26
|
Cecchi M, Pagni GL, Ippolito C, Summonti D, Sepich CA, Fiorentini L. [Fracture of the penis: description of a case]. Arch Ital Urol Androl 1997; 69:137-9. [PMID: 9273087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Fracture of the penis is not a frequent event and it consists of a rupture of the tunica albuginea of the corpora cavernosa and sometimes of the urethra; the lesion occurs when the penis is erect because during erection the tunica albuginea is very thin and not flexible and it can be easily damaged by a trauma; most lesions occur during intercourse for impact of the erect penis against the female perineum or the pubic synphisis, but lesions during masturbation, fightings or falling off the bed are also described [1-2-3]. Clinically there are pain, detumescence, hematoma and recurvatum of the penis toward the opposite side of the lesion and hematuria if also the urethra is damaged. Usually diagnosis is quite easy with a good anamnesis, clinical examination and echotomography which can reveal presence of hematoma and hypoechogenic areas along the tunica albuginea or the urethra that appears irregular. Nowadays, fractures of the penis need a surgical approach to obtain good results avoiding consequences such as recurvatum or fibrotic areas [3-4-7-8]. We describe two cases of fracture of the penis occurred in two young men during masturbation and treated surgically with excellent results: twelve and eighteen months respectively after surgery patients are well and can enjoy a normal sexual activity with no problems at all.
Collapse
|
27
|
Cecchi M, Sepich CA, Pagni G, Fiorentini L. Bladder replacement with modified Studer pouch using absorbable staples. Int Urol Nephrol 1997; 29:39-44. [PMID: 9203036 DOI: 10.1007/bf02551415] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The use of absorbable staples may allow to reduce the operating time of orthotopic bladder replacement. We report our experience in 14 patients with a modification of the Studer technique using absorbable PolyGIA instruments. The technique has been shown to be simple and quick to perform (time for pouch creation 15-40 minutes, mean 16 minutes) with no significant intraoperative difficulties. Urodynamic data and continence are satisfactory and seem comparable to different procedures and not related to staples' use. The main question remains if the reduced operating time equalizes the high cost of staple devices.
Collapse
|
28
|
Minervini R, Felipetto R, Morelli G, Fontana N, Fiorentini L. Urodynamic evaluation of urinary incontinence following radical prostatectomy: our experience. ACTA UROLOGICA BELGICA 1996; 64:5-8. [PMID: 9008971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/10/2023]
Abstract
Thirty-four patients after retropubic radical prostatectomy, were evaluated with urodynamic studies. Patients were divided in three groups depending on the degree of urinary continence. A statistically significant difference was found between different groups for the mean functional profile length and maximal urethral closure pressure. Detrusor instability was detected in 11 patients with moderate incontinence and in 1 patient with severe incontinence. Neither differences of age, previous prostatic surgery, tumour extension, nor preservation of the neurovascular bundles had any significant influence on recovery of continence.
Collapse
|
29
|
Minervini R, Felipetto R, Morelli G, Fontana N, Pampaloni S, Notaro M, Viganò L, Fiorentini L. Management of santorini's plexus in radical urological surgery: personal experience. Pharmacotherapy 1996. [DOI: 10.1016/s0753-3322(96)89774-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
30
|
Minervini R, Felipetto R, Morelli G, Fontana N, Pampaloni S, Notaro M, Viganò L, Fiorentini L. Bladder instability and incontinence after radical prostatectomy. Biomed Pharmacother 1996; 50:383-5. [PMID: 8952860 DOI: 10.1016/s0753-3322(96)89673-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023] Open
Abstract
Thirty-nine patients were evaluated after retropubic prostatectomy, by urodynamic studies. They were divided into three groups depending upon the degree of urinary continence. A statistically significant difference was found between different groups in mean functional profile length and maximal urethral closure pressure. Differences in age, previous prostatic surgery, tumour extension, or preservation of the neurobundles did not have any significant influence on recovery of continence.
