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Gramegna A, Aliberti S, Calderazzo MA, Casciaro R, Ceruti C, Cimino G, Fabrizzi B, Lucanto C, Messore B, Pisi G, Taccetti G, Tarsia P, Blasi F, Cipolli M. The impact of elexacaftor/tezacaftor/ivacaftor therapy on the pulmonary management of adults with cystic fibrosis: An expert-based Delphi consensus. Respir Med 2023; 220:107455. [PMID: 37926181 DOI: 10.1016/j.rmed.2023.107455] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 10/30/2023] [Accepted: 11/02/2023] [Indexed: 11/07/2023]
Abstract
BACKGROUND The advent of elexacaftor/tezacaftor/ivacaftor (ETI) resulted in unprecedented clinical benefits for eligible adults with CF. As a result, the question of whether chronic treatments can be safely stopped or adapted to this new situation has become a matter of great interest. Our objective was to derive a consensus among Italian experts on the impact of ETI on the current clinical management of CF lung disease. METHODS From December 2021 to April 2022 a panel of Italian experts endorsed by the national CF scientific society derived and graded a set of statements on the pulmonary management of adults with cystic fibrosis through a modified Delphi methodology. RESULTS The panel produced 13 statements exploring possible modifications in the fields of inhaled antibiotics and mucoactives; airway clearance and physical activity; chronic macrolides and bronchodilators; and lung transplant referral. The areas that the experts considered most urgent to explore were the impact of ETI on the role of inhaled antibiotics and lung transplant. CONCLUSIONS The list of priorities that emerged from this study could be useful to guide and inform clinical research on the most urgent area of impact of ETI on CF lung disease and its clinical management.
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Affiliation(s)
- Andrea Gramegna
- Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy; Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
| | - Stefano Aliberti
- Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, 20072, Pieve Emanuele, Milan, Italy; IRCCS Humanitas Research Hospital, Respiratory Unit, Via Manzoni 56, 20089, Rozzano, Milan, Italy
| | | | - Rosaria Casciaro
- IRCCS Istituto Giannina Gaslini, Cystic Fibrosis Center, 16147, Genoa, Italy
| | - Clara Ceruti
- Health Professions Department Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Giuseppe Cimino
- Cystic Fibrosis Center, Policlinico Umberto I Hospital, Viale Regina Elena 324, 00161, Rome, Italy
| | - Benedetta Fabrizzi
- Cystic Fibrosis Regional Reference Center, Azienda Ospedaliero-Universitaria Ospedali Riuniti di Ancona, Ancona 60126, Italy
| | - Cristina Lucanto
- Regional Centre for Cystic Fibrosis, A. O. U. Policlinico G.Martino, Messina, Italy
| | - Barbara Messore
- Adult Cystic Fibrosis Center, Azienda Ospedaliera Universitaria San Luigi Gonzaga, 10043, Orbassano, Italy
| | - Giovanna Pisi
- Pediatric Clinic, Pietro Barilla Children's Hospital, Department of Medicine and Surgery, University of Parma, 43126, Parma, Italy
| | - Giovanni Taccetti
- Cystic Fibrosis Center, Anna Meyer Children's University Hospital, Viale Pieraccini 24, 50139, Firenze, Italy
| | - Paolo Tarsia
- Respiratory Unit, Metropolitan Hospital Niguarda, Milan, Italy
| | - Francesco Blasi
- Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy; Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Marco Cipolli
- Cystic Fibrosis Center, Azienda Ospedaliero Universitaria Integrata di Verona, Pl. Aristide Stefani 1, 37126, Verona, Italy
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Falcone M, Preto M, Ferro I, Lavagno F, Cirigliano L, Peretti F, Plamadeala N, Timpano M, Ceruti C, Gontero P. Subtotal penectomy and perineostomy configuration in locally advanced penile cancer. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01417-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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3
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Falcone M, Capogrosso P, Cirigliano L, Preto M, Timpano M, Peretti F, Ferro I, Plamadeala N, Schifano N, Ceruti C, Giorgio F, Bettocchi C, Cai T, Vitarelli A, Carrino M, Paradiso M, Pescatori E, Colombo F, Caraceni E, Dehò F, Palmieri A, Gontero P. Surgical and functional outcomes of penile prosthesis implantation in men with neurological conditions. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01300-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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4
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Rossi V, Santambrogio M, Del Monaco C, Retucci M, Tammaro S, Ceruti C, Saderi L, Aliberti S, Privitera E, Grasselli G, Sotgiu G, Blasi F. Safety and feasibility of physiotherapy in ICU-admitted severe COVID-19 patients: an observational study. Monaldi Arch Chest Dis 2022; 92. [PMID: 35086328 DOI: 10.4081/monaldi.2022.2087] [Citation(s) in RCA: 2] [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] [Received: 09/14/2021] [Accepted: 01/14/2022] [Indexed: 01/08/2023] Open
Abstract
Early physiotherapy could play an important role in the management of severe COVID-19 subjects with consequences of prolonged ICU stay, although its effectiveness is still unclear. Aim of this study is to describe physiotherapy performed in severe COVID-19 patients and to evaluate its safety and feasibility. Consecutive adults with confirmed SARS-CoV-2 infection, admitted to the ICU, needing invasive mechanical ventilation for >24 hours and receiving early physiotherapy, have been enrolled. Adverse events occurred during physiotherapy sessions and timing and type of physiotherapy delivered were analysed, to identify the interventions most frequently performed and to determine the time taken to first mobilize, stand and walk. Functional and clinical assessment of patients was also performed at hospital discharge. Eighty-four severe COVID-19 subjects were enrolled. Few minor adverse events were recorded. Active mobilization was promoted over passive mobilization and independence in daily life activities was supported. Time interval from patients' intubation to the first physiotherapy treatment was 13 days and to walking was 27 days. Forty-eight (57.1%) subjects returned at home, whereas 29 (34.5%) were discharged to in-patient rehabilitation. Patients with tracheostomy experienced a delay in time from ICU admission until sit out of bed and ambulation, if compared with subjects without tracheostomy, although no differences were found in 6MWT and 1m-STST performances. This study reporting early physiotherapy during pandemic suggests that this intervention is feasible and safe for severe COVID-19 subjects, as well as healthcare workers, although delayed compared to other critically ill patients.
