{"id":197,"date":"2021-04-04T12:01:37","date_gmt":"2021-04-04T10:01:37","guid":{"rendered":"https:\/\/urologie-paris-cochin.com\/?page_id=197"},"modified":"2025-04-17T16:53:12","modified_gmt":"2025-04-17T14:53:12","slug":"traitements-et-innovations","status":"publish","type":"page","link":"https:\/\/urologie-paris-cochin.com\/en\/traitements-et-innovations\/","title":{"rendered":"Treatments and innovations"},"content":{"rendered":"<div id=\"traitements-innovations\">\n<h1 title=\"Prostate cancer\">Prostate cancer<\/h1>\n<\/div>\n<p>Radical prostatectomy (removal of the prostate) is a possible treatment for prostate cancer when it is potentially aggressive but not yet advanced (tumour located in the prostate gland). Radical prostatectomy is not justified for early, non-aggressive micro-tumours, which are treated with alternative, less invasive treatments, or simply monitored. An open or laparoscopic prostatectomy can be performed. A laparoscopic prostatectomy can be performed with or without robotic assistance.<\/p>\n<div id=\"french-video\">\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-197-1\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Prostatectomie-totale-par-robot-.mp4?_=1\" \/><a href=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Prostatectomie-totale-par-robot-.mp4\">https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Prostatectomie-totale-par-robot-.mp4<\/a><\/video><\/div>\n<div id=\"namings-robots\">Prostatectomie totale par robot<\/div>\n<\/div>\n<div id=\"english-video\">\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-197-2\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Robot-assisted-radical-prostatectomy-preservation-of-the-neuro-vascular-bundles-.mp4?_=2\" \/><a href=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Robot-assisted-radical-prostatectomy-preservation-of-the-neuro-vascular-bundles-.mp4\">https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Robot-assisted-radical-prostatectomy-preservation-of-the-neuro-vascular-bundles-.mp4<\/a><\/video><\/div>\n<div id=\"namings-robots\">Robot-assisted radical prostatectomy<\/div>\n<\/div>\n<div id=\"traitements-images\">\n<p><img decoding=\"async\" title=\"Da Vinci Xi robot\" src=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/robot-da-vinci-min.jpg\" \/><\/p>\n<div id=\"namings-robots\">\"Da Vinci Xi robot\" used in urology department<\/div>\n<\/div>\n<p>Brachytherapy is an alternative to a prostatectomy for cancers that are not aggressive. This operation consists in implanting radioactive seeds inside the prostate, that induce an interstitial radiation. It is less invasive than the prostatectomy, causing less urinary and sexual after-effects. We propose this technique in partnership with <a title=\"George Pompidou European Hospital\" href=\"http:\/\/hopital-georgespompidou.aphp.fr\/\" target=\"_blank\" rel=\"noopener\">the George Pompidou European Hospital<\/a>, located in the15<sup>th<\/sup> arrondissement of Paris.<\/p>\n<p>Within the framework of the research clinic, we can offer focal laser treatment or microwave therapy in certain very localized forms of prostate cancer. This new procedure consists of treating only one part of the prostate, and not the entire gland. A necrosis is induced at the precise area where the cancerous site was detected. This technique is still under evaluation in several European centres, including our own. It can only be performed within the framework of a research protocol. The advantage would be to induce a very limited, or even eliminate the percentage of urinary and sexual disorders.<\/p>\n<div id=\"traitements-innovations\">\n<h1 title=\"Benign prostatic hyperplasia (adenoma)\">Benign prostatic hyperplasia (adenoma)<\/h1>\n<\/div>\n<p>The endoscopic treatment of the prostatic adenoma may be performed through a classic resection technique, a bipolar resection technique, vaporisation, or Holmium laser enucleation (HOLEP technique).<\/p>\n<p>The use of the Holmium laser enables endoscopic treatment of prostatic hypertrophies of all sizes. In our department, no open prostatectomy is performed for prostate adenoma. Certain techniques offer the advantage of reducing bleeding, in particular in patients on blood thinner for cardiovascular diseases. Reducing the risk of haemorrhage allows to limit general complications and hospitalisation time. All of these techniques are available in our department. They are adapted to the patient\u2019s medical antecedents, the patient\u2019s preferences, and to those of the surgeon.