Health issues
Oocyte (Egg) Donation
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 FertibankAnonymous donor recruitment program (ages 18–34, €1,000 compensation per cycle) 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 DEVREKER Dr. 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 
Oocyte (Egg) Donation
Services
Ophthalmology
Our role Ophthalmology is the medical speciality concerned with the eyes. Our aim is to improve visual health and treat eye disease. Image "Our care is comprehensive: from screening to medical and/or surgical treatment. The academic aspect is and must remain central. We have doctors who are experts in modern treatments designed for all stages of life."  Our specialities The Ophthalmology Department is subdivided into a number of elements: The Orbito-Palpebro-Lacrymal and Onco-Ophthalmology Clinic is concerned with problems of the eye socket, eyelids, tear glands and ducts as well as with the orbital mass.    The Glaucoma Clinic is recognised nationally for its expertise; patients are referred to this clinic from throughout Belgium. The Paediatric Ophthalmology Clinic prevents, screens for and treats eye problems in children.  Examples: refraction problems (myopia, hypermetropia and astigmatism), strabism, amblyopia, eye development anomalies, infectious diseases, etc. Corneal medical treatment proposes a range of treatment to stabilise and/or treat degenerative or progressive diseases on the surface of the eye. Corneal surgery is fast developing and carries out all available cornea grafts. Refractive surgery seeks to dispense with optical corrections such as spectacles or contact lenses.    Retinal medical treatment is concerned with pathologies such as age-associated wet or dry macular degeneration (AMD). Retinal surgery is used, for example, to correct detached retinas or to place or change intraocular transplants, etc. Neuro-ophthalmology treats disorders of the optic nerves and all the various ocular disorders associated with a neurological pathology (SEP, stroke, brain tumour, etc.) Some diseases (diabetes, tuberculosis, Sjögren's syndrome, etc.) can affect the eyes and threaten vision. This is why the Ophthalmology Department cooperates with other departments such as endocrinology, rheumatology, paediatrics, haematology, etc.  Our team Image Our medical specialists Research The ophthalmologists at the Erasmus Hospital carry out clinical studies and fundamental research, on: vitreoretinal proliferation, in collaboration with the ULB's Laboratory of Physiopathological and Nutritional Biochemistry (LBPN);cornea cells, in collaboration with the Jules Bordet Institute's Cell Therapy Laboratory. Focus Every year the Ophthalmological Department carries out approximately 2,000 intravitreal injections. This type of treatment can be indicated to treat age-related macular degeneration (AMD), retinopathies associated with diabetes, intraocular inflammation, etc.  Publications Lien vers Neuro-Ophthalmological Manifestations in Children with Down Syndrome: Current Perspectives Auteurs : Lavinia Postolache 1, Anne Monier 2, Sophie Lhoir 1Journal : Eye Brain 2021 Jul 21;13:193-203. doi: 10.2147/EB.S319817. eCollection 2021. 10 August 2023 Lien vers Intense Pulsed Light Therapy in the Treatment of Dry Eye Diseases: A Systematic Review and Meta-Analysis. Auteurs : Demolin L, Es-Safi M, Soyfoo MS, Motulsky E.Journal : J Clin Med. 2023 Apr 21;12(8):3039. doi: 10.3390/jcm12083039.PMID: 37109374 10 August 2023 Lien vers Experimental Models to Study Epithelial-Mesenchymal Transition in Proliferative Vitreoretinopathy. Auteurs : Datlibagi A, Zein-El-Din A, Frohly M, Willermain F, Delporte C, Motulsky E.Journal : Int J Mol Sci. 2023 Feb 24;24(5):4509. doi:  10.3390/ijms24054509.PMID: 36901938 10 August 2023 Lien vers Visual field defects and retinal nerve fiber layer damage in buried optic disc drusen: a new insight. Auteurs : Nana Wandji B, Dugauquier A, Ehongo A.Journal : Int J Ophthalmol. 2022 Oct 18;15(10):1641-1649. doi: 10.18240/ijo.2022.10.12. eCollection 2022. PMID: 36262850 10 August 2023
Ophtalmologie - Erasme
Article
Organ and tissue donation
A generous act that saves lives and has a considerable impact on the lives of many patients. Did you know that a single organ donor saves the lives of many patients and improves the lives of dozens of others? Donating a vital organ such as the heart, lungs, liver or kidneys saves the lives of patients in organ failure. Donating tissues such as the cornea, skin, bones and blood vessels, while not life-saving, is a significant improvement. Unfortunately, demand often exceeds supply and many patients are desperately waiting for a transplant. Donating organs and tissues is an altruistic act that has a considerable impact on the lives of many patients.
