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This is a report of a laparoscopic double mesh sacrocolpopexy performed in the setting of a 73-year-old woman carrying a grafted kidney. The patient had a vaginal prolapse of the anterior and posterior floor without urinary incontinence. Despite immunosuppression due to anti-rejection treatments and the presence of kidney transplant in left iliac fossa, laparoscopic intervention with the introduction of prosthetic material was conducted. The intervention showed no major difficulty in its implementation and the postoperative course was uneventful. The long-term follow-up will confirm the tolerance of a prosthetic material.

To present a series of 15 laparoscopic and robot-assisted Mitrofanoff and Yang-Monti vesicostomies in an adult population, and to assess the feasibility and safety of these minimally invasive approaches.Between 2009 and 2012, 15 patients underwent laparoscopic (n = 11) or robot-assisted (n = 4) construction of vesicostomy by a single surgeon (D.R.): Mitrofanoff appendicovesicostomy (n = 11) or double Yang-Monti ileal conduit (n = 4). Fourteen patients underwent concomitant augmentation enterocystoplasty. Indications for surgery included neurogenic bladder (n = 11) and urethral dysfunction (n = 4). The patients were evaluated postoperatively using cystography. Quality of life (QoL) was evaluated using an internally developed questionnaire.All surgeries were successfully completed with no conversions. Operating time was always5 h. The mean estimated blood loss was 150 mL and the mean follow-up was 22 months. Early postoperative complications included deep retrovesical abscess (n = 2) and upper urinary tract infections (n = 4), and one patient had peri-operative cardiac failure. Late postoperative complications included stomal stenosis (n = 2), persistent low-pressure bladder incontinence (n = 1) and recurrent infections (n = 1). Surgical excision of the conduit was necessary in one patient. Postoperatively, patients showed complete bladder emptying and no leak on follow-up cystography. According to our QoL questionnaire, 13/15 patients did not regret the surgery.While a longer follow-up is needed to assess the durability of our results, this series shows that the laparoscopic and robot-assisted approaches for the construction of continent urinary diversions are feasible and safe in an adult population.

Up to now, transverse quantum effects (usually labelled as "quantum imaging" effects) which are generated by nonlinear devices inserted in resonant optical cavities have been calculated using the "thin crystal approximation", i.e. taking into account the effect of diffraction only inside the empty part of the cavity, and neglecting its effect in the nonlinear propagation inside the nonlinear crystal. We introduce in the present paper a theoretical method which is not restricted by this approximation. It allows us in particular to treat configurations closer to the actual experimental ones, where the crystal length is comparable to the Rayleigh length of the cavity mode. We use this method in the case of the confocal OPO, where the thin crystal approximation predicts perfect squeezing on any area of the transverse plane, whatever its size and shape. We find that there exists in this case a "coherence length" which gives the minimum size of a detector on which perfect squeezing can be observed, and which gives therefore a limit to the improvement of optical resolution that can be obtained using such devices., Comment: soumis le 04.03.2005 a PRA