<\/p>\n<p>For some patients, we can use <strong>the Rezum\u00ae device<\/strong>, which involves spraying the edges of the prostate to free the urethra and facilitate urinary flow. This technique is performed on an outpatient basis. Its advantages are that it is minimally invasive and more often preserves normal ejaculation. A urinary catheter must be kept at home for a few days. Medium- and long-term results are currently being evaluated.<\/p>\n<p>Finally, in the aim of reducing complications associated with the treatment of adenoma, we offer <a title=\"Urolift\u00ae\" href=\"https:\/\/www.urofrance.org\/base-bibliographique\/la-pose-dimplants-intra-prostatiques-urolift-r-est-elle-une-alternative-chez\" target=\"_blank\" rel=\"noopener\">Urolift\u00ae prostatic urethral lift implants<\/a>. This innovative procedure consists in an endoscopic compression of the adenoma's edges by implanting retractable wires. The urethral lumen is therefore enlarged to allow an improved urinary flow. This is an outpatient procedure (one-day hospital stay). This is the only surgical treatment for prostatic hypertrophy that does not lead to sexual adverse effects.<\/p>\n<div id=\"french-video\">\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-197-3\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/HOLEP-laser-Holmium-pour-adenome-de-prostate-.mp4?_=3\" \/><a href=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/HOLEP-laser-Holmium-pour-adenome-de-prostate-.mp4\">https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/HOLEP-laser-Holmium-pour-adenome-de-prostate-.mp4<\/a><\/video><\/div>\n<div id=\"namings\">HOLEP (laser Holmium) pour ad\u00e9nome de prostate<\/div>\n<\/div>\n<div id=\"english-video\">\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-197-4\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Holmium-laser-enucleation-of-prostatic-benign-hyperplasia-HOLEP-procedure.mp4?_=4\" \/><a href=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Holmium-laser-enucleation-of-prostatic-benign-hyperplasia-HOLEP-procedure.mp4\">https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Holmium-laser-enucleation-of-prostatic-benign-hyperplasia-HOLEP-procedure.mp4<\/a><\/video><\/div>\n<div id=\"namings-robots\">Holmium Laser Enucleation of Prostatic benign hyperplasia (HOLEP procedure)<\/div>\n<\/div>\n<div id=\"traitements-innovations\">\n<h1 title=\"Kidney surgery\">Kidney surgery<\/h1>\n<\/div>\n<p>We treat all renal pathologies, notably tumours (cancer or benign lesions) and malformations (pyelo-ureteral junction syndrome). Most of these operations can be performed by laproscopy, eventually robot-assisted.<\/p>\n<div id=\"french-video\">\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-197-5\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Tumorectomie-renale-par-robot-.mp4?_=5\" \/><a href=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Tumorectomie-renale-par-robot-.mp4\">https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Tumorectomie-renale-par-robot-.mp4<\/a><\/video><\/div>\n<div id=\"namings-tumeurs\">Tumorectomie r\u00e9nale par robot<\/div>\n<\/div>\n<div id=\"english-video\">\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-197-6\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Robot-assisted-ablation-of-a-renal-tumor.mp4?_=6\" \/><a href=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Robot-assisted-ablation-of-a-renal-tumor.mp4\">https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Robot-assisted-ablation-of-a-renal-tumor.mp4<\/a><\/video><\/div>\n<div id=\"namings-robots-english\">Robot-assisted ablation of a renal tumor<\/div>\n<\/div>\n<div id=\"french-video\">\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-197-7\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Pyeloplastie-par-robot-.mp4?_=7\" \/><a href=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Pyeloplastie-par-robot-.mp4\">https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Pyeloplastie-par-robot-.mp4<\/a><\/video><\/div>\n<div id=\"namings-tumeurs\">Py\u00e9loplastie par robot<\/div>\n<\/div>\n<div id=\"english-video\">\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-197-8\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Laparoscopic-pyeloplasty-for-pelviureteric-obstruction.mp4?