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5. Ballonnets péri-urétraux chez l’enfant : résultats initiaux d’une série de cas et présentation de la technique chirurgicale pas à pas

Author

Alliot, H., Leclair, M.D., Perrouin-Verbe, M.A., and Loubersac, T.

Abstract

Les ballonnets ajustables péri-urétraux (BAPU) ont montré leur efficacité dans le traitement de l’incontinence urinaire (IU) d’effort chez l’adulte. Les résultats préliminaires d’une étude prospective récente ont montré la faisabilité et l’efficacité de l’implantation des BAPU en population pédiatrique.

Published
2024
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7. Tératomes sacrococcygiens

Author

Winer, N., primary, Le Caignec, C., additional, Aubron, F., additional, Isidor, B., additional, David, A., additional, and Leclair, M.D., additional

Published
2011
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11. Pose d’un sphincter urinaire péri-cervicale chez un garçon de 12ans par cœlioscopie robot-assistée : vidéo pas à pas

Author

Loubersac, T., Alliot, H., De Vergie, S., Leclair, M.D., and Perrouin-Verbe, M.A.

Abstract

Le sphincter urinaire artificiel (SUA) fait parti de l’arsenal thérapeutique pour la prise en charge de l’incontinence urinaire d’effort neurogène (IUE). Il n’existe que quelques cas de R-SUA autour du col de la vessie chez des patients pédiatriques. Nous présentons une vidéo étape par étape de l’implantation d’un R-SUA au niveau du col de la vessie chez un garçon de 12ans souffrant d’une incontinence urinaire d’effort (IUE) neurogène sévère liée à une insuffisance sphinctérienne (IS).

Published
2024
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20. Dysgerminoma and gonadal dysgenesis: The need for a new diagnosis tree for suspected ovarian tumours.

Author

Leclair M.D., Heloury Y., Capito C., Arnaud A., Hameury F., Fremond B., Lardy H., Leclair M.D., Heloury Y., Capito C., Arnaud A., Hameury F., Fremond B., and Lardy H.

Abstract

Purpose: Diagnosis of dysgerminoma in the paediatric age group is uncommon, and most cases arise from dysgenetic gonads of 46, XY pure gonadal dysgenesis (PGD) patients. Bilateral gonadectomy is mandatory in these patients. So, the preoperative diagnosis of PGD is important in order to avoid multiple surgical procedures and delayed patient information in the case of a suspected 'ovarian' tumour. Our aim was to discuss preoperative clues that can lead to suspicion of dysgerminoma in the context of PGD. Material(s) and Method(s): We reviewed the charts of six patients treated for dysgerminoma associated with 46, XY PGD. We focused on particularities of clinical and biological evaluations. Result(s): Median age at diagnosis was 11 years. Pubertal development was absent or incomplete even at late ages. Dysgerminoma was associated with gonadoblastoma foci in all cases. Tumoral marker profile was a normal alfafetoprotein level, a high lactate dehydrogenase level and normal or moderate human chorionic gonadotropin (betaHCG) secretion, except for one patient who had a mixed tumour with notably a choriocarcinoma share (high betaHCG). Follicle-stimulating hormone (FSH) level was very high in all patients tested and, interestingly, also in one prepubertal patient. Conclusion(s): In the case of a suspected ovarian tumour, delayed pubertal development, moderate betaHCG level and elevated FSH level are clinical and biological clues to a diagnosis of dysgerminoma in the context of PGD and should prompt karyotype analysis before surgery. Because FSH is an efficient indirect marker of this condition, we suggest including this analysis in the management of gonadal tumours. © 2011 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.

Published
2012

21. Characteristics of endobronchial primitive tumors in children

Author

Eyssartier, E., primary, Ang, P., additional, Bonnemaison, E., additional, Gibertini, I., additional, Diot, P., additional, Carpentier, E., additional, Chantepie, A., additional, Leclair, M.D., additional, Brouard, J., additional, Boutard, P., additional, Deneuville, E., additional, Marie-Cardine, A., additional, and Lardy, H., additional

Published
2014
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