluation et prise en charge des anomalies foetales du rein et du tractus urinaire." Doctoral thesis, Universite Libre de Bruxelles, 2006. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/210748.

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Vega-Salinas, Alejandro. "Contribution à la conception et la réalisation d'un système autonome d'analyse de signaux de pression anorectale provoquée." Rouen, 1989. http://www.theses.fr/1989ROUES025.

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L'objectif de ce travail concerne l'analyse automatique de signaux de pression anorectale provoquée. Description de la réalisation d'un conditionneur de signal multivoie et présentation des sous programmes spécifiques des différentes étapes de la manométrie anorectale
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Houdouin, Véronique. "Caractérisation des souches de Escherichia coli responsables de pathologies extra-intestinales chez l'enfant : approche moléculaire et approche clinique." Paris 5, 2007. http://www.theses.fr/2007PA05D039.

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Pour mieux appréhender les mécanismes physiopathologiques impliqués dans les infections extra-intestinales à E. Coli chez l'enfant, nous avons recherché une relation entre les caractéristiques génétiques bactériennes et les facteurs pronostiques cliniques des méningites néonatales et des infections urinaires. Notre stratégie repose sur trois approches : une approche moléculaire globale et ciblée, une approche fonctionnelle associant mutagénèse et modèle de méningite expérimentale et une approche clinique. Nous avons retrouvé une relation négative entre la virulence bactérienne et la mortalité des méningites néonatales, et entre la virulence et les anomalies anatomiques lors des pyélonéphrites. La relation négative entre virulence et résistance aux quinolones n'a pas été retrouvée dans le modèle animal. Enfin nous avons mis en évidence l'émergence d'un clone O45 : K1 hautement virulent, responsable de méningites en France et la présence d'un domaine génétique semblable à l'îlot de pathogénicité PAA IIJ96 dans la souche archétype C5
To understand the pathogenesis of extra-intestinal E. Coli in meningitis and urinary tract infections in children, we used a molecular, experimental model and clinical approach. We found a negative association between virulence and lethal outcome in neonatal meningitis as between virulence and anatomical abnormalities in urinary tract infections. The link between genetic virulence and in vitro resistance to quinolones was not proved in the neonatal meningitis rat model. Among our collection of French E. Coli neonatal meningitis we identified a major highly virulent O45 : K1 clonal group. The archetypal strain C5 causing neonatal meningitis harbors a pathogenicity island similar to the PAI IIJ96
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Dadoun, Moreau Christine. "Etude expérimentale de la néphrotoxicité d'un agent antitumoral, le méthyl-2 hydroxy-9 ellipticinium, chez le rat." Rouen, 1988. http://www.theses.fr/1988ROUES024.

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Kane, Amadou. "Intoxication subchronique par l'ochratoxine a, mycotoxine contaminant les aliments : effets nephrotoxiques et genotoxiques." Strasbourg 1, 1986. http://www.theses.fr/1986STR13126.

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Distribution tissulaire de l'ochratoxine marquee chez le rat et la souris (voie orale). Etude de la nephrotoxicite subchronique de doses faibles chez le rat en suivant dans l'urine et les tubules la variation des activites enzymatiques. Effet sur les enzymes de cellules renales mdck en culture. Etude de la genotoxicite de l'ochratoxine in vivo et in vitro
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Books on the topic "Appareil urinaire pathologie"

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Koss, Leopold G. Diagnostic cytology of the urinary tract: With histopathologic and clinical correlations. Philadelphia: Lippincott-Raven, 1995.

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Koss, Leopold G. Diagnostic Cytology of the Urinary Tract: With Histopathologic and Clinical Correlations. Lippincott Williams & Wilkins Publishers, 1996.

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Diagnostic Cytology of the Urinary Tract: With Histopathologic and Clinical Correlations. Lippincott Williams & Wilkins, 1996.

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