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Affiliation(s)
- Veronica Rossi
- Health Professions Department Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan.
| | - Martina Santambrogio
- Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan.
| | - Cesare Del Monaco
- Health Professions Department Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan.
| | - Mariangela Retucci
- Health Professions Department Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Mila.
| | - Serena Tammaro
- Health Professions Department Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan.
| | - Clara Ceruti
- Health Professions Department Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan.
| | - Laura Saderi
- Department of Medical, Surgical and Experimental Sciences, University of Sassari.
| | - Stefano Aliberti
- Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan.
| | - Emilia Privitera
- Health Professions Department Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan.
| | - Giacomo Grasselli
- Department of Pathophysiology and Transplantation, University of Milan.
| | - Giovanni Sotgiu
- Department of Medical, Surgical and Experimental Sciences, University of Sassari.
| | - Francesco Blasi
- Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan.
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Falcone M, Sedigh O, Preto M, Timpano M, Ceruti C, Pizzuto G, Mangione C, Peretti F, Ferro I, Gontero P. Do we have valuable predicting factors for recurrence and cancer specific mortality after organ-sparing treatment in the management of superficial or localized penile cancer? EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00766-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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6
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Preto M, Falcone M, Timpano M, Sedigh O, Ceruti C, Peretti F, Ferro I, Gontero P. Surgical, functional outcomes and patients’ reported outcomes of glansectomy and split thickness skin graft reconstruction for localized penile cancer. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00761-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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7
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Preto M, Falcone M, Sedigh O, Timpano M, Ceruti C, Pizzuto G, Mangione C, Peretti F, Ferro I, Gontero P. Surgical outcomes of organ-sparing treatments in the management of superficial or localized penile cancer: which approach may guarantee the best oncological outcomes? EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00767-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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8
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Capogrosso P, Bettocchi C, Colombo F, Liguori G, Fiordelise S, Vitarelli A, Silvani M, Mondaini N, Paradiso M, Ceruti C, Utizi L, Varvello F, Palumbo F, Avolio A, Antonini G, Pozza D, Franco G, Bitelli M, Conti E, Caraceni E, Pescatori E, Salonia A, Palmieri A, Dehò F. Risk of unfavorable outcomes after penile prosthesis implantation – results from a national registry (INSIST-ED). EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35344-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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9
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Retucci M, Aliberti S, Ceruti C, Santambrogio M, Tammaro S, Cuccarini F, Carai C, Grasselli G, Oneta AM, Saderi L, Sotgiu G, Privitera E, Blasi F. Prone and Lateral Positioning in Spontaneously Breathing Patients With COVID-19 Pneumonia Undergoing Noninvasive Helmet CPAP Treatment. Chest 2020; 158:2431-2435. [PMID: 32679237 PMCID: PMC7361047 DOI: 10.1016/j.chest.2020.07.006] [Citation(s) in RCA: 46] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 06/15/2020] [Accepted: 07/02/2020] [Indexed: 12/19/2022] Open
Affiliation(s)
- Mariangela Retucci
- Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, University of Milan, Sassari, Italy
| | - Stefano Aliberti
- Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, University of Milan, Sassari, Italy.
| | - Clara Ceruti
- Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Dipartimento Professioni Sanitarie, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Martina Santambrogio
- Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, University of Milan, Sassari, Italy
| | - Serena Tammaro
- Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, University of Milan, Sassari, Italy
| | - Filippo Cuccarini
- Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, University of Milan, Sassari, Italy
| | - Claudia Carai
- Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, University of Milan, Sassari, Italy
| | - Giacomo Grasselli
- Department of Anesthesia, Critical Care and Emergency, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, University of Milan, Sassari, Italy
| | - Anna Maria Oneta
- Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Dipartimento Professioni Sanitarie, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Laura Saderi
- Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy
| | - Giovanni Sotgiu
- Department of Medical, Surgical and Experimental Sciences, University of Sassari, Sassari, Italy
| | - Emilia Privitera
- Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Dipartimento Professioni Sanitarie, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Francesco Blasi
- Respiratory Unit and Cystic Fibrosis Adult Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy; Department of Pathophysiology and Transplantation, University of Milan, Sassari, Italy
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10
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Capogrosso P, Pescatori E, Bettocchi C, Colombo F, Liguori G, Fiordelise S, Vitarelli A, Silvani M, Mondaini N, Paradiso M, Ceruti C, Varvello F, Palumbo F, Avolio A, Antonini G, Pozza D, Franco G, Bitelli M, Conti E, Caraceni E, Salonia A, Palmieri A, Deho F. Risk of unfavorable outcomes after penile prosthesis implantation – results from a national registry (INSIST-ED). EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33089-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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11
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Boeri L, Capogrosso P, Ventimiglia E, Preto M, Sibona M, Franceschelli A, Gentile G, Falcone M, Timpano M, Ceruti C, Gadda F, Colombo F, Rolle L, Gontero P, Sànchez-Curbelo J, Montanari E, Mirone V, Montorsi F, Salonia A. Rate of hypogonadism among Klinefelter patients at first presentation: A multicenter cross-sectional study. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33027-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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12
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Oderda M, Rosazza M, Agnello M, Barale M, Calleris G, Ceruti C, Daniele L, Delsedime L, Falcone M, Faletti R, Filippini C, Giordano A, Marquis A, Marra G, Pacchioni D, Gontero P. Natural history of widespread high grade prostatic intraepithelial neoplasia and atypical small acinar proliferation: Should we rebiopsy them all? EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)32664-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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13
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Sedigh O, Pizzuto G, Barale M, Agosti S, Ceruti C, Timpano M, Falcone M, Gontero P. VS-3-1 Management of Difficult Penile Implats and Ossified Peyronie. J Sex Med 2020. [DOI: 10.1016/j.jsxm.2020.04.104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Capogrosso P, Bettocchi C, Colombo F, Liguori G, Fiordelise S, Vitarelli A, Silvani M, Mondaini N, Paradiso M, Ceruti C, Utizi L, Varvello F, Palumbo F, Avolio A, Antonini G, Pozza D, Franco G, Bitelli M, Caraceni E, Pescatori E, Salonia A, Palmieri A, Dehò F. PS-7-5 Risk of Unfavorable Outcomes after Penile Prosthesis Implantation - Results From a National Registry (INSIST-ED). J Sex Med 2020. [DOI: 10.1016/j.jsxm.2020.04.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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15
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Falcone M, Timpano M, Preto M, Cocci A, Ceruti C, Sedici O, Gontero P. P-06-3 Multiple-Staged Buccal Mucosa Metoidioplasty for Female to Male Gender Dysphoria: Preliminary Results From a Single Center Cohort Study. J Sex Med 2020. [DOI: 10.1016/j.jsxm.2020.04.346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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16
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Falcone M, Timpano M, Cocci A, Mattia A, Chiara P, Ceruti C, Sedigh O, Morelli G, Gontero P. PO-02-008 Suprapubic pedicled phalloplasty in females with gender dysphoria: A multicentric retrospective cohort analysis. J Sex Med 2019. [DOI: 10.1016/j.jsxm.2019.03.252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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17
