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What is a parental project involving sperm donation? In which cases am I concerned?If you are an infertile couple:The use of donor sperm may be considered in cases of total or almost total absence of spermatozoa, or to avoid the transmission of a genetic disease from a male carrier to his offspring.If you are a female couple:The use of donor sperm is a common option to start a family. This donation makes it possible to create a two-parent family unit and to carry and give birth to one or more children. For a second child, the same partner may carry the pregnancy, or the couple may choose to alternate.If you are a single woman:The decision to pursue single motherhood through sperm donation may result from life circumstances that made it difficult to build or maintain a stable relationship, or from concerns related to age and fertility.If you are hesitant to commit to solo motherhood, or if you are in a relatively new relationship, it is possible to undergo a fertility assessment.If you are under 38 years old, you also have the option to preserve your fertility by freezing your oocytes for future use (see the section on fertility preservation for “non-medical” reasons).Anonymous sperm donor or known (directed) sperm donor?In Belgium, anonymous donation is used in the majority of cases. The sperm comes from voluntary donors who are fertile, in good physical and mental health, and whose motivation aligns with the purpose and ethics of donation. These donors undergo genetic and serological testing beforehand to ensure optimal safety conditions for recipients.Donor anonymity is respected under Belgian law, even when sperm samples come from sperm banks outside Belgium.For infertile couples, the ethnic origin, physical characteristics, and blood group of the future father are considered when matching with a sperm donor.For female couples or single women, matching is based on ethnic origin. When the time comes, the Clinic selects the most appropriate donor.As we can, if necessary, work with other sperm banks offering equivalent safety guarantees, there is generally no waiting period. However, if a donor of “extra-European” origin or with a rare blood group is required, some waiting time may be necessary to find the best match.In terms of safety, regardless of whether the donation is anonymous or directed, only sperm that has been frozen and for which the donor has undergone serological testing at the time of freezing and/or six months later may be used, in order to prevent any risk of infection transmission.Regardless of the reason for donation, Belgian legislation limits the use of sperm from a single donor to six families. Once this “quota” is reached, the remaining sperm straws may still be used for a new pregnancy within these six families, provided that sperm samples are still available at the time of the request.Directed sperm donation, in which the donor is known, is permitted in Belgium. If you plan to receive sperm from a donor you have chosen, it is essential that the donor meets the psychological and medical criteria established by the clinic. Once the donation is made, Belgian law releases the donor from any parental obligation and stipulates that they will have no rights over the child. If you live in another country, the laws on parentage applicable in your country will apply. Medical services Psychological consultation(s)For any request involving the use of donor gametes, Belgian centers are legally required to offer a psychological consultation prior to donation.In our center, one to three psychological consultations are systematically scheduled before medical treatment begins. You will meet psychologists specialized in fertility, who work closely with your gynecologist to ensure multidisciplinary care. Particular attention is paid to issues specific to this mode of parenthood, especially those related to informing relatives and the child about the mode of conception.If, for ethical reasons, our center is unable to respond favorably to your request, we will provide you with all the necessary information to refer you elsewhere.Medical assessmentOnce patients decide to proceed after reflection, a standard preconception fertility blood work-up is prescribed for the future mother. The uterine cavity and tubal patency are assessed. Certain tests are also prescribed for the partner.Practical modalitiesDepending on the medical assessment of the person who will carry the pregnancy, intrauterine insemination with donor sperm is generally proposed as the first-line treatment.If other factors of female infertility are identified or in the case of repeated insemination failures, in vitro fertilization (IVF) may be proposed. Advice We recommend anticipating pregnancy follow-up by contacting in advance the gynecologist or midwife who will monitor your pregnancy, in order to share your assisted reproduction journey with them. Focus As a general rule, our team has set an age limit for single-parent projects between 30 and 45 years.In cases of ovarian insufficiency, egg donation combined with sperm donation (double donation) is also possible.Men who wish to become anonymous donors can be seen for an information-only consultation. Our specialized secretaries are also available to answer any questions.Possibility of using BEGECS for donor matching. Our specialists Associated servicesDepartment of Gynecology-Obstetrics / Fertility ClinicAll members of the MAR (Medically Assisted Reproduction) team manage requests for anonymous or directed sperm donation.For donor candidates:Dr. Isabelle DUPONDDr. Catherine HOUBADr Fabienne DEVREKER Psychology team:Chantale LaruelleIsabelle PlaceDenis Walravens 

