{"title":"[Stress urinary incontinence in women].","authors":"Cyrille Guillot-Tantay, Pierre-Luc Dequirez, Véronique Phé","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Stress urinary incontinence (SUI) is an involuntary loss of urine triggered by physical activities, coughing, or changes in body position. It affects 14% of women in France and is associated with risk factors including obesity, pregnancy, traumatic deliveries, hormonal changes, age, intense physical activity, pelvic surgeries, chronic cough and constipation, The impact on patients is significant, affecting their quality of life and leading to high healthcare costs.Diagnosis relies on questionnaires and a detailed clinical examination to distinguish between types of incontinence. The initial treatment is pelvic floor muscle training, followed by surgery if physical therapy is unsuccessful. Prevention includes maintaining a healthy weight and avoiding activities that place strain on the pelvic floor.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 7","pages":"729-732"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Urinary incontinence physopathology].","authors":"Charles Mazeaud, Alicia Blondeau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The lower urinary tract is responsible for storing and expelling urine in a micturition cycle that occurs several times daily. The regulation of this function is influenced by numerous endogenous and exogenous parameters. Anatomical integrity of the bladder-sphincter complex and sensory/motor nerve control is essential. The involuntary loss of urine that characterizes urinary incontinence (UI) reflects its dysfunction. There are several types of urinary incontinence: stress urinary incontinence (SUI), urge urinary incontinence (UUI), and mixed urinary incontinence. The mechanisms are numerous and differ according to the type of UI (e.g., UUI: irritative, neurological; SUI: gyneco-obstetrical, surgical). In both types of incontinence, past medical history and habits are worsening factors, such as being overweight, experiencing fluid imbalances, or lacking physical activity. The pad test and USP questionnaire help determine the severity and type of urinary incontinence. The treatment must be tailored to the cause and the factors contributing to them.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 7","pages":"726-728"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Introducing the foundations of patient-centred medicine from the very first year of medical school: the Bobigny experience].","authors":"Gérard Reach","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 7","pages":"709-712"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Anti-VEGF treatment in age related macular degeneration].","authors":"Pauline Eymard","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intravitreal anti-VEGF (Vascular Endothelial Growth Factor) injections have transformed the prognosis of exudative age-related macular degeneration (AMD) over the past two decades. They are effective in stabilizing the disease, despite the cost of regular injections and follow-up examinations. The advent of biosimilars and second-generation molecules (which allow for longer average treatment intervals) would help to reduce the cost of these therapies. While these treatments have significantly reduced visual impairment due to wet-AMD, they continue to represent a major economic challenge.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 7","pages":"703-706"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Inflammation: effective response or vulnerability related to sex?]","authors":"Georges Casimir","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Life expectancy is sex-dependent: women live longer than men, and even though it is improving in both sexes, this difference remains true.The recent Covid-19 crisis has been pathognomonic of this. The essential element of this dimorphism is the way in which each sex controls inflammatory homeostasis, both in terms of kinetics and intensity. This review evaluates the mechanistic literature on the subject, the diagnostic, regulatory, and therapeutic aspects; it concludes with future prospects for the management of patients with severe infections or other concerning inflammatory disorders.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 7","pages":"769-771"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hector Martin, Pierre Rajoelison, Philippe Carrara, Maxence Jacquemet
{"title":"Ethmoïdite.","authors":"Hector Martin, Pierre Rajoelison, Philippe Carrara, Maxence Jacquemet","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 7","pages":"764-765"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Male urinary incontinence].","authors":"Charles Mazeaud, Alice Blondeau, Véronique Phé","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>While not uncommon, urinary incontinence is less common in men than in women incidence increases, reaching up to 32% at age 80. There are several mechanisms of UI, with urgency being the most common, accounting for 40 to 80% of cases.UI due to chronic retention secondary to benign prostatic hypertrophy is not the only cause, and symptoms of bladder hyperactivity with incontinence should be treated with caution. Incontinence due to sphincter insufficiency is mainly secondary to prostate surgery (hypertrophy or cancer).While the patient's request for treatment of this UI should be paramount, co-morbidities, the severity of symptoms, and the presence of nocturia must be investigated. Complementary tests include PSA, urinalysis, creatinine, and reno vesical-prostatic ultrasound.Treatment options are chosen according to the type of incontinence and the patient's preferences. If the patient wishes, a referral to a urologist is also recommended.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 7","pages":"740-743"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149077240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}