Validation of the SF-36 in patients with endometriosis.

OBJECTIVES: Endometriosis presents with significant pain as the most common symptom. Generic health measures can allow comparisons across diseases or populations. However, the Medical Outcomes Study Short Form 36 (SF-36) has not been validated for this disease. The goal of this study was to validate the SF-36 (version 2) for endometriosis. METHODS: Using data from two clinical trials (N = 252 and 198) of treatment for endometriosis, a full complement of psychometric analyses was performed. Additional instruments included a pain visual analog scale (VAS); a physician-completed questionnaire based on patient interview (modified Biberoglu and Behrman--B&B); clinical global impression of change (CGI-C); and patient satisfaction with treatment. RESULTS: Bodily pain (BP) and the Physical Component Summary Score (PCS) were correlated with the pain VAS at baseline and over time and the B&B at baseline and end of study. In addition, those who had the greatest change in BP and PCS also reported the greatest change on CGI-C and patient satisfaction with treatment. Other subscales showed smaller, but significant, correlations with change in the pain VAS, CGI-C, and patient satisfaction with treatment. CONCLUSIONS: The SF-36--particularly BP and the PCS--appears to be a valid and responsive measure for endometriosis and its treatment

Nd : YAG LASER IN ENDOSCOPIC UROLOGY

No abstract availabl

L'OPERATION DE NESBIT DANS LE TRAITEMENT DE LA COUDURE DE VERGE A PROPOS DE 39 CAS

Objectifs L'évaluation des résultats à long terme de l'opération de Nesbit dans le traitement de la coudure de verge. Patients et Méthodes Trente-neuf cas de coudure de verge (20 coudures congénitales et 19 coudures secondaires à la maladie de Lapeyronie) ont été opérés dans le service d'urologie de l'Hôpital Edouard Herriot de Lyon sur une période de 10 ans. L'opération de Nesbit a été pratiqué dans 74% des cas, et dans les autres cas, une variante de celle-ci. Le principe de l'opération de Nesbit est simple. Il consiste à exciser une pastille ovalaire d'albuginée et de corps caverneux au sommet de l'angle de la coudure. Résultats Le redressement de la verge a été obtenu et maintenu dès la première intervention dans 97% des cas après 6 mois. La correction est toujours stable à 10 ans. Un seul cas de raccourcissement important de la verge (2 cm) a été noté.Conclusion L'opération de Nesbit est une intervention fiable, bien codifiée actuellement. Elle donne entre les mains entraînées d'excellents résultats.The Nesbit Procedure for the Treatment of Penile Curvature. Report on 39 Cases.Objective To evaluate the efficacy of the Nesbit procedure in the treatment of penile curvature. Patients and Methods Our series included 39 penile curvatures (20 congenital and 19 in Peyronie's disease) operated at the urological department of Edouard Herriot Hospital of Lyon / France during a period of 10 years. The Nesbit procedure was performed in 74% of cases and a variant of the procedure in the remaining cases. The principle of the Nesbit procedure is easy: An oval cut-off pastille is made in the albuginea and the cavernous corpus at the vertex of the curvature. Results A six months‘ follow-up proved that we had succeeded to obtain and maintain penile straightening at the first operation in 97% of cases. Ten years later, the correction was still lasting. Only one case of important shortening of the penis (2 cm) occurred. Conclusion The Nesbit procedure is a reliable operation offering an excellent outcome. African Journal of Urology Vol. 7 No. 3 (Sept 2001): pp 109-11

Assessment and management of cervico-mediastinal goiter

International audienc