What is egg donation? Egg donation has existed at Erasme Hospital since 1984 and has enabled thousands of women worldwide to become mothers. In Belgium, under the law on Medically Assisted Reproduction (MAR), requests are accepted up to the age of 45, and donation procedures can be carried out until the age of 47.In which cases am I concerned?Egg donation is proposed when infertility is due to very low egg quality despite the presence of menstrual cycles (ovarian insufficiency or failure), or when the ovaries no longer contain follicles and no longer function (menopause).Some patients choose egg donation to avoid transmitting a genetic disease to their offspring.Who are the donors?Women who voluntarily present themselves at Erasme or the Gametia egg bank.Women motivated by a close relative or friend in need of egg donation, who agree to donate their eggs to the Erasme MCH bank. The eggs, obtained after ovarian stimulation, are anonymously allocated to several women with the same indication. Their relatives may receive several anonymous consecutive donations. This is known as cross donation.Any woman requiring egg donation may register on a waiting list. However, most prefer to bring their own donor to reduce waiting time and costs and increase success rates.Directed donationDirected donation is also possible at the Fertility Clinic of Erasme Hospital. In this case, you receive eggs exclusively from your donor (sister, friend, cousin), when access to genetic origins is important to you.Anonymous donationAccording to Belgian law, anonymity is permanent. Even as an adult, the child will not be able to access the donor’s identity.Couples choose anonymous donation to clearly define the donor’s role and avoid biological or relational ties.Anonymous cross donation also allows repeated access to donated eggs, increasing pregnancy chances compared to directed or simple anonymous donation.Physical characteristics are recorded to ensure appropriate donor–recipient matching. Medical services Psychological assessment and supportDonor criteriaAnonymous donors: 20–34 years oldDirected donation: up to 38 years old, with at least one childMedical assessmentEvaluation of ovarian reserve (blood test and ultrasound)Gynecological assessment and explanation of treatmentGenetic consultation to exclude transmissible genetic disordersFor anonymous donation, all donors undergo carrier screening (over 1,000 rare but serious genetic conditions), also offered to recipient couples. This test is costly and requires 2–4 months.Belgian law requires a mandatory psychological interview prior to gamete donation to ensure motivation, informed consent, and absence of coercion.At least one psychological consultation is required, with optional ongoing support during treatment, pregnancy, or after birth.Treatment and success ratesDonors undergo controlled ovarian hyperstimulation similar to standard IVF cycles.Recipients receive estrogen and progesterone to prepare the endometrium. Treatment continues for three months if pregnancy occurs.Increasing scientific evidence supports embryo transfer in natural ovulatory cycles. In this case, embryos are frozen and transferred five days after ovulation.Pregnancy rates per attempt are generally higher than in conventional IVF. The main determining factor is donor age.What support is available?Psychological support addresses emotional distress related to infertility and MAR, while encouraging reflection focused on the future child.Specialized fertility psychologists work closely with gynecologists to provide comprehensive multidisciplinary care.Questions regarding disclosure to relatives and to the child receive particular attention.Fertidata A national Belgian application managed by Sciensano that limits the number of families per donor to six. Advice Anonymous cross donation offers the highest chance of pregnancy at lower cost but requires openness about infertility and acceptance of non-genetic parenthood. Our medical-psychological team can guide you through this process Focus Collaboration with Gametia egg bankPartnerships with Cryos and FertibankCompensation is provided to cover travel expenses and the consultation time required for the assessment and ovarian stimulation. Scientific research Embryo transfer in natural cyclesStudy on progesterone-induced endometrial luteinization without waiting for ovulation peak (Dr Amirgholami- Prof Delbaere)  Our specialists Cross egg donation is performed exclusively at Erasme in Belgium.Genetic matching available via Begecs.Associated ServicesAdministrative Contact: Linda GouinDepartment of Gynecology and ObstetricsPr. Anne DELBAEREPr. Fabienne DEVREKERDr. Soraya AMIRGHOLAMIDr. Catherine HOUBADr. Caroline LECOCQ PsychologistsDepartment of GeneticsGeneticists:Pr. Guillaume SMITSPr. Isabelle VANDERNOOTDr. Sandra COPPENSGenetics Supervisors:Adeline BUSSON  Marie-Laure GRENET  Marie BRUNEAUAlice LE MORILLON 

What is medical fertility preservation? Medical fertility preservation is offered when a disease or its treatment may endanger fertility. Certain treatments, such as ovarian or testicular surgery, chemotherapy, radiotherapy, or certain genetic conditions, can damage the ovaries or testes. These are often cancer treatments that may be harmful to fertility. Such treatments are called “gonadotoxic.”In this context, it is recommended to plan fertility preservation if possible before starting treatment. The medical field that assesses fertility risks and offers preservation techniques in cancer cases is called oncofertility. Oncofertility concerns women and men of reproductive age, as well as adolescents and children.It is also important to know that certain non-cancerous diseases, such as benign hematological diseases (e.g., sickle cell disease) or autoimmune diseases, also require gonadotoxic treatments. Some genetic diseases can be associated with premature ovarian failure or risk of testicular insufficiency. Fertility preservation may also be indicated in these cases. Fertility preservation may also be considered if a surgical treatment risks reducing ovarian reserve, such as endometriosis surgery.The INAMI/RIZIV covers only part of these indications. Medical services Various methods of gamete cryopreservation have been offered at Erasmus Hospital for around twenty years. Cryopreservation is a technique that allows human cells and tissues, including oocytes, sperm, and ovarian tissue, to be preserved long-term at -72°C.Fertility preservation in girls and womenOocyte and/or embryo preservationIf you are a young woman and your gonadotoxic treatment can be postponed for a few weeks, ovarian stimulation may be considered to collect oocytes via transvaginal aspiration. Depending on your preference, these oocytes can be frozen as-is and/or fertilized with your partner’s sperm or donor sperm. Oocytes are stored for 10 years, and embryos for 5 years. Storage periods can be shortened or extended upon request. In case of future infertility, these oocytes or embryos can be thawed and used for pregnancy. As with any assisted reproductive procedure, success cannot be guaranteed. The INAMI/RIZIV covers this procedure up to age 37. In Belgium, the maximum age for fertilization of oocytes is 45, and for embryo transfer 47.Ovarian tissue preservationWhen gonadotoxic treatment must start urgently, has already started, or in adolescents or children, an alternative to oocyte preservation is to harvest an ovarian fragment or whole ovary via laparoscopic surgery under general anesthesia. The goal is to cryopreserve ovarian tissue fragments, which contain a large number of oocytes. This