;;         Warning: no existing dissection set found
;;         Exported from Tigger version 4.8, at 10:51:39 pm on September 24, 1998
;;        Exported from Tigger version 4.9, at 10:44:31 am on November 4, 1998
;;       Exported from Tigger version 4.9, at 2:59:55 pm on March 26, 1999
;;      Exported from Tigger version 4.9, at 5:05:29 pm on April 12, 1999
;;     Exported from Tigger version 4.9, at 11:56:34 am on April 20, 1999
;;    Exported from Tigger version 4.9, at 5:49:02 pm on March 7, 2000
;;   Exported from Tigger version 4.9, at 4:56:13 pm on April 10, 2000
;;  Exported from Tigger version 4.9, at 11:13:34 am on April 13, 2000
;; Exported from Tigger version 4.9, at 12:41:07 pm on April 13, 2000

RUBRIC "Pylo-calicoscopie par voie percutane"
PARAPHRASE "endoscopy"
SOURCE "USE"
CODE "U000"
MAIN inspecting
	ACTS_ON calix & renal pelvis
	BY_MEANS_OF endoscope
	HAS_APPROACH percutaneous route

RUBRIC "Urtro-pylo-calicoscopie par voie percutane"
PARAPHRASE "endoscopy"
SOURCE "USE"
CODE "U001"
MAIN inspecting
	ACTS_ON calix & renal pelvis & ureter
	BY_MEANS_OF endoscope
	HAS_APPROACH percutaneous route

RUBRIC "Urtro-pylo-calicoscopie par voie percutane avec sonde de nphrostomie laisse en place"
PARAPHRASE "endoscopy"
SOURCE "USE"
CODE "U002"
MAIN inspecting
	ACTS_ON calix & renal pelvis & ureter
	BY_MEANS_OF endoscope
	HAS_APPROACH percutaneous route
WITH installing
	ACTS_ON catheter
		HAS_DESTINATION stoma
			CONNECTS_1 kidney
			CONNECTS_2 skin

RUBRIC "Urtro-pylo-calicoscopie par voie rtrograde (avec fibroscope)"
PARAPHRASE "endoscopy"
SOURCE "USE"
CODE "U003"
MAIN inspecting
	ACTS_ON calix & renal pelvis & ureter
	BY_MEANS_OF fibroscope
	HAS_APPROACH retrograde

RUBRIC "Urtroscopie par voie rtrograde"
PARAPHRASE "endoscopy"
SOURCE "USE"
CODE "U004"
MAIN inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
	HAS_APPROACH retrograde

RUBRIC "Mise en place d'une sonde urtrale pour investigation par voie endoscopique rtrograde"
PARAPHRASE "a"
SOURCE ""
CODE "U005"
MAIN installing
	ACTS_ON catheter
		HAS_DESTINATION ureter
TO_ACHIEVE_OVERALL inspecting
	ACTS_ON urinary tract
	BY_MEANS_OF endoscope
	HAS_APPROACH retrograde

RUBRIC "Urtroscopie par une stomie cutane urtrale directe"
PARAPHRASE "creating"
SOURCE "USE"
CODE "U006"
HISTORY "
Manual accept at 2:42:18 pm on September 14, 1998 by DrJeremy Rogers"
MAIN inspecting
	ACTS_ON ureter
	BY_APPROACH_TECHNIQUE inserting
		ACTS_ON catheter
			HAS_DESTINATION stoma
				CONNECTS_1 ureter
				CONNECTS_2 skin
	BY_MEANS_OF endoscope

RUBRIC "Urtroscopie par une stomie cutane urtrale transintestinale non continente "
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:43:53 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:45:16 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "creating"
SOURCE "USE"
CODE "U007"
MAIN inspecting
	ACTS_ON ureter
	BY_APPROACH_TECHNIQUE inserting
		ACTS_ON catheter
			HAS_DESTINATION stoma
				CONNECTS_1 segmenta intestinum tenue mesenteriale
					HAS_FUNCTION management
						ACTS_ON urinary incontinence
					CONNECTS_1 ureter
				CONNECTS_2 skin
	BY_MEANS_OF endoscope

RUBRIC "Urtroscopie par une stomie cutane urtrale transintestinale continente "
PARAPHRASE "creating"
SOURCE "USE"
CODE "U008"
HISTORY "
Manual accept at 2:46:04 pm on September 14, 1998 by DrJeremy Rogers"
MAIN inspecting
	ACTS_ON ureter
	BY_APPROACH_TECHNIQUE inserting
		ACTS_ON catheter
			HAS_DESTINATION stoma
				CONNECTS_1 segmenta intestinum tenue mesenteriale
					HAS_FUNCTION management
						ACTS_ON urinary incontinence
					CONNECTS_1 ureter
				CONNECTS_2 skin
	BY_MEANS_OF endoscope

RUBRIC "Fibroscopie urthro-vsicale"
PARAPHRASE "a"
SOURCE ""
CODE "U009"
MAIN inspecting
	ACTS_ON urethra & urinary bladder
	BY_MEANS_OF fibroscope

RUBRIC "Urthro-cystoscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U010"
MAIN inspecting
	ACTS_ON urethra & urinary bladder
	BY_MEANS_OF endoscope

RUBRIC "Urthro-cystoscopie d'une novessie intestinale"
PARAPHRASE "a"
SOURCE ""
CODE "U011"
MAIN inspecting
	ACTS_ON_1 urethra
	ACTS_ON_2 part
		HAS_FUNCTION neoforming
			ACTS_ON urinary bladder
		IS_PART_OF digestive tract

RUBRIC "Biopsie(s)  de la voie excrtrice suprieure par voie endoscopique rtrograde"
PARAPHRASE "a"
SOURCE ""
CODE "U012"
MAIN biopsying
	ACTS_ON upper urinary tract
	BY_TECHNIQUE inspecting
		ACTS_ON urinary tract
		BY_MEANS_OF endoscope
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Biopsie(s) vsicale(s)  l'anse coupante  sous urthrocystoscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U013"
MAIN biopsying
	ACTS_ON urinary bladder
	BY_MEANS_OF cutting instrument
	BY_TECHNIQUE inspecting
		ACTS_ON urethra & urinary bladder
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Biopsie(s) vsicale(s)  la pince  sous urthrocystoscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U014"
MAIN biopsying
	ACTS_ON urinary bladder
	BY_MEANS_OF forceps
	BY_TECHNIQUE inspecting
		ACTS_ON urethra & urinary bladder
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Biopsie(s) urthrale(s)  la pince"
PARAPHRASE "a"
SOURCE ""
CODE "U015"
MAIN biopsying
	ACTS_ON urethra
	BY_MEANS_OF forceps

RUBRIC "Biopsie(s) urthrale(s)  l'anse coupante"
PARAPHRASE "a"
SOURCE ""
CODE "U016"
MAIN biopsying
	ACTS_ON urethra
	BY_MEANS_OF cutting instrument

RUBRIC "Pniscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U017"
MAIN inspecting
	ACTS_ON penis
	BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY cutting instrument

RUBRIC "Echographie de la rgion lombaire"
PARAPHRASE "a"
SOURCE ""
CODE "U018"
MAIN imaging
	ACTS_ON lumbar region
	BY_MEANS_OF ultrasound machine

RUBRIC "Echographie rnale et vsicale par voie transcutane, chez la femme"
PARAPHRASE "a"
SOURCE ""
CODE "U019"
MAIN imaging
	ACTS_ON kidney & urinary bladder
	BY_MEANS_OF ultrasound machine
	HAS_APPROACH transcutaneous approach
HAS_PATIENT woman

RUBRIC "Echographie rnale vsicale et prostatique par voie transcutane"
PARAPHRASE "a"
SOURCE ""
CODE "U020"
MAIN imaging
	ACTS_ON kidney & urinary bladder & prostate
	BY_MEANS_OF ultrasound machine
	HAS_APPROACH transcutaneous approach
HAS_PATIENT woman

RUBRIC "Echographie rnale ,vsicale et prostatique par voie transcutane et chographie vsiculo-prostatique par voie endo-rectale"
PARAPHRASE "a"
SOURCE ""
CODE "U021"
MAIN imaging
	ACTS_ON kidney & urinary bladder & prostate
	BY_MEANS_OF ultrasound machine
	HAS_APPROACH transcutaneous approach
WITH imaging
	ACTS_ON seminal vesicle & prostate
	BY_MEANS_OF ultrasound machine
	HAS_APPROACH through rectum route

RUBRIC "Echographie vsicale et prostatique par voie sus-pubienne"
PARAPHRASE "a"
SOURCE ""
CODE "U022"
MAIN imaging
	ACTS_ON urinary bladder & prostate
	BY_MEANS_OF ultrasound machine
	HAS_APPROACH supra pubic approach

RUBRIC "Echographie vsicale  par voie sus-pubienne"
PARAPHRASE "a"
SOURCE ""
CODE "U023"
MAIN imaging
	ACTS_ON urinary bladder
	BY_MEANS_OF ultrasound machine
	HAS_APPROACH supra pubic approach

RUBRIC "Echographie vsico-prostatique par voie trans-urthrale"
PARAPHRASE "a"
SOURCE ""
CODE "U024"
MAIN imaging
	ACTS_ON urinary bladder & prostate
	BY_MEANS_OF ultrasound machine
	HAS_APPROACH transurethral route

RUBRIC "Echographie vsiculo-prostatique par voie endo-rectale"
PARAPHRASE "a"
SOURCE ""
CODE "U025"
MAIN imaging
	ACTS_ON seminal vesicle & prostate
	BY_MEANS_OF ultrasound machine
	HAS_APPROACH through rectum route

RUBRIC "Echographie prostatique  par voie sus-pubienne"
PARAPHRASE "a"
SOURCE ""
CODE "U026"
MAIN imaging
	ACTS_ON prostate
	BY_MEANS_OF ultrasound machine
	HAS_APPROACH supra pubic approach

RUBRIC "Echographie du contenu des bourses"
PARAPHRASE "a"
SOURCE ""
CODE "U027"
MAIN imaging
	ACTS_ON testis
	BY_MEANS_OF ultrasound machine

RUBRIC "Echodoppler puls scrotal"
PARAPHRASE "a"
SOURCE ""
CODE "U028"
MAIN imaging
	ACTS_ON scrotum
	BY_MEANS_OF pulsed wave doppler ultrasound machine

RUBRIC "Echodoppler puls des artres hypogastriques jusqu' l'artre dorsale de la verge et aux artres caverneuses"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:09:10 pm on September 23, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "U029"
MAIN imaging
	ACTS_ON dorsal artery of penis & corpus cavernosum artery
		IS_BRANCH_OF internal iliac artery
	BY_MEANS_OF pulsed wave doppler ultrasound machine

RUBRIC "Echodoppler puls des artres hypogastriques jusqu' l'artre dorsale de la verge et aux artres caverneuses et ponction avec injection intracaverneuse d'un produit vaso-actif"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:09:20 pm on September 23, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "U030"
MAIN imaging
	ACTS_ON dorsal artery of penis & corpus cavernosum artery
		IS_BRANCH_OF internal iliac artery
	BY_MEANS_OF pulsed wave doppler ultrasound machine
WITH injecting
	ACTS_ON vasoactive agent
		HAS_DESTINATION corpus cavernosum
	BY_TECHNIQUE puncturing
		ACTS_ON corpus cavernosum

RUBRIC "Ponction percutane choguide  des cavits rnales avec injection de produit de contraste "
PARAPHRASE "a"
SOURCE ""
CODE "U031"
HISTORY "
Manual accept at 2:09:40 pm on September 23, 1998 by jon"
MAIN puncturing
	ACTS_ON calix & renal pelvis
	BY_TECHNIQUE imaging
		ACTS_ON calix & renal pelvis
		BY_MEANS_OF ultrasound machine
	HAS_APPROACH percutaneous route
WITH injecting
	ACTS_ON contrast medium
		HAS_DESTINATION calix
		HAS_DESTINATION renal pelvis

RUBRIC "Injection d'un produit de contraste par une sonde de pylonphrostomie dj en place"
PARAPHRASE "a"
SOURCE ""
CODE "U032"
MAIN injecting
	ACTS_ON contrast medium
		HAS_DESTINATION urinary tract
	BY_MEANS_OF catheter
		HAS_LOCATION stoma
			CONNECTS_1 kidney
			CONNECTS_2 skin

RUBRIC "Ponction percutane radioguide  des cavits rnales avec injection de produit de contraste "
PARAPHRASE "a"
SOURCE ""
CODE "U033"
HISTORY "
Manual accept at 2:09:55 pm on September 23, 1998 by jon"
MAIN puncturing
	ACTS_ON calix & renal pelvis
	BY_TECHNIQUE imaging
		ACTS_ON calix & renal pelvis
		BY_MEANS_OF Xray device
	HAS_APPROACH percutaneous route
WITH injecting
	ACTS_ON contrast medium
		HAS_DESTINATION calix
		HAS_DESTINATION renal pelvis

RUBRIC "Ponction percutane radioguide d'un kyste du rein  vise diagnostique"
PARAPHRASE "a"
SOURCE ""
CODE "U034"
MAIN puncturing
	ACTS_ON cyst
		HAS_LOCATION kidney
	BY_TECHNIQUE imaging
		ACTS_ON cyst
			HAS_LOCATION kidney
		BY_MEANS_OF Xray device
	HAS_APPROACH percutaneous route
TO_ACHIEVE_OVERALL diagnosis

RUBRIC "Ponction percutane radioguide  d'un kyste du rein avec injection de produit de contraste "
PARAPHRASE "a"
SOURCE ""
CODE "U035"
MAIN puncturing
	ACTS_ON calix & renal pelvis
	BY_TECHNIQUE imaging
		ACTS_ON cyst
			HAS_LOCATION kidney
		BY_MEANS_OF Xray device
	HAS_APPROACH percutaneous route
WITH injecting
	ACTS_ON contrast medium
		HAS_DESTINATION cyst
			HAS_LOCATION kidney

RUBRIC "Mise en place d'une sonde urtrale  par voie endoscopique rtrograde pour injection de produit de contraste "
PARAPHRASE "a"
SOURCE ""
CODE "U036"
MAIN installing
	ACTS_ON catheter
		HAS_DESTINATION ureter
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
TO_ACHIEVE_OVERALL injecting
	ACTS_ON contrast medium
		HAS_DESTINATION upper urinary tract

RUBRIC "Urthro-cystographie par ponction vsicale transcutane sus-pubienne"
PARAPHRASE "a"
SOURCE ""
CODE "U037"
MAIN imaging
	ACTS_ON urethra & urinary bladder
	BY_TECHNIQUE puncturing
		ACTS_ON urinary bladder
		HAS_APPROACH supra pubic approach

RUBRIC "Urthro-cystographie rtrograde"
PARAPHRASE "a"
SOURCE ""
CODE "U038"
MAIN imaging
	ACTS_ON urethra & urinary bladder
	BY_MEANS_OF Xray device
WITH injecting
	ACTS_ON contrast medium
		HAS_DESTINATION urinary tract
	HAS_ROUTE retrograde

RUBRIC "Cathtrisme des canaux jaculateurs par endoscopie avec injection de produit de contraste"
PARAPHRASE "a"
SOURCE ""
CODE "U039"
MAIN installing
	ACTS_ON catheter
		HAS_DESTINATION ejaculatory duct
	WITH_GUIDANCE_BY endoscope
WITH injecting
	ACTS_ON contrast medium
		HAS_DESTINATION ejaculatory duct

RUBRIC "Ponction du dfrent et injection de produit de contraste"
PARAPHRASE "Ponction du corps caverneux avec injection de produit de contraste"
SOURCE ""
CODE "U040"
MAIN puncturing
	ACTS_ON vas deferens
WITH injecting
	ACTS_ON contrast medium

RUBRIC "Ponction du corps caverneux avec injection de produit de contraste"
PARAPHRASE "Ponction du corps caverneux avec injection de produit de contraste"
SOURCE ""
CODE "U041"
MAIN puncturing
	ACTS_ON corpus cavernosum
WITH injecting
	ACTS_ON contrast medium

RUBRIC "Ponction du corps caverneux "
PARAPHRASE "Ponction du corps caverneux "
SOURCE ""
CODE "U042"
MAIN puncturing
	ACTS_ON corpus cavernosum

RUBRIC "Etude uro-dynamique du haut appareil urinaire "
PARAPHRASE "permanent_pressure_recording"
SOURCE "USE"
CODE "U043"
MAIN recording
	ACTS_ON pressure
		IS_FEATURE_OF upper urinary tract

RUBRIC "Cystomanomtrie par cathtrisme transurthral"
PARAPHRASE "measuring "
SOURCE "USE"
CODE "U044"
MAIN measuring
	ACTS_ON pressure
		IS_FEATURE_OF urinary bladder
	BY_TECHNIQUE installing
		ACTS_ON catheter
			HAS_DESTINATION urinary bladder
		HAS_APPROACH transurethral route

RUBRIC "Cystomanomtrie par ponction sus-pubienne"
PARAPHRASE "measuring "
SOURCE "USE"
CODE "U045"
MAIN measuring
	ACTS_ON pressure
		IS_FEATURE_OF urinary bladder
	BY_TECHNIQUE puncturing
		ACTS_ON urinary bladder
		HAS_APPROACH supra pubic approach

RUBRIC "Dbimtrie permictionnelle"
PARAPHRASE "a"
SOURCE ""
CODE "U046"
MAIN measuring
	ACTS_ON flow rate
		IS_FEATURE_OF urine
			IS_CONTAINED_IN urethra
	OCCURS_DURING micturition

RUBRIC "Profilomtrie urthrale"
PARAPHRASE "a"
SOURCE ""
CODE "U047"
MAIN recording
	ACTS_ON volume
		IS_FEATURE_OF urethra
	OCCURS_DURING micturition

RUBRIC "Cystomanomtrie avec profilomtrie urthrale"
PARAPHRASE "a"
SOURCE ""
CODE "U048"
MAIN measuring
	ACTS_ON pressure
		IS_FEATURE_OF urinary bladder
WITH recording
	ACTS_ON volume
		IS_FEATURE_OF urethra
	OCCURS_DURING micturition

RUBRIC "Cystomanomtrie avec profilomtrie urthrale et dbimtrie permictionelle et EMG des sphincters anaux,rectaux et du plancher pelvien"
PARAPHRASE "a"
SOURCE ""
CODE "U049"
MAIN measuring
	ACTS_ON pressure
		IS_FEATURE_OF urinary bladder
WITH recording
	ACTS_ON volume
		IS_FEATURE_OF urethra
	OCCURS_DURING micturition
WITH measuring
	ACTS_ON flow rate
		IS_FEATURE_OF urine
			IS_CONTAINED_IN urethra
	OCCURS_DURING micturition
WITH myography

RUBRIC "Cystomanomtrie par ponction sus-pubienne avec profilomtrie urthrale"
PARAPHRASE "measuring "
SOURCE "USE"
CODE "U050"
MAIN measuring
	ACTS_ON pressure
		IS_FEATURE_OF urinary bladder
	BY_TECHNIQUE puncturing
		ACTS_ON urinary bladder
		HAS_APPROACH supra pubic approach
WITH measuring
	ACTS_ON flow rate
		IS_FEATURE_OF urine
			IS_CONTAINED_IN urethra

RUBRIC "Cystomanomtrie par ponction sus-pubienne avec profilomtrie urthrale et dbimtrie permictionelle et EMG des sphincters anaux,rectaux et du plancher pelvien"
PARAPHRASE "a"
SOURCE ""
CODE "U051"
MAIN measuring
	ACTS_ON pressure
		IS_FEATURE_OF urinary bladder
	BY_TECHNIQUE puncturing
		ACTS_ON urinary bladder
		HAS_APPROACH supra pubic approach
WITH recording
	ACTS_ON volume
		IS_FEATURE_OF urethra
	OCCURS_DURING micturition
WITH measuring
	ACTS_ON flow rate
		IS_FEATURE_OF urine
			IS_CONTAINED_IN urethra
	OCCURS_DURING micturition
WITH myography

RUBRIC "Electromyographie du sphincter anal"
PARAPHRASE "a"
SOURCE ""
CODE "U052"
MAIN myography
	ACTS_ON anal sphincter

RUBRIC "Cavernosomtrie"
PARAPHRASE "measuring_pressure"
SOURCE "USE"
CODE "U053"
MAIN measuring
	ACTS_ON pressure
		IS_FEATURE_OF corpus cavernosum

RUBRIC "Mesure de la rigidit de la verge avec injection de produit vaso-actif"
PARAPHRASE "a"
SOURCE ""
CODE "U054"
MAIN measuring
	ACTS_ON rigidity
		IS_FEATURE_OF penis
WITH injecting
	ACTS_ON vasoactive agent
		HAS_DESTINATION corpus cavernosum

RUBRIC "Mesures nocturnes de la tumescence et de la rigidit pniennes "
PARAPHRASE "measuring swelling WITH rigidity of penis during the night"
SOURCE "USE"
CODE "U055"
MAIN measuring
	ACTS_ON swelling
		ACTS_ON penis
	HAS_TEMPORAL_MARKER night
WITH measuring
	ACTS_ON rigidity feature
		IS_FEATURE_OF penis
	HAS_TEMPORAL_MARKER night

RUBRIC "Ponction des corps caverneux et mesure pression-dbit"
PARAPHRASE "a"
SOURCE ""
CODE "U056"
HISTORY "
Manual accept at 3:02:06 pm on November 3, 1998 by jon
Manual accept at 3:02:19 pm on November 3, 1998 by jon"
MAIN puncturing
	ACTS_ON corpus cavernosum
WITH measuring
	ACTS_ON pressure
		IS_FEATURE_OF blood
			IS_CONTAINED_IN corpus cavernosum
WITH measuring
	ACTS_ON flow rate
		IS_FEATURE_OF blood
			IS_CONTAINED_IN corpus cavernosum

RUBRIC "Lombotomie exploratrice "
PARAPHRASE "examining"
SOURCE "USE"
CODE "U057"
MAIN examining
	ACTS_ON lumbus
	BY_TECHNIQUE incising
		ACTS_ON lumbus

RUBRIC "Rtropritonoscopie exploratrice"
PARAPHRASE "a"
SOURCE ""
CODE "U058"
MAIN examining
	ACTS_ON retroperitoneal space
	BY_MEANS_OF endoscope

RUBRIC "Biopsie surrnale percutane choguide"
PARAPHRASE "a"
SOURCE ""
CODE "U059"
MAIN biopsying
	ACTS_ON adrenal gland
	BY_TECHNIQUE imaging
		ACTS_ON adrenal gland
		BY_MEANS_OF ultrasound machine
	HAS_APPROACH percutaneous route

RUBRIC "Biopsie rnale choguide par voie percutane"
PARAPHRASE "a"
SOURCE ""
CODE "U060"
MAIN biopsying
	ACTS_ON kidney
	BY_TECHNIQUE imaging
		ACTS_ON kidney
		BY_MEANS_OF ultrasound machine
	HAS_APPROACH percutaneous route

RUBRIC "Biopsie rnale par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U061"
MAIN biopsying
	ACTS_ON kidney
	HAS_APPROACH open

RUBRIC "Biopsie rnale par voie coelioscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U062"
MAIN biopsying
	ACTS_ON kidney
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Ponction percutane choguide  des cavits rnales"
PARAPHRASE "a"
SOURCE ""
CODE "U063"
MAIN puncturing
	ACTS_ON calix & renal pelvis
	BY_TECHNIQUE imaging
		ACTS_ON calix & renal pelvis
		BY_MEANS_OF ultrasound machine
		TO_ACHIEVE control
			ACTS_ON needle
	HAS_APPROACH percutaneous route

RUBRIC "Ponction percutane choguide  des cavits rnales et enregistrement de la pression pylique sous perfusion  dbit constant(test de whitacker)"
PARAPHRASE "a"
SOURCE ""
CODE "U064"
MAIN puncturing
	ACTS_ON calix & renal pelvis
	BY_TECHNIQUE imaging
		ACTS_ON calix & renal pelvis
		BY_MEANS_OF ultrasound machine
		TO_ACHIEVE control
			ACTS_ON needle
	HAS_APPROACH percutaneous route
WITH recording
	ACTS_ON pressure
		IS_FEATURE_OF renal pelvis
	OCCURS_DURING injecting
		ACTS_ON sodium chloride substance
			HAS_DESTINATION vein
		HAS_TEMPORAL_MARKER permanent

RUBRIC "Ponction percutane choguide  d' un kyste du rein  vise diagnostique"
PARAPHRASE "a"
SOURCE ""
CODE "U065"
MAIN puncturing
	ACTS_ON cyst
		HAS_LOCATION kidney
	BY_TECHNIQUE imaging
		ACTS_ON calix & renal pelvis
		BY_MEANS_OF ultrasound machine
		TO_ACHIEVE control
			ACTS_ON needle
	HAS_APPROACH percutaneous route
TO_ACHIEVE_OVERALL diagnosis

RUBRIC "Cyto-aspiration prostatique digito-guide par voie transrectale"
PARAPHRASE "cell_aspirating"
SOURCE "USE"
CODE "U066"
MAIN aspirating
	ACTS_ON cell
		IS_PART_OF prostate
	BY_TECHNIQUE touching
		ACTS_ON prostate
		TO_ACHIEVE control
			ACTS_ON catheter
	HAS_APPROACH through rectum route

RUBRIC "Ponction-cyto-aspiration prostatique"
PARAPHRASE "cell_aspirating"
SOURCE "USE"
CODE "U067"
MAIN aspirating
	ACTS_ON cell
		IS_PART_OF prostate
	BY_TECHNIQUE puncturing
		ACTS_ON prostate

RUBRIC "Biopsies prostatiques choguides par voie trans-rectale"
PARAPHRASE "Biopsies prostatiques choguides par voie trans-rectale"
SOURCE ""
CODE "U068"
HISTORY "
Manual accept at 2:46:19 pm on September 14, 1998 by DrJeremy Rogers"
MAIN biopsying
	ACTS_ON prostate
		HAS_NUMBER several
	BY_TECHNIQUE imaging
		ACTS_ON prostate
		BY_MEANS_OF ultrasound machine
		TO_ACHIEVE control
			ACTS_ON needle
	HAS_APPROACH through rectum route

RUBRIC "Biopsies prostatiques digito-guides par voie trans-rectale"
PARAPHRASE "Biopsies prostatiques digito-guides par voie trans-rectale"
SOURCE ""
CODE "U069"
HISTORY "
Manual accept at 2:46:25 pm on September 14, 1998 by DrJeremy Rogers"
MAIN biopsying
	ACTS_ON prostate
		HAS_NUMBER several
	BY_TECHNIQUE touching
		ACTS_ON prostate
		TO_ACHIEVE control
			ACTS_ON needle
	HAS_APPROACH through rectum route

RUBRIC "Biopsies prostatiques digito-guides par voie trans-prinale"
PARAPHRASE "Biopsies prostatiques digito-guides par voie trans-prinale"
SOURCE ""
CODE "U070"
HISTORY "
Manual accept at 2:46:29 pm on September 14, 1998 by DrJeremy Rogers"
MAIN biopsying
	ACTS_ON prostate
		HAS_NUMBER several
	BY_TECHNIQUE touching
		ACTS_ON prostate
		TO_ACHIEVE control
			ACTS_ON needle
	HAS_APPROACH perineal approach

RUBRIC "Biopsies prostatiques choguides par voie trans-prinale"
PARAPHRASE "Biopsies prostatiques choguides par voie trans-prinale"
SOURCE ""
CODE "U071"
HISTORY "
Manual accept at 2:46:32 pm on September 14, 1998 by DrJeremy Rogers"
MAIN biopsying
	ACTS_ON prostate
		HAS_NUMBER several
	BY_TECHNIQUE imaging
		ACTS_ON prostate
		BY_MEANS_OF ultrasound machine
		TO_ACHIEVE control
			ACTS_ON needle
	HAS_APPROACH perineal approach