Collapse
|
31
|
Prandini A, Morlacchini M, Moschini M, Piva A, Fiorentini L, Piva G. Performances de croissance et composition corporelle du porc lourd italien entre 80 et 160 kg de poids vif. ACTA ACUST UNITED AC 1996. [DOI: 10.1051/animres:19960107] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
|
32
|
Minervini R, Felipetto R, Viganò L, Pampaloni S, Fiorentini L. Recurrences and progression of superficial bladder cancer following long-term intravesical prophylactic therapy with mitomycin C: 48-month follow-up. Urol Int 1996; 56:234-7. [PMID: 8776821 DOI: 10.1159/000282849] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
A total of 208 patients with superficial transitional-cell carcinoma of the bladder (STCC) after transurethral resection were treated with 30 mg intravesical instillations of mitomycin C (MMC) weekly for 8 weeks, followed by monthly maintenance doses for 12 months. All patients were controlled with a urinary cytological examination every 2 months and with cystoscopy every 3 months. Mean follow-up was 47.8 and 49.3 months in the prophylaxis and control groups, respectively. The incidence of tumor recurrences at the 12th and 48th months was 29 and 44%, respectively, in the MMC group and 45 and 58%, respectively, in the control group. Progression evaluated by grade and stage was significantly higher in the control group. These data indicate that MMC appears to be effective in the prophylaxis of STCC, but the possibility of long-term relapse suggests maintenance of a longer therapy.
Collapse
|
33
|
Cecchi M, Sepich CA, Pagni G, Ippolito C, Summonti D, Fiorentini L. [Electrovaporization of the prostate]. CHIRURGIA ITALIANA 1996; 48:27-34. [PMID: 9206615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Electrovaporization is a new and potentially useful modification of transurethral resection of the prostate which is rapidly becoming a treatment of choice for symptomatic benign prostatic hyperplasia. We report our experience with 22 patients treated using the Circon Acmi Grooved Vaportrode vaporization electrode. Procedures were carried out using the standard technique of electrovaporization with general or regional anaesthesia. Mean operative time was 40 minutes (range 25-65 minutes) and all patients were discharged without catheter after 1 or 2 days. Symptom score, peak uroflow and postvoid residual urine showed statistically significant improvement at 3 months (p < 0.01). There were no significant complications. Transurethral electrovaporization of the prostate seems to be a easy and safe procedure with significantly lower costs and excellent results. However, long-term efficacy and complications need to be evaluated in multicentre clinical trials.
Collapse
|
34
|
Cecchi M, Sepich CA, Felipetto R, Vigano L, Pagni G, Minervini R, Fiorentini L. Vacuum constriction device and topical minoxidil for management of impotence. ARCH ESP UROL 1995; 48:1058-9. [PMID: 8588728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
OBJECTIVE We report our preliminary experience with a vacuum constriction device and topical minoxidil for the management of impotence. METHODS We evaluated 18 patients, 8 with neurogenic and 10 with psychogenic impotence with a vacuum constriction device and topical minoxidil (1 ml 2% solution). RESULTS AND CONCLUSIONS All patients responded to treatment but 100 cases refused home use because of psychological impact. Twelve patients did not need the application of the constrictive ring because of the erection facilitation effect of minoxidil. No side effects were observed. In our opinion the association of the vacuum constriction device with topical minoxidil might be useful in the treatment of impotence; however, several factors must be evaluated in selecting patients. Application of minoxidil before vacuum constriction device might be useful to reduce the time of device application, to increase the efficacy of the device and in some cases to avoid the use of the constrictive ring.
Collapse
|
35
|
Minervini R, Felipetto R, Cecchi M, Viganò L, Fiorentini L, Ciompi ML. Densitometric and biochemical alterations in bony tissue induced by ureterosigmoidostomy. Urol Int 1995; 54:217-9. [PMID: 7610505 DOI: 10.1159/000282727] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
The mineral content of bone was measured in 134 male patients who underwent ureterosigmoidostomy within the past 18 years. Moreover, the principal humoral indices of bone metabolism, together with hematic pH and alkaline reserve (BE) values were evaluated. This study showed that after approximately 6 years from a ureterosigmoidostomy there was significant bone demineralization. These data, supported by a parallel increase of serum osteocalcin, show that ureterosigmoidostomy represents a risk factor for osteoporosis especially in those patients who already have below normal values of bone mineral density prior to surgery.