procedure can be offered up to age 36. Storage of ovarian tissue fragments is 10 years, which can be shortened or extended upon request. If there is a desire for pregnancy after recovery, and fertility has been irreversibly affected, the ovarian tissue can be transplanted to restore fertility. Before transplantation, further analysis is needed to exclude tumor cells. Transplantation must occur before age 45. In Belgium, the maximum age for fertilization of oocytes from transplanted tissue is 45, and 47 for embryo transfer. Over 200 children have already been born worldwide using this technique, including several at Erasme Hospital. Success cannot be guaranteed, and this technique is considered innovative.Fertility preservation in boys and menSperm preservationCryopreservation of mature sperm obtained from ejaculate (by masturbation) has existed for many years and is a simple method to preserve male fertility long-term.Depending on your diagnosis and urgency of treatment, you will have multiple appointments (usually 3) at the andrology lab to preserve several samples for 10 years, which can be shortened or extended upon request. In case of infertility following gonadotoxic treatment, the frozen sperm can be used to achieve pregnancy with your partner. Depending on the quality and number of samples, artificial insemination or IVF with ICSI may be considered. If sperm cannot be obtained via ejaculation, a testicular biopsy under general anesthesia may be performed.In children, it is also possible to harvest and store testicular tissue in collaboration with other hospitals. Currently, this technique remains experimental, and no pregnancies have yet been achieved from testicular tissue collected from children. Advice Before starting your treatment or upon diagnosis of a disease, it is important to discuss the possible impact on fertility with your treating physician. You may be referred to one of our fertility preservation specialists, who will inform you about the options according to your personal situation.In Belgium, under certain conditions, fertility preservation procedures may be reimbursed by INAMI/RIZIV for women under 38 and men under 45, if they are insured.

What is fertility preservation? Unlike men, who can remain fertile later in life, women are born with a predetermined stock of eggs that gradually decreases over time. With age, the quality of eggs also decreases, leading to reduced fertility and lower chances of pregnancy starting around age 30, with a more significant decline after 35.In today’s world, women (and men too) increasingly wish to have children later in life for various reasons (wanting to enjoy life before starting a family, meeting the right partner, economic or professional constraints).There is also widespread lack of knowledge about fertility changes in women. Many believe that medicine will be effective in cases of age-related infertility, which is not entirely true, as only anonymous egg donation can help in this case. The idea of egg preservation is to plan a “self-donation” for the future, with the advantage of maintaining a genetic link. Medical services Oocyte (egg) vitrificationThis rapid-freezing technique allows mature oocytes collected after ovarian stimulation to be preserved intact for future use. These oocytes will be fertilized with sperm from the partner (or a donor). The embryos obtained in the laboratory will be transferred one per cycle into the uterus, with pregnancy chances similar to those at the age of freezing.At Erasmus Hospital, we perform this procedure until the day before your 39th birthday, but oocyte preservation should ideally be done before age 36 to provide the best chance of pregnancy. The ideal age for this procedure is around 32-33, especially if you want multiple children: the first may come spontaneously, but you may need your preserved oocytes for the second.Collected and vitrified oocytes are stored for 10 years, which can be shortened or extended upon request. Regarding the use of these oocytes for a parental project, in Belgium, the maximum age is 45 for the request to fertilize your oocytes and 47 for embryo transfer.In practice, you should contact the clinic before your 38th birthday to schedule appointments with the doctor and psychologist. They will evaluate your request, define your expectations and options regarding the gametes, and provide all necessary information and assessments before considering the procedure.What you should know:This procedure is not fully covered by health insurance: ovarian stimulation treatments and laboratory egg freezing costs are fully at your expense, between €2,500 and €4,000 depending on your personal situation.If your ovarian reserve has already decreased, multiple stimulation cycles may be needed to reach the ideal number of 20 oocytes in storage (90% chance of a child later).“Storage fees” apply from the second year of preservation, also at your expense. A detailed cost estimate will be provided during consultation.Sperm preservationCryopreservation of mature sperm obtained via masturbation has existed for many years and is a “simple” method to preserve male fertility long-term.The most common non-medical reason is vasectomy.You will then have one or more appointments (usually 1 to 3) at the andrology laboratory to collect several samples, which will be stored for 10 years, with the possibility of shortening or extending upon request. Annual storage fees are your responsibility.Depending on the quality and number of samples, artificial insemination or IVF with ICSI may later be considered with your partner. Advice Reverse family planningIt is possible to schedule an appointment at any age with one of our specialized doctors and/or psychologists to receive personalized information on your probable fertility evolution and recommendations for optimal family planning. Focus Fertility evaluation and advice: both women and men can have an assessment of their current fertility and its likely evolution in the coming years. For men, this involves a sperm analysis; for women, Anti-Müllerian Hormone testing and follicle count via gynecological ultrasound. Scientific research Infertility ConsortiumEvaluation of the demand for AGE banking in the Belgian population, contribution of the procedure to birth rates, and reflection on equitable coverage of the process.Dr Catherine HOUBA & Prof Anne DELBAERE Our specialists Erasmus Hospital is a pioneer in oocyte vitrification thanks to numerous internationally recognized research projects conducted by the ULB Research Laboratory and Prof Demeestere.Associated servicesInformation contact:Phone: 02/555 36 89, Monday to Friday, 8:30 – 12:30Email: secmed [dot] fiv [at] hubruxelles [dot] beFor appointments:Phone: 02/555 48 57Gynecology-ObstetricsProf Anne DELBAEREDr Catherine HOUBADr Isabelle DUPONTDr Fabienne DEVREKERDr Serge DELATHOUWERPsychologist team:Chantale LARUELLEIsabelle PLACEDenis WALRAVENS

