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Dalla Volta A, Palumbo C, Zamboni S, Mazziotti G, Triggiani L, Zamparini M, Maffezzoni F, Rinaudo L, Bergamini M, Di Meo N, Caramella I, Valcamonico F, Borghetti P, Guerini A, Farina D, Antonelli A, Simeone C, Berruti A. Heterogeneity in regional changes in body composition induced by androgen deprivation therapy in prostate cancer patients: potential impact on bone health-the BLADE study. J Endocrinol Invest 2024; 47:335-343. [PMID: 37458931 PMCID: PMC10859344 DOI: 10.1007/s40618-023-02150-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2023] [Accepted: 06/29/2023] [Indexed: 02/13/2024]
Abstract
BACKGROUND It is not clear whether changes in body composition induced by androgen deprivation therapy (ADT) in prostate cancer (PC) patients are uniform or vary in the different body districts and whether regional lean body mass (LBM) and fat body mass (FBM) could have an impact on bone health. OBJECTIVE To prospectively evaluate the regional changes in LBM and FBM in PC patients submitted to degarelix; to explore the relationship of regional body composition and bone mineral density (BMD) and bone turnover markers. DESIGN, SETTING, AND PARTICIPANTS 29 consecutive non metastatic PC patients enrolled from 2017 to 2019. FBM, LBM and bone mineral density (BMD) evaluated by dual-energy x-ray absorptiometry (DXA) at baseline and after 12-month of ADT. Alkaline phosphate (ALP) and C-terminal telopeptide of type I collagen (CTX) assessed at baseline, 6 and 12 months. INTERVENTION All patients underwent degarelix administration. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS T-test or sign test and Pearson or Spearman test for continuous variables were used when indicated. RESULTS AND LIMITATIONS Median percent increase in FBM ranged from + 14.5% in trunk to + 25.4% in the left leg after degarelix. LBM changes varied from + 2% in the trunk to - 4.9% in the right arm. LBM in both arms and legs and their variations after degarelix directly correlated with ALP and inversely correlated with CTX. Lean mass of limbs, trunk and legs significantly correlated with BMD of the hip, lean mass of the trunk significantly correlated with spine BMD. These are post-hoc analysis of a prospective study and this is the main limitation. CONCLUSIONS an heterogeneous change in body composition among body district is observed after ADT and bone turnover is influenced by lean mass and its variation. A supervised physical activity is crucial to maintain general physical performance and preserving bone health.
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Affiliation(s)
- A Dalla Volta
- Medical Oncology Unit, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy
| | - C Palumbo
- Division of Urology, Department of Translational Medicine, University of Eastern Piedmont, Maggiore Della Carità Hospital, Novara, Italy
- Urology Unit, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
| | - S Zamboni
- Urology Unit, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
| | - G Mazziotti
- Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy
- Endocrinology, Diabetology and Medical Andrology Unit, Metabolic Bone Diseases and Osteoporosis Section, IRCCS Humanitas Research Hospital, Rozzano, Italy
| | - L Triggiani
- Radiation Oncology Unit, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
| | - M Zamparini
- Medical Oncology Unit, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy
| | - F Maffezzoni
- Endocrinology, Manerbio-Leno, ASST Garda, Montichiari, Italy
| | - L Rinaudo
- Tecnologie Avanzate S.r.l., Turin, Italy
| | - M Bergamini
- Medical Oncology Unit, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy
| | - N Di Meo
- Radiology Unit, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
| | - I Caramella
- Medical Oncology Unit, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy
| | - F Valcamonico
- Medical Oncology Unit, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy
| | - P Borghetti
- Radiation Oncology Unit, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
| | - A Guerini
- Radiation Oncology Unit, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
| | - D Farina
- Radiology Unit, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy
| | - A Antonelli
- Division of Urology, Department of Translational Medicine, University of Eastern Piedmont, Maggiore Della Carità Hospital, Novara, Italy
- Urology Unit, AOUI Verona, Department of Surgery, Dentistry, Pediatrics and Gynecology, University of Verona, Verona, Italy
| | - C Simeone
- Division of Urology, Department of Translational Medicine, University of Eastern Piedmont, Maggiore Della Carità Hospital, Novara, Italy
| | - A Berruti
- Medical Oncology Unit, ASST Spedali Civili, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.
