Une syringocèle révélée par un abcès périntéal

Purpose

The authors present a clinical report of a perforate syringocele diagnosed in a male patient and they review the clinical, radiological and therapeutic aspects of this disease.

Case report

A 50-year-old man attended the emergency room with perineal abscess. Computerized Tomography (CT) scan was used to establish the diagnosis. This patient also underwent urethrocystoscopy, sonography and retrograde urethrography.

Results

Treatment consisted of open surgical evacuation of the perineal abscess with bladder catheter. Urethrocystoscopy showed a large perforate syringocele in the urethra with no need for endoscopy marsupialization. No recurrence was observed at follow-up at 3 months.

Conclusion

Syringocele is a rare malformation which usually is asymptomatic. It can be congenital or acquired and can be classified into four morphological types. The most frequent treatment is endoscopic marsupialization of the syringocèle. Open surgical excision is recommended for complicated syringocèle with abscess or perineal pain.     

Spermatogénèse et Paraplégie

In this article, the paraplegics’ possibilities for procreation will be examined. A first chapter will deal with the testicle functioning along with the study of hormonal measuring and testicle histology (study involving 100 patients). As a result, it appears that, after a testicle biopsy, there is a testicle lesion of neurological origin that is sometimes irreversible. On the contrary, the endocrinal testicle lesions have proved reversible under stimulation or spontaneously. A second chapter will deal with the different techniques to obtain an ejaculation and the semen analysis. The techniques that were used being: massage by vibrator, electroejaculation, ejaculation through pharmacological stimulation. The study focuses on 124 ejaculatory tests among which 64 forward ejaculations (52%) and 4 bachward ejaculations (3%) were obtained. The resulting semen analysis revealed a spermatozoon count greater than 20 millions per millilitre (that is 51,5%) and smaller than 5 millions in 11 cases (16%).     

L'histogenèse régénératrice chez les phoronidiens

Summary The regeneration (organogenesis was studied by Emig, 1972 a, b) of Phoronida can be divided into three phases: the first one, cicatrisation, is characterized by a provisional mesodermal scar-tissue, later the old epidermis cover this scar-tissue. The regenerating blastema, second phase, takes place by cellular dedifferentiation processes; each germ layer (ectoderm, mesoderm, endoderm) regenerates itself from its own elements. One exception only seems to be oesophagel regeneration by metaplasia of the prestomacal cells during the asexual reproduction. The differentiation of the amputated structures (third phase) appears submitted to the inductive influence of the mesoderm and to the trophic action of the nervous system (especially the epithelial plexus). The polarity in regeneration sets a problem in Phoronida.

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Ce travail a été effectué dans le cadre du contrat L. A. n 41 au C. N. R. S.     

Découverte de Foraminifères planctoniques paléocènes dans les brèches,précédemment tenues pour aptiennes et d'origine diapirique,des Pyrénées basco-béarnaises

After the dating, by means of planktonic Foraminifera, of post-metamorphic marine breccias, Upper Danian–Lower Selandian in age, associated to hemipelagites and unconformably overlying the Cretaceous tectogenic axis of the Pyrenees from Roussillon to Bigorre, was it possible to extend westwards the breccia-filled Palaeocene ‘trough’ as far as the ‘Zone des Chaı̂nons béarnais’? This later unit, which belonged to the North-Iberian palaeomargin during Lower Cretaceous, was previously considered by several authors as characterized by an important halokinesis generating, during Aptian/?Albian, collapses of the Jurassic–Lower Cretaceous carbonate cover above dissolved salt domes and spectacular accumulations of breccias. In fact, we have everywhere identified Palaeocene planktonic microfauna within the matrix of these breccias (and within the associated hemipelagites), particularly of the reference ‘diapiric’ breccias of Etchebar, Lauriolle, Layens and Bosmendiette/Beloscare. Deposited into intra- ‘trough’ sub-marine canyons, after karstification and erosion of intermediate mountains with a steep topography previously induced by Uppermost Cretaceous compressions, the herein studied Palaeocene marine breccias should not be hereafter regarded as linked to any Lower Cretaceous diapirism on the North-Iberian palaeomargin. To cite this article: B. Peybernès et al., C. R. Palevol 1 (2002) 3–10.     