Our role Image The H.U.B’s Department of Neuropsychology and Speech Therapy is staffed by neuropsychologists, speech therapists, psychologists ad neurolinguists from the Erasmus Hospital, the Jules Bordet Institute and the Queen Fabiola Children’s University Hospital (HUDERF). The department assesses babies, children, adolescents and adults with neuropsychological and speech disorders and provides rehabilitation/readaptation in the case of deficiencies. Our staff work in various medical units to assist patients with problems in diverse areas, including: attention, language, memory, reasoning, deglutition perception, speech and voice. The department consists of three sectors: baby-child-adolescent cognition, adult-elderly person cognition; deglutition-voice-speech.    Our specialities Our activities in hospitalisation are of two kinds:  assessment or evaluation of difficulties and rehabilitation/readaptation in the case of speech and neuropsychological deficiencies following a lesion (injury, trauma), a brain dysfunction or a neurodevelopmental disorder.  Our staff are present in neurology, physical medicine and readaptation, neuropaediatrics, geriatrics, child psychiatry, E.N.T. and neurosurgery, etc  Outpatients are seen for their neuropsychological or speech disorders at the Geriatric Day Hospital, the Outpatient Centre for Neurological Functional Readaptation for Adults (C.R.F.N.A.), the Centre for Neurological Functional Readaptation for Children  (C.R.F.N.I.) or at the Learning, Growing and Becoming Centre. The neuropsychologist treats cognitive, behavioural and emotional aspects. He or she informs the patient and those close to the patient of the link between cognitive and behavioural dysfunctions as evaluated and present or future consequences for daily and professional life. The neuropsychologist takes into account the psycho-affective, social and environmental context so as to arrive at the best possible understanding of the importance of incapacities and handicaps and proposes individualised treatment indications.      The speech therapist carries out assessments and re-education in the case of language (language development, dyslexia, aphasias), voice (dysphonia) and deglutition (dysphagia) disorders  as well as facial muscle (paresis, paralysis) problems in brain-damaged patients or patients presenting neurological and neurodevelopmental pathologies.   Our team Image Our specialists Research The H.U.B’s Department of Neuropsychology and Speech Therapy encourages the development of research activity as well as cooperation with faculty structures of the ULB and VUB. The department  also participates in national and international research projects. Several of its members pursue research related to neuropsychology and speech therapy and publish in international journals.    Image Teaching Several members of the department teach at the university or training college. Every year many students undertake a clinical internship at the department as part of their studies in neuropsychology or speech therapy.     Publications COVCOG: Immediate and long-term cognitive improvement after cognitive versus emotion management psychoeducation programs - a randomized trial in covid patients with neuropsychological difficulties. Authors : Willems S, Didone V, Cabello Fernandez C, Delrue G, Slama H, Fery P, Goin J, Della Libera C, COVCOG Group, Collette FJournal: BMC Neurology, 2023  15 January 2024 Acoustic Analysis of Voluntary Coughs, Throat Clearings, and Induced Reflexive Coughs in a Healthy Population Authors : Mootassim-Billah S, Schoentgen J, De Bodt M, Roper N, Digonnet A, Le Tensorer M, Van Nuffelen G, Van Gestel DJournal: Dysphagia, 2021 15 January 2024 Unraveling the Cognitive-Motor Interaction in Individuals With Amnestic Mild Cognitive Impairment Authors : Gaillardin F, Bier JC, De Breucker S, Baudry SJournal: J Neurol Phys Ther, 2022 15 January 2024 Resting-state functional brain connectivity is related to subsequent procedural learning skills in school-aged children Authors : Van Dyck D, Deconinck N, Aeby A, Baijot S, Coquelet N, Trotta N, Rovai A, Goldman S, Urbain C, Wens V, De Tiège X.Journal: Neuroimage, 2021

Our role Physiotherapy has very diverse fields of application, treating various aspects of functional disorders, including those of a musculoskeletal, neurological, respiratory, cardiovascular and/or psychomotor nature.  Physiotherapy treatment, centred on evidence-based practice, aims to maintain health, optimise functional independence, manage physical incapacities and assist with reintegration into society. Particular attention is paid to preventive and educational aspects.  The physiotherapist accompanies the patient as part of  bio-psycho-social approach and stimulates the patient to take an active part in the treatment. As the relational aspect is an essential component of the therapy, humanism and empathy are hallmarks of the physiotherapist’s approach to the patient. The physiotherapist can accompany you throughout your care pathway depending on your needs. Physiotherapists collaborate with doctors and other care providers within multidisciplinary teams “Movement is life” Image Image Image Image Our specialities We have developed a number of rehabilitation centres in various specific fields: cardiac, pulmonary and pulmonary rehabilitation, neurology and the musculoskeletal system. At these centres you can benefit from  multidisciplinary care, an infrastructure adapted to your needs and physiotherapists who are experts in their field. The sessions can be individual or group. We also have several specialised consultations in physiotherapy that focus on musculoskeletal disorders, dizziness, neurological diseases, abdominopelvic rehabilitation, perinatal physiotherapy, complex regional pain syndrome, pain management, etc. We also propose psychocorporal approaches (relaxation, hypnosis) and osteopathic care (adults and children).    Our team Image Our specialist Teaching Physiotherapists participate in the university hospital’s three missions: excellence of care, teaching and research. Our department has more than 50 internship places for physiotherapy students. Students benefit from clinical teaching at the patient’s bedside as well as seminars (practical and theoretical), discussions and case presentations, etc. Most of our physiotherapists are recognised as   “internship supervisor” by the Faculty of Motor Sciences. Several physiotherapists have completed a doctoral thesis while others are registered at the doctoral school and hope to soon submit their thesis.  