Chirurgien Urologue Vice-président@AFU 2019-2022 #développementdurable Associate Member @Uroweb Section endourology #prostate @HPfrancheville

Joined May 2011
632 Photos and videos
MALLET richard retweeted
Register for our September course in #urology! This 2-day course offers a unique opportunity to deepen your expertise in laser enucleation of the prostate. 📚 Holmium and thulium laser enucleation 📅 September 3–4, 2026 ✏️ irc.ad/aCIb #ircad #minimallyinvasivesurgery
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Great live surgery yesterday with my friend @AhoTevita97731 demonstrating his TEV technique for an early and reproducible release of the prostatic apex during enucleation. Thanks to Steeve Doizi for presenting our study on laser noise in the operating room. #EAU25 #HoLEP
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MALLET richard retweeted
🔬 Comparative study of laser technologies in endoscopic enucleation of the prostate: noise impact and surgical implications… Engineers must take into consideration the amount of noise produced by these laser generators… some come with a beeping sound when the laser activates.😱 This for 5 hours a day is really a drawback! TFL is less noisy because it does not require such massive cooling systems. pubmed.ncbi.nlm.nih.gov/4135… #HoLEP #Urology
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Next week at the @Uroweb #EAU2026 2026 in London, Steeve Doizi will present our study on noise in the operating room during #LASER prostate enucleation <100g TFL showed the lowest noise levels, up to 6.5× quieter than Ho:YAG less fatigue better communication reporte OR team.
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Looping forward to #EAU2026 Moderating a live #HoLEP from Tev Aho and Steeve Doizi presenting our study on OR noise related to laser during HoLEP Focusing on surgical quality, innovation and sustainability
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MALLET richard retweeted
Save the date
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Study @wjurol compares noise levels of 4 laser technologies during prostate enucleation. TFL was the quietest, while higher-noise systems affected OR communication and staff fatigue. Hybrid noise-control strategies smart headsets could improve safety and working conditions
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MALLET richard retweeted
BN176: Super-successful ICE25 meeting in Rome with more than 1000pax.I really would like to thank all of you for this huge Success.Fantastic Speakers,great 1/2-Live Surgeries,Fabulous EAU team,Incredible support of Companies&Exceptional atmosphere!See you next year ICE26-Valencia
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MALLET richard retweeted
#CFU2025 | Vendredi après-midi .NUT : pas de surrisque en faisant une colerette robot vs ouvert TVIM: Immunothérapie / Oncologie Nivolumab adjuvant Indiqué chez les tumeurs infiltrantes (TVIM) à haut risque de récidive. Pertinent si PD-L1 ≥ 1 %. Données à 5 ans : bénéfice confirmé, même si le ctDNA est négatif. Radiothérapie adjuvante Getug-AFU 30 RT adjuvante à discuter en cas de marges positives et N . Recommandée dans les recommandations européennes, mais pas dans les recommandations françaises (sauf pour les carcinomes épidermoïdes). Chimiothérapie – MVAC dose-dense Selon l'étude BLADRAC : Pas de bénéfice en SSR (survie sans récidive) ou SG (survie globale) à dépasser 4 cycles de MVACdd. Au-delà de 4 cycles : meilleur taux de réponse histologique complète, mais sans bénéfice de survie. Andrologie Testostérone – Dose physiologique Surveillance de l’hématocrite. Peu de risques au final : Pas d’augmentation du risque cardiovasculaire. Augmentation possible du PSA, mais pas du risque de cancer. Hypogonadisme réversible. CI rares : Discussion en RCP si : K primitif prostatique (KP), ou cancer du sein
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MALLET richard retweeted