L'évolution des gastéropodes lacustres et la paléoéologie des diatomées dans le Néogène de Kos (Dodécanèse,Grèce)

Evolutionary lineages of several limnic gastropod genera (Viviparus, Melanopsis, Theodoxus) from the Neogene of Kos island (Dodecanese, Greece) are described and interpreted. The attempt is made to analyse the paleoecological development of a limnic sedimentary basin in the eastern portion of Kos by means of Diatoms. Obviously, there is no relation between the chemical parameters of the water of the former lake and the morphological development of the gastropods. The lineages of Viviparus brevis, Theodoxus doricus and Melanopsis gorceixi are suggested to be caused by phyletic transformations and not by changing environmental conditions. It is, thus, possible to establish a local biostratigraphy based on subspecies, and moreover, a more regional one based on longer ranging species.     

Stress et Spermatogénèse

Stress, which originates in the brain, can influence spermatogenesis hormonally or via the nervous system. The hormonal route commences with the central secretion of Corticotrophin-Releasing Factor, leading to a fall in LHRH production, a decrease in Leydig cell LH receptors and a decrease in 17 a hydroxylase activity. Thus, in the case of major, prolonged stress, testosterone secretion falls, which in turn affects spermatogenesis. However, given that the testosterone threshold required for normal seminiferous epithelium function is significantly less than the mean circulating level of this hormone, the importance of low intensity stress remains unknown. The nervous route involves catecholaminergic fibres which, in the testis, innervate the Highmore corpus, the vessels, the area adjacent to the Leydig cells, and the basement membrane of seminiferous tubules. The experimental destruction of these fibres leads a regression of the seminiferous epithelium. Moreover, the experimental ablation of the rat anterior neocortex leads to changes in spermatogenesis. Therefore, given that the endocrine system does not seem to be involved in these changes, these results indicate that the highest level of the nervous system may participate in the controlling the germinal epithelium which, all things considered, would tend to support psychosomatic influences. However, given that the number of spermatozoa varies significantly between ejaculate and independantly of the level of testosterone secretion necessary for normal spermatogenesis, it may be hypothesized that it is only when sperm production is low that temporary stress, in aggravating the situation, becomes deleterious to spermatogenesis. Since, under normal conditions, such periods are short, the role of the influence of stress on spermatogenesis can only be relative. Nevertheless, if variations occur during permanently low sperm production, the likelihood of negative effects is increased. Consequently, the impact of stress or psychological factors on spermatogenesis might well depend upon particular circumstances.     

Températures et varicocèles

Varicocele is considered to be responsible for male infertility by several authors, while varicocele may also exist in fertile men. Hyperthermia or “raised” testicular temperature is one of the pathophysiological mechanisms proposed to explain impaired spermatogenesis when a varicocele is present in infertile men. The reported clinical data in humans and experimental results of surgically-induced varicocele in animals indicate the following findings. In most studies, mean testicular and scrotal temperatures are bilaterally increased in populations of men with unilateral left varicocele compared to control populations. Similar results are observed following surgical induction of experimental left varicocele in animals. In the case of bilateral varicocele, the increase in mean temperature is similar to that observed in unilateral varicocele. Data concerning the effects of varicocelectomy on testicular or scrotal temperatures are still inconclusive in humans because of the discordant results in the small number of studies dealing with this topic. However, experimental data indicate that varicocelectomy results in recovery of normal mean temperature in animals submitted to surgically-induced varicocele, but experimental animal models of varicocele have failed to provide any explanation for the increase in temperature. In conclusion, although there is a relationship between varicocele and testicular temperature, testicular temperature is not increased in every case of varicocele.     