Research A number of projects are supported by the Erasmus Fund. Our main lines of research are as follows: Cardio-respiratory and metabolic physiology during exercise as well as the effects of different physical rehabilitation exercise modes (including prehabilitation) in the case of chronic diseases (cardiology, post COVID, oncology).  Virtual reality : in this last area, we are trying to develop expertise in terms of assessment and rehabilitation of attentional disorders and balance disorders as well as specific management of pain and anxiety.Dyspnea and its implications, in terms of motor skills and cognition. We also explore innovative methods for treating dyspnoea, such as hypnosis and music therapy, as a complement to conventional pulmonary rehabilitation and also in the framework of mechanical ventilation. The impact of CRPS on proprioception. The aim being to improve the effectiveness of physiotherapy treatment.  Publications Hemodynamic Tolerance of New Resistance Training Methods in Patients With Heart Failure and Coronary Artery Disease: A RANDOMIZED CROSSOVER STUDY Authors :  Gillet A, Lamotte M, Forton K, Roussoulières A, Dewachter C, Bouziotis J, Deboeck G, van de Borne PJournal : J Cardiopulm Rehabil The influence of cognitive load on static balance in chronic obstructive pulmonary disease patients Authors : Olivier Van Hove, Ana Maria Cebolla , Vasileios Andrianopoulos, Dimitri Leduc , Pierre Antoine Guidat , Véronique Feipel, Gaël Deboeck , Bruno BonnechèreJournal : Clin Respir J. The long-term effect of complex regional pain syndrome type 1 on disability and quality of life after foot injury Authors : Mouraux D, Lenoir C, Tuna T, Brassinne E, Sobczak SJournal : Disabil Rehabil Reorganization of large-scale cognitive networks during automation of imagination of a complex sequential movement Authors : Sauvage C, De Greef N, Manto M, Jissendi P, Nioche C, Habas CJournal : Neuroradiol  Specific contacts Various physiotherapy specialities offer individual consultations:ConsultationMake an appointmentLymphatic drainage02 555 69 61Postnatal physiotherapy02 555 52 54 - 02 555 56 46 Prenatal physiotherapy 02 555 52 54 - 02 555 56 46 Hypnotherapy02 555 35 06Neurology02 555 38 48Neurosurgery02 555 38 48ENT, vertigo rehabilitation02 555 37 75Orthopaedics, traumatology02 555 38 48Osteopathy02 555 38 48Sophrology02 555 38 48Rheumatology02 555 38 48Pelvic-perineal physiotherapy02 555 39 03Other specialities are organised as group consultations:ConsultationMake an appointmentCardiology, cardiac surgery 02 555 69 62Dialysis02 555 69 62Ecole du dos02 555 38 48Fibromyalgia02 555 38 48Pre- and post-natal physiotherapy, preparation for childbirth 02 555 52 54 - 02 555 56 46Obesity02 555 69 62Vascular pathologies02 555 69 62Pneumology02 555 37 73Our functional rehabilitation centres:CentreMake an appointmentCRAL, Musculoskeletal Rehabilitation Centre02 555 38 48CRFNA, Adult Neurological Rehabilitation Centre02 555 68 58CRFNI, Child Neurological Functional Revalidation Centre02 555 68 51CRPP, Multidisciplinary Physical Rehabilitation Centre 02 555 69 62

What is psoriasis? Psoriasis is a chronic inflammatory disease that affects the skin and joints. During an outbreak, raised patches of dry skin – red on fair skins and white on dark skins  – appear, especially on the skin in the area around the joints, such as the knees and elbows. In 30% of cases psoriasis affects the joints themselves that become stiff (especially the lower back) or swollen. Some people also complain of itching, especially at night.    The disease typically occurs   at around the age of 20: type 1 psoriasis of which there is often a family history;  or around the age of 40: type 2 psoriasis that often appears at times of major stress.  Psoriasis affects about 3% of the population. It is not a contagious disease.   Your care and treatment Consultations   A dermatology consultation is often enough to make or confirm a diagnosis. After which the patient can be referred to the Erasmus Hospital’s Clinic for Inflammatory Dermatological Diseases where they will be seen by a dermatologist specialised in psoriasis, either for an individual consultation or a joint consultation with a rheumatologist if joints are affected. As psoriasis can be associated with a chronic intestinal inflammatory disease (e.g. Crohn’s disease), a  gastroenterologist may also be brought in.    Stress, smoking and being overweight or obese are all pro-inflammatory factors and favour psoriasis outbreaks. For this reason and depending on your profile, consultations with a psychologist, tobaccologist and/or dietician may be suggested.    Treatment   Treatment of psoriasis depends on the extent of the symptoms and whether or not a joint is affected.    A cortisone cream, vitamin D supplement and/or localised phototherapy sessions for the hands and feet can be enough to treat small skin surfaces.   Immunosuppressive treatment and/or phototherapy sessions in a cabin can treat  larger skin surfaces, with or without affected joints.  Monthly or quarterly biotherapy (auto)injections are reserved for cases of refractory psoriasis, with or without affected joints. The patient can learn to self-inject, use the services of a visiting nurse or attend the Wound Care Clinic (located at the Erasmus Medical Center) where a member of the nursing staff will give the injection.    Examinations and follow-up  To be reimbursed, the candidate for immunosuppressive treatment or biotherapy must first have a complete blood test and lung X-ray to rule out the possibility of tuberculosis  (= immunosuppressants are contraindicated).   If the treatment is initiated, patients must return one month later for a consultation to check whether their body is responding to and tolerating the immunosuppressant or biotherapy. If all is fine, quarterly monitoring is instigated.    Advice Daily skin hydration with appropriate products is an inherent part of psoriasis treatment. No aggressive aesthetic treatment (hair removal, scrub, tattooing, etc.) of the skin must be undertaken without medical advice, especially if the psoriasis is not under control. While the chlorinated water of swimming pools is not recommended, seawater and sun (with sun protection) generally have a positive effect on psoriasis rashes. Image Research Dermatologists at the Erasmus Hospital initiate or participate in epidemiological (on the basis of a questionnaire), clinical (new treatments) or academic research projects on psoriasis. 