RUBRIC "Frottis et prlvement urtral"
PARAPHRASE "sampling"
SOURCE "USE"
CODE "U072"
HISTORY "
Manual accept at 2:47:43 pm on September 14, 1998 by DrJeremy Rogers"
MAIN sampling
	BY_TECHNIQUE scraping
		ACTS_ON epithelium
			IS_PART_OF urethra
	ACTS_ON epithelium
		IS_PART_OF urethra
	BY_TECHNIQUE harvesting
		ACTS_ON epithelium
			IS_PART_OF urethra

RUBRIC "Biopsie de la verge ou du gland"
PARAPHRASE "a"
SOURCE ""
CODE "U073"
MAIN biopsying
	ACTS_ON penis / glans penis

RUBRIC "Ponction du corps caverneux par voie percutane et injection de produit vaso-actif"
PARAPHRASE "a"
SOURCE ""
CODE "U074"
MAIN puncturing
	ACTS_ON corpus cavernosum
	HAS_APPROACH percutaneous route
WITH injecting
	ACTS_ON vasoactive agent
		HAS_DESTINATION corpus cavernosum

RUBRIC "Biopsie testiculaire  par voie percutane"
PARAPHRASE "a"
SOURCE ""
CODE "U075"
MAIN arterialization

RUBRIC "Microponction pididymaire par voie chirurgicale ouverte"
PARAPHRASE "puncturing"
SOURCE "USE"
CODE "U076"
MAIN puncturing
	ACTS_ON epididymis
	BY_TECHNIQUE guidance
		BY_MEANS_OF microscope
	HAS_APPROACH open

RUBRIC "Microponction pididymaire par voie percutane"
PARAPHRASE "puncturing"
SOURCE "USE"
CODE "U077"
MAIN puncturing
	ACTS_ON epididymis
	BY_TECHNIQUE guidance
		BY_MEANS_OF microscope
	HAS_APPROACH percutaneous route

RUBRIC "Microponction testiculaire par voie percutane"
PARAPHRASE "puncturing"
SOURCE "USE"
CODE "U078"
MAIN puncturing
	ACTS_ON testis
	BY_TECHNIQUE guidance
		BY_MEANS_OF microscope
	HAS_APPROACH percutaneous route

RUBRIC "Exploration du contenu scrotal par voie scrotale (contenu des bourses?)"
PARAPHRASE "a"
SOURCE ""
CODE "U079"
MAIN examining
	ACTS_ON testis
	HAS_APPROACH scrotal approach

RUBRIC "Exploration du contenu scrotal par voie scrotale avec biopsie"
PARAPHRASE "a"
SOURCE ""
CODE "U080"
MAIN examining
	ACTS_ON testis
	HAS_APPROACH scrotal approach
WITH biopsying
	ACTS_ON testis

RUBRIC "Exploration du contenu scrotal par voie inguinale"
PARAPHRASE "a"
SOURCE ""
CODE "U081"
MAIN examining
	ACTS_ON testis
	HAS_APPROACH inguinal approach

RUBRIC "Ponction-biopsie ou ponction-cytologie percutane choguide d'une lsion ou masse rtropritonale"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "U082"
MAIN biopsying
	ACTS_ON lesion (as structure) / tumour
		HAS_LOCATION retroperitoneal space
	BY_TECHNIQUE imaging
		ACTS_ON needle & retroperitoneal space
		BY_MEANS_OF ultrasound machine
	BY_TECHNIQUE puncturing
		ACTS_ON lesion (as structure) / tumour
			HAS_LOCATION retroperitoneal space
OR_MAIN puncturing
	ACTS_ON lesion (as structure) / tumour
		HAS_LOCATION retroperitoneal space
	BY_TECHNIQUE imaging
		ACTS_ON needle & retroperitoneal space
		BY_MEANS_OF ultrasound machine
	HAS_APPROACH percutaneous route
	TO_ACHIEVE aspirating
		ACTS_ON cell

RUBRIC "Rfection paritale lombaire sans  plaque"
PARAPHRASE "refashioning"
SOURCE "USE"
CODE "U083"
HISTORY "
Manual accept at 2:47:54 pm on September 14, 1998 by DrJeremy Rogers"
MAIN refashioning
	ACTS_ON wall
		IS_PART_OF lumbus
WITHOUT_ACTION refashioning
	ACTS_ON wall
		IS_PART_OF lumbus
	BY_MEANS_OF plate

RUBRIC "Rfection paritale lombaire avec  plaque"
PARAPHRASE "refashioning"
SOURCE "USE"
CODE "U084"
MAIN refashioning
	ACTS_ON wall
		IS_PART_OF lumbus
	BY_MEANS_OF plate

RUBRIC "Surrnalectomie totale par voie chirurgicale ouverte pour phochromocytome"
PARAPHRASE "Surrnalectomie totale par voie chirurgicale ouverte pour phochromocytome"
SOURCE ""
CODE "U085"
MAIN excising
	ACTS_ON glandula suprarenalis
	HAS_APPROACH open
	HAS_EXTENT total
	MOTIVATED_BY curing
		ACTS_ON pheochromocytoma

RUBRIC "Surrnalectomie totale pour phochromocytome sous coelio ou rtropritonoscopie"
PARAPHRASE "Surrnalectomie totale pour phochromocytome sous coelio ou rtropritonoscopie"
SOURCE ""
CODE "U086"
MAIN excising
	ACTS_ON glandula suprarenalis
	BY_TECHNIQUE inspecting
		ACTS_ON abdominal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT total
	MOTIVATED_BY curing
		ACTS_ON pheochromocytoma
	WITH_GUIDANCE_BY laparoscope
OR_MAIN excising
	ACTS_ON glandula suprarenalis
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	HAS_EXTENT total
	MOTIVATED_BY curing
		ACTS_ON pheochromocytoma
	WITH_GUIDANCE_BY endoscope

RUBRIC "Surrnalectomie totale pour indication autre que phochromocytome par voie chirurgicale ouverte"
PARAPHRASE "Surrnalectomie totale pour indication autre que phochromocytome par voie chirurgicale ouverte"
SOURCE ""
CODE "U087"
HISTORY "
Manual accept at 2:51:00 pm on September 14, 1998 by DrJeremy Rogers"
MAIN excising
	ACTS_ON glandula suprarenalis
	HAS_APPROACH open
	HAS_EXTENT total
EXCLUDES_CONTEXT excising
	ACTS_ON glandula suprarenalis
	HAS_APPROACH open
	HAS_EXTENT total
	MOTIVATED_BY curing
		ACTS_ON pheochromocytoma

RUBRIC "Surrnalectomie totale pour indication autre que phochromocytome sous coelio ou rtropritonoscopie"
PARAPHRASE "Surrnalectomie totale pour indication autre que phochromocytome sous coelio ou rtropritonoscopie"
SOURCE ""
CODE "U088"
HISTORY "
Manual accept at 2:53:55 pm on September 14, 1998 by DrJeremy Rogers"
MAIN excising
	ACTS_ON glandula suprarenalis
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT total
	WITH_GUIDANCE_BY laparoscope
EXCLUDES_CONTEXT excising
	ACTS_ON glandula suprarenalis
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT total
	MOTIVATED_BY curing
		ACTS_ON pheochromocytoma
	WITH_GUIDANCE_BY laparoscope
OR_MAIN excising
	ACTS_ON glandula suprarenalis
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	HAS_EXTENT total
	WITH_GUIDANCE_BY endoscope
EXCLUDES_CONTEXT excising
	ACTS_ON glandula suprarenalis
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	HAS_EXTENT total
	MOTIVATED_BY curing
		ACTS_ON pheochromocytoma
	WITH_GUIDANCE_BY endoscope

RUBRIC "Surrnalectomie partielle ou tumorectomie surrnale par voie chirurgicale ouverte"
PARAPHRASE "Surrnalectomie partielle ou tumorectomie surrnale par voie chirurgicale ouverte"
SOURCE ""
CODE "U089"
MAIN excising
	ACTS_ON glandula suprarenalis
	HAS_APPROACH open
	HAS_EXTENT partial
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION glandula suprarenalis
	HAS_APPROACH open

RUBRIC "Surrnalectomie partielle ou totale pour indication autre que phochromocytome par voie chirurgicale ouverte"
PARAPHRASE "Surrnalectomie partielle ou totale pour indication autre que phochromocytome par voie chirurgicale ouverte"
SOURCE ""
CODE "U090"
HISTORY "
Manual accept at 2:51:52 pm on September 14, 1998 by DrJeremy Rogers"
MAIN excising
	ACTS_ON glandula suprarenalis
	HAS_APPROACH open
	HAS_EXTENT partial
EXCLUDES_CONTEXT excising
	ACTS_ON glandula suprarenalis
	HAS_APPROACH open
	HAS_EXTENT partial
	MOTIVATED_BY curing
		ACTS_ON pheochromocytoma
OR_MAIN excising
	ACTS_ON glandula suprarenalis
	HAS_APPROACH open
	HAS_EXTENT total
EXCLUDES_CONTEXT excising
	ACTS_ON glandula suprarenalis
	HAS_APPROACH open
	HAS_EXTENT total
	MOTIVATED_BY curing
		ACTS_ON pheochromocytoma

RUBRIC "Surrnalectomie partielle ou tumorectomie surrnale par voie coelioscopique"
PARAPHRASE "Surrnalectomie partielle ou tumorectomie surrnale par voie coelioscopique"
SOURCE ""
CODE "U091"
MAIN excising
	ACTS_ON glandula suprarenalis
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT partial
	WITH_GUIDANCE_BY laparoscope
OR_MAIN excising
	ACTS_ON tumour
		HAS_LOCATION glandula suprarenalis
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT partial
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Surrnalectomie partielle ou totale pour indication autre que phochromocytome sous coelioscopie"
PARAPHRASE "Surrnalectomie partielle ou totale pour indication autre que phochromocytome sous coelioscopie"
SOURCE ""
CODE "U092"
HISTORY "
Manual accept at 2:48:44 pm on September 14, 1998 by DrJeremy Rogers"
MAIN excising
	ACTS_ON glandula suprarenalis
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT partial
	WITH_GUIDANCE_BY laparoscope
EXCLUDES_CONTEXT excising
	ACTS_ON glandula suprarenalis
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT partial
	MOTIVATED_BY curing
		ACTS_ON pheochromocytoma
	WITH_GUIDANCE_BY laparoscope
OR_MAIN excising
	ACTS_ON glandula suprarenalis
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT total
	WITH_GUIDANCE_BY laparoscope
EXCLUDES_CONTEXT excising
	ACTS_ON glandula suprarenalis
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT total
	MOTIVATED_BY curing
		ACTS_ON pheochromocytoma
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Exrse d une lsion non surrnalienne de l espace rtro-pritoneal par voie chirurgicale ouverte"
PARAPHRASE "Exrse d une lsion non surrnalienne de l espace rtro-pritoneal par voie chirurgicale ouverte"
SOURCE ""
CODE "U093"
HISTORY "
Manual accept at 2:53:59 pm on September 14, 1998 by DrJeremy Rogers"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION retroperitoneal space
	HAS_APPROACH open
EXCLUDES_CONTEXT excising
	ACTS_ON glandula suprarenalis

RUBRIC "Exrse d une lsion non surrnalienne de l espace rtro-pritoneal avec dissection des gros vaisseaux par voie chirurgicale ouverte"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:49:27 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "Exrse d une lsion non surrnalienne de l espace rtro-pritoneal avec dissection des gros vaisseaux par voie chirurgicale ouverte"
SOURCE ""
CODE "U094"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION retroperitoneal space
	BY_TECHNIQUE freeing
		ACTS_ON blood vessel
			CONNECTS lesion (as structure)
				HAS_LOCATION retroperitoneal space
			IS_BRANCH_OF abdominal aorta
	HAS_APPROACH open
EXCLUDES_CONTEXT excising
	ACTS_ON glandula suprarenalis

RUBRIC "Exrse d une lsion non surrnalienne de l espace rtro-pritoneal par voie coelio ou rtropritonoscopique"
PARAPHRASE "Exrse d une lsion non surrnalienne de l espace rtro-pritoneal par voie coelio ou rtropritonoscopique"
SOURCE ""
CODE "U095"
HISTORY "
Manual accept at 2:53:41 pm on September 14, 1998 by DrJeremy Rogers"
MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION retroperitoneal space
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITHOUT_ACTION excising
	ACTS_ON glandula suprarenalis
OR_MAIN excising
	ACTS_ON lesion (as structure)
		HAS_LOCATION retroperitoneal space
	BY_TECHNIQUE inspecting
		ACTS_ON abdominal cavity
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITHOUT_ACTION excising
	ACTS_ON glandula suprarenalis

RUBRIC "Exrse d'une lipomatose pelvienne par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U096"
HISTORY "
Manual accept at 2:55:47 pm on September 14, 1998 by DrJeremy Rogers"
MAIN excising
	ACTS_ON lipoma
		HAS_LOCATION pelvic cavity
	HAS_APPROACH open
	HAS_NUMBER several

RUBRIC "Drainage d'un lymphocle par voie chirurgicale ouverte"
PARAPHRASE "Drainage d'un lymphocle par voie chirurgicale ouverte"
SOURCE "USE"
CODE "U097"
MAIN draining
	ACTS_ON lymphocel
	HAS_APPROACH open

RUBRIC "Drainage d'un lymphocle par voie transcutane"
PARAPHRASE "Drainage d'un lymphocle par voie transcutane"
SOURCE "USE"
CODE "U098"
MAIN draining
	ACTS_ON lymphocel
	HAS_APPROACH transcutaneous approach

RUBRIC "Binphrectomie par voie abdominale antrieure"
PARAPHRASE "a"
SOURCE ""
CODE "U099"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH abdominal approach & anterior approach
	HAS_NUMBER 2

RUBRIC "Binphrectomie par voie lombaire postrieure"
PARAPHRASE "Binphrectomie par voie lombaire postrieure"
SOURCE ""
CODE "U100"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH lumbar approach & posterior approach
	HAS_NUMBER 2

RUBRIC "Binphrectomie par voie coelioscopique ou rtropritonoscopique"
PARAPHRASE "Binphrectomie par voie coelioscopique ou rtropritonoscopique"
SOURCE ""
CODE "U101"
MAIN excising
	ACTS_ON kidney
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_NUMBER 2
	WITH_GUIDANCE_BY laparoscope
OR_MAIN excising
	ACTS_ON kidney
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	HAS_NUMBER 2
	WITH_GUIDANCE_BY endoscope

RUBRIC "Prlvement d'un rein sur un sujet donneur volontaire vivant"
PARAPHRASE "Prlvement d'un rein sur un sujet donneur volontaire vivant"
SOURCE "USE"
CODE "U102"
HISTORY "
Manual accept at 12:17:37 pm on September 14, 1998 by DrJeremy Rogers"
MAIN harvesting
	ACTS_ON kidney
		HAS_DONOR live donor
	HAS_LATERALITY unilateral
	TO_ACHIEVE transplanting
		ACTS_ON kidney

RUBRIC "Prlvement d'un rein sur sujet en tat de mort encphalique"
PARAPHRASE "Prlvement d'un rein sur sujet en tat de mort encphalique"
SOURCE "USE"
CODE "U103"
HISTORY "
Manual accept at 12:17:39 pm on September 14, 1998 by DrJeremy Rogers"
MAIN harvesting
	ACTS_ON kidney
		HAS_DONOR dead donor
	HAS_LATERALITY unilateral
	TO_ACHIEVE transplanting
		ACTS_ON kidney

RUBRIC "Prlvement de deux reins sur sujet en tat de mort encphalique"
PARAPHRASE "Prlvement de deux reins sur sujet en tat de mort encphalique"
SOURCE "USE"
CODE "U104"
HISTORY "
Manual accept at 12:17:33 pm on September 14, 1998 by DrJeremy Rogers"
MAIN harvesting
	ACTS_ON kidney
		HAS_DONOR dead donor
	HAS_LATERALITY bilateral
	TO_ACHIEVE transplanting
		ACTS_ON kidney

RUBRIC "Prlvement de deux reins, au cours d'un prlvement multi-organes , sur sujet en tat de mort encphalique"
PARAPHRASE "Prlvement de deux reins, au cours d'un prlvement multi-organes , sur sujet en tat de mort encphalique"
SOURCE "USE"
CODE "U105"
HISTORY "
Manual accept at 12:17:35 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 3:02:35 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 5:09:57 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 5:11:07 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 5:11:17 pm on September 14, 1998 by DrJeremy Rogers"
MAIN harvesting
	ACTS_ON kidney
		HAS_DONOR dead donor
	HAS_LATERALITY bilateral
	OCCURS_DURING harvesting
		ACTS_ON organ
			HAS_DONOR dead donor
			HAS_NUMBER multiple
TO_ACHIEVE_OVERALL transplanting
	ACTS_ON kidney

RUBRIC "Transplantation rnale"
PARAPHRASE "a"
SOURCE ""
CODE "U106"
MAIN transplanting
	ACTS_ON kidney
	HAS_LATERALITY unilateral

RUBRIC "Transplantation rnale et pancratique"
PARAPHRASE "a"
SOURCE ""
CODE "U107"
MAIN transplanting
	ACTS_ON kidney
	HAS_LATERALITY unilateral
WITH transplanting
	ACTS_ON pancreas

RUBRIC "Transplantectomie rnale"
PARAPHRASE "excising"
SOURCE "USE"
CODE "U108"
MAIN excising
	ACTS_ON transplanted kidney

RUBRIC "Tumorectomie rnale ex situ avec autotransplantation rnale"
PARAPHRASE "a"
SOURCE ""
CODE "U109"
MAIN transposing
	ACTS_ON kidney
WITH excising
	ACTS_ON tumour
		HAS_LOCATION kidney
	BY_MEANS_OF extracorporal device

RUBRIC "Autotransplantation rnale par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U110"
MAIN transposing
	ACTS_ON kidney
	HAS_APPROACH open

RUBRIC "Rparation de l'artre rnale et de ses branches, par chirurgie ex situ et autotransplantation rnale  "
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 11:17:27 am on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "Rparation de l'artre rnale et de ses branches, par chirurgie ex situ et autotransplantation rnale  "
SOURCE "USE"
CODE "U111"
MAIN transposing
	ACTS_ON kidney
WITH repairing
	ACTS_ON_1 renal artery
	ACTS_ON_2 artery
		IS_BRANCH_OF renal artery
	BY_MEANS_OF extracorporal device

RUBRIC "Ponction percutane choguide d un kyste du rein  vise thrapeutique"
PARAPHRASE "Ponction percutane choguide d un kyste du rein  vise thrapeutique"
SOURCE "USE"
CODE "U112"
COMMENT "? produit sclrosant"
MAIN puncturing
	ACTS_ON cyst
		HAS_LOCATION kidney
	BY_TECHNIQUE imaging
		ACTS_ON kidney
		BY_MEANS_OF ultrasound machine
	HAS_APPROACH percutaneous route
TO_ACHIEVE_OVERALL curing
	ACTS_ON cyst
		HAS_LOCATION kidney

RUBRIC "Nphrostomie choguide par voie percutane"
PARAPHRASE "Nphrostomie choguide par voie percutane"
SOURCE ""
CODE "U113"
MAIN creating
	ACTS_ON stoma
		HAS_LOCATION_1 kidney
		HAS_LOCATION_2 skin
	BY_TECHNIQUE imaging
		ACTS_ON kidney
		BY_MEANS_OF ultrasound machine
	HAS_APPROACH percutaneous route

RUBRIC "Nphrostomie radioguide par voie transcutane "
PARAPHRASE "Nphrostomie radioguide par voie transcutane "
SOURCE ""
CODE "U114"
MAIN creating
	ACTS_ON stoma
		HAS_LOCATION_1 kidney
		HAS_LOCATION_2 skin
	BY_TECHNIQUE imaging
		ACTS_ON kidney
		BY_MEANS_OF Xray device
	HAS_APPROACH transcutaneous approach

RUBRIC "Nphrostomie par voie chirurgicale ouverte"
PARAPHRASE "Nphrostomie par voie chirurgicale ouverte"
SOURCE ""
CODE "U115"
MAIN creating
	ACTS_ON stoma
		HAS_LOCATION_1 kidney
		HAS_LOCATION_2 skin
	HAS_APPROACH transcutaneous approach

RUBRIC "Nphropexie par voie chirurgicale"
PARAPHRASE "fixing"
SOURCE "USE"
CODE "U116"
MAIN fixing
	ACTS_ON kidney
	HAS_APPROACH open

RUBRIC "Nphrectomie totale par laparotomie"
PARAPHRASE "Nphrectomie totale par laparotomie"
SOURCE ""
CODE "U117"
MAIN excising
	ACTS_ON kidney
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdomen
	HAS_EXTENT total

RUBRIC "Nphrectomie totale par voie lombaire"
PARAPHRASE "Nphrectomie totale par voie lombaire"
SOURCE ""
CODE "U118"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH lumbar approach
	HAS_EXTENT total

RUBRIC "Nphrectomie totale par voie posterieure"
PARAPHRASE "Nphrectomie totale par voie posterieure"
SOURCE ""
CODE "U119"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH posterior approach
	HAS_EXTENT total

RUBRIC "Nphrectomie totale par voie lombaire ou antrieure ou postrieure"
PARAPHRASE "Nphrectomie totale par voie lombaire ou antrieure ou postrieure"
SOURCE ""
CODE "U120"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH lumbar approach
	HAS_EXTENT total
OR_MAIN excising
	ACTS_ON kidney
	HAS_APPROACH anterior approach
	HAS_EXTENT total
OR_MAIN excising
	ACTS_ON kidney
	HAS_APPROACH posterior approach
	HAS_EXTENT total

RUBRIC "Nphrectomie totale sous coelio ou rtroperitoneoscopie"
PARAPHRASE "Nphrectomie totale sous coelio ou rtroperitoneoscopie"
SOURCE ""
CODE "U121"
MAIN excising
	ACTS_ON kidney
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF endoscope
	HAS_EXTENT total
OR_MAIN excising
	ACTS_ON kidney
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	HAS_EXTENT total

RUBRIC "Nphrectomie largie  la loge rnale par voie abdominale ou lombo-abdominale"
PARAPHRASE "Nphrectomie largie  la loge rnale par voie abdominale ou lombo-abdominale"
SOURCE ""
CODE "U122"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH abdominal approach / lumbo abdominal approach
	HAS_EXTENT extended

RUBRIC "Nphrectomie largie  la loge rnale avec surrnalectomie par voie abdominale ou lombo-abdominale"
PARAPHRASE "Nphrectomie largie  la loge rnale avec surrnalectomie par voie abdominale ou lombo-abdominale"
SOURCE ""
CODE "U123"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH abdominal approach / lumbo abdominal approach
	HAS_EXTENT extended
WITH excising
	ACTS_ON glandula suprarenalis
	HAS_APPROACH abdominal approach / lumbo abdominal approach

RUBRIC "Nphrectomie largie  la loge rnale avec surrnalectomie et cavotomie  par voie abdominale ou lombo-abdominale"
PARAPHRASE "Nphrectomie largie  la loge rnale avec surrnalectomie et cavotomie  par voie abdominale ou lombo-abdominale"
SOURCE ""
CODE "U124"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH abdominal approach / lumbo abdominal approach
	HAS_EXTENT extended
WITH excising
	ACTS_ON glandula suprarenalis
WITH incising
	ACTS_ON vena cava

RUBRIC "Nphrectomie largie  la loge rnale avec cavotomie  par voie abdominale ou lombo-abdominale"
PARAPHRASE "Nphrectomie largie  la loge rnale avec cavotomie  par voie abdominale ou lombo-abdominale"
SOURCE ""
CODE "U125"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH abdominal approach / lumbo abdominal approach
	HAS_EXTENT extended
WITH incising
	ACTS_ON vena cava

RUBRIC "Nphrectomie largie  la loge rnale  par thoraco-phrno-laparotomie"
PARAPHRASE "Nphrectomie largie  la loge rnale  par thoraco-phrno-laparotomie"
SOURCE ""
CODE "U126"
MAIN excising
	ACTS_ON kidney
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax & diaphragm & abdominal wall
	HAS_EXTENT extended

RUBRIC "Nphrectomie largie  la loge rnale avec surrnalectomie par thoraco-phrno-laparotomie"
PARAPHRASE "Nphrectomie largie  la loge rnale avec surrnalectomie par thoraco-phrno-laparotomie"
SOURCE ""
CODE "U127"
MAIN excising
	ACTS_ON kidney
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax & diaphragm & abdominal wall
	HAS_EXTENT extended
WITH excising
	ACTS_ON glandula suprarenalis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax & diaphragm & abdominal wall

RUBRIC "Nphrectomie largie  la loge rnale avec surrnalectomie et cavotomie par thoraco-phrno-laparotomie"
PARAPHRASE "Nphrectomie largie  la loge rnale avec surrnalectomie et cavotomie par thoraco-phrno-laparotomie"
SOURCE ""
CODE "U128"
MAIN excising
	ACTS_ON kidney
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax & diaphragm & abdominal wall
	HAS_EXTENT extended
WITH excising
	ACTS_ON glandula suprarenalis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax & diaphragm & abdominal wall
WITH incising
	ACTS_ON vena cava
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax & diaphragm & abdominal wall

RUBRIC "Nphrectomie largie  la loge rnale avec cavotomie par thoraco-phrno-laparotomie"
PARAPHRASE "Nphrectomie largie  la loge rnale avec cavotomie par thoraco-phrno-laparotomie"
SOURCE ""
CODE "U129"
MAIN excising
	ACTS_ON kidney
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax & diaphragm & abdominal wall
	HAS_EXTENT extended
WITH incising
	ACTS_ON vena cava
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON thorax & diaphragm & abdominal wall

RUBRIC "Nphrectomie largie  la loge rnale et rsection partielle de la veine  cave par voie chirurgicale ouverte"
PARAPHRASE "Nphrectomie largie  la loge rnale et rsection partielle de la veine  cave par voie chirurgicale ouverte"
SOURCE ""
CODE "U130"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH open
	HAS_EXTENT extended
WITH resecting
	ACTS_ON vena cava
	HAS_EXTENT partial

RUBRIC "Nphrectomie partielle par voie lombaire sans dissection du pdicule vasculaire"
PARAPHRASE "Nphrectomie partielle par voie lombaire sans dissection du pdicule vasculaire"
SOURCE ""
CODE "U131"
HISTORY "
Manual accept at 2:53:26 pm on September 14, 1998 by DrJeremy Rogers"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH lumbar approach
	HAS_EXTENT partial
WITHOUT_ACTION freeing
	ACTS_ON vascular pedicle

RUBRIC "Nphrectomie partielle par voie abdominale antrieure sans dissection du pdicule vasculaire"
PARAPHRASE "Nphrectomie partielle par voie abdominale antrieure sans dissection du pdicule vasculaire"
SOURCE ""
CODE "U132"
HISTORY "
Manual accept at 2:54:07 pm on September 14, 1998 by DrJeremy Rogers"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH abdominal approach
	HAS_APPROACH anterior approach
	HAS_EXTENT partial
WITHOUT_ACTION freeing
	ACTS_ON vascular pedicle

RUBRIC "Nphrectomie partielle par voie lombaire avec dissection du pdicule vasculaire"
PARAPHRASE "Nphrectomie partielle par voie lombaire avec dissection du pdicule vasculaire"
SOURCE ""
CODE "U133"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH lumbar approach
	HAS_EXTENT partial
WITH freeing
	ACTS_ON vascular pedicle

RUBRIC "Nphrectomie partielle par voie abdominale antrieure avec dissection du pdicule vasculaire"
PARAPHRASE "Nphrectomie partielle par voie abdominale antrieure avec dissection du pdicule vasculaire"
SOURCE ""
CODE "U134"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH abdominal approach
	HAS_APPROACH anterior approach
	HAS_EXTENT partial
WITH freeing
	ACTS_ON vascular pedicle