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Mari A, Giudici S, Tellini R, Lambertini L, Di Maida F, Amparore D, Antonelli A, Bacchiani M, Porpiglia F, Schiavina R, Brunocilla E, Capitanio U, Da Pozzo L, Fiori C, Gontero P, Longo N, Montorsi F, Simeone C, Serni S, Siracusano S, Ficarra V, Minervini A. Laparoscopic versus robot-assisted partial nephrectomy for cT1 renal tumors in obese patients: Analysis of perioperative and follow-up functional outcomes (the RECORd2 project). Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01055-2] [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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Di Trapani E, Guzzo S, Lievore E, Terrone C, Krajewski W, Xylinas E, Peroni A, Galfano A, Kelly J, Hurle R, Albisinni S, Shariat S, Teoh J, Hendricksen K, Antonelli A, Roumiguié M, Sanchez Salas R, Mir C, Soria F, Simone G, Montorsi F, Simeone C, Musi G, De Cobelli O. Evaluating the impact of complications on survival outcomes in patients treated with radical cystectomy for bladder cancer. Results from a European multi-institutional collaboration (YAU Urothelial Cancer Group). Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00200-2] [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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Antonelli A, Cindolo L, Sandri M, Veccia A, Annino F, Bertagna F, Di Maida F, Celia A, D’Orta C, De Concilio B, Furlan M, Giommoni V, Ingrosso M, Mari A, Nucciotti R, Olianti C, Porreca A, Primiceri G, Schips L, Sessa F, Bove P, Simeone C, Minervini A. The role of warm ischemia time on functional outcomes after robotic partial nephrectomy: Data from the clock randomized trial. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01068-0] [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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Guzzo S, Lievore E, Di Trapani E, Mistretta F, Luzzago S, Rouprêt M, Terrone C, Laukhtina E, Simeone C, Roumiguié M, Soria F, Kelly J, Shariat S, Albisinni S, Krajewski W, Antonelli A, Ploussard G, Teoh J, Oscar RB, Montorsi F, Hurle R, Maestro MA, Xylinas E, Salas RS, Simone G, Carme M, Galfano A, Hendricksen K, Peroni A, Musi G, De Cobelli O. Evaluating the impact of complications on survival outcomes in patients treated with radical cystectomy for bladder cancer. Results from an european multi-institutional collaboration (YAU urothelial cancer group). EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01124-7] [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: 11/07/2022] Open
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Lonati C, Carando R, Martini A, Simeone C, Suardi N, Zamboni S, Simone G, Afferi L, Fankhauser C, Mattei A, Álvarez-Maestro M, Briganti A, Montorsi F, Moschini M. Independent predictors and patterns of early and late recurrence after radical cystectomy for bladder cancer: a multicenter collaboration. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01114-4] [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: 11/05/2022] Open
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Mari A, Antonelli A, Tafuri A, Tellini R, Brunocilla E, Capitanio U, Di Maida F, Gontero P, Grosso A, Nardoni S, Li Marzi V, Longo N, Montorsi F, Porpiglia F, Porreca A, Rocco B, Simeone C, Schiavina R, Schips L, Siracusano S, Terrone C, Ficarra V, Carini M, Minervini A. Gender disparities in kidney surgery: A real-life snapshot for a large prospective, multicenter observational study (the RECORd2 Project). Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)01069-7] [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: 11/16/2022]
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Lonati C, Mordasini L, Afferi L, De Cobelli O, Di Trapani E, Necchi A, Briganti A, Montorsi F, Simeone C, Zamboni S, Simone G, Karnes R, Marra G, Soria F, Gontero P, Shariat S, Hendrickesn K, Rink M, Poyet C, Carando R, Krajewski W, Baumeister P, Mattei A, Moschini M. Diagnostic accuracy of preoperative lymph node staging of bladder cancer according to different lymph node locations: A multicenter cohort from the European Association of Urology – Young Academic Urologists. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00836-3] [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: 11/26/2022]
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Mattei A, Martini A, Afferi L, Zamboni S, Schultz J, Lonati C, Karnes R, Soligo M, Stabile A, Di Trapani E, De Cobelli O, Simone G, Simeone C, Alvarez-Maestro M, Gandaglia G, Gallina A, Colombo R, Briganti A, Montorsi F, Xylinas E, Shariat S, Moschini M. Oncologic surveillance for variant histology bladder cancer after radical cystectomy. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00983-6] [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: 11/17/2022] Open
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Lonati C, Baumeister P, Afferi L, Mari A, Minervini A, Krajewski W, Hendricksen K, Montorsi F, Briganti A, Colombo R, Antonelli A, Rouprêt M, Masson-Lecomte A, Shariat S, D’Andrea D, Soria F, Hurle R, Mir M, Zamboni S, Simeone C, Klatte T, Teoh J, Schulz G, Mattei A, Moschini M. Survival outcomes after radical cystectomy versus conservative management for T1 high grade non-muscle invasive micropapillary bladder cancer: a multicentre collaboration by the European Association of Urology – young academic urologists (EAU-YAU): urothelial carcinoma working group. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00702-3] [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: 11/29/2022] Open