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Ceruti C, Sibona M, Goria C, Elisa G, Dalmasso E, Gadda F, Palmisano F, Ragni F, Garrou D, Gontero P, Destefanis P. HP-04-002 BPH- and BPHsurgery-related ejaculation disorders: Results from a prospective observational trial. J Sex Med 2019. [DOI: 10.1016/j.jsxm.2019.03.131] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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18
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Ceruti C, Sibona M, Sedigh O, Timpano M, Falcone M, Preto M, Rolle L, Gontero P. PS-07-008 Which penile implant has the best surgical and satisfaction outcomes? Data from a 203 patients monocentric series. J Sex Med 2019. [DOI: 10.1016/j.jsxm.2019.03.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Zavattaro M, Ceruti C, Motta G, Allasia S, Marinelli L, Di Bisceglie C, Tagliabue MP, Sibona M, Rolle L, Lanfranco F. Treating varicocele in 2018: current knowledge and treatment options. J Endocrinol Invest 2018; 41:1365-1375. [PMID: 30284221 DOI: 10.1007/s40618-018-0952-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2018] [Accepted: 09/11/2018] [Indexed: 01/20/2023]
Abstract
PURPOSE Varicocele is defined as a state of varicosity and tortuosity of the pampiniform plexus around the testis caused by retrograde blood flow through the internal spermatic vein. The prevalence of clinically relevant varicocele ranges from 5 to 20% in the male population and is often associated with infertility and reduction of sperm quality. In this review, the pathophysiology and clinical aspects of varicocele are reviewed along with therapeutic options and treatment effects on sperm parameters and fertility both in adult and in pediatric/adolescent subjects. METHODS We conducted a Medline and a PubMed search from 1965 to 2018 to identify publications related to varicocele clinical aspects, treatment procedures and treatment outcomes. Keywords used for the search were: "varicocele", "varicocelectomy", "sclerotherapy", "male infertility", "subfertility", and "semen abnormalities". RESULTS Data from a large number of studies in adolescent and adult males indicate that varicocele correction improves semen parameters in the majority of patients, reducing oxidative stress and improving sperm nuclear DNA integrity either with surgical or percutaneous approach. CONCLUSIONS Varicocele repair seems to represent a cost-effective therapeutic option for all males (both adolescent and adults) with a clinical varicocele in the presence of testicular hypotrophy, worsening sperm alterations or infertility. On the other hand, some investigators questioned the role of varicocelectomy in the era of assisted reproduction. Thus, a better understanding of the pathophysiology of varicocele-associated male subfertility is of paramount importance to elucidating the deleterious effects of varicocele on spermatogenesis and possibly formulating new treatment strategies.
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Affiliation(s)
- M Zavattaro
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy
| | - C Ceruti
- Division of Urology, Department of Surgical Sciences, University of Turin, Turin, Italy
| | - G Motta
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy
| | - S Allasia
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy
| | - L Marinelli
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy
| | - C Di Bisceglie
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy
| | - M P Tagliabue
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy
| | - M Sibona
- Division of Urology, Department of Surgical Sciences, University of Turin, Turin, Italy
| | - L Rolle
- Division of Urology, Department of Surgical Sciences, University of Turin, Turin, Italy
| | - F Lanfranco
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy.
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Ceruti C, Sibona M, Preto M, Bertinato R, Sedigh O, Timpano M, Falcone M, Gontero P, Rolle L. 666 Previous pelvic radiation therapy is the single strongest risk factor for penile prosthesis infection. Data from a large monocentric series. J Sex Med 2018. [DOI: 10.1016/j.jsxm.2018.04.574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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21
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Capogrosso P, Caraceni E, Pescatori E, Cazzaniga W, Silvani M, Utizi L, Mondaini N, Carrino M, Pozza D, Lagana' A, Barbieri A, Ceruti C, Salonia A, Palmieri A, Deho' F. 058 Quality of life after penile prosthesis implantation – 1-year follow-up data of the INSIST-ED national prospective registry. J Sex Med 2018. [DOI: 10.1016/j.jsxm.2018.04.061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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22
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Marco F, Cirigliano L, Ceruti C, Timpano M, Sedigh O, Preto M, Sibona M, Gontero P, Rolle L. 653 Long-term surgical, functional and patients’ reported outcomes of the turin's corporoplasty: results from a tertiary referral center experience. J Sex Med 2018. [DOI: 10.1016/j.jsxm.2018.04.560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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23
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Falcone M, Sibona M, Preto M, Cocci A, Timpano M, Rolle L, Ceruti C, Oderda M, Gontero P, Garaffa G. An Update on the Management of the Short Penis: Results from a Systematic Review. Curr Sex Health Rep 2017. [DOI: 10.1007/s11930-017-0127-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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Falcone M, Timpano M, Ceruti C, Sedigh O, Preto M, Sibona M, Frea B, Rolle L. P-01-041 A single center analysis on the learning curve of male to female peno-scrotal vaginoplasty by multiple outcome measures. J Sex Med 2016. [DOI: 10.1016/j.jsxm.2016.03.194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Ceruti C, Sedigh O, Timpano M, Falcone M, Preto M, Sibona M, Frea B, Rolle L. HP-05-006 Distal repair of tunica albuginea for herniation of penile implant: comparison of outcomes using two types of non - autologous graft. J Sex Med 2016. [DOI: 10.1016/j.jsxm.2016.03.133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Ceruti C, Sedigh O, Timpano M, Sibona M, Falcone M, Preto M, Oderda M, Gontero P, Frea B, Rolle L. P-01-024 Treatment of prostate cancer and sexual rehabilitation when a nerve-sparing procedure is not feasible: placement of the reservoir for a three-component penile implant during robotic extra-aponeurotic radical prostatectomy. J Sex Med 2016. [DOI: 10.1016/j.jsxm.2016.03.179] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Laviola M, Zanini A, Priori R, Macchini F, Leva E, Torricelli M, Ceruti C, Aliverti A. Thoraco-abdominal asymmetry and asynchrony in congenital diaphragmatic hernia. Pediatr Pulmonol 2015; 50:915-24. [PMID: 25052453 DOI: 10.1002/ppul.23081] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/18/2013] [Revised: 05/09/2014] [Accepted: 06/01/2014] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Congenital diaphragmatic hernia (CDH) consists of an incomplete formation of the diaphragm and the subsequent herniation of abdominal bowels. Diaphragmatic defect can be repaired by primary closure or placing a patch. Respiratory follow up usually focuses on spirometric and clinical evaluation. The aim of the study was to assess thoraco-abdominal volumes in CDH patients and to verify whether the action of the diaphragm on the chest wall is altered leading to an asymmetric and asynchronous expansion of the different thoracoabdominal compartments. PATIENTS AND METHODS Total and compartmental chest wall volumes and asynchronies were measured by Opto-Electronic Plethysmography in 14 CDH patients (7 M/7F, age 5 ± 2 years, 12 left side operated) and in 9 age matched healthy subjects during quiet spontaneous breathing in supine position. Patients were divided in two groups: five patients with suture (group S) and nine patients with diaphragmatic patch (group P). Pulmonary function was assessed by spirometry and spirometric parameters were expressed as Z-score. RESULTS In group P abdominal contribution to tidal volume was lower than healthy controls and group S. Unlike controls, in both CDH groups the right side of pulmonary rib cage moved inward with a correspondent left side expansion during inspiration. In group S, thoraco-abdominal asynchronies were higher than in group P and controls, especially in the right side. Five patients belonging to group P had a spirometric obstructive pattern. CONCLUSIONS In overall CDH patients a reduced action of the treated (left) hemi-diaphragm is evident. In patients treated by primary suture, a compensatory action of the right side allows to reach a normal total diaphragmatic displacement and a proper contribution of the whole diaphragm to tidal volume. In patients treated by diaphragmatic patch, instead, thoraco-abdominal asynchronies are prevented.