_=8\" \/><a href=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Laparoscopic-pyeloplasty-for-pelviureteric-obstruction.mp4\">https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Laparoscopic-pyeloplasty-for-pelviureteric-obstruction.mp4<\/a><\/video><\/div>\n<div id=\"namings-robots\">Robotic pyeloplasty for pelviureteric obstruction<\/div>\n<\/div>\n<div id=\"traitements-innovations\">\n<h1 title=\"Tumours of the bladder\">Tumours of the bladder<\/h1>\n<\/div>\n<p>There is a technique for improving endoscopic detection of certain tumours of the bladder. This procedure applies especially to recurrent tumours and flat tumours that are difficult to visualise.<br \/>\nA product is instilled before the cystoscopy that makes the tumours fluorescent. Certain studies show that this technique improves the detection of tumours, and allows a more complete removal.<\/p>\n<div id=\"traitements-images\">\n<p><img decoding=\"async\" title=\"Fibroscopie en lumi\u00e8re fluorescente, permettant d'am\u00e9liorer la d\u00e9tection des tumeurs de vessie\" src=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/fibroscopie-urologie-lumiere-fluorescente-min.jpg\" \/><\/p>\n<div id=\"namings-vessie\">Fibroscopy fluorescent light, improving the detection of bladder tumors<\/div>\n<\/div>\n<div id=\"traitements-innovations\">\n<h1 title=\"Renal stones\">Renal stones<\/h1>\n<\/div>\n<p>All modern treatments for renal stones are available in our department. According to the size, the location and the composition of the stones, we can use extracorporeal lithotripsy, ureteroscopy, flexible renoscopy and laser fragmentation of the stones, or percutaneous surgery.<\/p>\n<div id=\"french-video\">\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-197-9\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Ureteroscopie-souple-pour-calcul-du-rein-.mp4?_=9\" \/><a href=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Ureteroscopie-souple-pour-calcul-du-rein-.mp4\">https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Ureteroscopie-souple-pour-calcul-du-rein-.mp4<\/a><\/video><\/div>\n<div id=\"namings\">Ur\u00e9t\u00e9roscopie souple pour calcul du rein<\/div>\n<\/div>\n<div id=\"english-video\">\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-197-10\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Flexible-ureterorenoscopy-renal-stone-pulverization-with-laser.mp4?_=10\" \/><a href=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Flexible-ureterorenoscopy-renal-stone-pulverization-with-laser.mp4\">https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/Flexible-ureterorenoscopy-renal-stone-pulverization-with-laser.mp4<\/a><\/video><\/div>\n<div id=\"namings-robots\">Flexible ureterorenoscopy renal stone pulverization with laser<\/div>\n<\/div>\n<div id=\"traitements-innovations\">\n<h1 title=\"Urinary incontinence\">Urinary incontinence<\/h1>\n<\/div>\n<p>We have all the new techniques for treating urinary incontinence, whether for women or for men after prostatic surgery.<\/p>\n<p>In women, stress urinary incontinence is often treated by suburethral slings. When leakage occurs outside of physical effort, with urge incontinence (over-active bladder), it is sometimes necessary to perform botulinum toxin intravesical injections or a sacral neuromodulation. The latter option consists of placing an electrode in contact with the nerve that regulates bladder contraction.<\/p>\n<p>In men, moderate incontinence can be treated by suburethral slings or periurethral balloons. As a last resort, severe incontinence requires the introduction of an artificial urinary placement. All of these devices are used in our department.<\/p>\n<div id=\"traitements-images\">\n<p><img decoding=\"async\" title=\"Urethral Sling for the treatment of urinary incontinence in women&#039;s efforts\" src=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/incontinence-urinaire-1-min.jpg\" \/><\/p>\n<div id=\"namings-bandelettes\">Urethral sling for the treatment of urinary incontinence in women's efforts<\/div>\n<\/div>\n<div id=\"traitements-images\">\n<p><img decoding=\"async\" title=\"Adjustable peri-urethral balloons for the minimally invasive treatment of urinary incontinence\" src=\"https:\/\/urologie-paris-cochin.com\/wp-content\/uploads\/2021\/04\/incontinence-urinaire-2-min.jpg\" \/><\/p>\n<div id=\"namings-bandelettes\">Adjustable peri-urethral balloons for the minimally invasive treatment of urinary incontinence<\/div>\n<\/div>\n<div id=\"link-pages\">\n<h1 title=\"More information\">More information<\/h1>\n<ul>\n<li><a