RUBRIC "Nphrectomie partielle sous coelio ou rtroperitoneoscopie"
PARAPHRASE "Nphrectomie partielle sous coelio ou rtroperitoneoscopie"
SOURCE ""
CODE "U135"
MAIN excising
	ACTS_ON kidney
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF endoscope
	HAS_EXTENT partial
OR_MAIN excising
	ACTS_ON kidney
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	HAS_EXTENT partial

RUBRIC "Rsection d un ou plusieurs kystes du rein par voie chirurgicale ouverte"
PARAPHRASE "Rsection d un ou plusieurs kystes du rein par voie chirurgicale ouverte"
SOURCE "USE"
CODE "U136"
HISTORY "
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:36 pm on March 26, 1999"
MAIN resecting
	ACTS_ON cyst
		HAS_LOCATION kidney
		HAS_NUMBER 1
	HAS_APPROACH open
OR_MAIN resecting
	ACTS_ON cyst
		HAS_LOCATION kidney
		HAS_NUMBER several
	HAS_APPROACH open

RUBRIC "Rsection d un ou plusieurs kystes du rein par voie coelioscopique"
PARAPHRASE "Rsection d un ou plusieurs kystes du rein par voie coelioscopique"
SOURCE "USE"
CODE "U137"
HISTORY "
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:36 pm on March 26, 1999"
MAIN resecting
	ACTS_ON cyst
		HAS_LOCATION kidney
		HAS_NUMBER 1
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
OR_MAIN resecting
	ACTS_ON cyst
		HAS_LOCATION kidney
		HAS_NUMBER several
	BY_APPROACH_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope

RUBRIC "Rsection d un kyste rnal parasitaire par voie chirurgicale ouverte"
PARAPHRASE "Rsection d un kyste rnal parasitaire par voie chirurgicale ouverte"
SOURCE "USE"
CODE "U138"
MAIN resecting
	ACTS_ON parasitic cyst
		HAS_LOCATION kidney
		HAS_NUMBER 1
	HAS_APPROACH open

RUBRIC "Suture simple d'une plaie du parenchyme rnal par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U139"
MAIN suturing
	ACTS_ON wound
		HAS_LOCATION kidney
	HAS_APPROACH open

RUBRIC "Pose d'un filet pri-rnal avec ou sans colle pour hmostase par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U140"
MAIN installing
	ACTS_ON net
		HAS_LOCATION perirenal space
	HAS_APPROACH open
TO_ACHIEVE_OVERALL control
	ACTS_ON bleeding

RUBRIC "Rparation chirurgicale d'un traumatisme complexe du rein et de la voie excrtrice par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U141"
MAIN repairing
	ACTS_ON traumatic lesion
		HAS_LOCATION kidney & upper urinary tract
	HAS_APPROACH open

RUBRIC "Nphro-urtrectomie totale par voie(s) chirurgicale(s) ouverte(s) "
PARAPHRASE "Nphro-urtrectomie totale par voie(s) chirurgicale(s) ouverte(s) "
SOURCE ""
CODE "U142"
MAIN excising
	ACTS_ON kidney & ureter
	HAS_APPROACH open
	HAS_EXTENT total

RUBRIC "Nphro-urtrectomie totale par voie mixte : chirurgicale ouverte et stripping endoscopique de l'uretre"
PARAPHRASE "Nphro-urtrectomie totale par voie mixte : chirurgicale ouverte et stripping endoscopique de l'uretre"
SOURCE ""
CODE "U143"
MAIN excising
	ACTS_ON kidney & ureter
	BY_TECHNIQUE stripping
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	HAS_APPROACH open
	HAS_APPROACH endoscope
	HAS_EXTENT total

RUBRIC "Nphro-urtrectomie par coelioscopie ou rtropritonoscopie"
PARAPHRASE "Nphro-urtrectomie par coelioscopie ou rtropritonoscopie"
SOURCE ""
CODE "U144"
MAIN excising
	ACTS_ON kidney & ureter
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
OR_MAIN excising
	ACTS_ON kidney & ureter
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Hminphrectomie avec urtrectomie partielle par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U145"
MAIN arterialization

RUBRIC "Hminphrectomie avec urtrectomie partielle par voie chirurgicale ouverte"
PARAPHRASE "Hminphrectomie avec urtrectomie partielle par voie chirurgicale ouverte"
SOURCE "USE"
CODE "U145"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH open
	HAS_EXTENT half
WITH excising
	ACTS_ON ureter
	HAS_EXTENT partial

RUBRIC "Hminphrectomie avec urtrectomie totale par voie chirurgicale ouverte"
PARAPHRASE "Hminphrectomie avec urtrectomie totale par voie chirurgicale ouverte"
SOURCE "USE"
CODE "U146"
MAIN excising
	ACTS_ON kidney
	HAS_APPROACH open
	HAS_EXTENT half
WITH excising
	ACTS_ON ureter
	HAS_EXTENT total

RUBRIC "Section de l'isthme d'un rein en fer  cheval par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U147"
HISTORY "
Manual accept at 2:10:22 pm on September 23, 1998 by jon"
MAIN dividing
	ACTS_ON isthmus
		IS_PART_OF horseshoe kidney
	BY_TECHNIQUE cutting
	HAS_APPROACH open

RUBRIC "Hminphrectomie par voie chirurgicale sur  rein en fer  cheval ou tout autre forme de fusion rnale"
PARAPHRASE "Hminphrectomie par voie chirurgicale sur  rein en fer  cheval ou tout autre forme de fusion rnale"
SOURCE "USE"
CODE "U148"
MAIN excising
	ACTS_ON horseshoe kidney
	HAS_APPROACH open
	HAS_EXTENT half
OR_MAIN excising
	ACTS_ON malformation
		HAS_LOCATION kidney
	HAS_APPROACH open
	HAS_EXTENT half

RUBRIC "Pylostomie chirurgicale"
PARAPHRASE "a"
SOURCE ""
CODE "U149"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 renal pelvis
		CONNECTS_2 skin

RUBRIC "Urtrotomie ou urtropylotomie  par nphroscopie , nphrostomie dj en place"
PARAPHRASE "a"
SOURCE ""
CODE "U150"
HISTORY "
Manual accept at 11:27:28 am on September 14, 1998 by DrJeremy Rogers"
MAIN incising
	ACTS_ON ureter
	BY_TECHNIQUE inspecting
		ACTS_ON kidney
		BY_MEANS_OF endoscope
			HAS_DESTINATION stoma
				CONNECTS_1 kidney
				CONNECTS_2 skin
	WITH_GUIDANCE_BY endoscope
OR_MAIN incising
	ACTS_ON ureter & renal pelvis
	BY_TECHNIQUE inspecting
		ACTS_ON kidney
		BY_MEANS_OF endoscope
			HAS_DESTINATION stoma
				CONNECTS_1 kidney
				CONNECTS_2 skin
	WITH_GUIDANCE_BY endoscope

RUBRIC "Urtrotomie ou urtropylotomie (avec ou sans dilatation par urtroscopie rtrograde"
PARAPHRASE "a"
SOURCE ""
CODE "U151"
HISTORY "
Manual accept at 11:27:40 am on September 14, 1998 by DrJeremy Rogers"
MAIN incising
	ACTS_ON ureter
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
		HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITH_OPTIONALLY dilatating
	ACTS_ON ureter & renal pelvis
OR_MAIN incising
	ACTS_ON ureter & renal pelvis
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
		HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITH_OPTIONALLY dilatating
	ACTS_ON ureter & renal pelvis

RUBRIC "Urtrotomie ou urtropylotomie  par nphroscopie avec opacification et drainage(s)"
PARAPHRASE "a"
SOURCE ""
CODE "U152"
HISTORY "
Manual accept at 11:27:09 am on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:10:52 pm on September 23, 1998 by jon"
MAIN incising
	ACTS_ON ureter
	BY_TECHNIQUE inspecting
		ACTS_ON kidney
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITH injecting
	ACTS_ON contrast medium
		HAS_DESTINATION ureter
		HAS_DESTINATION renal pelvis
WITH draining
	ACTS_ON ureter & renal pelvis
OR_MAIN incising
	ACTS_ON ureter & renal pelvis
	BY_TECHNIQUE inspecting
		ACTS_ON kidney
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITH injecting
	ACTS_ON contrast medium
		HAS_DESTINATION ureter
		HAS_DESTINATION renal pelvis
WITH draining
	ACTS_ON ureter & renal pelvis

RUBRIC "Rsection-suture du bassinet et de la jonction pylo-urtrale, avec drainage interne par voie chirurgicale ouverte"
PARAPHRASE "Rsection-suture du bassinet et de la jonction pylo-urtrale, avec drainage interne par voie chirurgicale ouverte"
SOURCE ""
CODE "U153"
MAIN resecting
	ACTS_ON renal pelvis & pelvi ureteric junction
	HAS_APPROACH open
WITH suturing
	ACTS_ON renal pelvis & ureter
	HAS_APPROACH open
WITH draining
	ACTS_ON renal pelvis & pelvi ureteric junction
	BY_MEANS_OF catheter
		HAS_LOCATION upper urinary tract

RUBRIC "Rsection-suture du bassinet et de la jonction pylo-urtrale, avec drainage interne par coelioscopie ou rtropritonoscopie"
PARAPHRASE "Rsection-suture du bassinet et de la jonction pylo-urtrale, avec drainage interne par coelioscopie ou rtropritonoscopie"
SOURCE ""
CODE "U154"
MAIN resecting
	ACTS_ON renal pelvis & pelvi ureteric junction
	BY_TECHNIQUE inspecting
		ACTS_ON abdominal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH suturing
	ACTS_ON renal pelvis & ureter
WITH draining
	ACTS_ON renal pelvis & pelvi ureteric junction
	BY_MEANS_OF catheter
		HAS_LOCATION upper urinary tract
OR_MAIN resecting
	ACTS_ON renal pelvis & pelvi ureteric junction
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITH suturing
	ACTS_ON renal pelvis & ureter
WITH draining
	ACTS_ON renal pelvis & pelvi ureteric junction
	BY_MEANS_OF catheter
		HAS_LOCATION upper urinary tract

RUBRIC "Rsection-suture du bassinet et de la jonction pylo-urtrale, avec sonde de nphrostomie laisse en place par voie chirurgicale ouverte"
PARAPHRASE "Rsection-suture du bassinet et de la jonction pylo-urtrale, avec sonde de nphrostomie laisse en place par voie chirurgicale ouverte"
SOURCE ""
CODE "U155"
MAIN resecting
	ACTS_ON renal pelvis & pelvi ureteric junction
	HAS_APPROACH open
WITH suturing
	ACTS_ON renal pelvis & ureter
	HAS_APPROACH open
WITH installing
	ACTS_ON catheter
		HAS_DESTINATION stoma
			CONNECTS_1 kidney
			CONNECTS_2 skin

RUBRIC "Rsection-suture du bassinet et de la jonction pylo-urtrale, avec sonde de nphrostomie laisse en place par coelioscopie ou rtropritonoscopie"
PARAPHRASE "Rsection-suture du bassinet et de la jonction pylo-urtrale, avec sonde de nphrostomie laisse en place par coelioscopie ou rtropritonoscopie"
SOURCE ""
CODE "U156"
MAIN resecting
	ACTS_ON renal pelvis & pelvi ureteric junction
	BY_TECHNIQUE inspecting
		ACTS_ON abdominal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH suturing
	ACTS_ON renal pelvis & ureter
WITH installing
	ACTS_ON catheter
		HAS_DESTINATION stoma
			CONNECTS_1 kidney
			CONNECTS_2 skin
OR_MAIN resecting
	ACTS_ON renal pelvis & pelvi ureteric junction
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITH suturing
	ACTS_ON renal pelvis & ureter
WITH installing
	ACTS_ON catheter
		HAS_DESTINATION stoma
			CONNECTS_1 kidney
			CONNECTS_2 skin

RUBRIC "Plastie du bassinet et de la jonction pylo-urtrale avec drainage interne par voie chirurgicale ouverte"
PARAPHRASE "fashioning"
SOURCE "USE"
CODE "U157"
MAIN fashioning
	ACTS_ON pelvi ureteric junction & renal pelvis
	HAS_APPROACH open
WITH draining
	ACTS_ON upper urinary tract

RUBRIC "Plastie du bassinet et de la jonction pylo-urtrale avec drainage interne par coelioscopie ou rtropritonoscopie"
PARAPHRASE "fashioning"
SOURCE "USE"
CODE "U158"
MAIN fashioning
	ACTS_ON pelvi ureteric junction & renal pelvis
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH draining
	ACTS_ON upper urinary tract
OR_MAIN fashioning
	ACTS_ON pelvi ureteric junction & renal pelvis
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITH draining
	ACTS_ON upper urinary tract

RUBRIC "Incision de la jonction pylo-urtrale par endoscopie rtrograde "
PARAPHRASE "Incision de la jonction pylo-urtrale par endoscopie rtrograde "
SOURCE ""
CODE "U159"
MAIN incising
	ACTS_ON pelvi ureteric junction
	BY_TECHNIQUE inspecting
		ACTS_ON ureter & pelvi ureteric junction
		BY_MEANS_OF endoscope
		HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Plastie du bassinet et de la jonction pylo-urtrale avec sonde de nphrostomie laisse en place par voie chirurgicale ouverte"
PARAPHRASE "Plastie du bassinet et de la jonction pylo-urtrale avec sonde de nphrostomie laisse en place par voie chirurgicale ouverte"
SOURCE "USE"
CODE "U160"
MAIN fashioning
	ACTS_ON pelvi ureteric junction & renal pelvis
	HAS_APPROACH open
WITH installing
	ACTS_ON catheter
		HAS_DESTINATION stoma
			CONNECTS_1 kidney
			CONNECTS_2 skin

RUBRIC "Plastie du bassinet et de la jonction pylo-urtrale avec sonde de nphrostomie laisse en place par coelioscopie ou rtropritonoscopie"
PARAPHRASE "Plastie du bassinet et de la jonction pylo-urtrale avec sonde de nphrostomie laisse en place par coelioscopie ou rtropritonoscopie"
SOURCE "USE"
CODE "U161"
MAIN fashioning
	ACTS_ON pelvi ureteric junction & renal pelvis
	BY_TECHNIQUE inspecting
		ACTS_ON abdominal cavity
		BY_MEANS_OF laparoscope
	HAS_APPROACH open
	WITH_GUIDANCE_BY laparoscope
WITH installing
	ACTS_ON catheter
		HAS_DESTINATION stoma
			CONNECTS_1 kidney
			CONNECTS_2 skin
OR_MAIN fashioning
	ACTS_ON pelvi ureteric junction & renal pelvis
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	HAS_APPROACH open
	WITH_GUIDANCE_BY endoscope
WITH installing
	ACTS_ON catheter
		HAS_DESTINATION stoma
			CONNECTS_1 kidney
			CONNECTS_2 skin

RUBRIC "Anastomose urtro-calicielle avec drainage interne par voie chirurgicale ouverte"
PARAPHRASE "connecting"
SOURCE "USE"
CODE "U162"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 calix
	HAS_APPROACH open
WITH draining
	ACTS_ON upper urinary tract

RUBRIC "Anastomose urtro-calicielle avec sonde de nphrostomie laisse en place par voie chirurgicale ouverte"
PARAPHRASE "connecting"
SOURCE "USE"
CODE "U163"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 calix
	HAS_APPROACH open
WITH installing
	ACTS_ON catheter
		HAS_DESTINATION stoma
			CONNECTS_1 kidney
			CONNECTS_2 skin

RUBRIC "Rsection d'une tumeur pylique ou calicielle par voie endo-urologique rtrograde"
PARAPHRASE "a"
SOURCE ""
CODE "U164"
MAIN resecting
	ACTS_ON tumour
		HAS_LOCATION renal pelvis / calix
	HAS_APPROACH closed
	HAS_APPROACH retrograde

RUBRIC "Mise en place d'une sonde urtrale, par voie endoscopique rtrograde"
PARAPHRASE "a"
SOURCE ""
CODE "U165"
MAIN installing
	ACTS_ON catheter
		HAS_DESTINATION ureter
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	HAS_ROUTE retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Changement d'une sonde urtrale, par voie endoscopique rtrograde"
PARAPHRASE "Changement d'une sonde urtrale, par voie endoscopique rtrograde"
SOURCE ""
CODE "U166"
MAIN replacing
	ACTS_ON catheter
		HAS_DESTINATION ureter
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	HAS_ROUTE retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Ablation d'une sonde urtrale, par voie endoscopique rtrograde"
PARAPHRASE "Ablation d'une sonde urtrale, par voie endoscopique rtrograde"
SOURCE ""
CODE "U167"
MAIN removing
	ACTS_ON catheter
		HAS_DESTINATION ureter
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	HAS_ROUTE retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Mise en place d une endoprothse urtrale par voie transcutane"
PARAPHRASE "Mise en place d une endoprothse urtrale par voie transcutane"
SOURCE "USE"
CODE "U168"
MAIN installing
	ACTS_ON prosthetic implant
		HAS_LOCATION ureter
	HAS_APPROACH transcutaneous approach

RUBRIC "Mise en place d une endoprothse urtrale par une nphrostomie dja en place"
PARAPHRASE "Mise en place d une endoprothse urtrale par une nphrostomie dja en place"
SOURCE "USE"
CODE "U169"
MAIN installing
	ACTS_ON prosthetic implant
		HAS_DESTINATION stoma
			CONNECTS_1 kidney
			CONNECTS_2 skin
		HAS_LOCATION ureter

RUBRIC "Mise en place d une endoprothse urtrale par voie endoscopique rtrograde"
PARAPHRASE "Mise en place d une endoprothse urtrale par voie endoscopique rtrograde"
SOURCE "USE"
CODE "U170"
MAIN installing
	ACTS_ON prosthetic implant
		HAS_LOCATION ureter
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Changement dans l'uretre d'une endoprothse par voie endoscopique rtrograde"
PARAPHRASE "Changement dans l'uretre d'une endoprothse par voie endoscopique rtrograde"
SOURCE "USE"
CODE "U171"
MAIN replacing
	ACTS_ON prosthetic implant
		HAS_LOCATION ureter
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Ablation d'une endoprothse urtrale par voie endoscopique rtrograde"
PARAPHRASE "Ablation d'une endoprothse urtrale par voie endoscopique rtrograde"
SOURCE "USE"
CODE "U172"
MAIN removing
	ACTS_ON prosthetic implant
		HAS_LOCATION ureter
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Nphrolithotomie pour un calcul unique pylique ou caliciel simple par voie transcutane "
PARAPHRASE "Nphrolithotomie pour un calcul unique pylique ou caliciel simple par voie transcutane "
SOURCE ""
CODE "U173"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION renal pelvis / calix
		HAS_NUMBER 1
	BY_TECHNIQUE incising
		ACTS_ON calculus
			HAS_LOCATION kidney
	BY_TECHNIQUE inserting
		ACTS_ON catheter
			HAS_DESTINATION upper urinary tract
	BY_TECHNIQUE fragmenting
		ACTS_ON calculus
			HAS_LOCATION kidney
	BY_TECHNIQUE draining
		ACTS_ON upper urinary tract
		HAS_ROUTE percutaneous route
	HAS_APPROACH transcutaneous approach

RUBRIC "Nphrolithotomie pour un calcul coralliforme par voie transcutane "
PARAPHRASE "Nphrolithotomie pour un calcul coralliforme par voie transcutane "
SOURCE ""
CODE "U174"
HISTORY "
Manual accept at 11:19:04 am on September 14, 1998 by DrJeremy Rogers
Manual accept at 11:25:09 am on September 14, 1998 by DrJeremy Rogers"
MAIN extracting
	ACTS_ON calculus
		HAS_FEATURE coral like
		HAS_LOCATION renal pelvis / calix
		HAS_NUMBER 1
	BY_TECHNIQUE incising
		ACTS_ON calculus
			HAS_FEATURE coral like
			HAS_LOCATION kidney
	BY_TECHNIQUE inserting
		ACTS_ON catheter
			HAS_DESTINATION upper urinary tract
	BY_TECHNIQUE fragmenting
		ACTS_ON calculus
			HAS_FEATURE coral like
			HAS_LOCATION kidney
	BY_TECHNIQUE draining
		ACTS_ON upper urinary tract
		HAS_ROUTE percutaneous route
	HAS_APPROACH transcutaneous approach

RUBRIC "Nphrolithotomie des calculs multiples ou complexes, pyliques ou caliciels, quelle que soit la mthode de fragmentation par voie transcutane incluant la monte de sonde et le drainage percutan"
PARAPHRASE "Nphrolithotomie des calculs multiples ou complexes, pyliques ou caliciels, quelle que soit la mthode de fragmentation par voie transcutane incluant la monte de sonde et le drainage percutan"
SOURCE ""
CODE "U175"
HISTORY "
Manual accept at 2:55:55 pm on September 14, 1998 by DrJeremy Rogers"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION renal pelvis / calix
		HAS_NUMBER several
	BY_TECHNIQUE incising
		ACTS_ON calculus
			HAS_LOCATION kidney
	BY_TECHNIQUE inserting
		ACTS_ON catheter
			HAS_DESTINATION upper urinary tract
	BY_TECHNIQUE fragmenting
		ACTS_ON calculus
			HAS_LOCATION kidney
	BY_TECHNIQUE draining
		ACTS_ON upper urinary tract
		HAS_ROUTE percutaneous route
	HAS_APPROACH transcutaneous approach

RUBRIC "Ablation d'un calcul pylique par nphrotomie(s)  par voie chirurgicale ouverte"
PARAPHRASE "Ablation d'un calcul pylique par nphrotomie(s)  par voie chirurgicale ouverte"
SOURCE ""
CODE "U176"
MAIN removing
	ACTS_ON calculus
		HAS_LOCATION renal pelvis
		HAS_NUMBER 1
	BY_TECHNIQUE incising
		ACTS_ON kidney
	HAS_APPROACH open

RUBRIC "Ablation d'un calcul pylique par pylotomie par voie chirurgicale ouverte"
PARAPHRASE "Ablation d'un calcul pylique par pylotomie par voie chirurgicale ouverte"
SOURCE ""
CODE "U177"
MAIN removing
	ACTS_ON calculus
		HAS_LOCATION renal pelvis
		HAS_NUMBER 1
	BY_TECHNIQUE incising
		ACTS_ON renal pelvis
	HAS_APPROACH open

RUBRIC "Ablation d'un calcul pylique par pylotomie par rtropritonoscopie"
PARAPHRASE "Ablation d'un calcul pylique par pylotomie par rtropritonoscopie"
SOURCE ""
CODE "U178"
MAIN removing
	ACTS_ON calculus
		HAS_LOCATION renal pelvis
		HAS_NUMBER 1
	BY_TECHNIQUE incising
		ACTS_ON renal pelvis
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Ablation de calculs multiples ou complexes, pyliques ou caliciels par pylotomie et/ou nphrotomie  par voie chirurgicale ouverte"
PARAPHRASE "Ablation de calculs multiples ou complexes, pyliques ou caliciels par pylotomie et/ou nphrotomie  par voie chirurgicale ouverte"
SOURCE ""
CODE "U179"
HISTORY "
Manual accept at 2:56:03 pm on September 14, 1998 by DrJeremy Rogers"
MAIN removing
	ACTS_ON calculus
		HAS_LOCATION renal pelvis / calix
		HAS_NUMBER several
	BY_TECHNIQUE incising
		ACTS_ON renal pelvis
	HAS_APPROACH open
OR_MAIN removing
	ACTS_ON calculus
		HAS_LOCATION renal pelvis / calix
		HAS_NUMBER several
	BY_TECHNIQUE incising
		ACTS_ON kidney
	HAS_APPROACH open
OR_MAIN removing
	ACTS_ON calculus
		HAS_LOCATION renal pelvis / calix
		HAS_NUMBER several
	BY_TECHNIQUE incising
		ACTS_ON kidney
	HAS_APPROACH open

RUBRIC "Ablation de calculs multiples ou complexes, pyliques ou caliciels avec nphrotomie de la convexit et clampage pdiculaire par voie chirurgicale ouverte"
PARAPHRASE "Ablation de calculs multiples ou complexes, pyliques ou caliciels avec nphrotomie de la convexit et clampage pdiculaire par voie chirurgicale ouverte"
SOURCE ""
CODE "U180"
HISTORY "
Manual accept at 2:56:08 pm on September 14, 1998 by DrJeremy Rogers"
MAIN removing
	ACTS_ON calculus
		HAS_LOCATION renal pelvis / calix
		HAS_NUMBER several
	BY_TECHNIQUE installing
		ACTS_ON clamp
			HAS_LOCATION vascular pedicle
				IS_PART_OF kidney
	BY_TECHNIQUE incising
		ACTS_ON kidney edge
	HAS_APPROACH open

RUBRIC "Ablation d'un calcul coralliforme ou d'un calcul rnal complexe avec pylotomie et nphrotomie  par voie chirurgicale ouverte"
PARAPHRASE "Ablation d'un calcul coralliforme ou d'un calcul rnal complexe avec pylotomie et nphrotomie  par voie chirurgicale ouverte"
SOURCE ""
CODE "U181"
HISTORY "
Manual accept at 11:19:09 am on September 14, 1998 by DrJeremy Rogers"
MAIN removing
	ACTS_ON calculus
		HAS_FEATURE coral like
		HAS_LOCATION kidney
		HAS_NUMBER 1
	BY_TECHNIQUE incising
		ACTS_ON renal pelvis & kidney
	HAS_APPROACH open
	HAS_EXTENT extended

RUBRIC "Ablation d'un calcul coralliforme ou d'un calcul rnal complexe avec nphrotomie  de la convexit par voie chirurgicale ouverte"
PARAPHRASE "Ablation d'un calcul coralliforme ou d'un calcul rnal complexe avec nphrotomie  de la convexit par voie chirurgicale ouverte"
SOURCE ""
CODE "U182"
HISTORY "
Manual accept at 11:18:06 am on September 14, 1998 by DrJeremy Rogers
Manual accept at 11:18:21 am on September 14, 1998 by DrJeremy Rogers"
MAIN removing
	ACTS_ON calculus
		HAS_FEATURE coral like
		HAS_LOCATION kidney
		HAS_NUMBER 1
	BY_TECHNIQUE incising
		ACTS_ON edge
			IS_PART_OF kidney
	HAS_APPROACH open
	HAS_EXTENT extended

RUBRIC "Mise en place d'une sonde urtrale par voie endoscopique rtrograde pour refoulement d'un calcul de l'uretre sans injection de produit de contraste"
PARAPHRASE "Mise en place d'une sonde urtrale par voie endoscopique rtrograde pour refoulement d'un calcul de l'uretre sans injection de produit de contraste"
SOURCE ""
CODE "U183"
HISTORY "
Manual accept at 2:51:38 pm on September 14, 1998 by DrJeremy Rogers"
MAIN installing
	ACTS_ON catheter
		HAS_DESTINATION ureter
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
TO_ACHIEVE_OVERALL repelling
	ACTS_ON calculus
		HAS_LOCATION ureter
WITHOUT_ACTION injecting
	ACTS_ON contrast medium
		HAS_DESTINATION ureter

RUBRIC "Extraction et/ou fragmentation d'un calcul urtral par voie endoscopique rtrograde sans urtroscopie sous controle radiologique et avec drainage urtral"
PARAPHRASE "Extraction et/ou fragmentation d'un calcul urtral par voie endoscopique rtrograde sans urtroscopie sous controle radiologique et avec drainage urtral"
SOURCE ""
CODE "U184"
HISTORY "
Manual accept at 2:53:14 pm on September 14, 1998 by DrJeremy Rogers"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION ureter
	BY_TECHNIQUE imaging
		ACTS_ON ureter
		BY_MEANS_OF Xray device
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITH draining
	ACTS_ON ureter
WITHOUT_ACTION inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION ureter
	BY_TECHNIQUE imaging
		ACTS_ON ureter
		BY_MEANS_OF Xray device
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITH draining
	ACTS_ON ureter
WITHOUT_ACTION inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION ureter
	BY_TECHNIQUE imaging
		ACTS_ON ureter
		BY_MEANS_OF Xray device
	BY_TECHNIQUE fragmenting
		ACTS_ON calculus
			HAS_LOCATION ureter
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITH draining
	ACTS_ON ureter
WITHOUT_ACTION inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope

RUBRIC "Extraction et/ou fragmentation d'un calcul urtral par voie transcutane sans urtroscopie "
PARAPHRASE "Extraction et/ou fragmentation d'un calcul urtral par voie transcutane sans urtroscopie "
SOURCE ""
CODE "U185"
HISTORY "
Manual accept at 2:49:50 pm on September 14, 1998 by DrJeremy Rogers"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION ureter
	HAS_APPROACH transcutaneous approach
WITHOUT_ACTION inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION ureter
	HAS_APPROACH transcutaneous approach
WITHOUT_ACTION inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION ureter
	BY_TECHNIQUE fragmenting
		ACTS_ON calculus
			HAS_LOCATION ureter
	HAS_APPROACH transcutaneous approach
WITHOUT_ACTION inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope

RUBRIC "Extraction et/ou fragmentation d'un calcul urtral par nphrostomie dja en place sans urtroscopie "
PARAPHRASE "Extraction et/ou fragmentation d'un calcul urtral par nphrostomie dja en place sans urtroscopie "
SOURCE ""
CODE "U186"
HISTORY "
Manual accept at 2:53:33 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:54:44 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:54:55 pm on September 14, 1998 by DrJeremy Rogers"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION ureter
	BY_APPROACH_TECHNIQUE inserting
		ACTS_ON catheter
			HAS_DESTINATION stoma
				CONNECTS_1 kidney
				CONNECTS_2 skin
WITHOUT_ACTION inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION ureter
	BY_APPROACH_TECHNIQUE inserting
		ACTS_ON catheter
			HAS_DESTINATION stoma
				CONNECTS_1 kidney
				CONNECTS_2 skin
WITHOUT_ACTION inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION ureter
	BY_APPROACH_TECHNIQUE inserting
		ACTS_ON catheter
			HAS_DESTINATION stoma
				CONNECTS_1 kidney
				CONNECTS_2 skin
	BY_TECHNIQUE fragmenting
		ACTS_ON calculus
			HAS_LOCATION ureter
WITHOUT_ACTION inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope

RUBRIC "Extraction et/ou fragmentation d'un calcul urtral par voie transcutane avec urtroscopie "
PARAPHRASE "Extraction et/ou fragmentation d'un calcul urtral par voie transcutane avec urtroscopie "
SOURCE ""
CODE "U187"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION ureter
	HAS_APPROACH transcutaneous approach
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION ureter
	HAS_APPROACH transcutaneous approach
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION ureter
	BY_TECHNIQUE fragmenting
		ACTS_ON calculus
			HAS_LOCATION ureter
	HAS_APPROACH transcutaneous approach
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope

RUBRIC "Extraction et/ou fragmentation d'un calcul urtral par nphrostomie dja en place avec urtroscopie "
PARAPHRASE "Extraction et/ou fragmentation d'un calcul urtral par nphrostomie dja en place avec urtroscopie "
SOURCE ""
CODE "U188"
HISTORY "
Manual accept at 2:56:50 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:57:08 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:57:25 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:58:01 pm on September 14, 1998 by DrJeremy Rogers"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION ureter
	BY_APPROACH_TECHNIQUE inserting
		ACTS_ON catheter
			HAS_DESTINATION stoma
				CONNECTS_1 kidney
				CONNECTS_2 skin
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION ureter
			HAS_DESTINATION stoma
				CONNECTS_1 kidney
				CONNECTS_2 skin
	BY_APPROACH_TECHNIQUE inserting
		ACTS_ON catheter
			HAS_DESTINATION stoma
				CONNECTS_1 kidney
				CONNECTS_2 skin
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION ureter
	BY_APPROACH_TECHNIQUE inserting
		ACTS_ON catheter
			HAS_DESTINATION stoma
				CONNECTS_1 kidney
				CONNECTS_2 skin
	BY_TECHNIQUE fragmenting
		ACTS_ON calculus
			HAS_LOCATION ureter
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope

RUBRIC "Extraction et/ou fragmentation d'un calcul de l'urtre lombaire par urtroscopie rtrograde (quelle que soit la mthode de fragmentation ventuellement utilise)"
PARAPHRASE "Extraction et/ou fragmentation d'un calcul de l'urtre lombaire par urtroscopie rtrograde (quelle que soit la mthode de fragmentation ventuellement utilise)"
SOURCE ""
CODE "U189"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION lumbar ureter
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION lumbar ureter
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION lumbar ureter
	BY_TECHNIQUE fragmenting
		ACTS_ON calculus
			HAS_LOCATION ureter
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope

RUBRIC "Extraction et/ou fragmentation d'un calcul de l'urtre iliaque par urtroscopie rtrograde (quelle que soit la mthode de fragmentation ventuellement utilise)"
PARAPHRASE "Extraction et/ou fragmentation d'un calcul de l'urtre iliaque par urtroscopie rtrograde (quelle que soit la mthode de fragmentation ventuellement utilise)"
SOURCE ""
CODE "U190"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION iliac ureter
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION iliac ureter
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION iliac ureter
	BY_TECHNIQUE fragmenting
		ACTS_ON calculus
			HAS_LOCATION ureter
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope

RUBRIC "Extraction et/ou fragmentation d'un calcul de l'urtre pelvien par urtroscopie rtrograde (quelle que soit la mthode de fragmentation ventuellement utilise)"
PARAPHRASE "Extraction et/ou fragmentation d'un calcul de l'urtre pelvien par urtroscopie rtrograde (quelle que soit la mthode de fragmentation ventuellement utilise)"
SOURCE ""
CODE "U191"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION pelvic ureter
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION pelvic ureter
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope
OR_MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION pelvic ureter
	BY_TECHNIQUE fragmenting
		ACTS_ON calculus
			HAS_LOCATION ureter
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope

RUBRIC "Lithotritie extra-corporelle d'un calcul du rein(pylique ou caliciel) avec reprage scopique"
PARAPHRASE "Lithotritie extra-corporelle d'un calcul du rein(pylique ou caliciel) avec reprage scopique"
SOURCE "USE"
CODE "U192"
HISTORY "
Transformation - multiple similar disjunctions - applied at 2:39:06 pm on September 14, 1998
Manual accept at 2:39:11 pm on September 14, 1998 by DrJeremy Rogers"
MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION calix
	BY_MEANS_OF extra corporeal lithotrypsy device
	BY_TECHNIQUE imaging
		ACTS_ON calix
		BY_MEANS_OF Xray device
		TO_ACHIEVE control
			ACTS_ON calix
OR_MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION renal pelvis
	BY_MEANS_OF extra corporeal lithotrypsy device
	BY_TECHNIQUE imaging
		ACTS_ON renal pelvis
		BY_MEANS_OF Xray device
		TO_ACHIEVE control
			ACTS_ON renal pelvis

RUBRIC "Lithotritie extra-corporelle d'un calcul du rein(pylique ou caliciel) avec reprage chographique ou mixte"
PARAPHRASE "Lithotritie extra-corporelle d'un calcul du rein(pylique ou caliciel) avec reprage chographique ou mixte"
SOURCE "USE"
CODE "U193"
HISTORY "
Transformation - multiple similar disjunctions - applied at 2:39:21 pm on September 14, 1998
Manual accept at 2:39:27 pm on September 14, 1998 by DrJeremy Rogers"
MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION calix
	BY_MEANS_OF extra corporeal lithotrypsy device
	BY_TECHNIQUE imaging
		ACTS_ON calix
		BY_MEANS_OF ultrasound machine
		TO_ACHIEVE control
			ACTS_ON calix
OR_MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION calix
	BY_MEANS_OF extra corporeal lithotrypsy device
	BY_TECHNIQUE imaging
		ACTS_ON calix
		BY_MEANS_OF ultrasound machine
		TO_ACHIEVE control
			ACTS_ON calix
OR_MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION renal pelvis
	BY_MEANS_OF extra corporeal lithotrypsy device
	BY_TECHNIQUE imaging
		ACTS_ON renal pelvis
		BY_MEANS_OF ultrasound machine
		TO_ACHIEVE control
			ACTS_ON renal pelvis
OR_MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION renal pelvis
	BY_MEANS_OF extra corporeal lithotrypsy device
	BY_TECHNIQUE imaging
		ACTS_ON renal pelvis
		BY_MEANS_OF ultrasound machine
		TO_ACHIEVE control
			ACTS_ON renal pelvis

RUBRIC "Lithotritie extra-corporelle d'un calcul de l'uretre lombaire avec reprage chographique ou mixte"
PARAPHRASE "Lithotritie extra-corporelle d'un calcul de l'uretre lombaire avec reprage chographique ou mixte"
SOURCE "USE"
CODE "U195"
HISTORY "
Manual accept at 2:11:43 pm on September 23, 1998 by jon"
MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION lumbar ureter
	BY_MEANS_OF extra corporeal lithotrypsy device
	BY_TECHNIQUE imaging
		ACTS_ON lumbar ureter
		BY_MEANS_OF ultrasound machine
		TO_ACHIEVE control
			ACTS_ON ureter
OR_MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION lumbar ureter
	BY_MEANS_OF extra corporeal lithotrypsy device
	BY_TECHNIQUE imaging
		ACTS_ON lumbar ureter
		BY_MEANS_OF ultrasound machine
		BY_MEANS_OF Xray device
		TO_ACHIEVE control
			ACTS_ON ureter

RUBRIC "Lithotritie extra-corporelle d'un calcul de l'uretre iliaque avec reprage scopique"
PARAPHRASE "Lithotritie extra-corporelle d'un calcul de l'uretre iliaque avec reprage scopique"
SOURCE "USE"
CODE "U196"
MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION iliac ureter
	BY_MEANS_OF extra corporeal lithotrypsy device
	BY_TECHNIQUE imaging
		ACTS_ON iliac ureter
		BY_MEANS_OF Xray device
		TO_ACHIEVE control
			ACTS_ON ureter

RUBRIC "Lithotritie extra-corporelle d'un calcul de l'uretre iliaque avec reprage chographique ou mixte"
PARAPHRASE "Lithotritie extra-corporelle d'un calcul de l'uretre iliaque avec reprage chographique ou mixte"
SOURCE "USE"
CODE "U197"
HISTORY "
Manual accept at 2:12:01 pm on September 23, 1998 by jon"
MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION iliac ureter
	BY_MEANS_OF extra corporeal lithotrypsy device
	BY_TECHNIQUE imaging
		ACTS_ON iliac ureter
		BY_MEANS_OF ultrasound machine
		TO_ACHIEVE control
			ACTS_ON ureter
OR_MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION iliac ureter
	BY_MEANS_OF extra corporeal lithotrypsy device
	BY_TECHNIQUE imaging
		ACTS_ON iliac ureter
		BY_MEANS_OF ultrasound machine
		BY_MEANS_OF Xray device
		TO_ACHIEVE control
			ACTS_ON ureter

RUBRIC "Lithotritie extra-corporelle d'un calcul urtral pelvien avec reprage scopique"
PARAPHRASE "Lithotritie extra-corporelle d'un calcul urtral pelvien avec reprage scopique"
SOURCE "USE"
CODE "U198"
MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION pelvic ureter
	BY_MEANS_OF extra corporeal lithotrypsy device
	BY_TECHNIQUE imaging
		ACTS_ON pelvic ureter
		BY_MEANS_OF Xray device
		TO_ACHIEVE control
			ACTS_ON ureter

RUBRIC "Lithotritie extra-corporelle d'un calcul de l'uretre pelvien avec reprage chographique ou mixte"
PARAPHRASE "Lithotritie extra-corporelle d'un calcul de l'uretre pelvien avec reprage chographique ou mixte"
SOURCE "USE"
CODE "U199"
HISTORY "
Manual accept at 2:12:19 pm on September 23, 1998 by jon"
MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION pelvic ureter
	BY_MEANS_OF extra corporeal lithotrypsy device
	BY_TECHNIQUE imaging
		ACTS_ON pelvic ureter
		BY_MEANS_OF ultrasound machine
		TO_ACHIEVE control
			ACTS_ON ureter
OR_MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION pelvic ureter
	BY_MEANS_OF extra corporeal lithotrypsy device
	BY_TECHNIQUE imaging
		ACTS_ON pelvic ureter
		BY_MEANS_OF ultrasound machine
		BY_MEANS_OF Xray device
		TO_ACHIEVE control
			ACTS_ON ureter

RUBRIC "Urtrolithotomie de l'uretre lombaire  par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U200"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION lumbar ureter
	BY_TECHNIQUE incising
		ACTS_ON lumbar ureter
	HAS_APPROACH open

RUBRIC "Urtrolithotomie de l'uretre lombaire  par coelioscopie ou rtropritonoscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U201"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION lumbar ureter
	BY_TECHNIQUE incising
		ACTS_ON lumbar ureter
	BY_TECHNIQUE inspecting
		ACTS_ON abdominal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
OR_MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION lumbar ureter
	BY_TECHNIQUE incising
		ACTS_ON lumbar ureter
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Urtrolithotomie de l'uretre iliaque  par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U202"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION iliac ureter
	BY_TECHNIQUE incising
		ACTS_ON iliac ureter
	HAS_APPROACH open

RUBRIC "Urtrolithotomie de l'uretre iliaque par coelioscopie ou rtropritonoscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U203"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION iliac ureter
	BY_TECHNIQUE incising
		ACTS_ON iliac ureter
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
OR_MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION iliac ureter
	BY_TECHNIQUE incising
		ACTS_ON iliac ureter
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Urtrolithotomie de l'uretre pelvien par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U204"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION pelvic ureter
	BY_TECHNIQUE incising
		ACTS_ON pelvic ureter
	HAS_APPROACH open

RUBRIC "Urtrolithotomie de l'uretre pelvien par coelioscopie ou rtropritonoscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U205"
MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION pelvic ureter
	BY_TECHNIQUE incising
		ACTS_ON pelvic ureter
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
OR_MAIN extracting
	ACTS_ON calculus
		HAS_LOCATION pelvic ureter
	BY_TECHNIQUE incising
		ACTS_ON pelvic ureter
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Electrocoagulation d'une tumeur  de l'uretre lombaire par voie transcutane"
PARAPHRASE "a"
SOURCE ""
CODE "U206"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION lumbar ureter
		HAS_NUMBER 1
	BY_MEANS_OF electrocoagulation equipment
	HAS_APPROACH transcutaneous approach

RUBRIC "Electrocoagulation d'une tumeur  de l'uretre lombaire par nphrostomie dja existante"
PARAPHRASE "a"
SOURCE ""
CODE "U207"
HISTORY "
Manual accept at 2:58:17 pm on September 14, 1998 by DrJeremy Rogers"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION lumbar ureter
		HAS_NUMBER 1
	BY_APPROACH_TECHNIQUE inserting
		ACTS_ON catheter
			HAS_DESTINATION stoma
				CONNECTS_1 kidney
				CONNECTS_2 skin
	BY_MEANS_OF electrocoagulation equipment

RUBRIC "Electrocoagulation d'une tumeur  de l'uretre lombaire par urtroscopie rtrograde"
PARAPHRASE "a"
SOURCE ""
CODE "U208"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION lumbar ureter
		HAS_NUMBER 1
	BY_MEANS_OF electrocoagulation equipment
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Electrocoagulation d'une tumeur  de l'uretre iliaque par urtroscopie rtrograde"
PARAPHRASE "a"
SOURCE ""
CODE "U209"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION iliac ureter
		HAS_NUMBER 1
	BY_MEANS_OF electrocoagulation equipment
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Electrocoagulation d'une tumeur  de l'uretre pelvien par urtroscopie rtrograde"
PARAPHRASE "a"
SOURCE ""
CODE "U210"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pelvic ureter
		HAS_NUMBER 1
	BY_MEANS_OF electrocoagulation equipment
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Electrocoagulation d'un moignon urtral par urtroscopie rtrograde"
PARAPHRASE "a"
SOURCE ""
CODE "U211"
MAIN coagulating
	ACTS_ON stump
		IS_PART_OF ureter
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Ablation d'une tumeur  de l'uretre lombaire par voie transcutane"
PARAPHRASE "a"
SOURCE ""
CODE "U212"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION lumbar ureter
		HAS_NUMBER 1
	HAS_APPROACH transcutaneous approach

RUBRIC "Ablation d'une tumeur  de l'uretre lombaire par nphrostomie dja existante"
PARAPHRASE "a"
SOURCE ""
CODE "U213"
HISTORY "
Manual accept at 2:58:22 pm on September 14, 1998 by DrJeremy Rogers"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION lumbar ureter
		HAS_NUMBER 1
	BY_APPROACH_TECHNIQUE inserting
		ACTS_ON catheter
			HAS_DESTINATION stoma
				CONNECTS_1 kidney
				CONNECTS_2 skin

RUBRIC "Ablation d'une tumeur  de l'uretre lombaire par urtroscopie rtrograde"
PARAPHRASE "a"
SOURCE ""
CODE "U214"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION lumbar ureter
		HAS_NUMBER 1
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Ablation d'une tumeur  de l'uretre iliaque par urtroscopie rtrograde"
PARAPHRASE "a"
SOURCE ""
CODE "U215"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION iliac ureter
		HAS_NUMBER 1
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Abation d'une tumeur  de l'uretre pelvien par urtroscopie rtrograde"
PARAPHRASE "a"
SOURCE ""
CODE "U216"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION pelvic ureter
		HAS_NUMBER 1
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope

RUBRIC "Repermation urtrale par forage  endoluminal"
PARAPHRASE "a"
SOURCE ""
CODE "U217"
MAIN unblocking
	ACTS_ON ureter
	BY_TECHNIQUE drilling
		ACTS_ON ureter

RUBRIC "Dilatation de l'uretre par voie transcutane(quelle que soit la mthode de dilatation)"
PARAPHRASE "a"
SOURCE ""
CODE "U218"
MAIN dilatating
	ACTS_ON ureter
	HAS_APPROACH transcutaneous approach

RUBRIC "Dilatation  de l'uretre par nphrostomie  dj existante(quelle que soit la mthode de dilatation)"
PARAPHRASE "a"
SOURCE ""
CODE "U219"
HISTORY "
Manual accept at 2:58:26 pm on September 14, 1998 by DrJeremy Rogers"
MAIN dilatating
	ACTS_ON ureter
	BY_APPROACH_TECHNIQUE inserting
		ACTS_ON catheter
			HAS_DESTINATION stoma
				CONNECTS_1 kidney
				CONNECTS_2 skin

RUBRIC "Dilatation  de l'uretre, sans urtroscopie, par voie endoscopique rtrograde   (quelle que soit la mthode de dilatation)"
PARAPHRASE "a"
SOURCE ""
CODE "U220"
HISTORY "
Manual accept at 2:48:57 pm on September 14, 1998 by DrJeremy Rogers"
MAIN dilatating
	ACTS_ON ureter
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITHOUT_ACTION inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope

RUBRIC "Dilatation  de l'uretre, avec urtroscopie, par voie endoscopique rtrograde   (quelle que soit la mthode de dilatation)"
PARAPHRASE "a"
SOURCE ""
CODE "U221"
MAIN dilatating
	ACTS_ON ureter
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
WITH inspecting
	ACTS_ON ureter
	BY_MEANS_OF endoscope

RUBRIC "Suture de l'uretre par voie chirurgicale ouverte avec drainage urtral"
PARAPHRASE "a"
SOURCE ""
CODE "U222"
MAIN suturing
	ACTS_ON ureter
WITH draining
	ACTS_ON ureter

RUBRIC "Suture de l'uretre par coelioscopie ou rtropritonoscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U223"
MAIN suturing
	ACTS_ON ureter
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
OR_MAIN suturing
	ACTS_ON ureter
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Urtrolyse  par voie abdominale antrieure avec drainage urtral"
PARAPHRASE "a"
SOURCE ""
CODE "U224"
MAIN freeing
	ACTS_ON ureter
	HAS_APPROACH abdominal approach
	HAS_APPROACH anterior approach
WITH draining
	ACTS_ON ureter

RUBRIC "Urtrolyse sous coelio ou rtropritonoscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U225"
MAIN freeing
	ACTS_ON ureter
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
OR_MAIN freeing
	ACTS_ON ureter
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Urtrolyse avec intra-pritonisation par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U226"
MAIN freeing
	ACTS_ON ureter
	HAS_APPROACH open
WITH repositioning
	ACTS_ON ureter
		HAS_DESTINATION omentum

RUBRIC "Urtrolyse avec intra-pritonisation sous coelio ou rtropritonoscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U227"
MAIN freeing
	ACTS_ON ureter
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITH repositioning
	ACTS_ON ureter
		HAS_DESTINATION omentum
OR_MAIN freeing
	ACTS_ON ureter
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
WITH repositioning
	ACTS_ON ureter
		HAS_DESTINATION omentum

RUBRIC "Urtrectomie totale par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U228"
MAIN excising
	ACTS_ON ureter
	HAS_APPROACH open
	HAS_EXTENT total

RUBRIC "Urtrectomie totale par coelio ou rtropritonoscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U229"
MAIN excising
	ACTS_ON ureter
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_EXTENT total
	WITH_GUIDANCE_BY laparoscope
OR_MAIN excising
	ACTS_ON ureter
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	HAS_EXTENT total
	WITH_GUIDANCE_BY endoscope

RUBRIC "Urtrectomie lombo-iliaque segmentaire  avec rtablissement de la continuit urtrale"
PARAPHRASE "a"
SOURCE ""
CODE "U230"
MAIN excising
	ACTS_ON part
		IS_PART_OF lumbar ureter / iliac ureter
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 ureter

RUBRIC "Urtrectomie pelvienne segmentaire  avec rtablissement de la continuit urtrale"
PARAPHRASE "a"
SOURCE ""
CODE "U231"
MAIN excising
	ACTS_ON part
		IS_PART_OF pelvic ureter
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 ureter

RUBRIC "Urtrectomie pelvienne segmentaire  avec rimplantation urtro-vsicale simple"
PARAPHRASE "a"
SOURCE ""
CODE "U232"
MAIN excising
	ACTS_ON part
		IS_PART_OF pelvic ureter
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 urinary bladder

RUBRIC "Urtrectomie pelvienne segmentaire  avec rimplantation urtro-vsicale avec longation vsicale ou lambeau vsical tubul"
PARAPHRASE "a"
SOURCE ""
CODE "U233"
HISTORY "
Manual accept at 2:40:44 pm on September 14, 1998 by DrJeremy Rogers"
MAIN excising
	ACTS_ON part
		IS_PART_OF pelvic ureter
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 urinary bladder
WITH lengthening
	ACTS_ON urinary bladder
OR_MAIN excising
	ACTS_ON part
		IS_PART_OF pelvic ureter
WITH neoforming
	ACTS_ON ureter
	BY_TECHNIQUE creating
		ACTS_ON flap
			IS_PART_OF urinary bladder
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 urinary bladder

RUBRIC "Remplacement urtral partiel  par un segment digestif par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U234"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 ureter
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
	HAS_APPROACH open
	TO_ACHIEVE replacing
		ACTS_ON ureter
		HAS_EXTENT partial

RUBRIC "Remplacement urtral total par un segment digestif par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U235"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 renal pelvis
		CONNECTS_2 urinary bladder
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
	HAS_APPROACH open
	TO_ACHIEVE replacing
		ACTS_ON ureter
		HAS_EXTENT partial

RUBRIC "Shunt urtral rno-vsical prothtique sous-cutan et nphrostomie"
PARAPHRASE "shunting"
SOURCE "USE"
CODE "U236"
MAIN constructing
	ACTS_ON shunt
		CONNECTS_1 kidney
		CONNECTS_2 urinary bladder
	BY_MEANS_OF prosthetic implant
		HAS_LOCATION subcutaneous tissue
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 kidney
		CONNECTS_2 skin

RUBRIC "Shunt urtral rno-vsical prothtique sous-cutan sur nphrostomie dja existante"
PARAPHRASE "shunting"
SOURCE "USE"
CODE "U237"
HISTORY "
Manual accept at 2:52:55 pm on September 14, 1998 by DrJeremy Rogers"
MAIN constructing
	ACTS_ON shunt
		CONNECTS_1 kidney
		CONNECTS_2 urinary bladder
	BY_MEANS_OF prosthetic implant
		HAS_LOCATION subcutaneous tissue
WITHOUT_ACTION creating
	ACTS_ON anastomosis structure
		CONNECTS_1 kidney
		CONNECTS_2 skin

RUBRIC "Transformation d'une drivation externe de l'uretre en derivation interne :anastomose urtro-colique"
PARAPHRASE "transforming"
SOURCE "USE"
CODE "U238"
MAIN transforming
	ACTS_ON fistula
		CONNECTS_1 ureter
		CONNECTS_2 skin
	TO_ACHIEVE constructing
		ACTS_ON anastomosis structure
			CONNECTS_1 ureter
			CONNECTS_2 colon

RUBRIC "Confection d'un rservoir dtubul recto-sigmoidien ou ilo-recto-sigmoidien avec implantation urtrale dans ce rservoir"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:12:53 pm on September 23, 1998 by jon"
PARAPHRASE "creating"
SOURCE "USE"
CODE "U239"
MAIN creating
	ACTS_ON reservoir
		HAS_FEATURE spherical
	BY_MEANS_OF rectosigmoid
	TO_ACHIEVE urinary continence
WITH implanting
	ACTS_ON ureter
		HAS_DESTINATION reservoir
OR_MAIN creating
	ACTS_ON reservoir
		HAS_FEATURE spherical
	BY_MEANS_OF ileum
	BY_MEANS_OF rectosigmoid
	TO_ACHIEVE urinary continence
WITH implanting
	ACTS_ON ureter
		HAS_DESTINATION reservoir

RUBRIC "Transformation d'une drivation externe de l'uretre en derivation interne avec confection d'un rservoir dtubul recto-sigmoidien ou ilo-recto-sigmoidien "
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 11:28:42 am on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:13:18 pm on September 23, 1998 by jon
Manual accept at 2:13:32 pm on September 23, 1998 by jon"
PARAPHRASE "transforming"
SOURCE "USE"
CODE "U240"
MAIN transforming
	ACTS_ON fistula
		CONNECTS_1 ureter
		CONNECTS_2 skin
	TO_ACHIEVE constructing
		ACTS_ON anastomosis structure
			CONNECTS_1 ureter
			CONNECTS_2 rectosigmoid
WITH creating
	ACTS_ON reservoir
		HAS_FEATURE spherical
	BY_MEANS_OF rectosigmoid
OR_MAIN transforming
	ACTS_ON fistula
		CONNECTS_1 ureter
		CONNECTS_2 skin
	TO_ACHIEVE constructing
		ACTS_ON anastomosis structure
			CONNECTS_1 ureter
			CONNECTS_2 ileum
			CONNECTS_2 rectosigmoid
WITH creating
	ACTS_ON reservoir
		HAS_FEATURE spherical
	BY_MEANS_OF ileum
	BY_MEANS_OF rectosigmoid

RUBRIC "Transformation d'une drivation externe de l'uretre en derivation interne avec confection d'une novessie intestinale dtubule orthotopique"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:16:51 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "transforming"
SOURCE "USE"
CODE "U241"
MAIN transforming
	ACTS_ON fistula
		CONNECTS_1 ureter
		CONNECTS_2 skin
	TO_ACHIEVE constructing
		ACTS_ON anastomosis structure
			CONNECTS_1 ureter
			CONNECTS_2 digestive tract
WITH neoforming
	ACTS_ON reservoir
		HAS_FEATURE spherical
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
	TO_ACHIEVE replacing
		ACTS_ON urinary bladder