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Affiliation(s)
- Marianna Laviola
- Dipartimentodi Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milano, Italy
| | - Andrea Zanini
- Chirurgia Pediatrica, Fondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico di Milano, Milano, Italy
| | - Rita Priori
- Dipartimentodi Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milano, Italy
| | - Francesco Macchini
- Chirurgia Pediatrica, Fondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico di Milano, Milano, Italy
| | - Ernesto Leva
- Chirurgia Pediatrica, Fondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico di Milano, Milano, Italy
| | - Maurizio Torricelli
- Chirurgia Pediatrica, Fondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico di Milano, Milano, Italy
| | - Clara Ceruti
- Clinica De Marchi, Fondazione IRCCS Ca'Granda Ospedale Maggiore Policlinico Milano, Milano, Italy
| | - Andrea Aliverti
- Dipartimentodi Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milano, Italy
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Gambazza S, Ceruti C, Brivio A, Piaggi G, Karapanagiotis S, Colombo C. Isocapnic hyperpnea with a portable device in Cystic Fibrosis: an agreement study between two different set-up modalities. J Clin Monit Comput 2014; 29:569-72. [PMID: 25348833 DOI: 10.1007/s10877-014-9633-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2014] [Accepted: 10/20/2014] [Indexed: 11/30/2022]
Abstract
To evaluate the bias and precision of the respiratory muscle training device formulas to predict respiratory minute volume (RMV) and volume of the reservoir bag (BV) on a cohort of subjects with Cystic Fibrosis (CF). CF patients with available pulmonary function tests and maximal voluntary manoeuvres were included in the study. Vital capacity and maximal voluntary ventilation were extracted from subjects' records and then inserted to the manufacturer's formulas to obtain RMV and BV (measured setting). RMV and BV were compared according to standard and measured formulas in males and females. Sample was described and then processed using Bland-Altman analysis. Bland-Altman analysis for RMV revealed a bias and precision of 8.8 ± 29 L/min in males and 28.8 ± 16 L/min in females; 0.4 ± 0.5 L in males and 0.7 ± 0.4 L in females for BV. Concordance correlation coefficients for RMV were -0.03 in males and 0.02 in females; 0.22 in males and 0.03 in females for BV, reinforcing an unsatisfactory concordance between measured and manufacturer setting. This study shows considerable discrepancies between the two methods, making the degree of agreement not clinically acceptable. This might cause inappropriate setting and disservice to patients with CF.
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Affiliation(s)
- Simone Gambazza
- Cystic Fibrosis Centre, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Via della Commenda 9, 20122, Milan, Italy.
| | - Clara Ceruti
- Cystic Fibrosis Centre, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Via della Commenda 9, 20122, Milan, Italy
| | - Anna Brivio
- Cystic Fibrosis Centre, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Via della Commenda 9, 20122, Milan, Italy
| | - Giancarlo Piaggi
- Pulmonary Rehabilitation, Fondazione Salvatore Maugeri IRCCS, Via Salvatore Maugeri 4, 27100, Pavia, Italy
| | - Solon Karapanagiotis
- Cystic Fibrosis Centre, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Via della Commenda 9, 20122, Milan, Italy
| | - Carla Colombo
- Cystic Fibrosis Centre, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Via della Commenda 9, 20122, Milan, Italy
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Brivio A, Ceruti C, Gambazza S, Colombo C. 217 Randomized double-blind monocentric trial on tolerability, acceptability and efficacy of two formulations of inhaled 7% hypertonic saline with and without hyaluronic acid in reducing airways inflammation in patients with cystic fibrosis – Preliminary results. J Cyst Fibros 2013. [DOI: 10.1016/s1569-1993(13)60358-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Sedigh O, Rolle L, Negro C, Ceruti C, Timpano M, Galletto E, Hosseini S, Al Ansari A, Shamsodini A, Fontana D. UP-03.057 Early Insertion of Inflatable Penile Prosthesis for Intractable Ischemic Priapism. Urology 2011. [DOI: 10.1016/j.urology.2011.07.1147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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De Maria C, Rolle L, Ceruti C, Lillaz B, Sedigh O, Timpano M, Negro C, Falcone M, Fontana D. UP-03.165 Urinary Incontinence and Erectile Dysfunction Post-Prostatectomy: Simultaneous or Delayed Surgical Correction? Urology 2011. [DOI: 10.1016/j.urology.2011.07.1254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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Buffardi A, Ceruti C, Destefanis P, Ruffino MA, Bosio A, Bisconti A, De Maria C, Negro C, Carchedi M, Fontana D. [Retroperitoneoscopic nephropexy]. Urologia 2010; 77 Suppl 16:16-20. [PMID: 21104655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
INTRODUCTION Nephroptosis has been defined as renal descent of 5 or more cm on orthostasis. This disease is more frequent in young and slim women. The patient complains pain in upright position,that regress lying down. The therapy consists of surgical treatment. We report the case of a woman treated with retroperitoneoscopic nephropexy. METHODS We present the case of a 25-years old woman, affected by lumbar pain in upright position for about 1 year. Ultrasound scan of the abdomen and RX-KUB did not show hydronephrosis nor stones. Both an orthopedic examination and a spinal MRI excluded bone or muscular diseases. Intravenous pyelography and diuretic isotope renography in upright position revealed a renal descent of more than 5 cm, without obstruction of upper urinary tract. The patient underwent a renal color doppler imaging, that showed reduction of right kidney resistive index in upright position. The patient underwent a right retroperitoneoscopic nephropexy. After complete dissection of the perirenal fat from the kidney, three nonabsorbable sutures were placed between the posterior renal capsule and the psoas muscle. RESULTS No blood loss nor peri-operative complications have been observed. One month after the procedure, the patient did not complain any pain. Renal color doppler, performed one month after the nephropexy, showed a normalization of resistive index. CONCLUSIONS Symptomatic nephroptosis is a disease that has been questioned in the past. Nowadays, the modern imaging and functional examination available allow to identify the “true”cases of symptomatic nephroptosis. The treatment with retroperitoneoscopic nephropexy is an easy and effective procedure.