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Organisation and governing bodies
Management Committee Renaud Witmeur - General DirectorPr Jean-Michel Hougardy - General Medical DirectorSacha Gougnard - Deputy General Director – Anderlecht CampusAnna Groswasser - Deputy General Director – Laeken CampusPatrick Dominé - Director of Finance DepartmentNadine Vanbossuyt - Director of Nursing DepartmentsJacques Rossler - Director of Information Systems & Infrastructure DepartmentsAnn De Permentier - Director of Human Resources DepartmentFrédérique Meeus - Direction of Communication DepartmentPr Pierre Wauthy - Representative of the Faculty of Medicine Medical Board President:Sylvie TenoutasseVice-presidents:Jean-Corentin SalengrosTurgay TunaAline VuckovicSecretary:To be definedBoard members:Olivier De WitteMichael Fernandes Y ViescaMembers:Laurence BuisseretMartin DuboisDiane FranckGéraldine GebhartEric HawauxMartial Kalisa RuzindazaAudrey MoureauMarie VercruyssenNicolas YinSecretariat : Delphine RaesMail : cmc [at] hubruxelles [dot] beTél. : 02 555 32 13 Management Board
Services
Orthopaedics
Our role Orthopaedics is the medico-surgical discipline concerned with pathologies of the musculoskeletal system (skeleton, muscles, tendons, etc.). These pathologies or injuries can be of traumatic, infectious, constitutional (malformation, sequelae, etc.) or degenerative (ageing) origin. Most of our therapeutic activity is surgical.   Image Our specialities The Erasmus Hospital's Orthopaedics-Traumatology Department covers a number of structures: The Hip, Pelvis and Infectious Diseases Clinic has a number of subspecialities and recognised areas of expertise, notably: Hip replacement that can be on an outpatient basis, the patient leaving the hospital on the same day as the operation. The department is also reputed for revision surgery and complex hip replacement.  The Orthopaedic Infectious Disease Clinic proposes multidisciplinary consultations to treat infections of the bones and joints (e.g. infected prostheses). The Upper Limb Clinic is concerned with pathologies of the shoulder, wrist or hand, with the emphasis on minimally invasive procedures (e.g. percutaneous surgery of the carpal tunnel). The Foot and Knee Clinic also includes the Sports Clinic that is dedicated to injuries suffered when engaging in physical acidity or playing a sport.  The Orthogeriatric Unit, co-managed with the Geriatrics Department, treats persons aged 75 and over who, in addition to an orthopaedic injury (fractured hop, for example) suffer from other pathologies. The Pathologies of the Plexus and Peripheral Nerves Unit (see Focus).The Paediatric Surgery and Scoliosis Clinic straddles the Erasmus Hospital and the HUDERF.   The Erasmus Hospital is accredited as a Level 1 Trauma Center for the multidisciplinary care of severe traumas (accidents in the home, road accidents, etc.). The department is specialised in treating diverse traumas   (pelvis, acetabulum, complex fractures).The Musculoskeletal Tumours Clinic, in cooperation with the Bordet Institute.Medical appraisal – necessary to obtain compensation or recognition of a disability – concerns the assessment of the physical sequelae of traumas (accidents in private or professional life) or degenerative pathologies.   Our team Image Our specialist doctors Focus The Pathologies of the Plexus and Peripheral Nerves Unit treats pathologies of the brachial and lumbosacral plexus and peripheral nerves, in cooperation with doctors-physiotherapists, neurologists and neuropaediatricians. Surgical intervention and appropriate re-education can correct or compensate for these injuries – of traumatic, inflammatory or obstetrical origin – and their sequels that can induce paralysis, contractures and malposition of the limbs.    Research The Erasmus Hospital Orthopaedics Department cooperates in particular with the ULB's  Anatomy Laboratory on fundamental research projects in the field of biomechanics and biokinetics and with spin-offs for cell therapy experimentation (for consolidating bones and cartilage in particular. 