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Martini A, Lonati C, Montorsi F, Briganti A, Colombo R, Necchi A, Simeone C, Zamboni S, Afferi L, Mattei A, Soria F, Marra G, Gontero P, Rouprêt M, Xylinas E, Pradere B, Abufaraj M, D’Andrea D, Shariat S, Moschini M. The role of prior bladder cancer on any recurrence and distant metastasis in patients treated with radical nephroureterectomy. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00824-7] [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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Tellini R, Mari A, Antonelli A, Grosso A, Bove P, Brunocilla E, Capitanio U, Checcucci E, Di Maida F, Gontero P, Longo N, Montanari E, Montorsi F, Porpiglia F, Porreca A, Rocco B, Schiavina R, Serni S, Simeone C, Trombetta C, Ficarra V, Carini M, Minervini A. Laparoscopic versus robotic partial nephrectomy in obese patients: perioperative and early functional outcomes from a large prospective contemporary series (RECORd2 project). EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00949-6] [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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Martini A, Lonati C, Necchi A, Briganti A, Montorsi F, Colombo R, Simeone C, Zamboni S, Afferi L, Mattei A, Shariat S, Moschini M. Metastasis within three years from radical nephroureterectomy as a bridge to overall survival: implications for patient counseling, current, and future studies. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00825-9] [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: 11/30/2022] Open
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Minervini A, Antonelli A, Mari A, Tafuri A, Tellini R, Brunocilla E, Capitanio U, Di Maida F, Diminutto A, Gontero P, Grosso A, Li Marzi V, Longo N, Montorsi F, Porpiglia F, Porreca A, Rocco B, Simeone C, Schiavina R, Schips L, Siracusano S, Terrone C, Ficarra V, Carini M. Significant renal function decline after partial nephrectomy: martini’s nomogram validation in RECORD 2 project cohort. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00759-x] [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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Mari A, Tellini R, Antonelli A, Porpiglia F, Schiavina R, Amparore D, Brunocilla E, Capitanio U, Checcucci E, Da Pozzo L, Di Maida F, Fiori C, Furlan M, Gontero P, Longo N, Roscigno M, Simeone C, Siracusano S, Ficarra V, Carini M, Minervini A. A nomogram for the prediction of long-term significant renal function loss after robot-assisted partial nephrectomy for localized renal tumors: a prospective multicenter observational study (RECORd2 project). EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00751-5] [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: 10/20/2022] Open
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Afferi L, Lonati C, Montorsi F, Briganti A, Mari A, Schulz G, Black P, Di Trapani E, Karnes R, Mir M, Rink M, Zamboni S, Simeone C, Antonelli A, Tafuri A, Krajewski W, Xylinas E, Soria F, Teoh J, Mattei A, Albisinni S, Roghmann F, Alvarez-Maestro M, Shariat S, Moschini M. Selecting the best candidates for cisplatin-based adjuvant chemotherapy after radical cystectomy in pN+ bladder cancer patients. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00860-0] [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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Marchioni M, Sountoulides P, Furlan M, Mir M, Aretano L, Rubio-Briones J, Alvarez-Maestro M, Bazan A, Antonelli A, Simeone C, Schips L. Management of retroperitoneal recurrence after radical nephrectomy: surgical removal is still the gold standard. results from a multicenter international cohort. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00991-5] [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: 11/28/2022] Open
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Marchioni M, Sountoulides P, Furlan M, Mir M, Aretano L, Rubio-Briones J, Alvarez-Maestro M, Bazan A, Antonelli A, Simeone C, Schips L. Management of local recurrence after radical nephrectomy: Surgical removal is still the gold standard. Results from a multicenter international cohort. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01028-9] [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: 11/16/2022]
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Lonati C, Baumeister P, Afferi L, Mari A, Minervini A, Krajewski W, Borghesi M, Schulz G, Rink M, Montorsi F, Briganti F, Hurle R, Zamboni S, Simeone C, Soria F, Teoh J, Roumiguié M, Rouprêt M, Masson-Lecomte A, Mir M, Antonelli A, Einerhand S, Mattei A, Moschini M. Survival outcomes after radical cystectomy versus conservative management for clinical T1 high grade non-muscle invasive squamous bladder cancer: A multicenter collaboration by the European Association of Urology–Young Academic Urologists. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01123-4] [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: 11/25/2022]
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Lonati C, Afferi L, Baumeister P, Minervini A, Mari A, Krajewski W, Borghesi M, Rink M, Montorsi F, Briganti A, Hurle R, Contieri R, Umari P, Klatte T, Teoh JC, Soria F, Simeone C, Zamboni S, Roumiguié M, Rouprêt M, Masson-Lecomte A, Einerhand S, Mattei A, Moschini M. Survival outcomes of urothelial carcinoma with squamous differentiation versus pure squamous cell carcinoma. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01111-8] [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: 11/25/2022]
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Lonati C, Baumeister P, Afferi L, Mari A, Minervini A, Krajewski W, Einerhand S, Montorsi F, Briganti A, Antonelli A, Rouprêt M, Masson-Lecomte A, Shariat S, D’Andrea D, Soria F, Hurle R, Mir M, Zamboni S, Simeone C, Klatte T, Teoh J, Schulz G, Mattei A, Moschini M. Survival outcomes after radical cystectomy versus conservative management for clinical T1 high grade non-muscle invasive micropapillary bladder cancer: A multicenter collaboration by the European Association of Urology–Young Academic Urologists. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01126-x] [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]