What is endometriosis? The endometrium is a tissue that lines the cavity of the uterus that potentially houses an embryo and that is evacuated during menstruation. It sometimes happens that tissue resembling the endometrium grows outside the cavity of the uterus, into the ovaries,  the rectovaginal space, bladder or intestines, etc. This is the condition known as endometriosis.    While some patients show no symptoms, most experience pain, sometimes very severe pain, in the area of the (lower) abdomen or back, either during or between periods, during sexual relations or when urinating etc. Endometriosis can be the source of fertility problems, chronic fatigue, addiction to painkillers, absenteeism from school or work, etc. It can also cause major psychological stress, especially when patients consult and suffer discomfort for several years without being correctly diagnosed and treated.     Treatment The H.U.B Endometriosis Clinic offers global and multidisciplinary care.   The first consultation: You and the gynaecologist first note your symptoms, your antecedents and any medication you may be taking (including contraceptives). The doctor then undertakes a meticulous gynaecological medical examination, followed by an endovaginal ultrasound.   Additional examinations: The gynaecologist can also prescribe a pelvic MRI (magnetic resonance imaging) scan. However, neither the MRI nor the endovaginal ultrasound always show everything. In some cases a laparoscopy is needed. This surgical intervention, used for both diagnosis and treatment, involves inserting a tiny camera and surgical instruments through an incision in the abdomen of just 1 cm. Identified endometriosis lesions   are removed or destroyed. Medical treatment is generally the first treatment option. The menstrual cycle is rested using a hormonal contraceptive, chosen according to your profile and preferences.   Surgical treatment involves “burning” or removing the endometriosis lesions by means of a conventional (laparoscopy) or robotic (see Focus) technique that is minimally invasive.   Other treatment: The clinic also proposes consultations in psychology and sexology to help you manage the potential impact of the endometriosis on your mental health and/or intimacy.   Shiatsu (therapeutic massage technique) sessions are also proposed.    The Endometriosis Clinic collaborates with  the Fertility Clinic, the Medical Imaging Department and H.U.B’s Multidisciplinary Centre for Pain Evaluation and Treatment.  Advice Certain lifestyle changes can improve endometriosis symptoms. It is therefore recommended to:      take regular exercise ; adopt an anti-inflammatory diet that limits foods likely to increase endometriosis pain (typically fermented foods);   make an intelligent use of painkillers, in appropriate doses at the right time.    Focus The H.U.B Endometriosis Clinic has a Da Vinci® robot with a dual console. This makes it possible not only to reach lesions where access is difficult but also to operate with four hands. Depending on the location of the endometriosis lesions, the gynaecologist operates with the urologist or specialist in digestive surgery.  Research The H.U.B Endometriosis Clinic participates in clinic trials  to find new treatment and in fundamental research projects to arrive at a better understanding of the causes  – in particular environmental – of the disease.    Our specialists Gynaecology - ObstetricsEndometriosis specialists : M Fastrez, K Crener, L Imperiale, C Vanneste, C Soria, M ZingarelliImaging specialists : R Lejeune, G GarofaloFertility specialists : I Demeestere, A Delbaere, C HoubaUrology : T QuackelsMedical imaging : A Massez, M SyNuclear medicine : I VierasuAnatomopathology : JC NoëlAlgology : N Van Cutsem, T TunaParamedicalAdministrative coordination : S HecqPsychologist : A CailleauxSexotherapist : G Van BraekelPhysiotherapist : R GarnirShiatsu practitioner : P HaassNurses :Surgical area : F DelsaHospitalisation : A DosseConsultation : E Chasseriaud, P GosselinResearch nurse : F Henry Associated services

What is anaemia? Anaemia is a condition characterised by a deficiency of red blood cells and haemoglobin in the blood. Common but rarely serious it can nevertheless be debilitating. Anaemia causes tiredness and sleeping problems, pallor and a breathlessness that can aggravate an existing problem (e.g. cardiac insufficiency, chronic bronchitis, etc.). Symptoms may appear suddenly or progressively and impair the quality of life of those affected.  Anaemia has many causes: iron deficiency (very common) and/or certain vitamin deficiencies, an underlying auto-immune disease, hereditary or oncological diseases, etc. It is therefore essential to identify precisely the origin of an anaemia if it is to be treated effectively.   Care Consultation and further examinations If your doctor (generalist or specialist) sees from your blood test results that you are anaemic  and considers that an examination is needed, you can yourself make an appointment online or by telephone. If your doctor believes this is urgent, he or she can contact the duty haematologist to ensure you are fast tracked. This will ensure you see a haematologist within 72 hours and if necessary you can receive immediate intravenous treatment at the Erasmus Day Hospital. If your blood test did not make it possible to identify the cause of your anaemia, further examinations will be carried out. For example, a bone marrow biopsy (not to be confused with a spinal cord biopsy) may be necessary.    