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Buffardi A, Ceruti C, Destetan P, Ruffino M, Bosio A, Bisconti A, De Maria C, Negro C, Carchedi M, Fontana D. Nefropessi Retroperitoneoscopica. Urologia 2010. [DOI: 10.1177/0391560310077016s04] [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: 11/16/2022]
Abstract
Introduction Nephroptosis has been defined as renal descent of 5 or more cm on orthostasis. This disease is more frequent in young and slim women. The patient complains pain in upright position, that regress lying down. The therapy consists of surgical treatment. We report the case of a woman treated with retroperitoneoscopic nephropexy. Methods We present the case of a 25–years old woman, affected by lumbar pain in upright position for about 1 year. Ultrasound scan of the abdomen and RX-KUB did not show hydronephrosis nor stones. Both an orthopedic examination and a spinal MRI excluded bone or muscular diseases. Intravenous pyelography and diuretic isotope renography in upright position revealed a renal descent of more than 5 cm, without obstruction of upper urinary tract. The patient underwent a renal color doppler imaging, that showed reduction of right kidney resistive index in upright position. The patient underwent a right retroperitoneoscopic nephropexy. After complete dissection of the perirenal fat from the kidney, three nonabsorbable sutures were placed between the posterior renal capsule and the psoas muscle. Results NO blood loss nor perioperative complications have been observed. One month after the procedure, the patient did not complain any pain. Renal color doppler, performed one month after the nephropexy, showed a normalization of resistive index. Conclusions Symptomatic nephroptosis is a disease that has been questioned in the past. Nowadays, the modern imaging and functional examination available allow to identify the “true” cases of symptomatic nephroptosis. The treatment with retroperitoneoscopic nephropexy is an easy and effective procedure.
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Affiliation(s)
- A. Buffardi
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette “ - Torino
| | - C. Ceruti
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette “ - Torino
| | - P. Destetan
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette “ - Torino
| | - M.A. Ruffino
- Divisione di Radiologia Diagnostica 6 - Ospedale San Giovanni Battista “Molinette “ - Torino
| | - A. Bosio
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette “ - Torino
| | - A. Bisconti
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette “ - Torino
| | - C. De Maria
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette “ - Torino
| | - C. Negro
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette “ - Torino
| | - M. Carchedi
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette “ - Torino
| | - D. Fontana
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette “ - Torino
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Rolle L, Ceruti C, Tamagnone A, Timpano M, Negro C, Galletto E, Fontana D. T05-O-20 Plaque incision surgery with tunica vaginalis patch for penile curvature in La Peyronie's disease: preliminary report. Sexologies 2008. [DOI: 10.1016/s1158-1360(08)72756-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Rolle L, Ceruti C, Tamagnone A, Timpano M, Negro C, Cugiano A, Galletto E, Fontana D. T05-O-19 The “Apollo” tissue expander: a novel approach to penile shortening due to fibrosis. Sexologies 2008. [DOI: 10.1016/s1158-1360(08)72755-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Rolle L, Ceruti C, Tamagnone A, Timpano M, Negro C, Galletto E, Fontana D. T05-O-21 The modified Nesbit's corporoplasty in penile curvature due to La Peyronie's disease: our experience. Sexologies 2008. [DOI: 10.1016/s1158-1360(08)72757-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Rolle L, Timpano M, Destefanis P, Bosio A, Fiori C, Tamagnone A, Demaria C, Vigna D, Ceruti C, Negro C, Burlo P, Fontana D. Testis Sparing Microsurgery. Urologia 2006. [DOI: 10.1177/039156030607300205] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The unexpected detection of non palpable hypoechoic testicular lesions has become more frequent thanks to the increased use of trans-scrotal ultrasound (US): patients are often asymptomatic and the objective examination reveals no palpable masses. The different diagnostic, therapeutic approaches vary from radical orchifunicolectomy to simple US follow-up, although the guidelines on the management of these lesions are not defined, yet. The article shows our series of patients with hypoechoic testicular lesions who underwent surgical exploration, with the aid of the operating microscope and histologic test. Materials and Methods 6 patients in total underwent microsurgical exploration of non palpable hypoechoic testicular lesions, from April 2003 to December 2004. Results 4 out of the 6 cases were a left-sided testicular lesion, whereas the 2 remaining cases revealed a right-sided lesion [hypoechoic areas mean size = 3.9 mm (range 2.5 – 16)]. The lesions in all patients could be easily identified and successfully excised thanks to the microsurgical technique. The intraoperative frozen section examination (FSE) showed a benign lesion in 5 cases and an intratubular germ cell neoplasia (ITGCN) in one. Patient with ITGCN underwent radical orchiectomy. The final histological analysis confirmed the frozen section examination report for all the 6 cases. Patients were clinically and ultrasonographically evaluated with a mean follow-up of 15 months. No complication occurred. Conclusion Microsurgical exploration of the testis combined with FSE represents a safe, effective and reliable technique in case of non palpable hypoechoic testicular lesions. This approach leads to significant advantages and should be considered especially in patients with a solitary testis or presenting bilateral lesions, and wishing to father a child.
