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Symeonidis EN, Toutziaris C, Katsimantas A, Dimitriadis G. Incidental Detection of Preputial Calculus in a Patient with Partial Phimosis: Is it as Rare as We Believed? Acta Med Litu 2021; 28:195-198. [PMID: 34393645 PMCID: PMC8311848 DOI: 10.15388/amed.2021.28.1.10] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Revised: 02/12/2021] [Accepted: 02/15/2021] [Indexed: 11/22/2022] Open
Abstract
Summary. Background: Preputial stone disease is the rarest type of urolithiasis. Adult males with severe phimosis and poor hygiene are mainly affected. Case Presentation: A 90-year-old male sought treatment for steadily worsening urinary frequency, intermittency, incontinence, and pain at the tip of his penis of 3-days duration. Clinical examination revealed a palpable distended urinary bladder, a partial phimosis and a round, hard on palpation, and partly ulcerative lesion at the tip of the foreskin. A single, 1 cm in maximum diameter stone, was incidentally discovered beneath the prepuce and subsequently removed from the preputial sac. The patient refused further treatment with circumcision, and opted for conservative therapy of benign prostate hyperplasia. Conclusion: Personal hygiene remains the cornerstone in the prevention of the preputial calculi formation, while circumcision represents the mainstay of treatment for definite stone removal and elimination of the precipitating causes.
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Affiliation(s)
- Evangelos N Symeonidis
- 1 Department of Urology, Aristotle University of Thessaloniki, School of Medicine, "G. Gennimatas" General Hospital, Thessaloniki, Greece
| | - Chrysovalantis Toutziaris
- 1 Department of Urology, Aristotle University of Thessaloniki, School of Medicine, "G. Gennimatas" General Hospital, Thessaloniki, Greece
| | | | - Georgios Dimitriadis
- 1 Department of Urology, Aristotle University of Thessaloniki, School of Medicine, "G. Gennimatas" General Hospital, Thessaloniki, Greece
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Ferakis N, Paparidis S, Papatheodorou A, Symeonidis EN, Katsimantas A. Hook-wire assisted localization of a completely endophytic renal mass during three-dimensional laparoscopic partial nephrectomy: Presentation of our technique. Urologia 2021; 89:244-247. [PMID: 34256611 DOI: 10.1177/03915603211031875] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
INTRODUCTION Totally endophytic renal masses may be invisible during laparoscopic partial nephrectomy, posing challenge to surgeons regarding tumor's identification and resection. CASE PRESENTATION A 22-year-old male was incidentally diagnosed with a completely endophytic, cT1a renal mass. Percutaneous Computed Tomography-guided insertion of a hook-wire was performed prior to laparoscopic partial nephrectomy. The hook-wire anchored centrally into the tumor and its extra-renal part was easily identified intraoperatively, contributing to tumor's identification and surgical excision. Total operative time was 185 min, warm ischemia time was 21.5 min, tumor excision time was 10 min, and total renorraphy time was 31 min. No complications were encountered perioperatively. The patient was discharged on the fourth postoperative day. Histology revealed a pT1a, clear-cell renal cell carcinoma, with negative surgical margins. CONCLUSIONS Our first experience indicates that hook-wire guided excision of a completely endophytic renal mass during laparoscopic partial nephrectomy is feasible, safe, and cost-effective.