💡 #CFU2025 | Résumé du vendredi matin 1. Prolapsus génito-urinaire : le retour des techniques “sling-free” Fin (annoncée?) des bandelettes prothétiques et renaissance des reconstructions autologues : plicature utérosacrée, techniques abdominales sans prothèse. Le fascia (lata ou non) revient au premier plan. Colpocléisis : une option simple, efficace, mieux cadrée. 🧬 2. Cancer localisé de la prostate – Épidémiologie Calvitie masculine et risque de CaP : 👉 Pas d'association claire 👉 Une tendance pour les formes agressives, à confirmer dans de nouvelles cohortes 🤖 3. Keynote du Pr Arnulf Stenzl – L’IA en urologie “L’IA ne remplacera pas l’urologue, mais l’urologue qui l’utilise remplacera celui qui ne l’utilise pas.” IA = aide à la décision, tri diagnostique, automatisation, optimisation du parcours patient. Message central : adopter l’IA, pas la subir. 🧑‍⚕️ 4. Infertilité masculine – Arsenal thérapeutique Stimulation de la spermatogenèse : •⁠ ⁠Gonadotrophines •⁠ ⁠Anti-œstrogènes (clomifène, tamoxifène, enclomiphène) •⁠ ⁠Inhibiteurs de l’aromatase (anastrozole, letrozole) Importance d’un suivi hormonal et spermatique individualisé. ✍️ Résumé réalisé par Futur Uro
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MALLET richard retweeted
🔵 #CFU2025 – Surveillance active ISUP 2, nouvelles Reco CIAFU et CTMH & Réhabilitation post-prostatectomie 🔍 🧬 Surveillance active ISUP 2 Les facteurs décisionnels majeurs confirmés : PI-RADS, PSA density, stade clinique, volume tumoral, permettant une stratification fine du risque et une sélection plus précise des patients. 🆕 Nouvelles recommandations du CIAFU : ✔️ Plus d’ECBU avant cystoscopie ✔️ Plus d’ECBU préopératoire pour : •⁠ ⁠prostatectomie, cystectomie •⁠ ⁠sphincter urinaire •⁠ ⁠prothèses pénienne & testiculaire •⁠ ⁠TVT ✔️ NLPC : traitement antibiotique 5 jours avant 🍆 Réhabilitation sexuelle post-opératoire D’après 22 études (2711 patients) comparant 16 protocoles : ✔️ Seuls : •⁠ ⁠la rééducation périnéale, •⁠ ⁠et le sildénafil 100 mg régulier ou tout IPDE5 à forte dose en prise régulière, → montrent une amélioration significative de la DE après prostatectomie nerve-sparing. ✍️Par Futur Uro
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🇰🇭 Inspiring day at Calmette Hospital, Phnom Penh for the Urology Conference on laser enucleation & sexual health. Honored to perform live HoLEP surgeries with a passionate local team. Grateful to Prof. KONG Sonya Dr. Heng Sovanadra, and all residents @AFUrologie
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Great scientific morning at #MMISU2025 in Cairo 🇪🇬! Honored to join the @Uroweb Endourology with @OTRAXER excellent talk on temperature & intrarenal pressure during RIRS, and a passionate debate with Thomas Knoll on balancing medical vs surgical management of BPH
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MALLET richard retweeted
➡️ We were excited to kick off the new academic year with a HoLEP (Holmium enucleation of the prostate) course! It offered participants the chance to practice enucleation techniques and learn the best tips & tricks directly from our expert faculty. #surgery #urology #ircad
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MALLET richard retweeted
💻Holmium laser enucleation of the prostate (HOLEP) 📅 September 4, 2025 ✏️ irc.ad/s5mX This #online #masterclass is designed for #urologic surgeons worldwide! Gain access to expert lectures and pre-recorded live surgical demonstrations from top surgeons in the field.
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MALLET richard retweeted
We end The study #TFLDUST BY @Coloplast_MD with great enthusiasm where we have participated to obtain data in a real clinical scenario and to be able to see the results of the improvements we are working on. #endourology is living an amazing revolution. @scoffonecesare @MalletR
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MALLET richard retweeted
Honestly I was reluctant to Morcellate #bladdertumor after #enblocTURBK … but if you want to remove this way big tumors u have to do so also because now we have a more robust scientific evidence that specimen is reliable! Advantages in terms of more controlled perforation and less bleeding especially with #pulsed #Thyag laser #Thulio by @DornierMedTech are evident. Curious to receive pathological report! Thanks to my fellow @axelhernandezmd for editing this footage in real time #ETCE
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MALLET richard retweeted
#ILUTS is back in Madrid, Sept 25-26, 2025! Get ready for the 8th International LUTS and Stones Congress. We're bringing together a magnificent panel of world-class experts to share the latest in #stonedisease & #BPH treatment. 🔗 Details: ilutscongress.com
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