Orthopédie-traumatologie - Erasme
Services
ENT
Our role The Ear, Nose and Throat (ENT) Department is concerned with pathologies of the ears, nose and throat.   "This anatomical region is at the crossroads of a number of functions: hearing, swallowing, sense of smell, balance, phonation (production of language sounds), breathing, etc. We therefore diagnose and propose treatment for diseases that affect the organs, tissues and functions of the ENT region."  Depending on the case, the treatment can be medical, surgical or paramedical (speech therapy, vestibular physiotherapy, etc.)   Image Image Our specialities The activities of the Erasmus Hospital ENT Department span 4 clinics:   The Otology Clinic that is concerned with ear, hearing and balance problems. For example: deafness, tinnitus, chronic infections, etc.   The Rhinology Clinic that is concerned with problems of the nose (e.g. chronic tinnitus and rhinitis, nasal tumours, etc.) and sleeping problems (e.g. sleep apnoea, snoring, etc.)    The Laryngology Clinic that is concerned with voice and swallowing problems, including of a cancerous origin (e.g.: dysphagia, dysphoria, etc.)   The Paediatric ENT Clinic that is situated on the HUDERF site. The ENT field being an anatomical crossroads, the care is very often multidisciplinary. ENT doctors therefore cooperate regularly with other departments: neurology, pneumology, ophthalmology, stomatology-dentistry, etc. Our team Our specialists Focus The ENT Department proposes joint consultations for certain pathologies. In this case the patient is seen at the same time by two specialist doctors:   An ENT doctor and a neurologist for dizziness and balance problems (e.g. Ménière disease)An ENT doctor and a pneumologist for problems relating to respiratory immuno- allergology  (e.g. allergic asthma, chronic rhinitis, nasal polyposis, etc.)    Research The ENT Department participates in several research programmes. It cooperates, for example, with the ULB's Institute of Neurosciences and in particular with the Functional Brain Mapping Laboratory. ENT doctors from the Erasmus Hospital study in particular :speech understanding problems, in particular in a noisy environment, neuromuscular problems involved in difficulties in swallowing, ageing of the balance function, etc.  Publications Lien vers https://pubmed.ncbi.nlm.nih.gov/30745419/ Cortical Tracking of Speech-in-Noise Develops from Childhood to Adulthood Authors : Vander Ghinst M, Bourguignon M, Niesen M, Wens V, Hassid S, Choufani G, Veikko J, Riita H, Goldman S, De Tiège XJournal : J Neurosci 2019 Apr 10;39(15):2938-2950. doi: 10.1523/JNEUROSCI.1732-18.2019. Epub 2019 Feb 11. Lien vers https://pubmed.ncbi.nlm.nih.gov/26843641/ Left Superior Temporal Gyrus Is Coupled to Attended Speech in a Cocktail-Party Auditory Scene Authors :  Vander Ghinst M, Bourguignon M, Op de Beeck M, Wens V, Brice M, Hassid S, Choufani G, Veikko J, Riita H, Van Bogaert P, Goldman S, De Tiège XJournal : J Neurosci. 2016 Feb 3;36(5):1596-606. doi: 10.1523/JNEUROSCI.1730-15.2016. Lien vers https://pubmed.ncbi.nlm.nih.gov/36949199/ RHOJ controls EMT-associated resistance to chemotherapy Authors : Debaugnies M, Rodriguez-Acebes S, Blondeau J, Parent M-A, Zocco M, Song Y, de Maertelaer V, Moers V, Latil M, Dubois C, Coulonval K, Impens F, Van Haver D, Dufour S, Uemura A, Sotiropoulou P, Méndez J, Blanpain CJournal : Nature. 2023 Apr;616(7955):168-175. doi: 10.1038/s41586-023-05838-7. Epub 2023 Mar 22. Lien vers https://pubmed.ncbi.nlm.nih.gov/33398411/ Structural and metabolic brain abnormalities in COVID-19 patients with sudden loss of smell Authors : Niesen M, Trotta N, Noel A, Coolen t, Favard G, Leurkin-sterk G, Delpierre I, Henrard S, Sadeghi N, Goffard J-C, Goldman S, De Tiège XJournal : Eur J Nucl Med Mol Imagin. 2021 Jun;48(6):1890-1901. doi: 10.1007/s00259-020-05154-6. Epub 2021 Jan 4.
Oto-rhino-laryngologie - Erasme