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Affiliation(s)
- Nikolaos Ferakis
- Department of Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, Greece
| | - Spyridon Paparidis
- Department of Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, Greece
| | | | - Evangelos N Symeonidis
- First Department of Urology, Aristotle University of Thessaloniki, "G. Gennimatas" General Hospital, Thessaloniki, Greece
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Magklara E, Angelis S, Solia E, Katsimantas A, Kourlaba G, Kostakis G, Tsakotos G, Zaoutis T, Filippou D. The Role of Medical Students During COVID-19 Era. A Review. Acta Biomed 2021; 92:e2021032. [PMID: 33682809 PMCID: PMC7975932 DOI: 10.23750/abm.v92i1.10873] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Accepted: 11/13/2020] [Indexed: 12/23/2022]
Abstract
BACKGROUND AND AIM OF THE WORK Since December 2019, the world has been facing the coronavirus (COVID-19) pandemic crisis. The rapid and effortless spread of the virus has led the World Health Organization to adopt unprecedented large-scale preventive measures. Our aim is to investigate the impact of COVID-19 on the mental health of medical students, and to evaluate their awareness and aptitude for contributing to the fight against COVID-19 contagion. METHODS PubMed electronic database was employed for the research using the following terms: "medical students and COVID-19", "mental health of medical students and COVID-19", "knowledge of medical students and COVID-19", "preventive behavior of medical students and COVID-19". RESULTS Twenty-one articles were included; ten assess the knowledge of medical students on COVID-19, seven present whether they demonstrate appropriate preventive behavior according to global guidelines, seven examine the impact of the pandemic on their mental health, five examine their role on the side of trained healthcare workers. Some articles combine more than one of the above mentioned domains. CONCLUSIONS Medical students seem to demonstrate an adequate level of knowledge upon COVID-19 and implement proper strategies to prevent its spread. Further training is essential to improve some aspects in this field. Social media has proven to be the optimal source of information for medical students, which is incompatible with their future careers as doctors. The pandemic had a negative impact on medical students, expressed as fear regarding the virus spread; nevertheless, many have felt the need to assist healthcare systems under appropriate precautions.
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Affiliation(s)
- Elli Magklara
- School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
| | - Stavros Angelis
- Department of Anatomy, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
| | - Eirini Solia
- School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
| | - Antonios Katsimantas
- Department of Anatomy, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
| | - Georgia Kourlaba
- Center for clinical epidemiology and outcomes research (CLEO), Athens, Greece.
| | - Georgios Kostakis
- School of Dentistry, National and Kapodistrian University of Athens, Athens, Greece.
| | - Georgios Tsakotos
- Department of Anatomy, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
| | - Theoklis Zaoutis
- Center for clinical epidemiology and outcomes research (CLEO), Athens, Greece.
| | - Dimitrios Filippou
- Department of Anatomy, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
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Maglara E, Angelis S, Solia E, Apostolopoulos AP, Tsakotos G, Vlasis K, Katsimantas A, Filippou DK. Three-Dimensional (3D) Printing in Orthopedics Education. J Long Term Eff Med Implants 2021; 30:255-258. [PMID: 33463925 DOI: 10.1615/jlongtermeffmedimplants.2020036911] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
Three-dimensional (3D) printing is a newly established concept in orthopedics compared with other industries. Surgical applications of 3D printing and tissue engineering have been investigated since the early 2000s, almost two decades after Charles Hull had patented the first device currently in use for additive manufacturing, also known as rapid prototyping or more commonly 3D printing, and whose initial formal appellation was stereolithography (SLA). Despite technological progress, substantial principles have largely remained unaltered. Training directly on patients and on cadavers is considered the "gold standard" for learning and developing suitable surgical qualifications. However, restrictions concerning patient safety, ethical dilemmas, lack of availability, etc., have to be taken into account. Thus, 3D representations can be utilized as an educational tool both for patients to improve their understanding of their condition and also medical students, residents, and surgeons to comprehend complex anatomical structures and practice their surgical maneuvers to be prepared and more confident in theater.