It is in the bone marrow that red blood cells are produced. If not enough are being produced the biopsy often makes it possible to understand why.   Treatment and follow up The treatment of anaemia depends on its cause and can include:   Iron and/or vitamin supplements taken orally or intravenously for anaemia caused by a deficiency;    EPO injections to stimulate the production of red cells by the bone marrow;   Blood transfusions, etc. After initiating the treatment, the haematologist will inform your GP to draw up a joint treatment plan    Focus The H.U.B Department of Haematology is recognised for its expertise in a number of fields and pathologies potentially linked to anaemia.  The department is a European reference centre for rare causes of anaemia and other red blood cell and low iron disorders . This expertise makes it possible to propose certain leading edge treatments that can only be administered at a reference centre. Image Research The H.U. B Department of Haematology has a clinical research unit. This enables certain patients to benefit from innovative treatment in the framework of clinical trials.    Our specialists Our associated services

What is obstructive sleep apnea? The most common sleep-related breathing disorder is obstructive sleep apnea syndrome (OSAS), which affects approximately 1 in 20 people in Belgium.It is characterised by pauses in breathing lasting at least 10 seconds during sleep, caused by the collapse of the airways due to nighttime muscle relaxation. OSAS is often, but not always, accompanied by snoring. It affects sleep quality, leading to nighttime awakenings, non-restorative sleep, fatigue or daytime sleepiness. Over time, OSAS can have numerous physiological and/or psychological consequences, including cardiovascular, pulmonary, metabolic, psychiatric (depression) and cognitive effects (memory and concentration problems, etc.). Far from being harmless, OSAS significantly affects quality of life.The main risk factors for this condition are smoking and being overweight. Treatment DiagnosisThe essential diagnostic test for this type of condition is a sleep study carried out at the Adult Sleep Functional Unit. This involves spending one night in hospital so that various sleep parameters can be recorded, allowing a comprehensive assessment of different sleep disorders, such as restless legs syndrome.What happens during a sleep study?You will generally arrive at the sleep laboratory at around 2 p.m. A member of staff will settle you into a private room. Before going to sleep, several sensors will be attached to your body and connected to the various monitoring devices. Depending on the circumstances, a camera may record you during the night. This allows the team to identify any abnormal movements (e.g. leg movements, parasomnias, etc.), ensure your safety in the event of a nighttime behavioural disorder, and reconnect a sensor that may have become detached while you were asleep. The following day, the extensive data collected are analysed. This analysis makes it possible to confirm the diagnosis of OSAS and/or identify any other potential sleep disorders. A further assessment by another medical specialist may sometimes be necessary.TreatmentDepending on the cause, origin and severity of OSAS, various treatments are available:For people whose OSAS is caused by sleeping on their back, positional therapy may be recommended to correct their sleeping position.As being overweight and obesity are the main risk factors for OSAS, weight loss is always recommended for people concerned.Alcohol, smoking and muscle-relaxing medications (such as benzodiazepines) can also worsen OSAS. People concerned may therefore be referred to specialised care to help them reduce or stop using these substances.Continuous positive airway pressure (CPAP) involves wearing a (usually) nasal mask during the night to prevent apneas.A mandibular advancement device is generally indicated for mild to moderate OSAS (< 30 apneas per hour). This device is custom-made by ENT and oral medicine specialists.Maxillofacial surgery can be used to correct the position of the mandible (lower jaw) and maxilla (upper jaw), particularly in people with moderate to severe OSAS (> 30 apneas per hour). Discover our Adult Sleep Functional Unit

Different forms of asthma Asthma affects all age groups. It is important to consider the age at which it begins: before or after 30 years. Early-onset asthma is often allergic, more common in boys, and usually (but not always) less severe. It may disappear in adulthood. Asthma that develops after 30 is usually non-allergic (though it can be), more common in women, and often more unpredictable. Contrary to common belief, asthma can also develop at an advanced age.The severity of asthma requires several months of observation to be defined and may change over time. Allergic asthma is often associated with allergic rhinitis, which should be properly treated to improve asthma control. The connection between lower airways (asthma) and upper airways (rhinitis, sinusitis, nasal polyps) is so important that joint consultations are offered every two weeks.From a pathophysiological perspective, the airways of asthma patients are affected by inflammation and bronchospasm, varying in intensity over time and usually reversible with treatment or sometimes spontaneously.Airway obstruction and inflammation cause asthma symptoms, which are non-specific and include shortness of breath, cough, sputum production, wheezing, and chest pain. These symptoms occur more often at night and may appear as attacks or become chronic. Asthma management Management begins with a detailed history to