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L’étude de 47 cas d’association tuberculose-lithiase rénale permet aux auteurs de mettre en evidence au point de vue pathogénique l’importance des stenoses de la voie excrétrice et de l’infection secondaire. Ils soulignent les difficultés de diagnostic et la nécessité d’une exploration minutieuse. En ce qui concerne la thérapeutique leurs résultats confirment la primauté du traitement conservateur.

Among the complications of prostatic adenomectomy, an obstruction predominates, being common, serious and liable to recur. Causing intense micturition disturbances, varied side effects and frequent lesions of the upper urinary tract, dependent upon the septic factor, upon the procedure used and upon the details of the postoperative care, these complications require efficient, early individualized management. Treatment is conservative in most cases of stricture, and to a lesser extent in cervical sclerosis, and surgical in intervesico-prostatic diaphragm, prostato-cervical fibrosis and sclerosis of the cervix. Associated lithiasis of the bladder or recess, which sometimes occurs, is a further indication for surgery. Based upon a detailed diagnosis, surgery should be efficiently radical but not exaggerated, Prevention of relapses depends upon thorough extirpation of the pathologic tissues, control of the local septic element, avoidance of excessive suturing and covering of the operated area by the mucosa. In a statistics of 1100 adenomectomies, fift~, such cases are analyzed, showing the frequent association of obstructive sequelae (20 ~), the prevalence of sclerosis of the cervix (46 ~) and prostato-cervicat fibrosis (I 6 ~): the necessity of a complete investigation and especially of an adequate and mostly surgical therapy.

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