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Affiliation(s)
- Elli Maglara
- School of Medicine, National and Kapodistrian University of Athens, Greece
| | - Stavros Angelis
- Department of Anatomy, School of Medicine, National and Kapodistrian University of Athens, Greece; Trauma and Orthopaedic Department, "Korgialenio-Benakio" Hellenic Red Cross Hospital, Athens, Greece
| | - Eirini Solia
- School of Medicine, National and Kapodistrian University of Athens, Greece
| | - Alexandros P Apostolopoulos
- Trauma and Orthopaedic Department, "Korgialenio-Benakio" Hellenic Red Cross Hospital, Athens, Greece; Trauma and Orthopaedic Department, Ealing Hospital, North West University Healthcare NHS Trust, London, United Kingdom
| | - Georgios Tsakotos
- Department of Anatomy, School of Medicine, National and Kapodistrian University of Athens, Greece
| | - Konstantinos Vlasis
- Department of Anatomy, School of Medicine, National and Kapodistrian University of Athens, Greece
| | - Antonios Katsimantas
- Department of Urology, General Military Hospital of Athens, Athens, Greece; Department of Urology, Mediterraneo Hospital, Glyfada, Greece; Department of Anatomy and Surgical Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Dimitrios K Filippou
- Department of Anatomy and Surgical Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece; National Organization for Medicines (EOF), Athens, Greece
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Katsimantas A, Tzelepis V, Antonopoulos C, Petsas K, Tsavdaris D, Sfetsas K, Filippou DK, Papandropoulos I. Effect of Body Type on Renal Injury: Major Renal Trauma Following an Insignificant Common-in-Everyday-Life Incident. J Long Term Eff Med Implants 2021; 30:155-159. [PMID: 33463961 DOI: 10.1615/jlongtermeffmedimplants.2020035887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
A blunt renal trauma (RT) diagnosis can present challenges. It demands increased clinical suspicion, taking into consideration patient history, mechanism of injury, and clinical and laboratory findings. Final diagnosis may be confirmed radiographically or intraoperatively. A thin, 22-year-old female with severe right flank pain appeared ambulatory in the emergency department. The pain appeared 1 h previously, following a common incident in a city bus, where the patient was as a standing passenger. The bus was moving in an urban area at low speed and decelerated rapidly. Another standing passenger fell on the patient, causing her right flank area to be compressed onto the bus banister for a few seconds. Clinical findings were insignificant. Laboratory examinations revealed only a nonvisible hematuria. Chest X-ray and abdominal ultrasonography were normal. Due to pain severity, an abdominal computed tomography scan was performed and revealed a grade-4, parenchymal RT with extravasation of contrast medium in delayed images. The patient underwent double-J stent insertion and had an uneventful recovery. She presented no complications at 5 mo postinjury. Major RT can be a result of an insignificant, blunt injury in a thin patient; thus, taking into consideration body habitus is of paramount importance in diagnostic evaluation.
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Affiliation(s)
- Antonios Katsimantas
- Department of Urology, General Military Hospital of Athens, Athens, Greece; Department of Urology, Mediterraneo Hospital, Glyfada, Greece; Department of Anatomy and Surgical Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece
| | - Vasileios Tzelepis
- Department of Urology, General Military Hospital of Athens, Athens, Greece
| | | | | | | | | | - Dimitrios K Filippou
- Department of Anatomy and Surgical Anatomy, Medical School, National and Kapodistrian University of Athens, Athens, Greece
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Ferakis N, Katsimantas A, Charalampogiannis N, Paparidis S, Rassweiler JJ, Gozen AS. Transperitoneal and retroperitoneal approach in laparoscopic partial nephrectomy for posterior cT1 renal tumors: A retrospective, two-centers, comparative study. ACTA ACUST UNITED AC 2020; 92. [PMID: 33016053 DOI: 10.4081/aiua.2020.3.230] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2020] [Accepted: 03/22/2020] [Indexed: 11/23/2022]
Abstract
OBJECTIVES To compare perioperative, oncological and functional outcomes of Laparoscopic Transperitoneal Partial Nephrectomy (LTPN) and Retroperitoneal Laparoscopic Partial Nephrectomy (LRPN) for posterior, cT1 renal masses (RMs). MATERIALS AND METHODS Databases of two urologic institutions applying different laparoscopic surgical approaches on posterior cT1 RMs between June 2016 and November 2018 were retrospectively evaluated. Data on patient demographics, perioperative data and tumor histology were collected and further analyzed statistically. RESULTS Each group consisted of 15 patients. Baseline characteristics were comparable in each group. When compared to LTPN, LRPN was associated with significantly shorter operative time (OT) (115 min versus 199 min, p < 0.05). No significant differences were detected in the other outcomes. CONCLUSIONS LRPN is associated with a significantly shorter OT compared to LTPN for posterior cT1 RMs. Both surgical approaches are safe, feasible and credible, demonstrating optimal results.
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Affiliation(s)
- Nikolaos Ferakis
- Department of Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens.