identify triggering circumstances, especially possible allergic causes (dust, animals, seasonal factors such as pollen), and to assess lifestyle factors (smoking, sports, occupation).In addition to clinical examination, tests are performed to confirm the diagnosis, assess inflammation and allergic status, and characterize the asthma type. The main test is a pulmonary function test to demonstrate airway obstruction and its reversibility with bronchodilators. Outside of attacks, results may be normal, requiring a bronchial provocation test.Because asthma is also an inflammatory disease, airway inflammation is assessed by measuring nitric oxide (NO) in exhaled air. This is a simple and harmless test. Inflammation can also be evaluated through blood tests or, less commonly, induced sputum analysis.The allergic nature of asthma is confirmed through specific tests. Skin prick testing is the preferred method: allergen extracts are introduced into the skin, and results are read after 20 minutes. A positive reaction causes redness, slight swelling, and itching. This method is quick, painless, and suitable even for young children. Blood tests can also provide this information.Highly effective inhaled treatments have been available for about twenty years. These combine an anti-inflammatory drug (inhaled corticosteroid) and a bronchodilator. Proper inhaler use is essential and must be taught by qualified staff. The clinic provides an “Asthma School” for this purpose.When allergic rhinitis is present, antihistamines or nasal corticosteroids improve symptoms and asthma control. Allergen immunotherapy (desensitization) may be proposed, involving gradually increasing doses of the allergen to build tolerance.Significant progress has been made in treating severe asthma over the past 15 years. Biological therapies (injections) target specific mechanisms and are tailored to different asthma types. They are costly and subject to strict reimbursement criteria.The clinic also manages other allergies, including food, drug, and insect venom allergies. About one in two people will experience an allergic reaction during their lifetime. Diagnosis may involve skin tests, blood tests, and oral provocation tests under medical supervision, as well as controlled desensitization procedures in hospital settings.

Clinic Mission: Management of Thoracic Cancers The Thoracic Oncology Clinic at H.U.B specializes in the multidisciplinary management of patients with lung, pleural, and mediastinal cancers, including:Bronchopulmonary cancers (non-small cell and small cell)Pleural tumors (mesotheliomas and others)Mediastinal tumors (thymomas and others)Pleuro-pulmonary metastasesDiagnostic management is provided through an advanced pulmonary endoscopy unit (bronchoscopic fiberoscopy, GPS navigation, endobronchial ultrasound [EBUS], cryobiopsies, etc.) and close collaboration with a highly skilled team of pathologists and the molecular biology laboratory.The weekly multidisciplinary thoracic oncology meeting (CUB Erasme Hospital and Jules Bordet Institute) brings together top specialists in radiology, nuclear medicine, pneumology, thoracic oncology, thoracic surgery, radiotherapy, pathology, ISO, and other fields. This collaboration is the foundation for evidence-based therapeutic decisions aligned with the latest scientific research and best practice guidelines.Surgical management is provided by the Thoracic Surgery Department, in line with our institution’s long-standing integrated medical-surgical model.Radiotherapy management is provided by the Institut Jules Bordet team.Collaboration with the Gamma Knife Center of the Neurosurgery Department at Erasme Hospital and the Radiotherapy Department at Institut Jules Bordet ensures optimal management of brain metastases. Learn more about lung cancer care at the Jules Bordet Institute Academic Mission Training of medical residents in Pneumology and Internal MedicineTraining in Thoracic OncologySupervisor: CUB Erasme Hospital – J. Bordet Institute (ULB): Dr Mekinda Ngono Zita LéaOthers Research Mission Les activités de recherche clinique et fondamentale sont réalisées en collaboration avec l’Institut Jules Bordet et la faculté de médecine de l’ULB.Depuis la Création de l’Hôpital Universitaire de Bruxelles (HUB) en 2021, la prise en charge des pathologies oncologiques thoraciques se fait dans le cadre d’un projet de soins inter-inhospitalier CUB Hôpital Erasme et l’Institut Jules Bordet. Clinical and fundamental research activities are conducted in collaboration with the Jules Bordet Institute and the ULB Faculty of Medicine.Since the creation of the Brussels University Hospital (HUB) in 2021, the management of thoracic oncological diseases has been organized within an inter-hospital care project between CUB Erasme Hospital and the Jules Bordet Institute. Multidisciplinary Thoracic Oncology Team Dr Mekinda Ngono Zita: Pulmonologist, Thoracic OncologistProf. Thierry Berghmans: Medical OncologistProf. Dimitri Leduc: PulmonologistProf. Benjamin Bondue: PulmonologistDr Blandine Jelli: Pulmonologist, Thoracic OncologistDr Olivier Taton: Pulmonologist, Thoracic OncologistProf. Mariana Brandao: Medical OncologistDr Anouk Goudsmit: Medical OncologistDr Alice Carrette: Pulmonologist, Thoracic OncologistDr Bogdan Grigoriu: PulmonologistDr Youri Sokolow: Thoracic SurgeonDr Maria Ruiz: Thoracic SurgeonDr Maarten Vander Kuylen: Thoracic SurgeonDr Elena Prisciandaro: Thoracic SurgeonProf. Pia Di Campli: Thoracic SurgeonProf. Myriam Remmelink: AnatomopathologistProf. Luigi Moretti: RadiotherapistProf. Caroline Keyzer: Radiologist