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Affiliation(s)
- L. Rolle
- Divisione Universitaria di Urologia 2, Ospedale San Giovanni Battista-Molinette, Torino
| | - M. Timpano
- Divisione Universitaria di Urologia 2, Ospedale San Giovanni Battista-Molinette, Torino
| | - P. Destefanis
- Divisione Universitaria di Urologia 2, Ospedale San Giovanni Battista-Molinette, Torino
| | - A. Bosio
- Divisione Universitaria di Urologia 2, Ospedale San Giovanni Battista-Molinette, Torino
| | - C. Fiori
- Divisione Universitaria di Urologia 2, Ospedale San Giovanni Battista-Molinette, Torino
| | - A. Tamagnone
- Divisione Universitaria di Urologia 2, Ospedale San Giovanni Battista-Molinette, Torino
| | - C. Demaria
- Divisione Universitaria di Urologia 2, Ospedale San Giovanni Battista-Molinette, Torino
| | - D. Vigna
- Divisione Universitaria di Urologia 2, Ospedale San Giovanni Battista-Molinette, Torino
| | - C. Ceruti
- Divisione Universitaria di Urologia 2, Ospedale San Giovanni Battista-Molinette, Torino
| | - C. Negro
- Divisione Universitaria di Urologia 2, Ospedale San Giovanni Battista-Molinette, Torino
| | - P. Burlo
- I Servizio di Anatomia ed Istologia Patologica, Ospedale San Giovanni Battista-Molinette, Torino
| | - D. Fontana
- Divisione Universitaria di Urologia 2, Ospedale San Giovanni Battista-Molinette, Torino
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Rolle L, Timpano M, Ceruti C, Tamagnone A, Destefanis P, Fiori C, Demaria C, Vigna D, Negro C, Fontana D. Modified Nesbit Procedure: An Easy and Effective Technique. Urologia 2006. [DOI: 10.1177/039156030607300303] [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: 11/16/2022]
Abstract
This paper reports the results of a modified Nesbit procedure, designed to increase precision and to simplify the correction of penile congenital or acquired curvatures. Materials and Methods 58 patients in total were considered candidates for surgical treatment of penile curvature, and underwent a modified corporoplasty procedure involving plication suture on the convex aspect of the penis before tunica albuginea resection. Hospital records and follow-up data were retrospectively reviewed. Results 37 patients were affected by congenital penile curvature (mean angle: 48 degrees - range 40 to 90); they reported difficult vaginal penetration. Another 21 patients suffered from Peyronie's disease, with mean angle penile deformity of 48 degrees (range 40 to 60), but no hourglass deformity or hinge effects. All patients had spontaneous and full erections. Mean operative time ±SD was 62±15 minutes. No intra-operative complications were reported. Penile curvature was completely corrected in all cases. Neither residual curvatures nor hypercorrections were recorded. Regarding erectile function, which was evaluated in the Peyronie's disease group, pre-operative average International Index of Erectile Function-5 score was 17.83±4.17, whereas post-operatively it was 19±4.63 (p >0.036). With regard to overall satisfaction, 3 patients (5%) with Peyronie's disease were unsatisfied. Conclusions This modified corporoplasty procedure has resulted in an improved straightening outcome thanks to the possibility of performing tunica albuginea excision only after the surgeon has made and verified the exact correction in real time. A slight but statistically significant improvement in erectile function was observed in patients with Peyronie's disease.
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Affiliation(s)
- L. Rolle
- Divisione Universitaria di Urologia 2, Ospedale S. Giovanni Battista-Molinette, Torino
| | - M. Timpano
- Divisione Universitaria di Urologia 2, Ospedale S. Giovanni Battista-Molinette, Torino
| | - C. Ceruti
- Divisione Universitaria di Urologia 2, Ospedale S. Giovanni Battista-Molinette, Torino
| | - A. Tamagnone
- Divisione Universitaria di Urologia 2, Ospedale S. Giovanni Battista-Molinette, Torino
| | - P. Destefanis
- Divisione Universitaria di Urologia 2, Ospedale S. Giovanni Battista-Molinette, Torino
| | - C. Fiori
- Divisione Universitaria di Urologia 2, Ospedale S. Giovanni Battista-Molinette, Torino
| | - C. Demaria
- Divisione Universitaria di Urologia 2, Ospedale S. Giovanni Battista-Molinette, Torino
| | - D. Vigna
- Divisione Universitaria di Urologia 2, Ospedale S. Giovanni Battista-Molinette, Torino
| | - C. Negro
- Divisione Universitaria di Urologia 2, Ospedale S. Giovanni Battista-Molinette, Torino
| | - D. Fontana
- Divisione Universitaria di Urologia 2, Ospedale S. Giovanni Battista-Molinette, Torino
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Fontana D, Ceruti C, Destefanis P, Rosso R, Fiori C, Bisconti A, Demaria C, Barbero G, Giribaldi G, Turrini F, Arese P. Detection of Circulating Prostate Cancer Cells Using Real Time Rt – Pcr: Our Experience. Urologia 2005. [DOI: 10.1177/039156030507200132] [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: 11/15/2022]
Abstract
PCR (Polymerase Chain Reaction) has revolutionized molecular genetics and continues to be applied to many fields of medicine and biology. We used nested real time RT – PCR to detect circulating prostate cells in patients affected by prostate cancer, in order to evaluate a possible clinical role of this technique. We present our initial experience.