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Marchioni M, Sountoulides P, Furlan M, Mir C, Aretano L, Rubio-Briones J, Alvarez-Maestro M, Bazán A, Antonelli A, Simeone C, Schips L. Management and survival of patients with retroperitoneal recurrences following radical nephrectomy: Results from a multi-institutional international datasets. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)36164-4] [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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Khene Z, Larcher A, Minervini A, Mari A, Peyronnet B, Schiavina R, Mottrie A, De Naeyer G, Antonelli A, Rha KH, Simeone C, Derweesh I, Kaouk J, Sawczyn G, Bertolo R, Capitanio U, Montorsi F, Bensalah K. Évaluation multicentrique internationale de la néphrectomie partielle robot-assistée par rapport à la néphrectomie partielle ouverte : étude IRON. Prog Urol 2020. [DOI: 10.1016/j.purol.2020.07.095] [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]
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Francavilla S, Veccia A, Dobbs R, Zattoni F, Vignewaran H, Antonelli A, Dal Moro F, Autorino R, Simeone C, Crivellaro S. Radical prostatectomy in the robotic evolution: from da Vinci Standard to single port. a single surgeon outcomes comparison. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35572-5] [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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Bertini R, Cazzaniga W, Larcher A, Castiglione F, Nini A, Carenzi C, Canibus D, Matloob R, Villa L, Conti G, Maccagnano C, Simeone C, Montanari E, Albo G, Salvioni R, Stagni S, Catanzaro M, Antonelli A, Montorsi F, Capitanio U. Active surveillance for small renal masses: a prospective translational study update (NCT03804320). EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35508-7] [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: 10/23/2022] Open
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Marchioni M, Sountoulides P, Furlan M, Mir C, Aretano L, Rubio-Briones J, Alvarez-Maestro M, Bazan A, Antonelli A, Simeone C, Schips L. Management of retroperitoneal recurrence after radical nephrectomy: Results from a multi-institutional international datasets. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35529-4] [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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Bravi C, Larcher A, Capitanio U, Montorsi F, Bertini R, Antonelli A, Siracusano S, Barale M, Gontero P, Bove P, Brunocilla E, Schiavina R, Da Pozzo L, Longo N, Montanari E, Porpiglia F, Simeone C, Volpe A, Ficarra V, Li Marzi V, Di Maida F, Mari A, Carini M, Minervini A. The healthier the patient, the longer the ischemia: Surgical implications for partial nephrectomy in the RECORd2 project. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)32646-x] [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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Veccia A, Falagario U, Weprin S, Nandanan N, Antonelli A, Martini A, Carrieri G, Grob M, Hampton L, Wiklund P, Simeone C, Porpiglia F, Autorino R. Ureteral location influences survival outcomes in upper tract urothelial carcinoma: A population-based analysis. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33728-9] [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: 10/23/2022] Open
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Larcher A, Rosiello G, Minervini A, Mari A, Bensalah K, Khene Z, Schiavina R, Bianchi L, Brunocilla E, Mottrie A, De Naeyer G, Antonelli A, Furlan M, Simeone C, Rha K, Almujalhem A, Derweesh I, Bradshaw A, Ghali F, Kaouk J, Sawczyn G, Bertolo R, Capitanio U, Montorsi F. Oncologic outcomes after robot-assisted partial nephrectomy in the IRON study: Results from a large, global, multicentric analysis of patients with clinically localized kidney cancer. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33900-8] [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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Francavilla S, Veccia A, Zattoni F, Vigneswaran H, Talamini S, Antonelli A, Simeone C, Dal Moro F, Crivellaro S. Comparison of learning curves with Da Vinci Standard/Si/Xi and single port robotic platform during radical prostatectomy: A single surgeon experience. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)32950-5] [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: 11/28/2022] Open
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Tellini R, Campi R, Mari A, Amparore D, Antonelli A, Brunocilla E, Capitanio U, Gontero P, Mirone V, Montanari E, Li Marzi V, Roscigno M, Montorsi F, Porpiglia F, Simeone C, Trombetta C, Artibani W, Volpe A, Ficarra V, Carini M, Minervini A. What are the predictors of oncocytoma histology at pathological analysis after partial nephrectomy for small renal masses? Insights from a large prospective multicentre study (RECORd2 project). EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33208-0] [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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Zamboni S, Baumeister P, Aziz A, Poyet C, Simeone C, Antonelli A, Roghmann F, Meraney A, Konety B, Montorsi F, Gallina A, Briganti A, Gandaglia G, Zaffuto E, Simone G, Karnes R, Hendricksen K, Voskuilen C, Mattei A, Afferi L, Rink M, Necchi A, Shariat S, Xylinas E, Moschini M. Adjuvant chemotherapy is ineffective in patients with bladder cancer and variant histology treated with radical cystectomy. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33657-0] [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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Antonelli A, Peroni A, Furlan M, Palumbo C, Zamboni S, Veccia A, Simeone C. Robot-assisted Partial Nephrectomy and Bilateral Pyelolithotomy in Ectopic Pelvic Kidneys. Urology 2019; 129:235. [PMID: 30959118 DOI: 10.1016/j.urology.2019.03.025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Revised: 03/21/2019] [Accepted: 03/25/2019] [Indexed: 10/27/2022]