RUBRIC "Suppression d'une drivation externe de l'uretre et rimplantation urtro-vsicale avec ou sans plastie d'allongement vsical"
PARAPHRASE "unshunting"
SOURCE "USE"
CODE "U242"
HISTORY "
Manual accept at 4:38:08 pm on September 14, 1998 by DrJeremy Rogers"
MAIN destroying
	ACTS_ON shunt structure
		CONNECTS_1 ureter
		CONNECTS_2 skin
WITH reimplanting
	ACTS_ON ureter
		HAS_DESTINATION urinary bladder
WITH_OPTIONALLY plastic constructing
	ACTS_ON urinary bladder
	TO_ACHIEVE lengthening
		ACTS_ON urinary bladder

RUBRIC "Trans-urtro-urtrostomie par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U243"
HISTORY "
Manual accept at 2:13:55 pm on September 23, 1998 by jon
Manual accept at 2:16:28 pm on September 23, 1998 by jon"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 ureter
			CONNECTS_3 skin
	HAS_LATERALITY contralateral
	HAS_APPROACH open

RUBRIC "Section anastomose de l'uretre rtro-cave par voie chirurgicale ouverte"
PARAPHRASE "Section anastomose de l'uretre rtro-cave par voie chirurgicale ouverte"
SOURCE "USE"
CODE "U244"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 retrocaval ureter
		CONNECTS_2 retrocaval ureter
	BY_TECHNIQUE dividing
		ACTS_ON retrocaval ureter
	HAS_APPROACH open

RUBRIC "Anastomose urtro-urtrale homolatrale par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U245"
HISTORY "
Manual accept at 2:16:34 pm on September 23, 1998 by jon
Manual accept at 2:16:44 pm on September 23, 1998 by jon"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 ureter
	HAS_LATERALITY ipsilateral
	HAS_APPROACH open

RUBRIC "Anastomose urtro-urtrale non homolatrale par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U246"
HISTORY "
Manual accept at 2:16:48 pm on September 23, 1998 by jon"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 ureter
	HAS_LATERALITY contralateral
	HAS_APPROACH open

RUBRIC "Section incision endoscopique d'un mat urtral"
PARAPHRASE "a"
SOURCE ""
CODE "U247"
HISTORY "
Manual accept at 12:24:27 pm on September 14, 1998 by DrJeremy Rogers"
MAIN incising
	ACTS_ON urethral meatus
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	BY_TECHNIQUE dividing
	WITH_GUIDANCE_BY endoscope

RUBRIC "Section incision d'une urtrocle par voie endoscopique "
PARAPHRASE "a"
SOURCE ""
CODE "U248"
MAIN incising
	ACTS_ON ureterocel
		HAS_LOCATION ureter
	BY_TECHNIQUE inspecting
		ACTS_ON ureter
		BY_MEANS_OF endoscope
	BY_TECHNIQUE dividing
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse d'une urtrocle avec rimplantation du ou des uretres homolateraux"
PARAPHRASE "a"
SOURCE ""
CODE "U249"
HISTORY "
Manual accept at 2:17:02 pm on September 23, 1998 by jon"
MAIN excising
	ACTS_ON ureterocel
		HAS_LOCATION ureter
WITH reimplanting
	ACTS_ON ureter
		HAS_DESTINATION urinary bladder
	HAS_LATERALITY ipsilateral
	HAS_NUMBER 1 / 2

RUBRIC "Rsection longitudinale modelante d'un mga-uretre et anastomose urtro-vsicale avec un procd anti-reflux avec ou sans longation vsicale(vessie psoique)"
PARAPHRASE "resecting"
SOURCE "USE"
CODE "U250"
MAIN resecting
	ACTS_ON megaloureter
WITH fashioning
	ACTS_ON ureter
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 urinary bladder
WITH creating
	ACTS_ON device
	TO_ACHIEVE curing
		ACTS_ON vesico-ureteric reflux
WITH_OPTIONALLY plastic constructing
	ACTS_ON urinary bladder
	BY_TECHNIQUE lengthening
		ACTS_ON urinary bladder
		BY_TECHNIQUE creating
			ACTS_ON flap
				IS_PART_OF urinary bladder

RUBRIC "Rimplantation urtro-vsicale  simple par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U251"
MAIN reimplanting
	ACTS_ON ureter
		HAS_DESTINATION urinary bladder
	HAS_APPROACH open

RUBRIC "Cration d'un dispositif anti-reflux urtro-vsical par avancement urtral sous-muqueux par voie transvsicale"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "U252"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 urinary bladder
	BY_TECHNIQUE advancing
		ACTS_ON ureter
			HAS_DESTINATION tunica adventice
				IS_PART_OF urinary bladder
		HAS_ROUTE through urinary bladder
WITH creating
	ACTS_ON valve
		HAS_DESTINATION ureter

RUBRIC "Rimplantation urtro-vsicale  avec plastie d'allongement  vsical [vessie psoque] ou"
PARAPHRASE "a"
SOURCE ""
CODE "U253"
MAIN reimplanting
	ACTS_ON ureter
		HAS_DESTINATION urinary bladder
WITH plastic constructing
	ACTS_ON urinary bladder
	BY_TECHNIQUE lengthening
		ACTS_ON urinary bladder
		BY_TECHNIQUE creating
			ACTS_ON flap
				IS_PART_OF urinary bladder

RUBRIC "Injection sous-urtrale  par voie endoscopique rtrograde pour correction de reflux vsico-urtral"
PARAPHRASE "a"
SOURCE ""
CODE "U254"
MAIN injecting
	ACTS_ON substance
		HAS_DESTINATION tunica adventice
			IS_PART_OF ureter
	BY_TECHNIQUE inspecting
		ACTS_ON urinary tract
		BY_MEANS_OF endoscope
	HAS_APPROACH retrograde
	WITH_GUIDANCE_BY endoscope
TO_ACHIEVE_OVERALL curing
	ACTS_ON vesico-ureteric reflux

RUBRIC "Urtrostomie cutane  par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U255"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 ureter
		CONNECTS_2 skin
	HAS_APPROACH open

RUBRIC "Urtrostomie cutane  par coelioscopie ou rtropritonoscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U256"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 ureter
		CONNECTS_2 skin
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
OR_MAIN creating
	ACTS_ON stoma
		CONNECTS_1 ureter
		CONNECTS_2 skin
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Urtrostomie cutane transintestinale non dtubule par voie chirurgicale ouverte (bricker)"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "creating"
SOURCE "USE"
CODE "U257"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 ureter
		CONNECTS_2 skin
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
		HAS_FUNCTION management
			ACTS_ON urinary incontinence
	HAS_APPROACH open

RUBRIC "Urtrostomie cutane transintestinale non dtubule par coelioscopie ou rtropritonoscopie"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "creating"
SOURCE "USE"
CODE "U258"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 ureter
		CONNECTS_2 skin
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
		HAS_FUNCTION management
			ACTS_ON urinary incontinence
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
OR_MAIN creating
	ACTS_ON stoma
		CONNECTS_1 ureter
		CONNECTS_2 skin
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
		HAS_FUNCTION management
			ACTS_ON urinary incontinence
	BY_TECHNIQUE inspecting
		ACTS_ON retroperitoneal space
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Urtrostomie cutane transintestinale avec cration d'un rservoir continent"
PARAPHRASE "creating"
SOURCE "USE"
CODE "U259"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 ureter
		CONNECTS_2 skin
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
TO_ACHIEVE_OVERALL creating
	ACTS_ON reservoir
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
	TO_ACHIEVE urinary continence

RUBRIC "Implantation urtrale  dans le colon ou le rectum par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U260"
MAIN implanting
	ACTS_ON ureter
		HAS_DESTINATION colon / rectum
	HAS_APPROACH open

RUBRIC "Fermeture d'une fistule urtro-cutane"
PARAPHRASE "a"
SOURCE ""
CODE "U261"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 ureter
		CONNECTS_2 skin

RUBRIC "Fermeture d'une fistule urtro-digestive"
PARAPHRASE "a"
SOURCE ""
CODE "U262"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 ureter
		CONNECTS_2 digestive tract

RUBRIC "Fermeture d'une fistule urtro-utrine"
PARAPHRASE "a"
SOURCE ""
CODE "U263"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 ureter
		CONNECTS_2 uterus

RUBRIC "Fermeture d'une fistule urtro-vaginale"
PARAPHRASE "a"
SOURCE ""
CODE "U264"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 ureter
		CONNECTS_2 vagina

RUBRIC "Fermeture d'une fistule urtro-vsicale"
PARAPHRASE "a"
SOURCE ""
CODE "U265"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 ureter
		CONNECTS_2 urinary bladder

RUBRIC "Mise en place d'une sonde urthro-vsicale"
PARAPHRASE "a"
SOURCE ""
CODE "U266"
HISTORY "
Manual accept at 2:17:23 pm on September 23, 1998 by jon"
MAIN installing
	ACTS_ON catheter
		HAS_DESTINATION urethra
		HAS_DESTINATION urinary bladder

RUBRIC "Changement d'une sonde urthro-vsicale"
PARAPHRASE "a"
SOURCE ""
CODE "U267"
HISTORY "
Manual accept at 2:17:33 pm on September 23, 1998 by jon"
MAIN replacing
	ACTS_ON catheter
		HAS_DESTINATION urethra
		HAS_DESTINATION urinary bladder

RUBRIC "Ablation d'une sonde urthro-vsicale"
PARAPHRASE "a"
SOURCE ""
CODE "U268"
HISTORY "
Manual accept at 2:17:43 pm on September 23, 1998 by jon"
MAIN removing
	ACTS_ON catheter
		HAS_DESTINATION urethra
		HAS_DESTINATION urinary bladder

RUBRIC "Cathterisme vacuateur transurtral"
PARAPHRASE "Cathterisme vacuateur transurtral"
SOURCE "USE"
CODE "U269"
HISTORY "
Manual accept at 2:58:55 pm on September 14, 1998 by DrJeremy Rogers"
MAIN inserting
	ACTS_ON catheter
		HAS_DESTINATION urinary bladder
	HAS_APPROACH transurethral route
	TO_ACHIEVE draining
		ACTS_ON urinary bladder

RUBRIC "Cathterisme transurtral et instillation vsicale"
PARAPHRASE "Cathterisme transurtral et instillation vsicale"
SOURCE "USE"
CODE "U270"
HISTORY "
Manual accept at 2:59:09 pm on September 14, 1998 by DrJeremy Rogers"
MAIN inserting
	ACTS_ON catheter
		HAS_DESTINATION urinary bladder
	HAS_APPROACH transurethral route
WITH instilling
	ACTS_ON substance
		HAS_DESTINATION urinary bladder

RUBRIC "Mise en place d'un cathter sus-pubien"
PARAPHRASE "a"
SOURCE ""
CODE "U271"
MAIN installing
	ACTS_ON catheter
		HAS_DESTINATION urinary bladder
	HAS_APPROACH supra pubic approach

RUBRIC "Cystostomie chirurgicale"
PARAPHRASE "a"
SOURCE ""
CODE "U272"
MAIN creating
	ACTS_ON stoma
		CONNECTS_1 urinary bladder
		CONNECTS_2 skin
	HAS_APPROACH open

RUBRIC "Changement de sonde de cystostomie"
PARAPHRASE "a"
SOURCE ""
CODE "U273"
MAIN replacing
	ACTS_ON catheter
		HAS_LOCATION stoma
			CONNECTS_1 urinary bladder
			CONNECTS_2 skin

RUBRIC "Dcaillotage de vessie par sonde urthro-vsicale"
PARAPHRASE "removing"
SOURCE "USE"
CODE "U274"
HISTORY "
Manual accept at 2:17:53 pm on September 23, 1998 by jon
Manual accept at 2:18:55 pm on September 23, 1998 by jon"
MAIN removing
	ACTS_ON thrombus
		HAS_LOCATION urinary bladder
	BY_MEANS_OF catheter
		HAS_DESTINATION urethra
		HAS_DESTINATION urinary bladder

RUBRIC "Dcaillotage de vessie par endoscope avec ou sans lectrocoagulation"
PARAPHRASE "removing"
SOURCE "USE"
CODE "U275"
MAIN removing
	ACTS_ON thrombus
		HAS_LOCATION urinary bladder
	BY_MEANS_OF endoscope
		HAS_DESTINATION urethra & urinary bladder
WITH_OPTIONALLY coagulating
	ACTS_ON urinary bladder
	BY_MEANS_OF electrocoagulation equipment

RUBRIC "Distension vsicale hydrostatique"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "distending"
SOURCE "USE"
CODE "U276"
MAIN distending
	ACTS_ON urinary bladder
	BY_MEANS_OF hydraulic prosthesis

RUBRIC "Lithotritie vsicale  endoscopique"
PARAPHRASE "a"
SOURCE ""
CODE "U277"
MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION urinary bladder
	BY_MEANS_OF lithotriptor
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rsection isole  du col vsical par voie endoscopique"
PARAPHRASE "a"
SOURCE ""
CODE "U278"
MAIN resecting
	ACTS_ON neck of urinary bladder
	BY_TECHNIQUE inspecting
		ACTS_ON urinary tract
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rsection ou section  du col vsical  par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U279"
MAIN resecting
	ACTS_ON neck of urinary bladder
	HAS_APPROACH open
OR_MAIN dividing
	ACTS_ON neck of urinary bladder
	HAS_APPROACH open

RUBRIC "Section-incision cervicale ou cervico-prostatique par voie endoscopique"
PARAPHRASE "a"
SOURCE ""
CODE "U280"
HISTORY "
Manual accept at 11:46:39 am on September 14, 1998 by DrJeremy Rogers"
MAIN incising
	ACTS_ON neck of urinary bladder
	BY_TECHNIQUE inspecting
		ACTS_ON urinary tract
		BY_MEANS_OF endoscope
	BY_TECHNIQUE dividing
		ACTS_ON neck of urinary bladder
	WITH_GUIDANCE_BY endoscope
OR_MAIN incising
	ACTS_ON neck of urinary bladder & prostate
	BY_TECHNIQUE inspecting
		ACTS_ON urinary tract
		BY_MEANS_OF endoscope
	BY_TECHNIQUE dividing
		ACTS_ON neck of urinary bladder & prostate
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rsection endoscopique de tumeur(s) de vessie:1  3 localisations"
PARAPHRASE "a"
SOURCE ""
CODE "U281"
HISTORY "
Manual accept at 2:59:18 pm on September 14, 1998 by DrJeremy Rogers"
MAIN resecting
	ACTS_ON tumour
		HAS_LOCATION urinary bladder
		HAS_NUMBER less than four
	BY_TECHNIQUE inspecting
		ACTS_ON urinary tract
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rsection endoscopique de tumeur(s) de vessie:plus de 3 localisations"
PARAPHRASE "a"
SOURCE ""
CODE "U282"
HISTORY "
Manual accept at 2:59:22 pm on September 14, 1998 by DrJeremy Rogers"
MAIN resecting
	ACTS_ON tumour
		HAS_LOCATION urinary bladder
		HAS_NUMBER more than three
	BY_TECHNIQUE inspecting
		ACTS_ON urinary tract
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse d'un ou plusieurs diverticules de vessie par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U283"
MAIN excising
	ACTS_ON diverticulum
		HAS_LOCATION urinary bladder
		HAS_NUMBER 1 / several
	HAS_APPROACH open

RUBRIC "Exrse d'un diverticule de vessie par voie laparoscopique"
PARAPHRASE "a"
SOURCE ""
CODE "U284"
MAIN excising
	ACTS_ON diverticulum
		HAS_NUMBER 1
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Traitement ? Exrse? endoscopique de un ou plusieurs diverticules de vessie"
PARAPHRASE "a"
SOURCE ""
CODE "U285"
MAIN excising
	ACTS_ON diverticulum
		HAS_LOCATION urinary bladder
		HAS_NUMBER 1 / several
	BY_TECHNIQUE inspecting
		ACTS_ON urinary tract
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Implantation vsicale de matriel pour radiothrapie interstitielle par voie chirurgicale ouverte"
PARAPHRASE "implanting"
SOURCE "USE"
CODE "U286"
MAIN implanting
	ACTS_ON device
		HAS_DESTINATION urinary bladder
	HAS_APPROACH open
	TO_ACHIEVE radiotherapy
		ACTS_ON interstitium

RUBRIC "Implantation d'un ballon rtropritonal  pour une irradiation interstitielle de la vessie par voie chirurgicale ouverte"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:16:57 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "implanting"
SOURCE "USE"
CODE "U287"
MAIN implanting
	ACTS_ON device
		HAS_DESTINATION retroperitoneal space
		HAS_FEATURE spherical
	HAS_APPROACH open
	TO_ACHIEVE radiotherapy
		ACTS_ON interstitium
			HAS_LOCATION urinary bladder

RUBRIC "Suture de vessie par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U288"
MAIN suturing
	ACTS_ON urinary bladder
	HAS_APPROACH open

RUBRIC "Cystectomie partielle sans agrandissement par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U289"
MAIN excising
	ACTS_ON urinary bladder
	HAS_APPROACH open
	HAS_EXTENT partial
WITH_OPTIONALLY plastic constructing
	ACTS_ON urinary bladder
	BY_TECHNIQUE enlarging
		ACTS_ON urinary bladder

RUBRIC "Cystectomie partielle et anastomose  urtro-vsicale"
PARAPHRASE "a"
SOURCE ""
CODE "U290"
MAIN excising
	ACTS_ON urinary bladder
	HAS_EXTENT partial
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 urinary bladder

RUBRIC "Cystectomie partielle et mise en place de matriel pour radiothrapie interstitielle"
PARAPHRASE "a"
SOURCE ""
CODE "U291"
MAIN excising
	ACTS_ON urinary bladder
	HAS_EXTENT partial
WITH installing
	ACTS_ON device
		HAS_DESTINATION urinary bladder
	TO_ACHIEVE radiotherapy
		ACTS_ON interstitium
			HAS_LOCATION urinary bladder

RUBRIC "Cystectomie totale"
PARAPHRASE "a"
SOURCE ""
CODE "U292"
MAIN excising
	ACTS_ON urinary bladder
	HAS_EXTENT total

RUBRIC "Cystectomie totale avec anastomose urtro-colique"
PARAPHRASE "a"
SOURCE ""
CODE "U293"
MAIN excising
	ACTS_ON urinary bladder
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 colon

RUBRIC "Cystectomie totale avec urtrostomie cutane"
PARAPHRASE "a"
SOURCE ""
CODE "U294"
MAIN excising
	ACTS_ON urinary bladder
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 skin

RUBRIC "Cystectomie totale avec urtrostomie cutane transintestinale non dtubule"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "U295"
MAIN excising
	ACTS_ON urinary bladder
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 skin
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
		HAS_FUNCTION management
			ACTS_ON urinary incontinence

RUBRIC "Cystectomie totale avec urtrostomie cutane transintestinale dtubule continente"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:16:35 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U296"
MAIN excising
	ACTS_ON urinary bladder
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 skin
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
		HAS_FEATURE spherical
	TO_ACHIEVE urinary continence

RUBRIC "Cystectomie totale avec novessie intestinale dtubule"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:16:46 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U297"
MAIN excising
	ACTS_ON urinary bladder
	HAS_EXTENT total
WITH neoforming
	ACTS_ON reservoir
		HAS_FEATURE spherical
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
	TO_ACHIEVE replacing
		ACTS_ON urinary bladder

RUBRIC "Vsiculo-prostato-cystectomie totale"
PARAPHRASE "a"
SOURCE ""
CODE "U298"
MAIN excising
	ACTS_ON seminal vesicle & urinary bladder & prostate
	HAS_EXTENT total

RUBRIC "Vsiculo-prostato-cystectomie totale avec urtrostomie cutane"
PARAPHRASE "a"
SOURCE ""
CODE "U299"
MAIN excising
	ACTS_ON seminal vesicle & urinary bladder & prostate
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 skin

RUBRIC "Vsiculo-prostato-cystectomie totale avec implantation urtro-colique"
PARAPHRASE "a"
SOURCE ""
CODE "U300"
MAIN excising
	ACTS_ON seminal vesicle & urinary bladder & prostate
	HAS_EXTENT total
WITH implanting
	ACTS_ON ureter
		HAS_DESTINATION colon

RUBRIC "Vsiculo-prostato-cystectomie totale avec urtrostomie cutane transintestinale non dtubule"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "U301"
MAIN excising
	ACTS_ON seminal vesicle & urinary bladder & prostate
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 skin
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
		HAS_FUNCTION management
			ACTS_ON urinary incontinence

RUBRIC "Vsiculo-prostato-cystectomie totale avec urtrostomie cutane transintestinale dtubule continente"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:16:30 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U302"
MAIN excising
	ACTS_ON seminal vesicle & urinary bladder & prostate
	HAS_EXTENT total
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 skin
		HAS_FEATURE spherical
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
	TO_ACHIEVE urinary continence

RUBRIC "Vsiculo-prostato-cystectomie totale avec novessie intestinale dtubule continente interne"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:16:38 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:19:42 pm on September 23, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "U303"
MAIN excising
	ACTS_ON seminal vesicle & urinary bladder & prostate
	HAS_EXTENT total
WITH neoforming
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 skin
		HAS_FEATURE spherical
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
	TO_ACHIEVE urinary continence
		ACTS_ON urinary bladder
TO_ACHIEVE_OVERALL replacing

RUBRIC "Pelvectomie antrieure"
PARAPHRASE "a"
SOURCE ""
CODE "U304"
MAIN excising
	ACTS_ON anterior portion
		IS_PART_OF pelvic cavity

RUBRIC "Pelvectomie antrieure avec urtrostomie cutane"
PARAPHRASE "a"
SOURCE ""
CODE "U305"
MAIN excising
	ACTS_ON anterior portion
		IS_PART_OF pelvic cavity
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 skin

RUBRIC "Pelvectomie antrieure avec implantation urtro-colique"
PARAPHRASE "a"
SOURCE ""
CODE "U306"
MAIN excising
	ACTS_ON anterior portion
		IS_PART_OF pelvic cavity
WITH implanting
	ACTS_ON ureter
		HAS_DESTINATION colon

RUBRIC "Pelvectomie antrieure avec urtrostomie cutane transintestinale non dtubule"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "U307"
MAIN excising
	ACTS_ON anterior portion
		IS_PART_OF pelvic cavity
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 skin
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
		HAS_FUNCTION management
			ACTS_ON urinary incontinence

RUBRIC "Pelvectomie antrieure avec urtrostomie cutane transintestinale dtubule continente"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:16:24 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U308"
MAIN excising
	ACTS_ON anterior portion
		IS_PART_OF pelvic cavity
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 skin
		HAS_FEATURE spherical
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
	TO_ACHIEVE urinary continence

RUBRIC "Pelvectomie antrieure avec novessie intestinale dtubule"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:16:49 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:20:01 pm on September 23, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "U309"
MAIN excising
	ACTS_ON anterior portion
		IS_PART_OF pelvic cavity
WITH neoforming
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 skin
		HAS_FEATURE spherical
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
	TO_ACHIEVE urinary continence
TO_ACHIEVE_OVERALL replacing
	ACTS_ON urinary bladder

RUBRIC "Fermeture d'une fistule vsico-cutane   voie d'abord ?"
PARAPHRASE "a"
SOURCE ""
CODE "U310"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 urinary bladder
		CONNECTS_2 skin

RUBRIC "Fermeture d'une fistule vsico-rectale   voie d'abord ?"
PARAPHRASE "a"
SOURCE ""
CODE "U311"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 urinary bladder
		CONNECTS_2 rectum

RUBRIC "Fermeture d'une fistule vsico-sigmoido-vaginale   voie d'abord ?"
PARAPHRASE "a"
SOURCE ""
CODE "U312"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 urinary bladder
		CONNECTS_2 sigmoid colon
		CONNECTS_3 vagina

RUBRIC "Fermeture d'une fistule vsico-urtro-vaginale   voie d'abord ?"
PARAPHRASE "a"
SOURCE ""
CODE "U313"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 urinary bladder
		CONNECTS_2 ureter
		CONNECTS_3 vagina

RUBRIC "Fermeture d'une fistule vsico-vaginale par voie vaginale"
PARAPHRASE "a"
SOURCE ""
CODE "U314"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 urinary bladder
		CONNECTS_2 vagina
	HAS_APPROACH transvaginal route

RUBRIC "Fermeture d'une fistule vsico-vaginale par voie abdominale"
PARAPHRASE "a"
SOURCE ""
CODE "U315"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 urinary bladder
		CONNECTS_2 vagina
	HAS_APPROACH abdominal approach

RUBRIC "Fermeture d'une fistule vsico-vaginale par voie abdominale avec piploplastie"
PARAPHRASE "a"
SOURCE ""
CODE "U316"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 urinary bladder
		CONNECTS_2 vagina
	HAS_APPROACH abdominal approach
WITH plastic constructing
	ACTS_ON omentum

RUBRIC "Fermeture d'une fistule recto-vsico-vaginale "
PARAPHRASE "a"
SOURCE ""
CODE "U317"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 rectum
		CONNECTS_2 urinary bladder
		CONNECTS_3 vagina

RUBRIC "Fermeture d'une fistule urtro-vsicale "
PARAPHRASE "a"
SOURCE ""
CODE "U318"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 ureter
		CONNECTS_2 urinary bladder

RUBRIC "Fermeture d'une fistule colo-vsicale par voie abdominale chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U319"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 colon
		CONNECTS_2 urinary bladder
	HAS_APPROACH abdominal approach
	HAS_APPROACH open

RUBRIC "Fermeture d'une fistule vsico-utrine sans hystrectomie par laparotomie"
PARAPHRASE "a"
SOURCE ""
CODE "U320"
HISTORY "
Manual accept at 2:49:07 pm on September 14, 1998 by DrJeremy Rogers"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 urinary bladder
		CONNECTS_2 uterus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITHOUT_ACTION excising
	ACTS_ON uterus

RUBRIC "Fermeture d'une fistule vsico-utrine avec hystrectomie totale par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U321"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 urinary bladder
		CONNECTS_2 uterus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON uterus
	HAS_EXTENT total

RUBRIC "Fermeture d'une fistule vsico-utrine avec hystrectomie subotale par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U322"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 urinary bladder
		CONNECTS_2 uterus
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
WITH excising
	ACTS_ON uterus
	HAS_EXTENT subtotal

RUBRIC "Cervicocystopexie rtropubienne par voie chirurgicale ouverte"
PARAPHRASE "fixing"
SOURCE "USE"
CODE "U323"
MAIN fixing
	ACTS_ON neck of urinary bladder
		HAS_DESTINATION back to pubis
	HAS_APPROACH open

RUBRIC "Cervicocystopexie indirecte au ligament de Cooper avec ou sans bandelette par laparotomie( burch,marshall-marchetti,scali)"
PARAPHRASE "fixing"
SOURCE "USE"
CODE "U324"
MAIN fixing
	ACTS_ON neck of urinary bladder
		HAS_DESTINATION pectineal ligament
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall

RUBRIC "Cervicocystopexie rtro-pubienne par voie vaginale"
PARAPHRASE "fixing"
SOURCE "USE"
CODE "U325"
MAIN fixing
	ACTS_ON neck of urinary bladder
		HAS_DESTINATION back to pubis
	HAS_APPROACH transvaginal route

RUBRIC "Cervicocystopexie indirecte par voie mixte avec contrle endoscopique(raz,pereira,stamey)"
PARAPHRASE "fixing"
SOURCE "USE"
CODE "U326"
MAIN fixing
	ACTS_ON neck of urinary bladder
		HAS_DESTINATION pectineal ligament
	BY_TECHNIQUE inspecting
		ACTS_ON urinary tract
		BY_MEANS_OF endoscope
	HAS_APPROACH abdominal approach
	HAS_APPROACH transvaginal route
	WITH_GUIDANCE_BY endoscope