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Affiliation(s)
- D. Fontana
- Divisione Universitaria di Urologia II, Dipartimento di Discipline Medico-Chirurgiche, Sezione di Biochimica – Dipartimento di Genetica, Biologia e Biochimica, A.S.O. San Giovanni Battista “Molinette”, Università degli Studi di Torino, Torino
| | - C. Ceruti
- Divisione Universitaria di Urologia II, Dipartimento di Discipline Medico-Chirurgiche, Sezione di Biochimica – Dipartimento di Genetica, Biologia e Biochimica, A.S.O. San Giovanni Battista “Molinette”, Università degli Studi di Torino, Torino
| | - P. Destefanis
- Divisione Universitaria di Urologia II, Dipartimento di Discipline Medico-Chirurgiche, Sezione di Biochimica – Dipartimento di Genetica, Biologia e Biochimica, A.S.O. San Giovanni Battista “Molinette”, Università degli Studi di Torino, Torino
| | - R. Rosso
- Divisione Universitaria di Urologia II, Dipartimento di Discipline Medico-Chirurgiche, Sezione di Biochimica – Dipartimento di Genetica, Biologia e Biochimica, A.S.O. San Giovanni Battista “Molinette”, Università degli Studi di Torino, Torino
| | - C. Fiori
- Divisione Universitaria di Urologia II, Dipartimento di Discipline Medico-Chirurgiche, Sezione di Biochimica – Dipartimento di Genetica, Biologia e Biochimica, A.S.O. San Giovanni Battista “Molinette”, Università degli Studi di Torino, Torino
| | - A. Bisconti
- Divisione Universitaria di Urologia II, Dipartimento di Discipline Medico-Chirurgiche, Sezione di Biochimica – Dipartimento di Genetica, Biologia e Biochimica, A.S.O. San Giovanni Battista “Molinette”, Università degli Studi di Torino, Torino
| | - C. Demaria
- Divisione Universitaria di Urologia II, Dipartimento di Discipline Medico-Chirurgiche, Sezione di Biochimica – Dipartimento di Genetica, Biologia e Biochimica, A.S.O. San Giovanni Battista “Molinette”, Università degli Studi di Torino, Torino
| | - G. Barbero
- Divisione Universitaria di Urologia II, Dipartimento di Discipline Medico-Chirurgiche, Sezione di Biochimica – Dipartimento di Genetica, Biologia e Biochimica, A.S.O. San Giovanni Battista “Molinette”, Università degli Studi di Torino, Torino
| | - G. Giribaldi
- Divisione Universitaria di Urologia II, Dipartimento di Discipline Medico-Chirurgiche, Sezione di Biochimica – Dipartimento di Genetica, Biologia e Biochimica, A.S.O. San Giovanni Battista “Molinette”, Università degli Studi di Torino, Torino
| | - F. Turrini
- Divisione Universitaria di Urologia II, Dipartimento di Discipline Medico-Chirurgiche, Sezione di Biochimica – Dipartimento di Genetica, Biologia e Biochimica, A.S.O. San Giovanni Battista “Molinette”, Università degli Studi di Torino, Torino
| | - P. Arese
- Divisione Universitaria di Urologia II, Dipartimento di Discipline Medico-Chirurgiche, Sezione di Biochimica – Dipartimento di Genetica, Biologia e Biochimica, A.S.O. San Giovanni Battista “Molinette”, Università degli Studi di Torino, Torino
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Rolle L, Datta G, Ceruti C, Tamagnone A, Bosio A, Timpano M, Bocchiotti G, Fontana D. Hidden Penis in the Great Obese: A Case Report. Urologia 2004. [DOI: 10.1177/039156030407100317] [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: 11/17/2022]
Abstract
The obesity represents an increasing social problem in the Western countries. In Italy, it interests approximately 8% of the population, while 1 Italian on 100 belongs to the category of great obese (BMI 40 kg/m2). In the Western Countries, its prevalence is doubled in the last 10 years and this trend will last for next 50 years. The overfat in pre-pubic region determines several aesthetic and functional alterations that have as common element a false brevity of the penis, defined as “hidden penis”. A standard treatment for hidden penis does not exist; several techniques rather exist, that can be arranged in variable way from case to case in order to let the penis free from the surrounding fat. The case that we describe reports a great obese patient (BMI 42 kg/m2), diabetic, with the penis hidden by the pre-pubic fatty tissue. The severe aesthetic and functional problems have been treated in collaboration with the plastic surgeon.
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Affiliation(s)
- L. Rolle
- Divisione Universitaria di Urologia II, Università degli Studi di Torino
| | - G. Datta
- Divisione Universitaria di Chirurgia Plastica, Dipartimento di Discipline Medico-chirurgiche, Ospedale Molinette, Università degli Studi di Torino
| | - C. Ceruti
- Divisione Universitaria di Urologia II, Università degli Studi di Torino
| | - A. Tamagnone
- Divisione Universitaria di Urologia II, Università degli Studi di Torino
| | - A. Bosio
- Divisione Universitaria di Urologia II, Università degli Studi di Torino
| | - M. Timpano
- Divisione Universitaria di Urologia II, Università degli Studi di Torino
| | - G. Bocchiotti
- Divisione Universitaria di Chirurgia Plastica, Dipartimento di Discipline Medico-chirurgiche, Ospedale Molinette, Università degli Studi di Torino
| | - D. Fontana
- Divisione Universitaria di Urologia II, Università degli Studi di Torino
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Pellacani A, Fornengo P, Bruno A, Ceruti C, Mioletti S, Curto M, Rinaudo MT, Pagano G, Cavallo-Perin P. Acute methylprednisolone administration induces a transient alteration of glucose tolerance and pyruvate dehydrogenase in humans. Eur J Clin Invest 1999; 29:861-7. [PMID: 10583428 DOI: 10.1046/j.1365-2362.1999.00553.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Glucocorticoid administration induces alteration of glucose tolerance, and impairment of glucose oxidation may contribute to glucocorticoid-induced derangement of glucose metabolism. We investigated glucose tolerance following methylprednisolone administration in humans. In the same model, we evaluated pyruvate dehydrogenase (PDH), the rate limiting enzyme of glucose oxidation, in peripheral blood mononuclear cells. MATERIALS AND METHODS Methylprednisolone (2 x 40 mg, iv, one dose every 12 h) was administered to six healthy volunteers. Glucose tolerance was evaluated through an oral glucose tolerance test (oGTT, 75 g glucose) at least a week before and after drug administration (2 and 24 h post-drug). To assess modifications of lipid metabolism circulating free fatty acids (FFA) and glycerol were measured, during fasting and oGTT. The active form of PDH (PDHa) was evaluated in peripheral blood mononuclear cells, both as ex vivo activity and as in vitro response to insulin (30 pmol l-1). RESULTS Methylprednisolone induced an alteration of glucose tolerance 2 h after its administration. Such alteration was completely reversed at 24 h. Alteration of glucose tolerance was accompanied by decreased ex vivo PDHa activity. PDH responsiveness to insulin in vitro was also impaired. Circulating FFA were unmodified, but decreased glycerol levels suggested a slight inhibition of lipolysis. CONCLUSIONS Acute methylprednisolone administration in humans induced a transient decrease of glucose tolerance 2 h after drug administration, accompanied by hyperinsulinaemia, inhibition of ex vivo PDH activity and its response to insulin in vitro. These alterations were completely abolished at 24 h, suggesting that methylprednisolone can be safely administered acutely. Furthermore, methylprednisolone induced only minor modifications of circulating FFA and glycerol, indicating minimal impact on lipid metabolism.