Abstract
OBJECTIVE To show how to perform a robot-assisted partial nephrectomy and bilateral pyelolithotomy in ectopic pelvic kidneys. This is a congenital abnormality of position and rotation1 frequently associated with urolithiasis.2 Renal cell carcinoma is a very rare event in pelvic kidneys.3,4 These 2 findings in the same patient could be a surgical challenge and whenever possible a "one stage" treatment is preferred. MATERIALS AND METHODS A 44-year-old male with bilateral pelvic kidneys admitted because of left back pain. Abdominal CT scan showed a 17 mm stone in the left renal pelvis, a 12 mm stones in the right pelvis and a 34 × 27 mm right lower pole renal mass. A robotic surgery was indicated. Patient was placed in Trendelenburg position with ports configuration as for transperitoneal radical prostatectomy. The right kidney was firstly approached: after isolation of the ureter and suspension of the renal artery, a clampless partial nephrectomy was performed; then through a longitudinal pyelotomy the stone was extracted. To minimize the opening of the posterior peritoneum covering the left kidney, the site of the stone was identified by intraoperative ultrasound; then, through a longitudinal pyelotomy the stone was extracted. Given the watertight sutures and the lack of ureteral obstructions no pigtails ureteral catheters were inserted. A Jackson-Pratt drainage was placed through the inferior port. RESULTS Consolle time was 190 minutes. Estimated Blood Loss (EBL) was 50 ml. No complications were reported. The drain was removed on the second postoperative day, assessed that creatinine dosage was equal to serum. The length of stay was 4 days. Histopathology showed a pT1a G2 clear cell renal cell carcinoma with negative surgical margins, while stones analysis was calcium oxalate. CONCLUSION With the availability of robotic technology, the indications for minimally invasive surgery may be safely expanded to include concomitant morbidities in uncommon presentations.
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Affiliation(s)
- A Antonelli
- Urology Unit, ASST Spedali Civili Hospital, Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy; Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy
| | - A Peroni
- Urology Unit, ASST Spedali Civili Hospital, Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy; Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy
| | - M Furlan
- Urology Unit, ASST Spedali Civili Hospital, Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy; Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy.
| | - C Palumbo
- Urology Unit, ASST Spedali Civili Hospital, Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy; Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy
| | - S Zamboni
- Urology Unit, ASST Spedali Civili Hospital, Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy; Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy
| | - A Veccia
- Urology Unit, ASST Spedali Civili Hospital, Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy; Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy
| | - C Simeone
- Urology Unit, ASST Spedali Civili Hospital, Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy; Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Brescia, Italy
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Simeone C, Moroni A, Pettenò A, Antonelli A, Zani D, Orizio C, Cunico SC. Occurrence Rates and Predictors of Lower Urinary Tract Symptoms and Incontinence in Female Athletes. Urologia 2018. [DOI: 10.1177/039156031007700210] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [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
Introduction and hypothesis To assess the prevalence of lower urinary tract symptoms (LUTS) and incontinence in female athletes and to determine the etiological factors. Methods An anonymous self-questionnaire was collected from 623 casual female athletes aged 18 to 56 years, who were involved in 12 different sports. The surveys were distributed by hand to the athletes, during their sports fitness tests, in a sports center. We investigated the relationship between urinary disorders and factors such as age, body mass index (BMI), parity, duration of physical exercise, and type of sport. Results The prevalence of LUTS was 54.7%, and 30% for urinary incontinence. Changes in urinary frequency were detected in 91 (14.6%) women. Prevalence of dysuria was 13.3%, urinary straining was present in 173 (27.8%) athletes, whereas urinary urgency had an estimated prevalence of 37.2% with 232 athletes suffering from this disorder. Urgency was very common in volleyball players, as was dysuria among hockey and basketball players, whereas straining mainly affected aerobic participants and cyclists. Long training hours and competitive practices were correlated with the onset of LUTS. High-impact sports were more frequently associated with incontinence, while low-impact sports with LUTS. The sport with the main number of incontinent people was football. Urge incontinence affected a lot of athletes, mainly cyclists and football players. Stress incontinence was more frequent in hockey and volleyball players. Conclusions LUTS and incontinence are prevalent in female athletes. In many cases, the disorders were present only during sports activities. In this sample, the presence of urinary disorders did not seem to be a barrier during sports or exercise.