title=\"Discover the Cochin hospital department of urology\" href=\"https:\/\/urologie-paris-cochin.com\/en\/le-service\/\">Discover the Cochin hospital department of urology<\/a><\/li>\n<li><a title=\"Discover Cochin hospital\u2019s activities abroad\" href=\"https:\/\/urologie-paris-cochin.com\/en\/cochin-a-l-international\/\">Discover Cochin hospital\u2019s activities abroad<\/a><\/li>\n<\/ul>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Cancer de la prostate La prostatectomie totale (ablation de la prostate) est un traitement possible du cancer de la prostate lorsqu&rsquo;il est potentiellement agressif mais pas encore avanc\u00e9 (tumeur localis\u00e9e \u00e0 la glande prostatique). Une prostatectomie totale n&rsquo;est pas justifi\u00e9e pour les micro-tumeurs d\u00e9butantes et non agressives, qui rel\u00e8vent plut\u00f4t de traitements alternatifs mini-invasifs voire d&rsquo;une simple surveillance. La prostatectomie peut se faire par voie ouverte ou par c\u0153lioscopie. La c\u0153lioscopie peut \u00eatre r\u00e9alis\u00e9e avec ou sans assistance par le robot chirurgical. Prostatectomie totale par robot Robot-assisted radical prostatectomy \u00ab Le robot da Vinci Xi \u00bb utilis\u00e9 dans le service d&rsquo;urologie La curieth\u00e9rapie est une alternative \u00e0 la prostatectomie pour les cancers peu agressifs. Cette intervention consiste \u00e0 implanter des grains radioactifs dans la prostate, qui vont r\u00e9aliser une irradiation \u00ab interne \u00bb . Elle est moins invasive que la prostatectomie car elle induit moins de s\u00e9quelles urinaires et sexuelles. Nous proposons cette technique en partenariat avec l&rsquo;h\u00f4pital europ\u00e9en Georges Pompidou, situ\u00e9 dans le 15\u00e8me arrondissement de Paris. Dans le cadre de la recherche clinique, nous pouvons proposer un traitement focal par laser ou par micro-ondes dans certaines formes tr\u00e8s localis\u00e9es de cancer prostatique. Cette nouvelle proc\u00e9dure consiste \u00e0 traiter seulement une partie de la prostate, et non pas la totalit\u00e9 de la glande. Il s&rsquo;agit d&rsquo;induire une n\u00e9crose \u00e0 l&rsquo;endroit pr\u00e9cis o\u00f9 a \u00e9t\u00e9 d\u00e9tect\u00e9 le foyer canc\u00e9reux. Cette technique est en cours d&rsquo;\u00e9valuation dans quelques centres europ\u00e9ens, dont le n\u00f4tre. Elle ne peut \u00eatre r\u00e9alis\u00e9e que dans le cadre d&rsquo;un protocole de recherche. Son avantage serait d&rsquo;induire un taux tr\u00e8s limit\u00e9 voire nul de troubles urinaires et sexuels. Hypertrophie b\u00e9nigne (ad\u00e9nome) de la prostate Le traitement endoscopique de l&rsquo;ad\u00e9nome prostatique peut se faire par une technique de r\u00e9section classique, par r\u00e9section bipolaire, par vaporisation ou par \u00e9nucl\u00e9ation au laser Holmium (technique HOLEP). L&rsquo;utilisation du laser Holmium permet de traiter par voie endoscopique les hypertrophies prostatiques de tous volumes. Dans notre service, aucune intervention par voie ouverte n&rsquo;est r\u00e9alis\u00e9e pour un ad\u00e9nome de la prostate. Certaines techniques ont l&rsquo;avantage de r\u00e9duire le saignement, en particulier chez les patients qui re\u00e7oivent un traitement anticoagulant pour des pathologies cardio-vasculaires. La r\u00e9duction du risque h\u00e9morragique permet de limiter les complications g\u00e9n\u00e9rales et le temps d&rsquo;hospitalisation. Toutes ces techniques sont disponibles dans notre service. Elles sont adapt\u00e9es aux ant\u00e9c\u00e9dents du patient, \u00e0 sa pr\u00e9f\u00e9rence et \u00e0 celle du chirurgien. Nous pouvons chez certains patients utiliser le dispositif Rezum\u00ae, qui consiste \u00e0 vaporiser les berges de la prostate afin de lib\u00e9rer l\u2019ur\u00e8tre et faciliter le flux urinaire. Cette technique se fait en ambulatoire. Elle a pour avantages d\u2019\u00eatre peu invasive et de pr\u00e9server plus souvent une \u00e9jaculation normale. Elle n\u00e9cessite de garder une sonde urinaire quelques jours \u00e0 la maison. Ses r\u00e9sultats \u00e0 moyen et \u00e0 long terme sont en cours d\u2019\u00e9valuation. Enfin, toujours dans le but de r\u00e9duire les complications du traitement de l&rsquo;ad\u00e9nome, nous pouvons proposer les implants intra-prostatiques UroLift\u00ae. Ce proc\u00e9d\u00e9 tr\u00e8s innovant consiste \u00e0 comprimer par voie endoscopique les berges de l&rsquo;ad\u00e9nome en y implantant des fils r\u00e9tractables. La