Collapse
|
36
|
Minervini R, Felipetto R, Cecchi M, Sepich CA, Viganò L, Pagni GL, Perri G, Fiorentini L. [Role of color-Doppler in the assessment of erectile impotence: personal experience]. Arch Ital Urol Androl 1994; 66:107-11. [PMID: 7889042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
We present our experience with colour duplex sonography in the assessment of 38 impotent men, whose ten underwent radical prostatectomy, following intracavernous pharmacological stimulation with PGE1. All patients with a clinical good response following PGE1 injection had peak cavernosal artery velocities > 30 cm/sec. The remaining suboptimal responders who presented an elevated end-diastolic velocity (> 5 cm/sec) showed a venous leakage demonstrated with cavernosography. Colour duplex sonography is a valuable and non-invasive tool in the assessment of impotence and can provide valuable information in the diagnosis of vasculogenic erectile dysfunction.
Collapse
|
37
|
Minervini R, Panichi V, Viganò L, Felipetto R, Gattai V, Cecchi M, Fiorentini L, Palla R. Cellular expression of lymphocyte function-associated antigen-1 and intercellular adhesion molecule-1 in normal kidney structures and in renal cancer. Possible significance in immune response and in the clinicopathological correlation. Eur Urol 1994; 26:103-6. [PMID: 7925526 DOI: 10.1159/000475352] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
In this study we investigated the presence of lymphocyte function-associated antigen-1 (LFA-1) and intercellular adhesion molecule-1 (ICAM-1) on renal cell cancer in 16 patients who underwent nephrectomy. In all cases, normal renal tissues presented ICAM-1 on the parietal epithelial cells lining Bowman's capsule while neither the visceral epithelium nor the glomerular endothelium were stained. The epithelial proximal and distal tubular cells were stained poorly (5 +/- 3 positive tubular cross sections/mm2). No renal cells were stained by the monoclonal antibody for LFA-1. In contrast, in renal cancer tissue we found 6 cases, negative for ICAM-1 and the others positive with a mean number of positive tubular cross sections of 52 +/- 37/mm2. In 10 cases staining with LFA-1 antibody was negative, while for the other cases the mean number of positive tubular cross sections was 11 +/- 8/mm2. Our results suggest that the expression of ICAM-1 and LFA-1 on the surface of malignant cells may explain the unusual clinical aspects of renal cell carcinoma, its association with the immune system, and clarify certain aspects of immunotherapy.
Collapse
|
38
|
Cecchi M, Felipetto R, Viganò L, Minervini R, Fiorentini L. Self-retaining intraurethral device for treatment of prostatic obstruction. ACTA UROLOGICA BELGICA 1993; 61:17-20. [PMID: 7507632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
We report our experience about insertion of 32 self-retaining intraurethral device (IUC) in patients with prostatic obstruction. Follow-up ranged between 2 and 38 weeks. Success rate of IUC insertion was 93.7% and 46.6% of patients have IUC in place without complications during follow-up. IUC is easy and quick to introduce, it allows spontaneous voiding, full continence, sexual activity and routine life-style. It represents a useful alternative to indwelling catheter in patients at high risk or refusing surgery and it might be used in patients who are waiting for surgery or need long term catheterization.