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Katsimantas A, Paparidis S, Filippou D, Bouropoulos K, Ferakis N. Laparoscopic Resection of a Non-functional, Extra-adrenal Paraganglioma: A Case Report and Literature Review. Cureus 2020; 12:e7753. [PMID: 32455070 PMCID: PMC7243083 DOI: 10.7759/cureus.7753] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Non-functional, extra-adrenal, retroperitoneal paraganglioma is a rare, neuroendocrine, and potentially malignant tumor. Its diagnosis and treatment may be challenging. A 69-year-old female patient was admitted because of a left para-aortic, solid, 4.4-cm mass, incidentally discovered during abdominal ultrasonography for screening purposes. Her clinical examination was unremarkable. Preoperative differential diagnosis based on cross-sectional imaging included tumor of neuroendocrine or mesenchymal origin. Hormonal investigation with 24-hour urinary catecholamines and metanephrines and plasma-fractionated metanephrines was in the normal range. Following consultation with the endocrinologist and anesthesiologist, the tumor was removed by using the three-dimensional (3D) laparoscopic transperitoneal surgical approach. The perioperative course was uneventful and the patient was discharged on the third postoperative day. Histopathologic findings were consistent with the diagnosis of retroperitoneal extra-adrenal paraganglioma of 5 cm in maximum diameter.
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Affiliation(s)
- Antonios Katsimantas
- Urology, Mediterraneo Hospital, Glyfada, GRC.,Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, GRC.,Anatomy and Surgical Anatomy, National and Kapodistrian University of Athens Medical School, Athens, GRC
| | | | - Dimitrios Filippou
- Surgery, National and Kapodistrian University of Athens Medical School, Athens, GRC
| | | | - Nikolaos Ferakis
- Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, GRC
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Kosmidou P, Ntarladima V, Katsimantas A, Filippou D, Georgalas C. Endoscopic Surgical Repair of a Giant, Postoperative, Neglected Meningoencephalocele. Cureus 2020; 12:e6739. [PMID: 32133261 PMCID: PMC7034767 DOI: 10.7759/cureus.6739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Meningoencephalocele is a rare and potentially lethal disease, requiring early diagnosis and treatment. A 30-year-old male patient was diagnosed with a massive meningoencephalocele. His medical history included cerebrospinal fluid (CSF) rhinorrhea since the age of 7 years, which was attributed to right eye mining during infancy due to Coats disease. Following failed attempts of open surgical repair and CSF diversion during childhood, no further attempts of surgical management were made. He presented a long history of recurrent episodes of meningitis, resulting in long-lasting hospitalization in the intensive care unit. Eventually, he underwent surgical repair through an endoscopic multilayer approach. Subsequent endoscopic and radiological assessment demonstrated no recurrence during a follow-up period of one year. Endoscopic treatment is highly successful. An effective and definite surgical repair is of paramount importance in order to avoid life-threatening complications, improve patient’s and caregiver’s quality of life, and avoid unnecessary health-system costs.
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Affiliation(s)
- Panagiota Kosmidou
- Otolaryngology - Head and Neck Surgery, Evangelismos General Hospital, Athens, GRC
| | - Vasiliki Ntarladima
- Otolaryngology - Head and Neck Surgery, Evangelismos General Hospital, Athens, GRC
| | | | - Dimitrios Filippou
- Surgery, National and Kapodistrian University of Athens School of Medicine, Athens, GRC
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Katsimantas A, Filippou D, Melloy A, Paparidis S, Ferakis N. Macroscopic Appearance of Giant Adrenal Myelolipoma During Laparoscopy: An Adjunct in Differential Diagnosis. Cureus 2020; 12:e6582. [PMID: 32051795 PMCID: PMC7001128 DOI: 10.7759/cureus.6582] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Giant adrenal myelolipoma is a rare, benign, sizable, mesenchymal tumor. Preoperative differential diagnosis from retroperitoneal liposarcoma may be challenging. A 66-year-old female patient was admitted because of a sizable tumor at the right retroperitoneal space, incidentally discovered during abdominal ultrasonography for screening purpose. Preoperative imaging studies were indicative for the diagnosis of a giant adrenal myelolipoma (11.7 × 12.9 cm in size); however, a retroperitoneal liposarcoma could not be excluded. We decided to proceed with tumor's surgical removal by using laparoscopic transperitoneal approach and three-dimensional high-definition camera. Intraoperatively, the tumor did not infiltrate surrounding tissues and was surrounded by a thin capsule under which there were sparse, orange-colored spots that resembled adrenal cortex. This finding reinforced the initial and most possible diagnosis of adrenal myelolipoma and we easily enucleated the mass. Postoperative course was uneventful, and the patient demonstrated no recurrence on imaging six months postoperatively. Histology confirmed the diagnosis of giant adrenal myelolipoma, measuring 16.5 x 15 x 6.5 cm.