lumi\u00e8re de l&rsquo;ur\u00e8tre est ainsi \u00e9largie et permet un meilleur d\u00e9bit urinaire. Ce proc\u00e9d\u00e9 se fait en ambulatoire (s\u00e9jour d&rsquo;une journ\u00e9e \u00e0 l&rsquo;h\u00f4pital). Il s&rsquo;agit du seul traitement chirurgical de l&rsquo;hypertrophie prostatique n&rsquo;entra\u00eenant aucun effet secondaire sexuel. HOLEP (laser Holmium) pour ad\u00e9nome de prostate Holmium Laser Enucleation of Prostatic benign hyperplasia (HOLEP procedure) Chirurgie du rein Nous traitons toutes les pathologies r\u00e9nales, notamment les tumeurs (cancer ou l\u00e9sion maligne) et les malformations (syndrome de la jonction py\u00e9lo-ur\u00e9t\u00e9rale). La plupart de ces interventions peuvent se faire par voie laparoscopique, \u00e9ventuellement guid\u00e9e par le robot. Tumorectomie r\u00e9nale par robot Robot-assisted ablation of a renal tumor Py\u00e9loplastie par robot Robotic pyeloplasty for pelviureteric obstruction Tumeurs de la vessie Il existe une technique pour am\u00e9liorer la d\u00e9tection en endoscopie de certaines tumeurs de vessie. Ce proc\u00e9d\u00e9 s&rsquo;applique surtout aux tumeurs r\u00e9cidivantes et aux tumeurs planes difficiles \u00e0 visualiser. Il s&rsquo;agit d&rsquo;instiller avant la cystoscopie un produit qui rend les tumeurs fluorescentes. Certaines \u00e9tudes ont montr\u00e9 que cette technique am\u00e9liorait la d\u00e9tection des tumeurs et permettait une ex\u00e9r\u00e8se plus compl\u00e8te. Fibroscopie en lumi\u00e8re fluorescente, permettant d&rsquo;am\u00e9liorer la d\u00e9tection des tumeurs de vessie Calculs urinaires Tous les traitements modernes des calculs urinaires sont disponibles dans notre service. En fonction de la taille, de la localisation et de la composition des calculs, nous pouvons utiliser la lithotriptie extra-corporelle, l&rsquo;ur\u00e9t\u00e9roscopie, la r\u00e9noscopie souple avec destruction au laser des calculs, ou la chirurgie percutan\u00e9e. Ur\u00e9t\u00e9roscopie souple pour calcul du rein Flexible ureterorenoscopy renal stone pulverization with laser Incontinence urinaire Nous disposons de toutes les techniques nouvelles pour traiter l&rsquo;incontinence urinaire, que ce soit chez la femme ou chez l&rsquo;homme apr\u00e8s chirurgie prostatique. Chez la femme, l&rsquo;incontinence urinaire d&rsquo;effort est souvent trait\u00e9e par bandelette sous-ur\u00e9trale. Lorsque les fuites surviennent en dehors des efforts, avec des imp\u00e9riosit\u00e9s (vessie hyperactive), il est parfois n\u00e9cessaire de faire des injections endov\u00e9sicales de toxine botulinique ou une neuro-modulation sacr\u00e9e. Cette derni\u00e8re option consiste \u00e0 mettre en place une \u00e9lectrode au contact du nerf qui r\u00e9gule l&rsquo;activit\u00e9 de contraction de la vessie. Chez l&rsquo;homme, l&rsquo;incontinence mod\u00e9r\u00e9e peut \u00eatre trait\u00e9e par bandelette sous-ur\u00e9trale ou ballonnets p\u00e9ri-ur\u00e9traux. En dernier recours, l&rsquo;incontinence s\u00e9v\u00e8re n\u00e9cessite la mise en place d&rsquo;un sphincter urinaire artificiel. Tous ces dispositifs sont utilis\u00e9s dans notre service. Bandelette de sout\u00e8nement ur\u00e9tral pour le traitement de l&rsquo;incontinence urinaire d&rsquo;effort Ballons ajustables p\u00e9ri-ur\u00e9traux pour le traitement mini-invasif de l&rsquo;incontinence urinaire Plus d&rsquo;informations D\u00e9couvrir le service d&rsquo;urologie de l&rsquo;h\u00f4pital Cochin D\u00e9couvrir les actions de l&rsquo;h\u00f4pital Cochin \u00e0 l&rsquo;international<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-197","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/urologie-paris-cochin.com\/en\/wp-json\/wp\/v2\/pages\/197","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/urologie-paris-cochin.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/urologie-paris-cochin.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/urologie-paris-cochin.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/urologie-paris-cochin.com\/en\/wp-json\/wp\/v2\/comments?post=197"}],"version-history":[{"count":3,"href":"https:\/\/urologie-paris-cochin.com\/en\/wp-json\/wp\/v2\/pages\/197\/revisions"}],"predecessor-version":[{"id":574,"href":"https:\/\/urologie-paris-cochin.com\/en\/wp-json\/wp\/v2\/pages\/197\/revisions\/574"}],"wp:attachment":[{"href":"https:\/\/urologie-paris-cochin.com\/en\/wp-json\/wp\/v2\/media?parent=197"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}