Effets produits chez trois espèces de criquets par l'ingestion d'hydrocarbures polyaromatiques réputés cancérogènes

In a first approach to studying the effects of air pollutants, we describe some experimental results obtained after ingestion of polyaromatic hydrocarbons (HAP)^* by three species of locusts (Gomphocerus sibiricus, Gomphocerus rufus and Euchorthippus pulvinatus). We wanted to evaluate their toxicity, then to locate them in the organism. Two HAP, carcinogenic for mammals, were used. They are highly toxic for our locusts. Ingestion of 0.015 or 0.06 mg of 3 methylcholanthrene kills respectively 25 % and 50 % of them. Moreover, benzo-a-pyrene seems to have a greater toxicity, and E. pulvinatus is the most resistant species. Strongly fluorescent in UV light, 3 MC and BaP can be easily detected in the organism after dissection, and with more detail using frozen material. The microscope shows absorption activity of midgut; most of the organs are consequently invaded by intact hydrocarbon or its various derivatives. Muscles and reproductive organs show a bright fluorescence, which reaches its maximum in the nervous system. Tubes of Malpighi seem to be the principal route of elimination of these products. The remarkable susceptibility of some organs is encouraging for the progress of our study.     

Les écosystèmes végétaux Pliocènes de catalogne méridionale. Variations latitudinales dans le domaine nord-ouest méditerranéen

enTwo sections have been analysed: San Onofrequarry and Pliocene deposits from Tarragona E2 hole which is biostratigraphically subdivided according to planktonic foraminifera. A latitudinal floristic differentiation is evidenced for South-Western European Lower Pliocene. The increasing open vegetation in the coastal plain is to be related to high xericity.     