RUBRIC "Cervicocystopexie rtro-pubienne par coelioscopie ou retziuscopie"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "fixing"
SOURCE "USE"
CODE "U327"
MAIN fixing
	ACTS_ON neck of urinary bladder
		HAS_DESTINATION back to pubis
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity / retropubic space
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Cervicocystopexie indirecte au ligament de Cooper avec ou sans bandelette par coelioscopie( burch,marshall-marchetti,scali)"
PARAPHRASE "fixing"
SOURCE "USE"
CODE "U328"
MAIN fixing
	ACTS_ON neck of urinary bladder
		HAS_DESTINATION pectineal ligament
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Cervicocystosuspension par bandelette prothtique sous urtrale, par voie haute chirurgicale ouverte"
PARAPHRASE "hanging"
SOURCE "USE"
CODE "U329"
MAIN hanging
	ACTS_ON neck of urinary bladder
	BY_MEANS_OF urethra fasciculus
		IS_MADE_OF synthetic material
	HAS_APPROACH abdominal approach

RUBRIC "Cervicocystopexie directe par bandelette prothtique sous-urthrale par laparotomie"
PARAPHRASE "fixing"
SOURCE "USE"
CODE "U330"
MAIN fixing
	ACTS_ON neck of urinary bladder
		HAS_DESTINATION back to pubis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_MEANS_OF urethra fasciculus
		IS_MADE_OF synthetic material

RUBRIC "Cervicocystosuspension par bandelette aponvrotique sous urtrale, par voie haute chirurgicale ouverte"
PARAPHRASE "hanging"
SOURCE "USE"
CODE "U331"
HISTORY "
Manual accept at 2:08:21 pm on September 23, 1998 by jon"
MAIN hanging
	ACTS_ON neck of urinary bladder
	BY_MEANS_OF urethra fasciculus
	HAS_APPROACH abdominal approach

RUBRIC "Cervicocystopexie directe par bandelette aponvrotique sous-urthrale par laparotomie(fronde de cukier)"
PARAPHRASE "fixing"
SOURCE "USE"
CODE "U332"
HISTORY "
Manual accept at 2:08:29 pm on September 23, 1998 by jon"
MAIN fixing
	ACTS_ON neck of urinary bladder
		HAS_DESTINATION back to pubis
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_MEANS_OF urethra fasciculus

RUBRIC "Cervicocystosuspension par bandelette sous-urtrale, par voie vaginale"
PARAPHRASE "hanging"
SOURCE "USE"
CODE "U333"
MAIN hanging
	ACTS_ON neck of urinary bladder
	BY_MEANS_OF urethra fasciculus
	HAS_APPROACH transvaginal route

RUBRIC "Cervicocystopexie par bandelette sous-urthrale, vaginale ou synthtique par voie basse"
PARAPHRASE "fixing"
SOURCE "USE"
CODE "U334"
HISTORY "
Manual accept at 2:29:23 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 10:18:27 am on September 23, 1998 by jon
Manual accept at 10:23:39 am on September 23, 1998 by jon
Manual accept at 12:27:23 pm on September 23, 1998 by jon"
MAIN fixing
	ACTS_ON neck of urinary bladder
		HAS_DESTINATION pectineal ligament
	BY_MEANS_OF band
		IS_MADE_OF synthetic material
	HAS_APPROACH transvaginal route
OR_MAIN fixing
	ACTS_ON neck of urinary bladder
		HAS_DESTINATION pectineal ligament
	BY_MEANS_OF band
	HAS_APPROACH transvaginal route

RUBRIC "Cervicocystosuspension par bandelette sous urtrale, par voie mixte"
PARAPHRASE "hanging"
SOURCE "USE"
CODE "U335"
MAIN hanging
	ACTS_ON neck of urinary bladder
	BY_MEANS_OF urethra fasciculus
	HAS_APPROACH abdominal approach
	HAS_APPROACH transvaginal route

RUBRIC "Cervicocystopexie directe par bandelette sous-urthrale par voie mixte(gobel-stoeckel)"
PARAPHRASE "fixing"
SOURCE "USE"
CODE "U336"
MAIN fixing
	ACTS_ON neck of urinary bladder
		HAS_DESTINATION back to pubis
	BY_MEANS_OF urethra fasciculus
	HAS_APPROACH abdominal approach
	HAS_APPROACH transvaginal route

RUBRIC "Cervicocystopexie indirecte par bandelette vaginale pdicule par voie mixte( bologna)"
PARAPHRASE "fixing"
SOURCE "USE"
CODE "U337"
HISTORY "
Manual accept at 10:26:11 am on September 23, 1998 by jon"
MAIN fixing
	ACTS_ON neck of urinary bladder
		HAS_DESTINATION pectineal ligament
	BY_MEANS_OF band
	HAS_APPROACH transvaginal route
	HAS_APPROACH abdominal approach

RUBRIC "Injection pri-urthrocervicale de matriel htrologue chez la femme"
PARAPHRASE "a"
SOURCE ""
CODE "U338"
MAIN injecting
	ACTS_ON material
		HAS_DESTINATION peri urethra space / peri neck of urinary bladder space
HAS_PATIENT woman

RUBRIC "Soutnement sous-urthral par voie vaginale"
PARAPHRASE "a"
SOURCE ""
CODE "U339"
MAIN hanging
	ACTS_ON urethra
	BY_MEANS_OF urethra fasciculus
	HAS_APPROACH transvaginal route

RUBRIC "Plicature sous urthrale [MARION]"
PARAPHRASE "a"
SOURCE ""
CODE "U340"
MAIN fixing
	ACTS_ON urethra
	BY_TECHNIQUE plicating
		ACTS_ON urethra fasciculus

RUBRIC "Soutnement sous-urthral par myoplastie [INGELMAN, SUNBERG]"
PARAPHRASE "a"
SOURCE ""
CODE "U341"
MAIN hanging
	ACTS_ON urethra
	BY_TECHNIQUE plastic constructing
		ACTS_ON muscle

RUBRIC "Promonto-fixation de l'utrus ou du vagin avec Douglassectomie et cervicocystopexie rtropubienne"
PARAPHRASE "fixing"
SOURCE "USE"
CODE "U342"
HISTORY "
Manual accept at 2:20:30 pm on September 23, 1998 by jon"
MAIN fixing
	ACTS_ON uterus / vagina
	ACTS_ON_1 promontorium
WITH excising
	ACTS_ON excavation recto uterina
WITH fixing
	ACTS_ON neck of urinary bladder
	ACTS_ON_1 back to pubis

RUBRIC "Reconstitution du col vsical chez l'homme, par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U343"
MAIN plastic repairing
	ACTS_ON neck of urinary bladder
	HAS_APPROACH open
HAS_PATIENT man

RUBRIC "Mise en place d'une prothse sphinctrienne pricervicale chez la femme, par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U344"
HISTORY "
Transformation - expanding descriptor: sphincter prosthesis - applied at 12:14:50 pm on September 14, 1998
Manual accept at 12:18:51 pm on September 14, 1998 by DrJeremy Rogers"
MAIN installing
	ACTS_ON prosthesis
		HAS_DESTINATION peri neck of urinary bladder space
		REPLACES urinary sphincter
	HAS_APPROACH open
HAS_PATIENT woman

RUBRIC "Mise en place d'une prothse sphinctrienne pricervicale avec abord rtro-vsical chez l'homme par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U345"
HISTORY "
Transformation - expanding descriptor: sphincter prosthesis - applied at 12:14:50 pm on September 14, 1998
Manual accept at 12:19:01 pm on September 14, 1998 by DrJeremy Rogers"
MAIN installing
	ACTS_ON prosthesis
		HAS_DESTINATION peri neck of urinary bladder space
		REPLACES urinary sphincter
	HAS_APPROACH open
	HAS_ROUTE posterior approach
HAS_PATIENT man

RUBRIC "Mise en place d'une prothse sphinctrienne priprostatique par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U346"
HISTORY "
Transformation - expanding descriptor: sphincter prosthesis - applied at 12:14:50 pm on September 14, 1998
Manual accept at 12:18:56 pm on September 14, 1998 by DrJeremy Rogers"
MAIN installing
	ACTS_ON prosthesis
		HAS_DESTINATION peri prostate space
		REPLACES urinary sphincter
	HAS_APPROACH open

RUBRIC "Remplacement de manchette de prothse sphinctrienne pricervicale, par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U347"
HISTORY "
Transformation - expanding descriptor: sphincter prosthesis - applied at 12:14:50 pm on September 14, 1998
Manual accept at 12:19:21 pm on September 14, 1998 by DrJeremy Rogers"
MAIN replacing
	ACTS_ON component
		IS_PART_OF prosthesis
			HAS_LOCATION peri neck of urinary bladder space
			REPLACES urinary sphincter

RUBRIC "Remplacement de la manchette, ou des autres composants d'une prothse sphinctrienne priurtrale, ou repressurisation, par voie chirurgicale ouverte"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Transformation - expanding descriptor: sphincter prosthesis - applied at 12:14:50 pm on September 14, 1998
Manual accept at 12:19:17 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 12:19:34 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U348"
MAIN replacing
	ACTS_ON component
		IS_PART_OF prosthesis
			HAS_LOCATION peri urethra space
			REPLACES urinary sphincter
	HAS_APPROACH open
	HAS_NUMBER 1 / several
OR_MAIN control
	ACTS_ON pressure
		IS_FEATURE_OF prosthesis
			REPLACES urinary sphincter

RUBRIC "Ablation  d'une prothse sphinctrienne pricervicale"
PARAPHRASE "a"
SOURCE ""
CODE "U349"
HISTORY "
Transformation - expanding descriptor: sphincter prosthesis - applied at 12:14:50 pm on September 14, 1998
Manual accept at 12:19:06 pm on September 14, 1998 by DrJeremy Rogers"
MAIN removing
	ACTS_ON prosthesis
		HAS_LOCATION peri neck of urinary bladder space
		REPLACES urinary sphincter

RUBRIC "Entrocystoplastie dtubule d'agrandissement avec taille vsicale bivalve(patch)"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:16:44 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:20:49 pm on September 23, 1998 by jon"
PARAPHRASE "fashioning"
SOURCE "USE"
CODE "U350"
MAIN fashioning
	ACTS_ON urinary bladder
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
		HAS_FEATURE spherical
	BY_TECHNIQUE creating
		ACTS_ON part
			HAS_NUMBER 2
			IS_PART_OF urinary bladder
	TO_ACHIEVE enlarging
		ACTS_ON urinary bladder
TO_ACHIEVE_OVERALL urinary continence

RUBRIC "Entrocystoplastie dtubule d'agrandissement avec cystectomie sus-trigonale sans rimplantation urtro-vsicale"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:16:54 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:00:45 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:38:42 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:21:08 pm on September 23, 1998 by jon"
PARAPHRASE "fashioning"
SOURCE "USE"
CODE "U351"
MAIN fashioning
	ACTS_ON urinary bladder
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
		HAS_FEATURE spherical
	TO_ACHIEVE enlarging
		ACTS_ON urinary bladder
TO_ACHIEVE_OVERALL urinary continence
WITH excising
	ACTS_ON part
		IS_PART_OF urinary bladder
		HAS_POSITION upper
WITHOUT_ACTION reimplanting
	ACTS_ON ureter
		HAS_DESTINATION urinary bladder

RUBRIC "Entrocystoplastie dtubule d'agrandissement avec cystectomie sus-trigonale avec rimplantation urtro-vsicale"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:16:32 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:00:35 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:21:25 pm on September 23, 1998 by jon"
PARAPHRASE "fashioning"
SOURCE "USE"
CODE "U352"
MAIN fashioning
	ACTS_ON urinary bladder
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
		HAS_FEATURE spherical
	TO_ACHIEVE enlarging
		ACTS_ON urinary bladder
TO_ACHIEVE_OVERALL urinary continence
WITH excising
	ACTS_ON part
		IS_PART_OF urinary bladder
		HAS_POSITION upper
WITH reimplanting
	ACTS_ON ureter
		HAS_DESTINATION urinary bladder

RUBRIC "Confection d'une no-vessie intestinale dtubule continente anastomose  l'urthre"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:16:27 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U353"
MAIN neoforming
	ACTS_ON reservoir
		HAS_FEATURE spherical
	BY_MEANS_OF segmenta intestinum tenue mesenteriale
	TO_ACHIEVE urinary continence
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 urethra
		CONNECTS_2 reservoir

RUBRIC "Ablation de plaque vsicale d'une exstrophie vsicale avec drivation urinaire, sans ostotomie"
PARAPHRASE "a"
SOURCE ""
CODE "U354"
HISTORY "
Manual accept at 2:50:42 pm on September 14, 1998 by DrJeremy Rogers"
MAIN removing
	ACTS_ON plate
		HAS_LOCATION urinary bladder
MOTIVATED_OVERALL_BY curing
	ACTS_ON ectopia vesicae
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 urinary bladder
		CONNECTS_2 skin
WITHOUT_ACTION incising
	ACTS_ON bone
		IS_PART_OF os pubis

RUBRIC "Ablation de plaque vsicale d'une exstrophie vsicale avec drivation urinaire, avec ostotomie"
PARAPHRASE "a"
SOURCE ""
CODE "U355"
MAIN removing
	ACTS_ON plate
		HAS_LOCATION urinary bladder
MOTIVATED_OVERALL_BY curing
	ACTS_ON ectopia vesicae
WITH creating
	ACTS_ON anastomosis structure
		CONNECTS_1 urinary bladder
		CONNECTS_2 skin
WITH incising
	ACTS_ON bone
		IS_PART_OF os pubis

RUBRIC "Fermeture d'exstrophie vsicale avec allongement de verge sans ostotomie"
PARAPHRASE "a"
SOURCE ""
CODE "U356"
HISTORY "
Manual accept at 2:48:52 pm on September 14, 1998 by DrJeremy Rogers"
MAIN closing
	ACTS_ON abdominal wall & urinary bladder
MOTIVATED_OVERALL_BY curing
	ACTS_ON ectopia vesicae
WITH lengthening
	ACTS_ON penis
WITHOUT_ACTION incising
	ACTS_ON bone
		IS_PART_OF os pubis

RUBRIC "Fermeture d'exstrophie vsicale avec allongement de verge avec ostotomie:2quipes"
PARAPHRASE "a"
SOURCE ""
CODE "U357"
MAIN closing
	ACTS_ON abdominal wall & urinary bladder
MOTIVATED_OVERALL_BY curing
	ACTS_ON ectopia vesicae
WITH lengthening
	ACTS_ON penis
WITH incising
	ACTS_ON bone
		IS_PART_OF os pubis

RUBRIC "Fermeture d'exstrophie vsicale avec allongement de l'urthre chez la fille sans ostotomie"
PARAPHRASE "a"
SOURCE ""
CODE "U358"
HISTORY "
Manual accept at 2:52:32 pm on September 14, 1998 by DrJeremy Rogers"
MAIN closing
	ACTS_ON abdominal wall & urinary bladder
HAS_PATIENT woman
MOTIVATED_OVERALL_BY curing
	ACTS_ON ectopia vesicae
WITH lengthening
	ACTS_ON urethra
WITHOUT_ACTION incising
	ACTS_ON bone
		IS_PART_OF os pubis

RUBRIC "Fermeture d'exstrophie vsicale avec allongement de l'urthre chez la fille avec ostotomie:2quipes"
PARAPHRASE "a"
SOURCE ""
CODE "U359"
HISTORY "
Manual accept at 12:24:37 pm on September 14, 1998 by DrJeremy Rogers"
MAIN closing
	ACTS_ON abdominal wall & urinary bladder
HAS_PATIENT woman
MOTIVATED_OVERALL_BY curing
	ACTS_ON ectopia vesicae
WITH lengthening
	ACTS_ON urethral meatus
WITH incising
	ACTS_ON bone
		IS_PART_OF os pubis

RUBRIC "Urthrocervicoplastie de continence [type Young-Dees ou drive]"
PARAPHRASE "a"
SOURCE ""
CODE "U360"
MAIN plastic repairing
	ACTS_ON urethra & urinary bladder
TO_ACHIEVE_OVERALL urinary continence

RUBRIC "Myotomie du dme pour agrandissement de vessie, par laparotomie"
PARAPHRASE "a"
SOURCE ""
CODE "U361"
MAIN lengthening
	ACTS_ON urinary bladder
	BY_APPROACH_TECHNIQUE incising
		ACTS_ON abdominal wall
	BY_TECHNIQUE incising
		ACTS_ON muscle
			IS_PART_OF upper extremity
				IS_PART_OF urinary bladder

RUBRIC "Cystostomie continente, trans-appendiculaire, trans-urtrale, ou par un autre conduit (digestif, tubaire, prputial) sans fermeture du col vsical"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:49:38 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U362"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 urinary bladder
		CONNECTS_2 appendix / digestive tract / ureter / fallopian tube
		CONNECTS_3 skin
TO_ACHIEVE_OVERALL urinary continence
WITHOUT_ACTION closing
	ACTS_ON neck of urinary bladder

RUBRIC "Cystostomie continente, trans-appendiculaire, trans-urtrale, ou par un autre conduit (digestif, tubaire, prputial) avec fermeture du col vsical"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "U363"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 urinary bladder
		CONNECTS_2 appendix / digestive tract / fallopian tube
		CONNECTS_3 skin
TO_ACHIEVE_OVERALL urinary continence
WITH closing
	ACTS_ON neck of urinary bladder

RUBRIC "Fermeture du col vsical pour cystostomie continente"
PARAPHRASE "a"
SOURCE ""
CODE "U364"
MAIN closing
	ACTS_ON neck of urinary bladder
	FOLLOWS creating
		ACTS_ON stoma
			CONNECTS_1 urinary bladder
			CONNECTS_2 skin

RUBRIC "Allongement intra-vsical de l'urthre [type Kropp ou variante]"
PARAPHRASE "a"
SOURCE ""
CODE "U365"
MAIN lengthening
	ACTS_ON urethra
		HAS_DESTINATION urinary bladder

RUBRIC "Rsection endoscopique d'une hypertrophie prostatique quelle que soit la mthode de drainage vsical"
PARAPHRASE "a"
SOURCE ""
CODE "U366"
MAIN resecting
	ACTS_ON adenoma
		HAS_LOCATION prostate
	BY_TECHNIQUE inspecting
		ACTS_ON urethra & urinary bladder
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
WITH draining
	ACTS_ON urinary bladder

RUBRIC "Rsection endoscopique d'un cancer de prostate connu quelle que soit la mthode de drainage vsical"
PARAPHRASE "a"
SOURCE ""
CODE "U367"
MAIN resecting
	ACTS_ON tumour
		HAS_LOCATION prostate
	BY_TECHNIQUE inspecting
		ACTS_ON urethra & urinary bladder
		BY_MEANS_OF endoscope
	HAS_TEMPORAL_MARKER revision
	WITH_GUIDANCE_BY endoscope
WITH draining
	ACTS_ON urinary bladder

RUBRIC "Rsection et/ou dsobstruction endoscopique des canaux jaculateurs"
PARAPHRASE "a"
SOURCE ""
CODE "U368"
MAIN resecting
	ACTS_ON ejaculatory duct
		HAS_NUMBER 2
	BY_TECHNIQUE inspecting
		ACTS_ON ejaculatory duct
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN freeing
	ACTS_ON ejaculatory duct
		HAS_NUMBER 2
	BY_TECHNIQUE inspecting
		ACTS_ON ejaculatory duct
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rsection ou marsupialisation endoscopique d'un abcs prostatique ou d'un kyste prostatique ou d'un diverticule de l'urthre"
PARAPHRASE "a"
SOURCE ""
CODE "U369"
MAIN resecting
	ACTS_ON abcess / cyst
		HAS_LOCATION prostate
	BY_TECHNIQUE inspecting
		ACTS_ON urethra & urinary bladder
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN marsupialising
	ACTS_ON abcess / cyst
		HAS_LOCATION prostate
	BY_TECHNIQUE inspecting
		ACTS_ON urethra & urinary bladder
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN resecting
	ACTS_ON diverticulum
		HAS_LOCATION urethra
	BY_TECHNIQUE inspecting
		ACTS_ON urethra & urinary bladder
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope
OR_MAIN marsupialising
	ACTS_ON diverticulum
		HAS_LOCATION urethra
	BY_TECHNIQUE inspecting
		ACTS_ON urethra & urinary bladder
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Thermothrapie de la prostate"
PARAPHRASE "diathermy"
SOURCE "USE"
CODE "U370"
MAIN diathermy
	ACTS_ON prostate

RUBRIC "Hyperthermie de la prostate"
PARAPHRASE "a"
SOURCE ""
CODE "U371"
MAIN abrading
	ACTS_ON prostate

RUBRIC "Cryothrapie de la prostate"
PARAPHRASE "cryotherapy"
SOURCE "USE"
CODE "U372"
MAIN cryotherapy
	ACTS_ON prostate

RUBRIC "Traitement par radiofrquence d'une hypertrophie prostatique[TUNA]"
PARAPHRASE "a"
SOURCE ""
CODE "U373"
HISTORY "
Manual accept at 5:02:40 pm on September 14, 1998 by DrJeremy Rogers"
MAIN decreasing
	ACTS_ON prostate
	BY_MEANS_OF radiofrequency cautery device
MOTIVATED_OVERALL_BY curing
	ACTS_ON adenoma
		HAS_LOCATION prostate

RUBRIC "Ponction vacuatrice digitoguide d'un abcs ou d'un kyste de la prostate"
PARAPHRASE "a"
SOURCE ""
CODE "U374"
MAIN evacuating
	ACTS_ON abcess / cyst
		HAS_LOCATION prostate
	BY_TECHNIQUE puncturing
		ACTS_ON abcess / cyst
			HAS_LOCATION prostate
		BY_TECHNIQUE touching
			ACTS_ON prostate
			BY_MEANS_OF digit
			TO_ACHIEVE control
				ACTS_ON needle

RUBRIC "Ponction vacuatrice choguide d'un abcs ou d'un kyste de la prostate"
PARAPHRASE "a"
SOURCE ""
CODE "U375"
MAIN evacuating
	ACTS_ON abcess / cyst
		HAS_LOCATION prostate
	BY_TECHNIQUE puncturing
		ACTS_ON abcess / cyst
			HAS_LOCATION prostate
		BY_TECHNIQUE imaging
			ACTS_ON prostate
			BY_MEANS_OF ultrasound machine
			TO_ACHIEVE control
				ACTS_ON needle

RUBRIC "Adnomectomie prostatique par voie transvsicale"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "U376"
MAIN excising
	ACTS_ON adenoma
		HAS_LOCATION prostate
	HAS_APPROACH through urinary bladder

RUBRIC "Adnomectomie prostatique par voie rtro-pubienne ou transcapsulaire"
PARAPHRASE "a"
SOURCE ""
CODE "U377"
MAIN excising
	ACTS_ON adenoma
		HAS_LOCATION prostate
	HAS_APPROACH retropubic approach & trans capsula prostatica route

RUBRIC "Prostato-vsiculectomie totale par voie abdominale"
PARAPHRASE "a"
SOURCE ""
CODE "U378"
MAIN excising
	ACTS_ON prostate & seminal vesicle
	HAS_APPROACH abdominal approach
	HAS_EXTENT total

RUBRIC "Prostato-vsiculectomie totale par voie prinale"
PARAPHRASE "a"
SOURCE ""
CODE "U379"
MAIN excising
	ACTS_ON prostate & seminal vesicle
	HAS_APPROACH perineal approach
	HAS_EXTENT total

RUBRIC "Ablation  des vsicules sminales par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U380"
MAIN excising
	ACTS_ON_1 seminal vesicle
	HAS_APPROACH open
	HAS_NUMBER 2

RUBRIC "Fermeture d'une fistule urthro-prostato-rectale par voie abdominale chirurgicale ouverte ?"
PARAPHRASE "a"
SOURCE ""
CODE "U381"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 urethra
		CONNECTS_2 prostate
		CONNECTS_3 rectum
	HAS_APPROACH abdominal approach
	HAS_APPROACH open

RUBRIC "Fermeture d'une fistule urthro-prostato-rectale par voie prinale"
PARAPHRASE "a"
SOURCE ""
CODE "U382"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 urethra
		CONNECTS_2 prostate
		CONNECTS_3 rectum
	HAS_APPROACH perineal approach

RUBRIC "Fermeture d'une fistule urthro-prostato-rectale par voie transsphinctrienne"
PARAPHRASE "a"
SOURCE ""
CODE "U383"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 urethra
		CONNECTS_2 prostate
		CONNECTS_3 rectum
	HAS_APPROACH trans urethra sphincter

RUBRIC "Ablation d'un utricule prostatique par voie abdominale retro-vsicale ou trans-vsicale"
PARAPHRASE "a"
SOURCE ""
CODE "U384"
HISTORY "
Manual accept at 2:24:18 pm on September 23, 1998 by jon"
MAIN excising
	ACTS_ON utriculus prostaticus
	HAS_APPROACH abdominal approach
	HAS_APPROACH retro urinary bladder space / urinary bladder

RUBRIC "Lithotritie intra-prostatique, quelle que soit la technique"
PARAPHRASE "a"
SOURCE ""
CODE "U385"
MAIN fragmenting
	ACTS_ON calculus
		HAS_LOCATION prostate
	BY_MEANS_OF lithotriptor

RUBRIC "Extraction d'un corps tranger intra-urthral par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U386"
MAIN extracting
	ACTS_ON foreign body
		HAS_LOCATION urethra
	HAS_APPROACH open

RUBRIC "Extraction d'un corps tranger intra-urthral par voie endoscopique"
PARAPHRASE "a"
SOURCE ""
CODE "U387"
MAIN extracting
	ACTS_ON foreign body
		HAS_LOCATION urethra
	BY_TECHNIQUE inspecting
		ACTS_ON urethra
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Alignement endoscopique d'une rupture traumatique de l'urtre"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "repositioning"
SOURCE "USE"
CODE "U388"
MAIN repositioning
	ACTS_ON part
		HAS_NUMBER 2
		IS_PART_OF urethra
	BY_MEANS_OF endoscope
	BY_TECHNIQUE inspecting
		ACTS_ON urethra
		BY_MEANS_OF endoscope
MOTIVATED_OVERALL_BY curing
	ACTS_ON rupture
		CAUSED_BY trauma
		HAS_LOCATION urethra

RUBRIC "Dilatation  l'aveugle d'une stnose de l'urtre"
PARAPHRASE "a"
SOURCE ""
CODE "U389"
MAIN dilatating
	ACTS_ON stenosis
		HAS_LOCATION urethra
	HAS_APPROACH closed

RUBRIC "Destruction endoscopique d'une tumeur de l'urtre par lectrocoagulation ou lectrovaporisation"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "U390"
MAIN destroying
	ACTS_ON tumour
		HAS_LOCATION urethra
	BY_MEANS_OF electrocoagulation equipment / electrovaporization device