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Affiliation(s)
| | - Dimitrios Filippou
- Surgery, National and Kapodistrian University of Athens School of Medicine, Athens, GRC
| | - Argiro Melloy
- Histopathology, General Hospital of the Greek Red Cross "Korgialeneio-Benakeio", Athens, GRC
| | | | - Nikolaos Ferakis
- Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, GRC
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Angelis S, Trellopoulos A, Kondylis AK, Mirtsios H, Katsimantas A, Solakis EP, Apostolopoulos AP, Kyriazis Z, Michelarakis JΝ. Multifocal Οsteomyelitis Localization after Pyomyositis in Children: Importance of Timely Response. Cureus 2019; 11:e4463. [PMID: 31249741 PMCID: PMC6579484 DOI: 10.7759/cureus.4463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Pyomyositis is a rare bacterial infection that used to prevail in tropical areas for the past century. Nowadays though, more and more cases are reported in high-temperature climate areas. Diagnosis is often delayed due to the variance in clinical presentation, the challenging nature of physical examination of a child, and lack of specific laboratory investigating tools. When the diagnosis is delayed, the outcome may be unpredictable. Multifocal localization through hematogenous or direct spread that may affect the skeletal bone tissue is common. Timely diagnosis and response is a race against septic shock. We present a case series of seven children diagnosed with pyomyositis due to Staphylococcus aureus. High or less clinical suspicion has obviously affected the final outcome since two patients who were not treated in time were subjected to a life-threatening hazard. Five patients who were diagnosed and treated within the first three days after initiation of their symptoms had a predictable and good outcome without complications.
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Affiliation(s)
- Stavros Angelis
- Orthopedics, General Hospital Hellenic Red Cross Korgialenio - Benakio, Athens, GRC
| | - Angelos Trellopoulos
- Orthopedics, General Children's Hospital "Panagiotis & Aglaia Kyriakou", Athens, GRC
| | - Andreas K Kondylis
- Orthopedics, General Children's Hospital "Panagiotis & Aglaia Kyriakou", Athens, GRC
| | - Hristos Mirtsios
- Orthopedics, General Children's Hospital "Panagiotis & Aglaia Kyriakou", Athens, GRC
| | - Antonios Katsimantas
- Anatomy and Surgical Anatomy, National and Kapodistrian University of Athens School of Medicine, Athens, GRC
| | | | | | - Zisis Kyriazis
- Orthopedics, General Children's Hospital "Panagiotis & Aglaia Kyriakou", Athens, GRC
| | - John Ν Michelarakis
- Orthopedics, General Children's Hospital "Panagiotis & Aglaia Kyriakou", Athens, GRC
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Katsimantas A, Ferakis N, Skandalakis P, Filippou D. Re: Variations in the Arterial Blood Supply to the Penis and the Accessory Pudendal Artery: A Meta-Analysis and Review of Implications in Radical Prostatectomy: B. M. Henry, P. A. Pękala, J. Vikse, B. Sanna, B. Skinningsrud, K. Saganiak, J. A. Walocha and K. A. Tomaszewski J Urol 2017;198:345-353. J Urol 2018; 200:659. [PMID: 29802822 DOI: 10.1016/j.juro.2018.02.3111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/27/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Antonios Katsimantas
- Department of Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, Greece; Department of Anatomy and Surgical Anatomy, National and Kapodistrian University of Athens Medical School, Athens, Greece.
| | - Nikolaos Ferakis
- Department of Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, Greece; Department of Anatomy and Surgical Anatomy, National and Kapodistrian University of Athens Medical School, Athens, Greece
| | - Panagiotis Skandalakis
- Department of Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, Greece; Department of Anatomy and Surgical Anatomy, National and Kapodistrian University of Athens Medical School, Athens, Greece
| | - Dimitrios Filippou
- Department of Urology, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, Greece; Department of Anatomy and Surgical Anatomy, National and Kapodistrian University of Athens Medical School, Athens, Greece
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