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Affiliation(s)
- C. Simeone
- Department of Urology, University of Brescia, Brescia- Italy
| | - A. Moroni
- Department of Urology, University of Brescia, Brescia- Italy
| | - A. Pettenò
- Department of Urology, University of Brescia, Brescia- Italy
| | - A. Antonelli
- Department of Urology, University of Brescia, Brescia- Italy
| | - D. Zani
- Department of Urology, University of Brescia, Brescia- Italy
| | - C. Orizio
- University of Brescia, Brescia - Italy
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Abstract
Immunoediting is a new concept in cancer surveillance. Immunity is involved in detecting cellular waste, and taking off transformed cells. In particular, natural IgM antibodies play an important role in immunosurveillance mechanisms against transformed cells in humans. Scientific evidence indicates that biomarkers for different types of cancer, such as liver and colorectal cancer, circulate in blood associated with immunoglobulin M (IgM) to form complexes that improve diagnosis in comparison to circulating free biomarkers. In prostate cancer it has been demonstrated that testing for serum levels of the PSA-IgM immune complex improves the diagnostic performance of total PSA. Preliminary reports indicate that the combination of PSA-IgM with total PSA is the best approach to reduce the number of negative prostatic mapping thus improving the diagnosis of prostate cancer.
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Affiliation(s)
- D. Zani
- Cattedra di Urologia, Università degli Studi di Brescia
| | | | | | | | - C. Simeone
- Cattedra di Urologia, Università degli Studi di Brescia
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De Bari B, Vallati M, Gatta R, Simeone C, Girelli G, Ricardi U, Meattini I, Gabriele P, Bellavita R, Krengli M, Cafaro I, Cagna E, Bunkheila F, Borghesi S, Signor M, Di Marco A, Bertoni F, Stefanacci M, Pasinetti N, Buglione M, Magrini SM. Could machine learning improve the prediction of pelvic nodal status of prostate cancer patients? Preliminary results of a pilot study. Cancer Invest 2015; 33:232-40. [PMID: 25950849 DOI: 10.3109/07357907.2015.1024317] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [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: 11/13/2022]
Abstract
We tested and compared performances of Roach formula, Partin tables and of three Machine Learning (ML) based algorithms based on decision trees in identifying N+ prostate cancer (PC). 1,555 cN0 and 50 cN+ PC were analyzed. Results were also verified on an independent population of 204 operated cN0 patients, with a known pN status (187 pN0, 17 pN1 patients). ML performed better, also when tested on the surgical population, with accuracy, specificity, and sensitivity ranging between 48-86%, 35-91%, and 17-79%, respectively. ML potentially allows better prediction of the nodal status of PC, potentially allowing a better tailoring of pelvic irradiation.
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Affiliation(s)
- B De Bari
- 1Istituto del Radio "O. Alberti", Radiotherapy Department, Spedali Civili di Brescia and University of Brescia, Brescia, Italy
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Massoni F, Simeone C, Ricci P, Pelosi M, Ricci S. Coronary artery disease in thrombotic aneurysm of the abdominal aorta. Clin Ter 2014; 165:e419-22. [PMID: 25524198 DOI: 10.7417/ct.2014.1785] [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] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Even if the rupture is the most common cause of death of patients with Abdominal Aortic Aneurysm (AAA) and the risk increases with the presence and the size of IntraLuminal Thrombosis (ILT), there are cases in which death occurs for other causes. The Authors present an autoptic report of considerable size AAA with ILT in a patient who died by heart failure due to CAD thrombotic and ischemic heart disease. A protective role of approved in the literature and the role of products resulting from the thrombotic formation could explain the death event.
