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30 décembre 2018 Non Par admin

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globalement le taux de préservation de la fonction sexuelle est d’environ 50% avec un recul £ 2ans (de 56% à 12 mois à 47% à 2 ans) [47, 48,49]
cette fréquence varie cependant selon les échelles d’évaluation utilisées (iief
) et la durée du suivi puisqu’une une dégradation des résultats avec le temps est rapportée dans toutes les séries
ainsi 30 % des patients à 6 ans conservent des capacités érectiles normales, avec le maintien d’érections. permettant une pénétration dans 59 % des cas [50]
la curiethérapie n’agit pas que sur la capacité érectile
ainsi 26 % des patients traités présentent des douleurs lors de l’orgasme après traitement
ces douleurs sont habituellement régressives avec le temps et disparaissent en moyenne 3 mois après l’implantation (elles peuvent cependant persister pendant plus d’un an)
15 % des patients signalent également une hémospermie régressive, alors que 38 % décrivent une diminution de l’intensité de leurs. orgasmes sans amélioration dans le temps [51]
la fertilité n’est pas considérée comme une priorité dans la prise en charge du cancer localisé de prostate
néanmoins, cette demande existe après prostatectomie radicale chez des patients jeunes
aucune donnée de la littérature n’existe pour la fertilité après curiethérapie
la dysfonction érectile après curiethérapie semble multifactorielle
elle peut dépendre notamment de facteurs liés au patient (âge à l’implantation, activité sexuelle pré-implantation), de la comorbidité, du recul post-thérapeutique, de facteurs liés à la technique d’implantation (dose reçue au bulbe ou aux racines des corps caverneux
) ou de traitements associés
avec un recul moyen de 5 ans, 57,4 % des patients de moins de 60 ans ont une fonction érectile normale, contre 38,2 % des

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racing game cruisin’ usa
killer instinct was later released on the snes
soon after, nintendo realized they had mistakenly chosen a name for their new console that the konami corporation owned the rights to
specifically, only konami would have the rights to release games for the new system called ultra football, ultra tennis, etc
therefore, in 1995 nintendo changed the final name of the system to the nintendo 64, and announced that it would be released in 1996
they later showed previews of the system and several games, including super mario 64, to the media and public
1995 is also the year that nintendo purchased part of rare
in 1994, after many years of nintendo’s products being distributed in australia by mattel since the nes in 1985, nintendo opened its australian headquarters and its first managing directors were graham kerry, who moved along from mattel australia as managing director and susumu tanaka of nintendo uk ltd
in 1995, nintendo released the virtual boy in japan
the console sold poorly, but nintendo still said they had hope for it and continued to release several other games and attempted a release in the us, which was another disaster
also in 1995, nintendo found themselves in a competitive situation
competitor sega introduced their 32-bit saturn, while newcomer sony introduced the 32-bit playstation
sony’s fierce marketing campaigns ensued, and it started to cut into nintendo and sega’s market share
on june 23, 1996, the nintendo 64 (n64) was released in japan, selling over 500,000 units on the first day of its release
[17] on september 29, 1996, nintendo released the nintendo 64 in north america, selling out the initial shipment of 350,000
[17] many feel that the advertising onslaught by sony at this time did not truly begin to take effect until many of the consumers who held out for the n64 became frustrated at the lack of software following the first few months after the system’s release
what also greatly contributed to the extremely competitive climate that nintendo was entrenched in was the fact that many third-party companies immediately began developing and releasing many of their leading games for nintendo’s competing consoles
many of those third party companies cited cheaper development and manufacturing costs for the cd format, versus the cartridge format
on december 1, 1999, nintendo released an add-on to the nintendo 64 in japan, titled the nintendo 64dd, although it was never released elsewhere
nintendo followed with the release of the game boy pocket, a smaller version of the original game boy, designed by gunpei yokoi as a parting gift
a week after the release of the game boy pocket, gunpei resigned from his position at nintendo
gunpei helped in the creation of a competitor system named the wonderswan, using the skills he gained in the creation of the game boy
in 1996, pocket monsters (known internationally as “pokémon”) was released in japan to a huge following
the pokémon franchise, created by satoshi tajiri, was proving so popular in america, europe, and japan, that for a brief time, nintendo took back their place as the supreme power in the games industry
in 1997, game boy and metroid creator gunpei yokoi died in a car accident at the age of 56
on october 13, 1998, the game boy color was released in japan, with releases in north america and europe a month later
nintendo released the game boy advance in japan on march 21, 2001, followed by the north american launch on june 11 and the european launch on june 22
nintendo released the gamecube home video game console on september 14, 2001, in japan
it was released in north america on november 18, 2001, europe on may 3, 2002, and australia on may 17, 2002
in january 2002, minoru arakawa resigned as president of nintendo of america, and nintendo named tatsumi kimishima as his successor
in may 2002, hiroshi yamauchi stepped down as the president of nintendo and named satoru iwata his successor
during the same year, nintendo and chinese-american scientist dr wei yen co-founded ique to manufacture and distribute official nintendo consoles and games for the mainland chinese market under the ique brand
[31] nintendo’s aggressive business tactics in europe would catch up to them
the european commission determined that nintendo had engaged in anticompetitive price-fixing business practices dating at least as far back as the early 1990s
this resulted in a heavy fine being laid against the company — €149 million, one of the largest antitrust fines applied in the history of the commission
in may 2004, nintendo announced plans to release a new brand of handheld, unrelated to the game boy, featuring two screens, one of which was touch-sensitive
the nintendo ds, released on november 21, 2004, received over three million pre-orders
in addition to the touch screen, the ds can also create three-dimensional graphics, similar to those of the nintendo 64, although its lack of hardware support for texture filtering results in more pixelated graphics than on the nintendo 64
president satoru iwata reassigned all of nintendo’s software designers under new managers and different division; most of the resources were allocated to shigeru miyamoto and takashi tezuka and the nintendo ead division
on may 14, 2005, nintendo opened its first retail store accessible to the general

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