Collapse
|
39
|
Cecchi M, Sepich C, Vigano L, Felipetto R, Pagni G, Cagnoni M, Fiorentini L, Minervini R. PSA or PSAD for the diagnosis of prostate cancer? Pharmacotherapy 1993. [DOI: 10.1016/0753-3322(93)90203-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
40
|
Minervini R, Cecchi M, Vigano L, Felipetto R, Pagni G, Sepich C, Fiorentini L. Incidental asymptomatic adrenal masses: Is operation required. Pharmacotherapy 1993. [DOI: 10.1016/0753-3322(93)90189-r] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
41
|
Minervini R, Sepich C, Vigano L, Felipetto R, Pagni G, Cecchi M, Cagnoni M, Fiorentini L. Bladder replacement after radical cystectomy for cancer. Pharmacotherapy 1993. [DOI: 10.1016/0753-3322(93)90201-u] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
42
|
Morelli G, Sepich CA, Cecchi M, Benvenuti S, Cuttano MG, Fiorentini L, Giannotti P. [Echography of injuries of the penis]. ARCHIVIO ITALIANO DI UROLOGIA, NEFROLOGIA, ANDROLOGIA : ORGANO UFFICIALE DELL'ASSOCIAZIONE PER LA RICERCA IN UROLOGIA = UROLOGICAL, NEPHROLOGICAL, AND ANDROLOGICAL SCIENCES 1991; 63 Suppl 2:155-6. [PMID: 1836657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
The Authors report 3 cases of penile trauma observed in a period of 6 months. The patients were studied by penile echography and cavernosography. In this series+ echotomography resulted more accurate than cavernosography which gave always negative results.
Collapse
|
43
|
Ferrara L, Di Luccia A, Manniti F, Piva G, Masoero F, Fiorentini L, Litta G. The Effect of Somidobove (biosynthetic Bovine Somatotropin) on the Production and on the Quality of Milk of Buffaloes (Bubalus Bubalis) Raised in Italy. ASIAN-AUSTRALASIAN JOURNAL OF ANIMAL SCIENCES 1989. [DOI: 10.5713/ajas.1989.228] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
44
|
Aragona F, Serretta V, Fiorentini L, Marconi A, Spinelli C. Combined renal and pyelic fusion with crossed ectopia of single ureter. Urology 1986; 28:339-41. [PMID: 3532495 DOI: 10.1016/0090-4295(86)90022-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
A case of a forty-five-year-old woman with fused kidneys and intercommunicating pelves drained by a single ureter crossing the midline is reported. A review of the literature is presented.
Collapse
|
45
|
Fiorentini L, Minervini R, Cecchi M. [Reimplantation of the uretero-sigmoidostomy in stenosis of the anastomosis: analysis of 6 cases]. ARCH ESP UROL 1986; 39:393-7. [PMID: 3800440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
|
46
|
Aragona F, Spinelli C, Maestrini B, Parlato G, Gambinotti G, Simi U, Fiorentini L. [Histomorphometric features of the normally descended testicle in prepuberty]. MINERVA CHIR 1985; 40:1141-50. [PMID: 4069404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
|
47
|
Spinelli C, Campatelli A, Mosca F, D'Elia F, Minervini R, Fiorentini L. [Urinary retention secondary to a müllerian duct cyst]. MINERVA CHIR 1985; 40:1013-6. [PMID: 4058769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
|
48
|
Aragona F, Spinelli C, Parlato G, Maestrini B, D'Elia F, Simi U, Fiorentini L. [Histopathology of cryptorchid and ectopic testes. Review of the literature and anatomo-clinical observations in 48 cases]. MINERVA UROL NEFROL 1985; 37:35-50. [PMID: 2864748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
|
49
|
Aragona F, Serretta V, Marconi A, Fiorentini L. [Micturition syncope: presentation of a case and review of the literature]. LA CLINICA TERAPEUTICA 1984; 111:559-61. [PMID: 6525816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
|
50
|
Aragona F, Di Candio G, Serretta V, Fiorentini L. Renal hydatid disease: report of 9 cases and discussion of urologic diagnostic procedures. UROLOGIC RADIOLOGY 1984; 6:182-6. [PMID: 6393528 DOI: 10.1007/bf02923720] [Citation(s) in RCA: 29] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
Nine cases of renal hydatid disease are reported. All diagnostic procedures are discussed and the important role of ultrasound renal scan and cyst puncture is emphasized. Although it is rare, renal secondary location has to be suspected in cases of hepatic echinococcosis and conservative surgical treatment is required to preserve renal function.
Collapse
|