RUBRIC "Rsection endoscopique d'une tumeur de l'urthre"
PARAPHRASE "a"
SOURCE ""
CODE "U391"
MAIN resecting
	ACTS_ON tumour
		HAS_LOCATION urethra
	BY_TECHNIQUE inspecting
		ACTS_ON urethra
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Epilation endo-urthrale par endoscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U392"
MAIN removing
	ACTS_ON hair
		IS_CONTAINED_IN urethra
	BY_TECHNIQUE inspecting
		ACTS_ON urethra
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rsection endoscopique d'une valve de l'urthre"
PARAPHRASE "a"
SOURCE ""
CODE "U393"
MAIN resecting
	ACTS_ON valve
		IS_CONTAINED_IN urethra
	BY_TECHNIQUE inspecting
		ACTS_ON urethra
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Section endoscopique d'une valve de l'urthre avec contrle radiologique"
PARAPHRASE "a"
SOURCE ""
CODE "U394"
MAIN dividing
	ACTS_ON valve
		IS_CONTAINED_IN urethra
	BY_TECHNIQUE inspecting
		ACTS_ON urethra
		BY_MEANS_OF endoscope
	BY_TECHNIQUE imaging
		ACTS_ON urethra
		BY_MEANS_OF Xray device
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rsection endoscopique d'une tumeur de l'urthre  l'anse coupante"
PARAPHRASE "a"
SOURCE ""
CODE "U395"
MAIN resecting
	ACTS_ON tumour
		HAS_LOCATION urethra
	BY_MEANS_OF cutting instrument
	BY_TECHNIQUE inspecting
		ACTS_ON urethra
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rsection endoscopique d'une stnose de l'urthre"
PARAPHRASE "a"
SOURCE ""
CODE "U396"
MAIN resecting
	ACTS_ON stenosis
		HAS_LOCATION urethra
	BY_TECHNIQUE inspecting
		ACTS_ON urethra
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Ouverture endoscopique d'un diverticule urthral"
PARAPHRASE "a"
SOURCE ""
CODE "U397"
MAIN opening
	ACTS_ON diverticulum
		HAS_LOCATION urethra
	BY_TECHNIQUE inspecting
		ACTS_ON urethra
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Exrse d'un diverticule urthral par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U398"
MAIN excising
	ACTS_ON diverticulum
		HAS_LOCATION urethra
	HAS_APPROACH open

RUBRIC "Exrse d'un urtre surnumraire"
PARAPHRASE "a"
SOURCE ""
CODE "U399"
MAIN excising
	ACTS_ON supernumerary urethra

RUBRIC "Fermeture de fistule urthrale"
PARAPHRASE "a"
SOURCE ""
CODE "U400"
MAIN closing
	ACTS_ON fistula
		HAS_LOCATION urethra

RUBRIC "Matotomie urthrale"
PARAPHRASE "a"
SOURCE ""
CODE "U401"
MAIN incising
	ACTS_ON urethral meatus

RUBRIC "Matoplastie urthrale"
PARAPHRASE "a"
SOURCE ""
CODE "U402"
MAIN plastic repairing
	ACTS_ON urethral meatus

RUBRIC "Matoplastie urthrale avec lambeau cutan chez l'homme"
PARAPHRASE "a"
SOURCE ""
CODE "U403"
MAIN plastic constructing
	ACTS_ON urethral meatus
	BY_TECHNIQUE creating
		ACTS_ON cutaneous flap
HAS_PATIENT man

RUBRIC "Urthrotomie interne  l'aveugle"
PARAPHRASE "a"
SOURCE ""
CODE "U404"
MAIN incising
	ACTS_ON urethra
	HAS_APPROACH closed

RUBRIC "Urthrotomie matique ou rtromatique interne  l'aveugle"
PARAPHRASE "a"
SOURCE ""
CODE "U405"
HISTORY "
Manual accept at 2:50:07 pm on September 14, 1998 by DrJeremy Rogers"
MAIN incising
	ACTS_ON urethra & urethral meatus
	HAS_APPROACH closed
OR_MAIN incising
	ACTS_ON urethra
	HAS_APPROACH closed
WITHOUT_ACTION incising
	ACTS_ON urethral meatus

RUBRIC "Urthrotomie par voie endoscopique, avec urthrocystoscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U406"
MAIN incising
	ACTS_ON urethral meatus
	BY_TECHNIQUE inspecting
		ACTS_ON urethra & urinary bladder
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Mise en place d'une prothse sphinctrienne priurthrale pnienne ou bulbo-membraneuse"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Transformation - expanding descriptor: sphincter prosthesis - applied at 12:14:50 pm on September 14, 1998
Manual accept at 12:18:45 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U407"
MAIN installing
	ACTS_ON prosthesis
		HAS_LOCATION peri urethra space
			IS_CONTAINED_IN penis / perineal space
		REPLACES urinary sphincter

RUBRIC "Remplacement de manchette d'une prothse sphinctrienne priurthrale pnienne ou bulbo-membraneuse"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Transformation - expanding descriptor: sphincter prosthesis - applied at 12:14:40 pm on September 14, 1998
Manual accept at 12:19:09 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U408"
MAIN replacing
	ACTS_ON component
		IS_PART_OF prosthesis
			HAS_LOCATION peri urethra space
				IS_CONTAINED_IN penis / perineal space
			REPLACES urinary sphincter

RUBRIC "Ablation d'une prothse sphinctrienne priurthrale pnienne ou bulbo-membraneuse"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Transformation - expanding descriptor: sphincter prosthesis - applied at 12:14:50 pm on September 14, 1998
Manual accept at 12:18:42 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U409"
MAIN removing
	ACTS_ON prosthesis
		HAS_LOCATION peri urethra space
			IS_CONTAINED_IN penis / perineal space
		REPLACES urinary sphincter

RUBRIC "Mise en place d'une endoprothse urthrale cervico-prostatique"
PARAPHRASE "a"
SOURCE ""
CODE "U410"
MAIN installing
	ACTS_ON prosthetic implant
		HAS_LOCATION urethra & neck of urinary bladder & prostate

RUBRIC "Mise en place d'une endoprothse urthrale"
PARAPHRASE "a"
SOURCE ""
CODE "U411"
MAIN installing
	ACTS_ON prosthetic implant
		HAS_LOCATION urethra

RUBRIC "Mise en place d'une endoprothse cervico-prostatique"
PARAPHRASE "a"
SOURCE ""
CODE "U412"
MAIN installing
	ACTS_ON prosthetic implant
		HAS_LOCATION neck of urinary bladder & prostatic urethra

RUBRIC "Ablation d'une endoprothse urthrale cervico/trans-prostatique"
PARAPHRASE "a"
SOURCE ""
CODE "U413"
MAIN removing
	ACTS_ON prosthetic implant
		HAS_LOCATION urethra & neck of urinary bladder & prostatic urethra

RUBRIC "Ablation d'une endoprothse urthrale"
PARAPHRASE "a"
SOURCE ""
CODE "U414"
MAIN removing
	ACTS_ON prosthetic implant
		HAS_LOCATION urethra

RUBRIC "Incision endoscopique du sphincter stri urthral"
PARAPHRASE "a"
SOURCE ""
CODE "U415"
MAIN incising
	ACTS_ON striated muscle
		IS_PART_OF urethra sphincter
	BY_TECHNIQUE inspecting
		ACTS_ON urethra
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Rsection endoscopique du sphincter stri urthral"
PARAPHRASE "a"
SOURCE ""
CODE "U416"
MAIN resecting
	ACTS_ON striated muscle
		IS_PART_OF urethra sphincter
	BY_TECHNIQUE inspecting
		ACTS_ON urethra
		BY_MEANS_OF endoscope
	WITH_GUIDANCE_BY endoscope

RUBRIC "Urthrectomie partielle"
PARAPHRASE "a"
SOURCE ""
CODE "U417"
MAIN excising
	ACTS_ON urethra
	HAS_EXTENT partial

RUBRIC "Urthrectomie totale"
PARAPHRASE "a"
SOURCE ""
CODE "U418"
MAIN excising
	ACTS_ON urethra
	HAS_EXTENT total

RUBRIC "Urthrostomie cutane"
PARAPHRASE "a"
SOURCE ""
CODE "U419"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 urethra
		CONNECTS_2 skin

RUBRIC "Urthroplastie pour mga-urthre congnital"
PARAPHRASE "a"
SOURCE ""
CODE "U420"
MAIN plastic repairing
	ACTS_ON urethra
MOTIVATED_OVERALL_BY curing
	ACTS_ON mega urethra

RUBRIC "Allongement de la verge avec urtroplastie  pour epispadias "
PARAPHRASE "lengthening"
SOURCE "USE"
CODE "U421"
MAIN lengthening
	ACTS_ON penis
WITH fashioning
	ACTS_ON urethra
	MOTIVATED_BY curing
		ACTS_ON epispadias
			HAS_LOCATION posterior penis / perineo scrotum junction

RUBRIC "Allongement de la verge sans urtroplastie  pour epispadias "
PARAPHRASE "lengthening"
SOURCE "USE"
CODE "U422"
HISTORY "
Manual accept at 2:52:00 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:52:18 pm on September 14, 1998 by DrJeremy Rogers"
MAIN lengthening
	ACTS_ON penis
WITHOUT_ACTION fashioning
	ACTS_ON urethra
MOTIVATED_OVERALL_BY curing
	ACTS_ON epispadias
		HAS_LOCATION posterior penis / perineo scrotum junction

RUBRIC "Urtroplastie premier temps pour stnose de l'urtre pnien ou balano-pnien"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:22:39 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 12:22:48 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "fashioning"
SOURCE "USE"
CODE "U423"
MAIN fashioning
	ACTS_ON urethra
	HAS_TEMPORAL_MARKER primary
	MOTIVATED_BY curing
		ACTS_ON stenosis
			HAS_LOCATION penile urethra
HAS_PATIENT man
OR_MAIN fashioning
	ACTS_ON urethra
	HAS_TEMPORAL_MARKER primary
	MOTIVATED_BY curing
		ACTS_ON stenosis
			HAS_LOCATION penile urethra
HAS_PATIENT man

RUBRIC "Urtroplastie deuxime temps pour stnose de l'urtre pnien ou balano-pnien"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "fashioning"
SOURCE "USE"
CODE "U424"
MAIN fashioning
	ACTS_ON prepuce of penis
	HAS_TEMPORAL_MARKER revision
	MOTIVATED_BY curing
		ACTS_ON stenosis
			IS_CONTAINED_IN penile urethra / glans penis urethra
HAS_PATIENT man

RUBRIC "Urtroplastie premier temps pour stnose urtrale prinale bulbaire ou membraneuse"
PARAPHRASE "fashioning"
SOURCE "USE"
CODE "U425"
MAIN fashioning
	ACTS_ON bulbus penis urethra / perineal membrane urethra
	HAS_TEMPORAL_MARKER primary
	MOTIVATED_BY curing
		ACTS_ON stenosis
			IS_CONTAINED_IN urethra

RUBRIC "Urtroplastie deuxime temps pour stnose urtrale prinale bulbaire ou membraneuse"
PARAPHRASE "fashioning"
SOURCE "USE"
CODE "U426"
MAIN fashioning
	ACTS_ON bulbus penis urethra / perineal membrane urethra
	HAS_TEMPORAL_MARKER revision
	MOTIVATED_BY curing
		ACTS_ON stenosis
			IS_CONTAINED_IN urethra

RUBRIC "Urtroplastie en un temps de l'urtre fminin"
PARAPHRASE "fashioning"
SOURCE "USE"
CODE "U427"
MAIN fashioning
	ACTS_ON urethra
	HAS_TEMPORAL_MARKER primary
HAS_PATIENT woman

RUBRIC "Urtroplastie en un temps de l'urtre masculin pour stnose urthrale"
PARAPHRASE "fashioning"
SOURCE "USE"
CODE "U428"
MAIN fashioning
	ACTS_ON urethra
	HAS_TEMPORAL_MARKER primary
HAS_PATIENT man
MOTIVATED_OVERALL_BY curing
	ACTS_ON stenosis
		IS_CONTAINED_IN urethra

RUBRIC "Urtroplastie premier temps pour stnose de l'urthre rtro-matique ou balanique"
PARAPHRASE "fashioning"
SOURCE "USE"
CODE "U429"
MAIN fashioning
	ACTS_ON retromeatus urethra / glans penis urethra
	HAS_TEMPORAL_MARKER primary
	MOTIVATED_BY curing
		ACTS_ON stenosis
			IS_CONTAINED_IN urethra

RUBRIC "Urtroplastie deuxime temps pour stnose de l'urthre rtro-matique ou balanique"
PARAPHRASE "fashioning"
SOURCE "USE"
CODE "U430"
MAIN fashioning
	ACTS_ON retromeatus urethra / glans penis urethra
	HAS_TEMPORAL_MARKER revision
	MOTIVATED_BY curing
		ACTS_ON stenosis
			IS_CONTAINED_IN urethra

RUBRIC "Urthroplastie pour hypospade pnien antrieur ou balanique sans reconstitution du prpuce"
PARAPHRASE "a"
SOURCE ""
CODE "U431"
HISTORY "
Manual accept at 12:43:03 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:38:48 pm on September 14, 1998 by DrJeremy Rogers"
MAIN fashioning
	ACTS_ON urethra
MOTIVATED_OVERALL_BY curing
	ACTS_ON hypospadias
		HAS_LOCATION segment
			IS_PART_OF penis
			HAS_POSITION anterior
WITHOUT_ACTION plastic constructing
	ACTS_ON prepuce of penis
OR_MAIN fashioning
	ACTS_ON urethra
MOTIVATED_OVERALL_BY curing
	ACTS_ON hypospadias
		HAS_LOCATION glans penis
WITHOUT_ACTION plastic constructing
	ACTS_ON prepuce of penis

RUBRIC "Urthroplastie pour hypospade pnien antrieur ou balanique avec reconstitution du prpuce"
PARAPHRASE "a"
SOURCE ""
CODE "U432"
HISTORY "
Manual accept at 12:43:26 pm on September 14, 1998 by DrJeremy Rogers"
MAIN fashioning
	ACTS_ON urethra
MOTIVATED_OVERALL_BY curing
	ACTS_ON hypospadias
		HAS_LOCATION segment
			IS_PART_OF penis
			HAS_POSITION anterior
WITH plastic constructing
	ACTS_ON prepuce of penis
OR_MAIN fashioning
	ACTS_ON urethra
MOTIVATED_OVERALL_BY curing
	ACTS_ON hypospadias
		HAS_LOCATION glans penis
WITH plastic constructing
	ACTS_ON prepuce of penis

RUBRIC "Urthroplastie pour hypospade moyen ou postrieur sans redressement de la verge et sans lambeau"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:12:04 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:12:19 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U433"
MAIN fashioning
	ACTS_ON urethra
MOTIVATED_OVERALL_BY curing
	ACTS_ON hypospadias
		HAS_LOCATION segment
			IS_PART_OF penis
			HAS_POSITION posterior
WITHOUT_ACTION straightening
	ACTS_ON penis
WITHOUT_ACTION grafting
	ACTS_ON penis
	BY_MEANS_OF flap
OR_MAIN fashioning
	ACTS_ON urethra
MOTIVATED_OVERALL_BY curing
	ACTS_ON hypospadias
		HAS_LOCATION segment
			IS_PART_OF penis
			HAS_POSITION middle
WITHOUT_ACTION straightening
	ACTS_ON penis
WITHOUT_ACTION grafting
	ACTS_ON penis
	BY_MEANS_OF flap

RUBRIC "Urthroplastie pour hypospade moyen ou postrieur sans redressement de la verge et avec lambeau"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:09:44 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:10:19 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:10:35 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:11:08 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U434"
MAIN fashioning
	ACTS_ON urethra
MOTIVATED_OVERALL_BY curing
	ACTS_ON hypospadias
		HAS_LOCATION segment
			IS_PART_OF penis
			HAS_POSITION posterior
WITH grafting
	ACTS_ON penis
	BY_MEANS_OF flap
WITHOUT_ACTION straightening
	ACTS_ON penis
OR_MAIN fashioning
	ACTS_ON urethra
MOTIVATED_OVERALL_BY curing
	ACTS_ON hypospadias
		HAS_LOCATION segment
			IS_PART_OF penis
			HAS_POSITION middle
WITH grafting
	ACTS_ON penis
	BY_MEANS_OF flap
WITHOUT_ACTION straightening
	ACTS_ON penis

RUBRIC "Urthroplastie pour hypospade moyen ou postrieur avec redressement de la verge et sans lambeau"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:13:26 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U435"
MAIN fashioning
	ACTS_ON urethra
MOTIVATED_OVERALL_BY curing
	ACTS_ON hypospadias
		HAS_LOCATION segment
			IS_PART_OF penis
			HAS_POSITION posterior
WITH straightening
	ACTS_ON penis
WITHOUT_ACTION grafting
	ACTS_ON penis
	BY_MEANS_OF flap
OR_MAIN fashioning
	ACTS_ON urethra
MOTIVATED_OVERALL_BY curing
	ACTS_ON hypospadias
		HAS_LOCATION segment
			IS_PART_OF penis
			HAS_POSITION middle
WITH straightening
	ACTS_ON penis
WITHOUT_ACTION grafting
	ACTS_ON penis
	BY_MEANS_OF flap

RUBRIC "Urthroplastie pour hypospade moyen ou postrieur avec redressement de la verge et avec lambeau"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:12:46 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U436"
MAIN fashioning
	ACTS_ON urethra
MOTIVATED_OVERALL_BY curing
	ACTS_ON hypospadias
		HAS_LOCATION segment
			IS_PART_OF penis
			HAS_POSITION posterior
WITH straightening
	ACTS_ON penis
WITH grafting
	ACTS_ON penis
	BY_MEANS_OF flap
OR_MAIN fashioning
	ACTS_ON urethra
MOTIVATED_OVERALL_BY curing
	ACTS_ON hypospadias
		HAS_LOCATION segment
			IS_PART_OF penis
			HAS_POSITION middle
WITH straightening
	ACTS_ON penis
WITH grafting
	ACTS_ON penis
	BY_MEANS_OF flap

RUBRIC "Urtroplastie pour hypospade prino-scrotal avec redressement de la verge et avec lambeau ou greffe"
PARAPHRASE "Urtroplastie pour hypospade prino-scrotal avec redressement de la verge et avec lambeau ou greffe"
SOURCE "USE"
CODE "U437"
MAIN fashioning
	ACTS_ON urethra
MOTIVATED_OVERALL_BY curing
	ACTS_ON hypospadias
		HAS_LOCATION perineo scrotum junction
WITH straightening
	ACTS_ON penis
WITH grafting
	ACTS_ON penis
	BY_MEANS_OF flap / graft

RUBRIC "Urthrorraphie de l'urtre postrieur par voie abdominale"
PARAPHRASE "a"
SOURCE ""
CODE "U438"
HISTORY "
Manual accept at 12:32:48 pm on September 14, 1998 by DrJeremy Rogers"
MAIN suturing
	ACTS_ON segment
		IS_PART_OF urethra
		HAS_POSITION posterior
	HAS_APPROACH abdominal approach

RUBRIC "Urthrorraphie de l'urtre postrieur par voie abdominale et trans-symphysaire"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:32:53 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U439"
MAIN suturing
	ACTS_ON segment
		IS_PART_OF urethra
		HAS_POSITION posterior
	HAS_APPROACH abdominal approach & trans symphysis pubica route

RUBRIC "Urthrorraphie de l'urtre postrieur par voie prinale"
PARAPHRASE "a"
SOURCE ""
CODE "U440"
HISTORY "
Manual accept at 12:32:57 pm on September 14, 1998 by DrJeremy Rogers"
MAIN suturing
	ACTS_ON segment
		IS_PART_OF urethra
		HAS_POSITION posterior
	HAS_APPROACH perineal approach

RUBRIC "Urthrorraphie de l'urtre antrieur"
PARAPHRASE "a"
SOURCE ""
CODE "U441"
HISTORY "
Manual accept at 1:44:35 pm on September 14, 1998 by DrJeremy Rogers"
MAIN suturing
	ACTS_ON segment
		IS_PART_OF urethra
		HAS_POSITION anterior

RUBRIC "Rsection et modelage d'une urthrocle sur urthroplastie"
PARAPHRASE "a"
SOURCE ""
CODE "U442"
MAIN resecting
	ACTS_ON urethrocele
		HAS_LOCATION urethra
MOTIVATED_OVERALL_BY fashioning
	ACTS_ON urethra
	HAS_TEMPORAL_MARKER earlierMarker
WITH fashioning
	ACTS_ON urethrocele
		HAS_LOCATION urethra

RUBRIC "Excision d'une cicatrice vicieuse sur urthroplastie"
PARAPHRASE "a"
SOURCE ""
CODE "U443"
MAIN excising
	ACTS_ON scar tissue
		IS_CONTAINED_IN urethra
MOTIVATED_OVERALL_BY fashioning
	ACTS_ON urethra
	HAS_TEMPORAL_MARKER earlierMarker

RUBRIC " Posthectomie avec ou sans plastie du frein de la verge"
PARAPHRASE "a"
SOURCE ""
CODE "U444"
MAIN resecting
	ACTS_ON prepuce of penis
WITH suturing
	ACTS_ON_1 mucosa
	ACTS_ON_2 skin
WITH_OPTIONALLY fashioning
	ACTS_ON frenulum of prepuce of penis

RUBRIC "Plastie du prpuce"
PARAPHRASE "a"
SOURCE ""
CODE "U445"
MAIN fashioning
	ACTS_ON prepuce of penis

RUBRIC "Libration d'adhrences prpuciales"
PARAPHRASE "a"
SOURCE ""
CODE "U446"
MAIN freeing
	ACTS_ON synechia
		HAS_LOCATION prepuce of penis

RUBRIC "Rduction chirurgicale de paraphimosis"
PARAPHRASE "Rduction chirurgicale de paraphimosis"
SOURCE ""
CODE "U447"
MAIN freeing
	ACTS_ON prepuce of penis
	HAS_APPROACH closed
MOTIVATED_OVERALL_BY curing
	ACTS_ON paraphimosis

RUBRIC "Rduction manuelle de paraphimosis"
PARAPHRASE "Rduction manuelle de paraphimosis"
SOURCE ""
CODE "U448"
MAIN freeing
	ACTS_ON prepuce of penis
	BY_MEANS_OF hand
MOTIVATED_OVERALL_BY curing
	ACTS_ON paraphimosis

RUBRIC "Rduction de paraphimosis"
PARAPHRASE "Rduction de paraphimosis"
SOURCE ""
CODE "U449"
MAIN freeing
	ACTS_ON prepuce of penis
MOTIVATED_OVERALL_BY curing
	ACTS_ON paraphimosis

RUBRIC "Plastie chirurgicale du frein de la verge (section ou plastie du frein de la verge)"
PARAPHRASE "a"
SOURCE ""
CODE "U450"
MAIN fashioning
	ACTS_ON frenulum of prepuce of penis
OR_MAIN dividing
	ACTS_ON frenulum of prepuce of penis

RUBRIC "Traitement de l'enfouissement pur par fixation des fascias de la verge"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 2:23:13 pm on September 23, 1998 by jon"
PARAPHRASE "a"
SOURCE ""
CODE "U451"
MAIN fixing
	ACTS_ON fascia
		IS_CONTAINED_IN penis
MOTIVATED_OVERALL_BY curing
	ACTS_ON hypospadias
	TO_ACHIEVE everting
		ACTS_ON penis

RUBRIC "Drotation chirurgicale de la verge"
PARAPHRASE "a"
SOURCE ""
CODE "U452"
MAIN derotating
	ACTS_ON penis
	HAS_APPROACH closed

RUBRIC "Reconstitution de la peau pnienne par greffe cutane"
PARAPHRASE "a"
SOURCE ""
CODE "U453"
MAIN plastic constructing
	ACTS_ON skin
		IS_PART_OF penis
	BY_MEANS_OF cutaneous graft

RUBRIC "Reconstitution du prpuce"
PARAPHRASE "a"
SOURCE ""
CODE "U454"
MAIN plastic constructing
	ACTS_ON prepuce of penis

RUBRIC "Circoncision thrapeutique"
PARAPHRASE "a"
SOURCE ""
CODE "U455"
MAIN resecting
	ACTS_ON prepuce of penis
WITH suturing
	ACTS_ON_1 mucosa
	ACTS_ON_2 skin

RUBRIC "Destruction par lectro-coagulation ou par photo-coagulation de lsions du gland et/ou du prpuce"
PARAPHRASE "a"
SOURCE ""
CODE "U456"
HISTORY "
Transformation - HAS_QUANTITY to HAS_NUMBER - applied at 1:29:36 pm on March 26, 1999"
MAIN destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION glans penis
OR_MAIN destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION prepuce of penis
	HAS_NUMBER several
OR_MAIN destroying
	ACTS_ON lesion (as structure)
		HAS_LOCATION prepuce of penis & glans penis
	HAS_NUMBER several

RUBRIC "Traitement des condylomes du gland"
PARAPHRASE "a"
SOURCE ""
CODE "U457"
HISTORY "
Manual accept at 2:59:43 pm on September 14, 1998 by DrJeremy Rogers"
MAIN destroying
	ACTS_ON condyloma
		HAS_LOCATION glans penis
	HAS_NUMBER several

RUBRIC "Excision d'une tumeur des corps caverneux"
PARAPHRASE "a"
SOURCE ""
CODE "U458"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION corpus cavernosum

RUBRIC "Excision d'une tumeur du fourreau de la verge"
PARAPHRASE "a"
SOURCE ""
CODE "U459"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION sheath of penis

RUBRIC "Excision d'une tumeur du gland"
PARAPHRASE "a"
SOURCE ""
CODE "U460"
MAIN excising
	ACTS_ON tumour
		HAS_LOCATION glans penis

RUBRIC "Amputation partielle de la verge"
PARAPHRASE "a"
SOURCE ""
CODE "U461"
MAIN amputating
	ACTS_ON penis
	HAS_EXTENT partial

RUBRIC "Amputation totale de la verge"
PARAPHRASE "a"
SOURCE ""
CODE "U462"
MAIN amputating
	ACTS_ON penis
	HAS_EXTENT total

RUBRIC "Premier temps de la chirurgie du transsexuel masculin"
PARAPHRASE "a"
SOURCE ""
CODE "U463"
MAIN surgical deed
	ACTS_ON genitalia
	HAS_TEMPORAL_MARKER primary
HAS_PATIENT transsexual
HAS_PATIENT man
MOTIVATED_OVERALL_BY plastic constructing

RUBRIC "Deuxime temps de la chirurgie du transsexuel masculin"
PARAPHRASE "a"
SOURCE ""
CODE "U464"
MAIN surgical deed
	ACTS_ON genitalia
	HAS_TEMPORAL_MARKER secondary
HAS_PATIENT transsexual
HAS_PATIENT man
MOTIVATED_OVERALL_BY plastic constructing

RUBRIC "Armature de la no-verge, quel que soit le procd utilis"
PARAPHRASE "a"
SOURCE ""
CODE "U465"
MAIN neoforming
	ACTS_ON new penis
	BY_TECHNIQUE installing
		ACTS_ON support
			HAS_DESTINATION new penis

RUBRIC "Elargissement de la verge"
PARAPHRASE "a"
SOURCE ""
CODE "U466"
MAIN enlarging
	ACTS_ON penis

RUBRIC "Creation d'un no-vagin"
PARAPHRASE "a"
SOURCE ""
CODE "U467"
MAIN creating
	ACTS_ON new vagina

RUBRIC "Cration d'une no-vulve par plastie scrotale"
PARAPHRASE "a"
SOURCE ""
CODE "U468"
HISTORY "
Manual accept at 11:26:07 am on September 14, 1998 by DrJeremy Rogers"
MAIN neoforming
	ACTS_ON vulva
	BY_TECHNIQUE fashioning
		ACTS_ON scrotum

RUBRIC "Allongement de la verge par plastie caverneuse"
PARAPHRASE "a"
SOURCE ""
CODE "U469"
MAIN lengthening
	ACTS_ON penis
	BY_TECHNIQUE fashioning
		ACTS_ON corpus cavernosum

RUBRIC "Allongement de la verge par section du ligament suspenseur"
PARAPHRASE "a"
SOURCE ""
CODE "U470"
MAIN lengthening
	ACTS_ON penis
	BY_TECHNIQUE dividing
		ACTS_ON suspensory ligament of penis

RUBRIC "Phalloplastie par lambeau cutane libre"
PARAPHRASE "a"
SOURCE ""
CODE "U471"
MAIN plastic constructing
	ACTS_ON penis
	BY_TECHNIQUE grafting
		ACTS_ON cutaneous flap