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Affiliation(s)
- A Pellacani
- Department of Internal Medicine; University of Torino, Italy
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Fontana D, Rolle L, Ceruti C, Datta G, Ragni F, Tamagnone A. [False penile shortness]. Arch Ital Urol Androl 1998; 70:241-5. [PMID: 9882906] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023] Open
Abstract
The rising interest on male genital aesthetics increased the number of patients complaining of short penis. therefore, the andrologist must be able to perform a correct diagnostic assessment and to make the correct therapeutical choice as well, even if there's no standard yet. The aim of this paper is to discuss some diagnostic troubles about penile shortness and, in particular, to explain the basic surgical strategies suitable for the treatment of "hidden penis".
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Affiliation(s)
- D Fontana
- Divisione Universitaria di Urologia, Azienda Ospedaliera S. Luigi
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Rolle L, Del Noce G, Ceruti C, Tamagnone A, Ragni F, Carbone P, Fontana D. La nostra esperienza nella correzione del varicocele mediante sclerotizzazione anterograda: Risultati e analisi dei costi. Urologia 1997. [DOI: 10.1177/039156039706401s27] [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: 11/17/2022]
Abstract
The antegrade sclerotherapy of spermatic veins suggested by R. Tauber in 1988 is one of the most interesting methods for treating varicocele. This technique consists of isolating and cannulating a dilated spermatic vein and then injecting a sclerosing mixture. The procedure is carried out under local anaesthesia and through a small scrotal incision. Antegrade sclerotheraphy is relatively cheap, easy and quick to perform and seems as reliable as surgical ligation and section of the spermatic veins, which is why, in our opinion, antegrade sclerotherapy plays an important role in treating varicocele. This paper describes our preliminary results.
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Affiliation(s)
- L Rolle
- Divisione Universitaria di Urologia - Azienda Ospedaliera S. Luigi - Università degli Studi - Torino
| | - G. Del Noce
- Divisione Urologica - Ospedale E. Agnelli - Pinerolo (Torino)
| | - C. Ceruti
- Divisione Universitaria di Urologia - Azienda Ospedaliera S. Luigi - Università degli Studi - Torino
| | - A. Tamagnone
- Divisione Universitaria di Urologia - Azienda Ospedaliera S. Luigi - Università degli Studi - Torino
| | - F. Ragni
- Divisione Universitaria di Urologia - Azienda Ospedaliera S. Luigi - Università degli Studi - Torino
| | - P. Carbone
- Divisione Universitaria di Urologia - Azienda Ospedaliera S. Luigi - Università degli Studi - Torino
| | - D. Fontana
- Divisione Universitaria di Urologia - Azienda Ospedaliera S. Luigi - Università degli Studi - Torino
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Piccinini M, Merighi A, Bruno R, Cascio P, Curto M, Mioletti S, Ceruti C, Rinaudo MT. Affinity purification and characterization of protein gene product 9.5 (PGP9.5) from retina. Biochem J 1996; 318 ( Pt 2):711-6. [PMID: 8809066 PMCID: PMC1217676 DOI: 10.1042/bj3180711] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
Protein gene product 9.5 (PGP9.5) is a cytosolic protein that is highly expressed in vertebrate neurons, which is now included in the ubiquitin C-terminal hydrolase subclass (UCH) on the basis of primary-structure homology and hydrolytic activity on the synthetic substrate ubiquitin ethyl ester (UbOEt). Some UCHs show affinity for immobilized ubiquitin, a property exploited to purify them. In this study we show that this property can also be applied to PGP9.5, since a protein has been purified to homogeneity from bovine retina by affinity chromatography on a ubiquitin-Sepharose column that can be identified with: (a) PGP9.5 with respect to molecular mass, primary structure and immunological reactivity; (b) the known UCHs with respect to some catalytic properties, such as hydrolytic activity on UbOEt, (which also characterizes PGP9.5), Km value and reactivity with cysteine and histidine-specific reagents. However, it differs with respect to other properties, e.g. inhibition by UbOEt and a wider pH range of activity.
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Affiliation(s)
- M Piccinini
- Dipartimento di Morfofisiologia Veterinaria, Universit di Torino, Italy
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Fontana D, Rolle L, Ceruti C, Verna G, Del Noce G, Raso M, Datta G. Hidden penis: Nosographic assessment and surgical treatment of perigenital lipo-distrophy. Urologia 1996. [DOI: 10.1177/039156039606301s26] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Interest in “genital aesthetics” has risen in the last few years and has considerably increased the request for surgical procedures for penile lengthening and girth enhancement. In this field, the urologist first has to detect the patients who can benefit from surgery, then he has to choose, case by case, the most reliable surgical strategy. The authors introduce the problem of correct management of the short penis-complaining patient, with particular regard for the condition known as “hidden penis”. In the second part of the paper, they describe a suitable surgical procedure of penile lengthening in cases of hidden penis; the procedure combines the incomplete section of the suspensory ligament of penis with other manoeuvres (such as perigenital lipo-suction, abdominoplasty etc.) in order to obtain the best aesthetic and functional result.
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Affiliation(s)
- D. Fontana
- Divisione Universitaria di Urologia - Azienda Ospedaliera S. Luigi
| | - L. Rolle
- Divisione Universitaria di Urologia - Azienda Ospedaliera S. Luigi
| | - C. Ceruti
- Divisione Universitaria di Urologia - Azienda Ospedaliera S. Luigi
| | - G. Verna
- Divisione Universitaria di Chirurgia Plastica - Ospedale S. Vito - Università degli Studi - Torino
| | - G. Del Noce
- Divisione Universitaria di Urologia - Azienda Ospedaliera S. Luigi
| | - M. Raso
- Divisione Universitaria di Chirurgia Plastica - Ospedale S. Vito - Università degli Studi - Torino
| | - G. Datta
- Divisione Universitaria di Chirurgia Plastica - Ospedale S. Vito - Università degli Studi - Torino
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Fontana D, Rolle L, Del Noce G, Tamagnone A, Ragni F, Ceruti C, Rosso C, Furlan PM. [Penile prosthesis]. Arch Ital Urol Androl 1995; 67:333-7. [PMID: 8589749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
In this article the Authors, after describing the history of the penile prosthesis surgery and analyzing the technical progresses made in the last twenty years, offer their personal experience and data from the most recent literature about treatment of erectile dysfunction through the application af penile prosthesis, about the indications for the operation and the choice of the type of prosthesis. They also explain all the possible complications and eventual mechanical failures, which have considerably decreased in the last few years.
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Affiliation(s)
- D Fontana
- Dipartimento di Scienze Cliniche e Biologiche dell'Università di Torino
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Ceruti C. [The alcoholic's recovery]. Minerva Med 1982; 73:1463-8. [PMID: 7088369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
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