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Affiliation(s)
- F Massoni
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - C Simeone
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - P Ricci
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - M Pelosi
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
| | - S Ricci
- Department of Anatomical sciences, histological, legal medicine and locomotor apparatus. University "Sapienza" of Rome, Italy
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Longo N, Minervini A, Antonelli A, Bianchi G, Bocciardi AM, Cunico SC, Fiori C, Fusco F, Giancane S, Mari A, Martorana G, Mirone V, Morgia G, Novara G, Porpiglia F, Raspollini MR, Rocco F, Rovereto B, Schiavina R, Serni S, Simeone C, Verze P, Volpe A, Ficarra V, Carini M. Simple enucleation versus standard partial nephrectomy for clinical T1 renal masses: perioperative outcomes based on a matched-pair comparison of 396 patients (RECORd project). Eur J Surg Oncol 2014; 40:762-8. [PMID: 24529794 DOI: 10.1016/j.ejso.2014.01.007] [Citation(s) in RCA: 52] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2013] [Revised: 12/23/2013] [Accepted: 01/09/2014] [Indexed: 01/16/2023] Open
Abstract
OBJECTIVES To compare simple enucleation (SE) and standard partial nephrectomy (SPN) in terms of surgical results in a multicenter dataset (RECORd Project). MATERIALS AND METHODS patients treated with nephron sparing surgery (NSS) for clinical T1 renal tumors between January 2009 and January 2011 were evaluated. Overall, 198 patients who underwent SE were retrospectively matched to 198 patients who underwent SPN. The SPN and SE groups were compared regarding intraoperative, early post-operative and pathologic outcome variables. Multivariable analysis was applied to analyze predictors of positive surgical margin (PSM) status. RESULTS SE was associated with similar WIT (18 vs 17.8 min), lower intraoperative blood loss (177 vs 221 cc, p = 0.02) and shorter operative time (121 vs 147 min; p < 0.0001). Surgical approach (laparoscopic vs. open), tumor size and type of indication (elective/relative vs absolute) were associated with WIT >20 min. The incidence of PSM was significantly lower in patients treated with SE (1.4% vs 6.9%; p = 0.02). At multivariable analysis, PSM was related to the surgical technique, with a 4.7-fold increased risk of PSM for SPN compared to SE. The incidence of overall, medical and surgical complications was similar between SE and SPN. CONCLUSIONS Type of NSS technique (SE vs SPN) adopted has a negligible impact on WIT and postoperative morbidity but SE seems protective against PSM occurrence.
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Affiliation(s)
- N Longo
- Policlinico Federico II, Università di Napoli, Italy
| | - A Minervini
- Clinica Urologica I, AOUC, Università di Firenze, Italy
| | - A Antonelli
- Unità Operativa di Urologia Dipartimento di NefroUrologia, Azienda AO Spedali Civili di Brescia, Italy
| | - G Bianchi
- Policlinico di Modena, Clinica Urologica, Università di Modena, Italy
| | - A M Bocciardi
- Dipartimento Chirurgico Polispecialistico, Urologia, Azienda Ospedaliera Ospedale Riguarda Ca' Granda, Milano, Italy
| | - S C Cunico
- Unità Operativa di Urologia Dipartimento di NefroUrologia, Azienda AO Spedali Civili di Brescia, Italy
| | - C Fiori
- Divisione di Urologia, Università di Torino, Ospedale San Luigi Gonzaga, Orbassano, Torino, Italy
| | - F Fusco
- Policlinico Federico II, Università di Napoli, Italy.