RUBRIC "Phalloplastie par lambeau cutane tubul pnien"
PARAPHRASE "a"
SOURCE ""
CODE "U472"
MAIN plastic constructing
	ACTS_ON penis
	BY_TECHNIQUE grafting
		ACTS_ON cutaneous flap
	BY_TECHNIQUE neoforming
		ACTS_ON new penis

RUBRIC "Phalloplastie par lambeau inguinal pdicul en un temps"
PARAPHRASE "a"
SOURCE ""
CODE "U473"
MAIN plastic constructing
	ACTS_ON penis
	BY_TECHNIQUE grafting
		ACTS_ON pedicle flap
			IS_PART_OF inguinal region

RUBRIC "Lambeau neuro-vasculaire pdicul du clitoris"
PARAPHRASE "a"
SOURCE ""
CODE "U474"
MAIN grafting
	ACTS_ON clitoris
	BY_MEANS_OF neuro-vascular pedicle flap

RUBRIC "Transposition du clitoris"
PARAPHRASE "a"
SOURCE ""
CODE "U475"
MAIN transposing
	ACTS_ON clitoris

RUBRIC "Redressement de la verge avec excision d'une plaque et greffe de l'albugine"
PARAPHRASE "a"
SOURCE ""
CODE "U476"
MAIN straightening
	ACTS_ON penis
WITH excising
	ACTS_ON plate
WITH grafting
	ACTS_ON tunica albuginea
		HAS_DESTINATION penis

RUBRIC "Redressement de la verge par plicature-excision des corps caverneux"
PARAPHRASE "a"
SOURCE ""
CODE "U477"
MAIN straightening
	ACTS_ON penis
	BY_TECHNIQUE plicating
		ACTS_ON corpus cavernosum
	BY_TECHNIQUE excising
		ACTS_ON corpus cavernosum

RUBRIC "Rimplantation de la verge avec sutures microchirurgicales vasculo-nerveuses"
PARAPHRASE "a"
SOURCE ""
CODE "U478"
MAIN reimplanting
	ACTS_ON penis
WITH suturing
	ACTS_ON vessel & nerve
	BY_MEANS_OF microscope

RUBRIC "Mise en place d'une prothse pnienne rigide ou semi-rigide"
PARAPHRASE "a"
SOURCE ""
CODE "U479"
MAIN installing
	ACTS_ON rigid prosthesis / semirigid prosthesis
		HAS_DESTINATION penis

RUBRIC "Mise en place d'une prothse pnienne hydraulique sans composant extra-caverneux"
PARAPHRASE "a"
SOURCE ""
CODE "U480"
MAIN installing
	ACTS_ON hydraulic prosthesis
		HAS_DESTINATION corpus cavernosum
			IS_PART_OF penis

RUBRIC "Mise en place d'une prothse pnienne hydraulique avec composant(s) extra-caverneux"
PARAPHRASE "a"
SOURCE ""
CODE "U481"
HISTORY "
Manual accept at 2:53:20 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:23:36 pm on September 23, 1998 by jon"
MAIN installing
	ACTS_ON hydraulic prosthesis
		HAS_DESTINATION penis
WITHOUT_ACTION installing
	ACTS_ON component
		HAS_DESTINATION corpus cavernosum
	HAS_EXTENT all

RUBRIC "Ablation de prothse pnienne sans composant extra-caverneux"
PARAPHRASE "a"
SOURCE ""
CODE "U482"
MAIN removing
	ACTS_ON prosthetic implant
		HAS_LOCATION corpus cavernosum
			IS_PART_OF penis

RUBRIC "Ablation de prothse pnienne avec composant extra-caverneux"
PARAPHRASE "a"
SOURCE ""
CODE "U483"
HISTORY "
Manual accept at 2:51:10 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:23:46 pm on September 23, 1998 by jon"
MAIN removing
	ACTS_ON prosthetic implant
		HAS_LOCATION penis
WITHOUT_ACTION removing
	ACTS_ON component
		HAS_LOCATION corpus cavernosum
	HAS_EXTENT all

RUBRIC "Remplacement d'une prothse pnienne hydraulique sans composant extra-caverneux"
PARAPHRASE "a"
SOURCE ""
CODE "U484"
MAIN replacing
	ACTS_ON hydraulic prosthesis
		HAS_DESTINATION corpus cavernosum
			IS_PART_OF penis

RUBRIC "Remplacement d'une prothse pnienne hydraulique avec composant(s) extra-caverneux"
PARAPHRASE "a"
SOURCE ""
CODE "U485"
HISTORY "
Manual accept at 2:50:37 pm on September 14, 1998 by DrJeremy Rogers
Manual accept at 2:23:55 pm on September 23, 1998 by jon"
MAIN replacing
	ACTS_ON hydraulic prosthesis
		HAS_DESTINATION penis
WITHOUT_ACTION replacing
	ACTS_ON component
		HAS_DESTINATION corpus cavernosum
	HAS_EXTENT all

RUBRIC "Rparation de la rupture des corps caverneux"
PARAPHRASE "a"
SOURCE ""
CODE "U486"
MAIN repairing
	ACTS_ON corpus cavernosum
MOTIVATED_OVERALL_BY curing
	ACTS_ON rupture
		HAS_LOCATION corpus cavernosum

RUBRIC "Ponction-lavage des corps caverneux et lavage pour priapisme"
PARAPHRASE "puncturing"
SOURCE "USE"
CODE "U487"
MAIN puncturing
	ACTS_ON corpus cavernosum
MOTIVATED_OVERALL_BY curing
	ACTS_ON priapism
WITH washing
	ACTS_ON corpus cavernosum

RUBRIC "Anastomose caverno-spongieuse "
PARAPHRASE "connecting"
SOURCE "USE"
CODE "U488"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 corpus cavernosum
		CONNECTS_2 corpus spongiosum penis

RUBRIC "Anastomose de l'artre pigastrique avec l'artre dorsale de la verge"
PARAPHRASE "a"
SOURCE ""
CODE "U489"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 inferior epigastric artery
		CONNECTS_2 dorsal artery of penis

RUBRIC "Anastomose de l'artre fmorale avec l'artre ou la veine dorsale de la verge"
PARAPHRASE "a"
SOURCE ""
CODE "U490"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 femoral artery
		CONNECTS_2 dorsal vein of penis / dorsal artery of penis

RUBRIC "Anastomose saphno-caverneuse "
PARAPHRASE "connecting"
SOURCE "USE"
CODE "U491"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 saphenous vein
		CONNECTS_2 corpus cavernosum

RUBRIC "Artrialisation des corps caverneux ou des veines pniennes "
PARAPHRASE "arterialization"
SOURCE "USE"
CODE "U492"
MAIN arterialization
	ACTS_ON corpus cavernosum / vena penis

RUBRIC "Cration d'une fistule spongio-caverneuse par drill-biopsie"
PARAPHRASE "a"
SOURCE ""
CODE "U493"
MAIN creating
	ACTS_ON fistula
		CONNECTS_1 corpus spongiosum penis
		CONNECTS_2 corpus cavernosum
	BY_TECHNIQUE biopsying
		BY_MEANS_OF drill

RUBRIC "Fermeture d'une fistule spongio-caverneuse"
PARAPHRASE "closing"
SOURCE "USE"
CODE "U494"
MAIN closing
	ACTS_ON fistula
		CONNECTS_1 corpus spongiosum penis
		CONNECTS_2 corpus cavernosum

RUBRIC "Infiltration percutane des plaques de sclrose de l'albugine[maladie de Lapeyronie]"
PARAPHRASE "a"
SOURCE ""
CODE "U495"
MAIN injecting
	ACTS_ON substance
		HAS_DESTINATION sclerosis
			HAS_LOCATION tunica albuginea

RUBRIC "Interruption des veines de drainage de la verge par voie chirurgicale"
PARAPHRASE "a"
SOURCE ""
CODE "U496"
HISTORY "
Manual accept at 2:59:47 pm on September 14, 1998 by DrJeremy Rogers"
MAIN occluding
	ACTS_ON vena penis
		HAS_NUMBER several
	HAS_APPROACH open

RUBRIC "Interruption des veines de drainage de la verge par embolisation"
PARAPHRASE "a"
SOURCE ""
CODE "U497"
HISTORY "
Manual accept at 2:59:51 pm on September 14, 1998 by DrJeremy Rogers"
MAIN occluding
	ACTS_ON vena penis
		HAS_NUMBER several
	BY_MEANS_OF occluding material

RUBRIC "Ponction d'hydrocle "
PARAPHRASE " puncturing"
SOURCE "USE"
CODE "U498"
MAIN puncturing
	ACTS_ON hydrocele
		IS_CONTAINED_IN scrotum

RUBRIC "Ponction d'hydrocle avec injection de produit sclrosant"
PARAPHRASE " puncturing"
SOURCE "USE"
CODE "U499"
MAIN puncturing
	ACTS_ON hydrocele
		IS_CONTAINED_IN scrotum
WITH injecting
	ACTS_ON sclerosing agent
		HAS_DESTINATION tunica vaginalis

RUBRIC "Ligature du processus pritono-vaginal avec ou sans rsection partielle de la vaginale pour kyste du cordon ou hydrocle, par voie inguinale"
PARAPHRASE "a"
SOURCE ""
CODE "U500"
HISTORY "
Transformation - expanding descriptor (type II): ligating - applied at 3:04:49 pm on November 3, 1998
Transformation - expanding descriptor (type II): ligating - applied at 3:05:51 pm on November 3, 1998
Manual accept at 3:06:10 pm on November 3, 1998 by jon"
MAIN occluding
	ACTS_ON processus vaginalis
		HAS_LOCATION inguinal canal
	HAS_APPROACH inguinal approach
	BY_MEANS_OF ligature
WITH_OPTIONALLY resecting
	ACTS_ON tunica vaginalis
	HAS_EXTENT partial
	MOTIVATED_BY curing
		ACTS_ON cyst
			HAS_LOCATION spermatic cord
OR_MAIN occluding
	ACTS_ON processus vaginalis
		HAS_LOCATION inguinal canal
	HAS_APPROACH inguinal approach
	BY_MEANS_OF ligature
WITH_OPTIONALLY resecting
	ACTS_ON tunica vaginalis
	HAS_EXTENT partial
	MOTIVATED_BY curing
		ACTS_ON hydrocele
			IS_PART_OF tunica vaginalis

RUBRIC "Rsection d'une hydrocle abdomino-scrotale"
PARAPHRASE "a"
SOURCE ""
CODE "U501"
MAIN resecting
	ACTS_ON tunica vaginalis
		IS_PART_OF scrotum & abdomen
MOTIVATED_OVERALL_BY curing
	ACTS_ON hydrocele

RUBRIC "Plicature de la vaginale par voie scrotale"
PARAPHRASE "Plicature de la vaginale par voie scrotale"
SOURCE ""
CODE "U502"
MAIN plicating
	ACTS_ON tunica vaginalis
	HAS_APPROACH scrotal approach

RUBRIC "Rsection de la vaginale par voie scrotale"
PARAPHRASE "Rsection de la vaginale par voie scrotale"
SOURCE ""
CODE "U503"
MAIN resecting
	ACTS_ON tunica vaginalis
	HAS_APPROACH scrotal approach

RUBRIC "Rsection  de veine spermatique par voie chirurgicale"
PARAPHRASE "a"
SOURCE ""
CODE "U504"
MAIN resecting
	ACTS_ON spermatic vena
	HAS_APPROACH open

RUBRIC "Rsection  de veine spermatique sous coelioscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U505"
MAIN resecting
	ACTS_ON spermatic vena
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_APPROACH open
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Rsection  de veine spermatique par voie scrotale"
PARAPHRASE "a"
SOURCE ""
CODE "U506"
MAIN resecting
	ACTS_ON spermatic vena
	HAS_APPROACH scrotal approach

RUBRIC "Embolisation d'une veine spermatique sous contrle radiologique"
PARAPHRASE "a"
SOURCE ""
CODE "U507"
MAIN occluding
	ACTS_ON spermatic vena
	BY_MEANS_OF occluding material
	BY_TECHNIQUE imaging
		ACTS_ON spermatic vena
		BY_MEANS_OF Xray device

RUBRIC "Dtorsion manuelle du cordon ou des annexes du testicule "
PARAPHRASE "Dtorsion manuelle du cordon ou des annexes du testicule "
SOURCE ""
CODE "U508"
MAIN untwisting
	ACTS_ON spermatic cord / annexa of testis
	BY_MEANS_OF hand

RUBRIC "Dtorsion chirurgicale du cordon ou des annexes du testicule "
PARAPHRASE "Dtorsion chirurgicale du cordon ou des annexes du testicule "
SOURCE ""
CODE "U509"
MAIN untwisting
	ACTS_ON spermatic cord / annexa of testis
	HAS_APPROACH open

RUBRIC "Dtorsion chirurgicale du cordon ou des annexes du testicule avec fixation du testicule controlateral"
PARAPHRASE "Dtorsion chirurgicale du cordon ou des annexes du testicule avec fixation du testicule controlateral"
SOURCE ""
CODE "U510"
MAIN untwisting
	ACTS_ON spermatic cord / annexa of testis
	HAS_APPROACH open
WITH fixing
	ACTS_ON testis
		HAS_LATERALITY contralateral

RUBRIC "Orchidectomie par voie inguinale"
PARAPHRASE "Orchidectomie par voie inguinale"
SOURCE "USE"
CODE "U511"
MAIN excising
	ACTS_ON testis
	HAS_APPROACH inguinal approach

RUBRIC "Orchidectomie par voie inguinale avec mise en place de prothse testiculaire"
PARAPHRASE "Orchidectomie par voie inguinale avec mise en place de prothse testiculaire"
SOURCE "USE"
CODE "U512"
MAIN excising
	ACTS_ON testis
	HAS_APPROACH inguinal approach
WITH installing
	ACTS_ON prosthetic implant
		REPLACES testis

RUBRIC "Orchidectomie unilatrale largie au cordon par voie inguinale"
PARAPHRASE "Orchidectomie unilatrale largie au cordon par voie inguinale"
SOURCE "USE"
CODE "U513"
MAIN excising
	ACTS_ON testis & spermatic cord
	HAS_APPROACH inguinal approach
	HAS_LATERALITY unilateral

RUBRIC "Orchidectomie par voie scrotale"
PARAPHRASE "Orchidectomie par voie scrotale"
SOURCE "USE"
CODE "U514"
MAIN excising
	ACTS_ON testis
	HAS_APPROACH scrotal approach

RUBRIC "Pulpectomie testiculaire"
PARAPHRASE "a"
SOURCE ""
CODE "U515"
MAIN excising
	ACTS_ON parenchyma of testis

RUBRIC "Mise en place d'une prothse testiculaire"
PARAPHRASE "a"
SOURCE ""
CODE "U516"
MAIN installing
	ACTS_ON prosthetic implant
		REPLACES testis

RUBRIC "Ablation d'une prothse testiculaire"
PARAPHRASE "a"
SOURCE ""
CODE "U517"
MAIN removing
	ACTS_ON prosthetic implant
		REPLACES testis

RUBRIC "Suture de rupture testiculaire"
PARAPHRASE "a"
SOURCE ""
CODE "U518"
MAIN suturing
	ACTS_ON testis
MOTIVATED_OVERALL_BY curing
	ACTS_ON rupture
		HAS_LOCATION testis

RUBRIC "Exploration par coelioscopie pour cryptorchidie"
PARAPHRASE "a"
SOURCE ""
CODE "U519"
MAIN examining
	ACTS_ON peritoneal cavity
	BY_MEANS_OF laparoscope
MOTIVATED_OVERALL_BY diagnosis
	ACTS_ON cryptorchism

RUBRIC "Exploration par voie inguinale pour cryptorchidie"
PARAPHRASE "a"
SOURCE ""
CODE "U520"
MAIN examining
	ACTS_ON inguinal region
	HAS_APPROACH inguinal approach
MOTIVATED_OVERALL_BY diagnosis
	ACTS_ON cryptorchism

RUBRIC "Ligature du pdicule spermatique par voie chirurgicale ouverte pour cryptorchidie"
PARAPHRASE "a"
SOURCE ""
CODE "U521"
HISTORY "
Transformation - expanding descriptor (type II): ligating - applied at 3:04:49 pm on November 3, 1998"
MAIN occluding
	ACTS_ON vascular pedicle
		IS_CONTAINED_IN spermatic cord
	HAS_APPROACH open
	BY_MEANS_OF ligature
MOTIVATED_OVERALL_BY diagnosis
	ACTS_ON cryptorchism

RUBRIC "Ligature du pdicule spermatique par coelioscopie pour cryptorchidie"
PARAPHRASE "a"
SOURCE ""
CODE "U522"
HISTORY "
Transformation - expanding descriptor (type II): ligating - applied at 3:04:49 pm on November 3, 1998"
MAIN occluding
	ACTS_ON vascular pedicle
		IS_CONTAINED_IN spermatic cord
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
	BY_MEANS_OF ligature
MOTIVATED_OVERALL_BY diagnosis
	ACTS_ON cryptorchism

RUBRIC "Orchidopexie par voie scrotale"
PARAPHRASE "Orchidopexie par voie scrotale"
SOURCE "USE"
CODE "U523"
MAIN fixing
	ACTS_ON testis
	HAS_APPROACH scrotal approach

RUBRIC "Orchidopexie pour cryptorchidie ou ectopie non palpable par voie mixte ouverte et laparoscopique"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "U524"
MAIN fixing
	ACTS_ON testis
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	HAS_APPROACH open
	WITH_GUIDANCE_BY laparoscope
MOTIVATED_OVERALL_BY diagnosis
	ACTS_ON cryptorchism / ectopic testis
		IS_PART_OF abdomen

RUBRIC "Orchidopexie pour cryptorchidie ou ectopie non palpable par voie abdominale et scrotale"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "U525"
MAIN fixing
	ACTS_ON testis
	HAS_APPROACH abdominal approach
	HAS_APPROACH scrotal approach
MOTIVATED_OVERALL_BY diagnosis
	ACTS_ON cryptorchism / ectopic testis
		IS_PART_OF abdomen

RUBRIC "Orchidopexie pour cryptorchidie ou ectopie palpable par voie inguinale et scrotale"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;"
PARAPHRASE "a"
SOURCE ""
CODE "U526"
MAIN fixing
	ACTS_ON testis
	HAS_APPROACH inguinal approach
	HAS_APPROACH scrotal approach
MOTIVATED_OVERALL_BY diagnosis
	ACTS_ON cryptorchism / ectopic testis
		IS_PART_OF abdomen

RUBRIC "Orchidectomie par voie coelioscopique pour cryptorchidie abdominale"
PARAPHRASE "a"
SOURCE ""
CODE "U527"
MAIN excising
	ACTS_ON testis
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope
MOTIVATED_OVERALL_BY diagnosis
	ACTS_ON cryptorchism
		IS_PART_OF abdomen

RUBRIC "Orchidectomie par voie chirurgicale ouverte pour cryptorchidie abdominale"
PARAPHRASE "a"
SOURCE ""
CODE "U528"
MAIN excising
	ACTS_ON testis
	HAS_APPROACH open
MOTIVATED_OVERALL_BY diagnosis
	ACTS_ON cryptorchism
		IS_PART_OF abdomen

RUBRIC "Autotransplantation testiculaire unilatrale"
PARAPHRASE "a"
SOURCE ""
CODE "U529"
MAIN moving
	ACTS_ON testis
		HAS_DESTINATION scrotum
		IS_CONTAINED_IN abdomen / inguinal region
	HAS_LATERALITY unilateral

RUBRIC "Ligature simple, section ou rsection  du dfrent par voie percutane"
PARAPHRASE "a"
SOURCE ""
CODE "U530"
HISTORY "
Transformation - expanding descriptor (type II): ligating - applied at 3:04:49 pm on November 3, 1998"
MAIN occluding
	ACTS_ON vas deferens
	HAS_APPROACH percutaneous route
	BY_MEANS_OF ligature
OR_MAIN dividing
	ACTS_ON vas deferens
	HAS_APPROACH percutaneous route
OR_MAIN resecting
	ACTS_ON vas deferens
	HAS_APPROACH percutaneous route

RUBRIC "Ligature simple, section ou rsection  du dfrent par voie scrotale"
PARAPHRASE "a"
SOURCE ""
CODE "U531"
HISTORY "
Transformation - expanding descriptor (type II): ligating - applied at 3:04:49 pm on November 3, 1998"
MAIN occluding
	ACTS_ON vas deferens
	HAS_APPROACH scrotal approach
	BY_MEANS_OF ligature
OR_MAIN dividing
	ACTS_ON vas deferens
	HAS_APPROACH scrotal approach
OR_MAIN resecting
	ACTS_ON vas deferens
	HAS_APPROACH scrotal approach

RUBRIC "Ablation d'un kyste du cordon ou de l'pididyme"
PARAPHRASE "a"
SOURCE ""
CODE "U532"
MAIN excising
	ACTS_ON cyst
		HAS_LOCATION spermatic cord / epididymis

RUBRIC "Epididymectomie"
PARAPHRASE "a"
SOURCE ""
CODE "U533"
MAIN excising
	ACTS_ON epididymis

RUBRIC "Mise en place d'une spermatocle"
PARAPHRASE "a"
SOURCE ""
CODE "U534"
MAIN creating
	ACTS_ON spermatocele

RUBRIC "Anastomose pididymo-dfrentielle par micro-chirurgie avec dfrentographie"
PARAPHRASE "connecting"
SOURCE "USE"
CODE "U535"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 epididymis
		CONNECTS_2 vas deferens
	BY_MEANS_OF microsurgical device
	BY_TECHNIQUE imaging
		ACTS_ON vas deferens
		BY_MEANS_OF Xray device

RUBRIC "Anastomose dfrento-dfrentielle par micro-chirurgie "
PARAPHRASE "connecting"
SOURCE "USE"
CODE "U536"
MAIN creating
	ACTS_ON anastomosis structure
		CONNECTS_1 vas deferens
		CONNECTS_2 vas deferens
	BY_MEANS_OF microsurgical device

RUBRIC "Curage ganglionnaire aortico-cave"
PARAPHRASE "a"
SOURCE ""
CODE "U537"
MAIN excising
	ACTS_ON aortic lymph node & caval lymph node

RUBRIC "Curage ganglionnaire ilio-obturateur par voie chirurgicale ouverte"
PARAPHRASE "a"
SOURCE ""
CODE "U538"
MAIN excising
	ACTS_ON iliac lymphnode & obturator lymph node
	HAS_APPROACH open

RUBRIC "Curage ganglionnaire ilio-obturateur sous coelioscopie ou laparoscopie"
PARAPHRASE "a"
SOURCE ""
CODE "U539"
MAIN excising
	ACTS_ON iliac lymphnode & obturator lymph node
	BY_TECHNIQUE inspecting
		ACTS_ON peritoneal cavity
		BY_MEANS_OF laparoscope
	WITH_GUIDANCE_BY laparoscope

RUBRIC "Curage ganglionnaire lombo-aortique"
PARAPHRASE "a"
SOURCE ""
CODE "U540"
MAIN excising
	ACTS_ON lumbar aorta lymph node

RUBRIC "Curage ganglionnaire inguinal"
PARAPHRASE "a"
SOURCE ""
CODE "U541"
MAIN excising
	ACTS_ON inguinal lymph node

RUBRIC "Changement de prothse de testicule"
PARAPHRASE "a"
SOURCE ""
CODE "U542"
MAIN replacing
	ACTS_ON prosthetic implant
		HAS_LOCATION scrotum
		REPLACES testis

RUBRIC "Rsection plastique du scrotum"
PARAPHRASE "a"
SOURCE ""
CODE "U543"
MAIN fashioning
	ACTS_ON scrotum
	BY_TECHNIQUE resecting
		ACTS_ON scrotum

RUBRIC "Chirurgie de l'lphantiasis scrotal"
PARAPHRASE "a"
SOURCE ""
CODE "U544"
MAIN surgical deed
	ACTS_ON scrotum
MOTIVATED_OVERALL_BY curing
	ACTS_ON elephantiasis
		HAS_LOCATION scrotum

RUBRIC "Evacuation d'un abcs prinphrtique"
PARAPHRASE "a"
SOURCE ""
CODE "U545"
MAIN evacuating
	ACTS_ON abcess
		HAS_LOCATION perirenal space

RUBRIC "Controle radiologique per-opratoire avec injection de produit de contraste"
PARAPHRASE "a"
SOURCE ""
CODE "U546"
MAIN imaging
	ACTS_ON organ
	BY_MEANS_OF Xray device
	HAS_TEMPORAL_MARKER earlierMarker
TO_ACHIEVE_OVERALL control
	ACTS_ON structure
WITH injecting
	ACTS_ON contrast medium
		HAS_DESTINATION organ

RUBRIC "Mise en place d'une sonde urtrale pour drainage au cours d'une intervention"
PARAPHRASE "a"
SOURCE ""
CODE "U547"
MAIN installing
	ACTS_ON catheter
		HAS_DESTINATION ureter
	HAS_TEMPORAL_MARKER intraoperative
TO_ACHIEVE_OVERALL draining
	ACTS_ON ureter

RUBRIC "Mise en place d'un tuteur double crosse endo-urtral au cours d'une intervention"
STATUS "0"
HISTORY "19980911,rodrigues@univ-st-etienne.fr,0;
Manual accept at 12:16:41 pm on September 14, 1998 by DrJeremy Rogers"
PARAPHRASE "a"
SOURCE ""
CODE "U548"
MAIN installing
	ACTS_ON support
		HAS_DESTINATION ureter
		HAS_FEATURE Sshape
	HAS_TEMPORAL_MARKER intraoperative

RUBRIC "Curage ganglionnaire aortico-cave complmentaire"
PARAPHRASE "a"
SOURCE ""
CODE "U549"
MAIN excising
	ACTS_ON aortic lymph node & caval lymph node

RUBRIC "Curage ganglionnaire ilio-obturateur complmentaire"
PARAPHRASE "a"
SOURCE ""
CODE "U550"
MAIN excising
	ACTS_ON iliac lymphnode & obturator lymph node
	HAS_TEMPORAL_MARKER intraoperative

RUBRIC "Cration d'un dispositif anti-reflux urtro-vsical complmentaire"
PARAPHRASE "a"
SOURCE ""
CODE "U551"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 urinary bladder
	HAS_TEMPORAL_MARKER intraoperative
TO_ACHIEVE_OVERALL urinary continence
WITH creating
	ACTS_ON valve
		IS_PART_OF ureter

RUBRIC "Cration d'un dispositif anti-reflux urtro-colique complmentaire"
PARAPHRASE "a"
SOURCE ""
CODE "U552"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 colon
	HAS_TEMPORAL_MARKER intraoperative
TO_ACHIEVE_OVERALL urinary continence
WITH creating
	ACTS_ON valve
		IS_PART_OF ureter

RUBRIC "Cration d'un dispositif anti-reflux urtro-intestinal complmentaire"
PARAPHRASE "a"
SOURCE ""
CODE "U553"
MAIN constructing
	ACTS_ON anastomosis structure
		CONNECTS_1 ureter
		CONNECTS_2 intestine
	HAS_TEMPORAL_MARKER intraoperative
TO_ACHIEVE_OVERALL urinary continence
WITH creating
	ACTS_ON valve
		IS_PART_OF ureter

RUBRIC "Mise en place d'un cathter vsical sus-pubien complmentaire"
PARAPHRASE "a"
SOURCE ""
CODE "U554"
MAIN installing
	ACTS_ON catheter
		HAS_DESTINATION urinary bladder
	HAS_APPROACH supra pubic approach
	HAS_TEMPORAL_MARKER intraoperative

RUBRIC "Urthrotomie  l'aveugle"
PARAPHRASE "a"
SOURCE ""
CODE "U555"
MAIN incising
	ACTS_ON urethra
	HAS_APPROACH closed