L'analyse et la synthèse en systématique végétale

Analysis and synthesis have been widely used in systematics since, at least, the XIXth Century. Even now, the four major authors (Cronquist, Dahlgren, Takhtajan, Thorne) of angiosperm systems use “synthetic” to qualify their classifications. This word — synthetic or synthesis — has many different meanings that can create ambiguity. Among these meanings, is there one that can be justifiably used to define biological classifications? Although much more than the following applications can be found in the botanical literature, this paper will mainly deal with six meanings which are still in use in contemporary systematics. A synthetic classification has been understood as a classification built upward, from the lower to the higher categories. If we define synthesis as the operation that starts with elements and proceeds to a whole, then upward classification could be viewed as a synthesis in which the concept of hierarchy plays a primordial role, a role that is not initially a part of synthesis. Moreover, synthesis cannot replace all classificatory processes, and other criteria of taxa must be used in addition to synthesis Historically, synthesis has replaced analysis; the latter being employed by Linnaeus in his sexual system. Indeed, Linnaeus used a divisive method in producing his classification; and since division was seen as synonymous to analysis and recognized as a method that led to artificial taxa, leading French taxonomists Adanson, Lamarck and A.-L. de Jussieu among others, rejected analysis and viewed their classifications as synthetic, i.e., based on the natural method. Therefore, a system of value took place: natural was better than artificial, synthesis better than analysis. Reinforcing the importance of synthesis was the belief in a concept widely accepted at the end of the XVIIIth Century: that of continuity. Linking groups and forming a continuum was a procedure eminently synthetic. Such a procedure, known as “chaining”, produced series or sequences of taxa. Analysis was used solely to express the idea of dichotomous or analytical keys, a Lamarckian innovation that enabled taxonomists to identify plants. But whether classifications are built from lower to higher categories (a synthesis of taxa) or from higher to lower categories (an analysis of taxa), another simultaneous, concomitant movement is implied: with the latter, a synthesis of characters, with the former, an analysis of characters. Therefore, a synthetic classification is nevertheless an analytical classification.Basing groups on resemblance instead of difference, results in yet another application of synthesis. This application is probably due to the analogy with “composition”. Already, a separation between resemblance and difference among characters is an analysis. More important, still, is that at a certain rank some characters are used to join whereas, at another rank, they separate. Thus, depending on ranks and taxa, characters are applied in a synthetic or analytical procedure. Here also, other criteria are needed to support group delimitation.In connection with the upward (synthetic) movement in classifying taxa, the use of a great number of characters was also considered to be synthesis. This has been a recurring theme in taxonomy over the last two centuries and was sometimes seen as the Gilmourian approach to classification. When would we be justified to talk about synthesis? After how many characters? In fact, it is not the number of characters that matters but how characters are handled. The use of many characters has been closely linked to the idea of natural groups and its joining with synthesis seems to derive from the association of “natural” and “synthetic”.Synthetic classifications equally imply the common idea that they must represent a résumé of information stemming from all biological fields or disciplines. If classifications portray evolution, as many systematists suggest, then it cannot be just a résumé. And one must first decide what classifications are about: a controversial subject among different schools of thought in taxonomy. This explains another meaning attached to synthesis. Biological classifications have been said to be a synthesis or résumé of two types of information: that of similarity and that of phylogeny. Anagenesis is sometimes viewed as incremental to classification and makes up for a third type of information. Even though taxonomists would (for once!) agree that a classification should be based on phenetic, cladogenetic and anagenetic data, such a classification cannot qualify as a synthesis since it is not a composition and does not meet the definition given above (an operation that starts with elements and goes on to a whole). It is impossible to represent these three types of data together in one classification scheme; they express three, sometimes irreducible, points of view. For such a classification, the word “eclectic” is preferable and closer to reality.The use of synthesis as one term of the dialectical movement has made hesitant steps in taxonomy. Indeed, the two opposed theses that evolve into the synthesis are hardly met in classification and the “dialectical” synthesis promulgated by a few taxonomists can be referred back to synthesis as a résumé.Is classification synthetic because it appears to be based on inductive procedures, as it is sometimes implied by different authors who link deduction and analysis (stemming from downward classification)? In logic, synthesis is sometimes (and questionably so) associated with deduction. Moreover, synthesis cannot follow from induction which deals, for example, with the universality of characters. In that sense, there is no composition and so no synthesis. Thus, although induction has been part of classification, it is not a synthetic method.Apart from the ambiguity originating from the multiple meanings of the word “synthesis” in the context of taxonomy, synthetic classifications do not fully express all the complexity and procedures that lead to it. Actually, a classification is as much a synthesis as an analysis. Both methods are complementary, and should not be opposed as is sometimes the case. This opposition was implicit in the debate between Linneans and Jussieans, surrounding the development of the natural method. If one wants to use “synthetic”, then one should be explicit about its meaning. Taxonomists should also be aware of the incompleteness of synthesis in constructing a classification and should be careful not to create a system of value based upon philosophical ground. They should always prefer a complementary mode of thinking when feasible, instead of an “either-or” approach.     

Le Paléolithique de la République Tchèque

Bohemia and Moravia, the two parts constituting together the Czech Republic, do not only represent historical countries, but they also display distinct geographies. As Bohemia is surrounded by mountains, its territory is often called the Bohemian Basin. In Moravia, the mountains in the north of the country are interrupted by the Moravian Gate, giving access to the Great Northern Plain of Europe with its rich sources of Northern flints, the best raw material for chipped stone industries available in Central Europe. The southern part opens directly towards the Danubian region with its more temperate environment, and connecting the south of Germany with the Balkans. The morphology of the territory had obviously influenced the Palaeolithic occupation. In the Lower and Middle Palaeolithic when communication did not play any major role, the two countries were settled relatively regularly, although not too densely. The Early Upper Palaeolithic brought a substantial change: In Moravia hundreds of sites proliferate, while there are only few of them in Bohemia. The Pavlovian phase of the Gravettian seems to be completely missing in Bohemia, while in Moravia it is concentrated in several megasites on the banks of the main rivers. This is certainly caused by the presence of the South-North artery of animal migrations and human communication. Since the Epigravettian, the density of occupation became balanced again. The local evolution of the Upper Palaeolithic was interrupted by the invasion of the Magdalenians coming from the West, on the one side along the Danube River, on the other by the northern route through Poland. The Late Palaeolithic, subject to influences coming from the North, gradually transformed into the Mesolithic.