| | - S Giancane
- Clinica Urologica I, AOUC, Università di Firenze, Italy
| | - A Mari
- Clinica Urologica I, AOUC, Università di Firenze, Italy
| | - G Martorana
- Dipartimento di Urologia, Università di Bologna, Ospedale S. Orsola-Malpighi, Bologna, Italy
| | - V Mirone
- Policlinico Federico II, Università di Napoli, Italy
| | | | - G Novara
- Clinica Urologica, Università di Padova, Padova, Italy
| | - F Porpiglia
- Divisione di Urologia, Università di Torino, Ospedale San Luigi Gonzaga, Orbassano, Torino, Italy
| | - M R Raspollini
- Department of Pathology, University of Florence, Careggi Hospital, Florence, Italy
| | - F Rocco
- Ospedale Maggiore Policlinico Mangiagalli e Regina Elena, Università di Milano, Italy
| | - B Rovereto
- I.R.C.C.S. Policlinico San Matteo - Struttura Di Urologia, Italy
| | - R Schiavina
- Dipartimento di Urologia, Università di Bologna, Ospedale S. Orsola-Malpighi, Bologna, Italy
| | - S Serni
- Clinica Urologica I, AOUC, Università di Firenze, Italy
| | - C Simeone
- Unità Operativa di Urologia Dipartimento di NefroUrologia, Azienda AO Spedali Civili di Brescia, Italy
| | - P Verze
- Policlinico Federico II, Università di Napoli, Italy
| | - A Volpe
- Dipartimento di Urologia, Azienda Ospedaliera Maggiore della Carità, Novara, Italy
| | - V Ficarra
- Clinica Urologica, Università di Padova, Padova, Italy
| | - M Carini
- Clinica Urologica I, AOUC, Università di Firenze, Italy
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Rubín de Celis E, Santillán OP, Simeone C. Probing global aspects of a geometry by the self-force on a charge: Spherical thin-shell wormholes. Int J Clin Exp Med 2013. [DOI: 10.1103/physrevd.88.124012] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Massoni F, Simeone C, Ricci P, Onofri E, Ricci S. Papillary thyroid carcinoma and medicolegal considerations. Minerva Med 2013; 104:493-494. [PMID: 24008611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- F Massoni
- Department of Anatomical, Histological, Medical Legal and Locomotive System Sciences, La Sapienza University, Rome, Italy -
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Ricci S, Massoni F, Simeone C, Letizia P, Alei G. [Medico legal considerations on prosthesis surgery of the erectile dysfunction in a La Peyronie disease case]. MINERVA CHIR 2013; 68:213-219. [PMID: 23612236] [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: 06/02/2023]
Abstract
Peyronie's disease is characterized by the presence of an inelastic fibrous plaque of the penile tunica albuginea affecting 3-10% of the male population. The fibrous scar causes the curvature of the erect penis, which prevents the penetration. In the stabilization phase the plaque can cause a variable degree of erectile dysfunction (20-54%). In the treatment of the chronic disease, surgery is the gold standard and in case of concomitant erectile dysfunction the placement of a penile prosthesis is indicated. This surgery is loaded with an increase of the variables which can affect the outcome, such as individual clinical features and functionality of the device. The present case concerns a patient suffering from erectile dysfunction associated with Peyronie's disease who underwent surgery for implantation of hydraulic three-component penile prosthesis. After surgery a malfunction of the prosthesis was detected, which required unloading measures under sedation and a surgical revision of the scrotal pump. The latter was followed by the displacement of the prosthesis' cylinder and by a new surgical treatment for the reintegration of the prosthesis and the repair of the left corpus cavernosum. After two months a wrong positioning of the two cylinders inserted into the corpora cavernosa, with the left cranial extreme positioned 2 cm below the contralateral, was detected. In this case the failure of surgical treatment highlights a negligent behavior and the responsibility of the doctors by failing to examine adequately the variables, both clinical and not clinical, that might affect the outcome of the intervention.
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Affiliation(s)
- S Ricci
- Dipartimento di Scienze Anatomiche Istologiche, Medico legali e dell'Apparato locomotore Università degli Studi Sapienza , Roma, Italia.
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Rubín de Celis E, Santillan OP, Simeone C. Probing global aspects of a geometry by the self-force on a charge: Cylindrical thin-shell wormholes. Int J Clin Exp Med 2012. [DOI: 10.1103/physrevd.86.124009] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Massoni F, Simeone C, Luzi E, Palla C, Ricci S. [Appropriateness prescribing and doctor's professional responsibility]. Clin Ter 2012; 163:e193-e199. [PMID: 23007826] [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] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The public health spending has now reached very significant levels, in this sense, the responsibility of the medical doctor assumes a significant importance in medical law. The aim of this paper is to analyze the profile of responsibilities of the medical doctor in the light of recent case law. The appropriateness of prescribing and risk assessment are, according to the authors, the real test on which to test the skill, prudence and diligence which are called prescribers. Guidelines can be a valuable tool for the professional help, knowing, however, limits application of the recommendations where to be reconciling with the prevailing protection of personal rights of the user.
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Affiliation(s)
- F Massoni
- Dipartimento di Scienze Anatomiche, Istologiche, Medico Legali e dell'Apparato Locomotore - Università degli Studi "Sapienza" di Roma, Italia
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Zucchi A, Costantini E, Martorana G, Schiavina R, Antonelli A, Simeone C, Minervini A, Carini M, Simonato A, Carmignani G, Novara G, Siracusano S, Brunelli M, Bertini R, Zattoni F, Longo N, Mirone V, Ficarra V. 2000 PROGNOSTIC FACTOR OF PAPILLARY RENAL CELL CARCINOMA: RESULTS OF THE SATURN PROJECT. J Urol 2011. [DOI: 10.1016/j.juro.2011.02.2227] [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] [Indexed: 11/26/2022]
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Antonelli A, Novara G, Simeone C, Corti S, Cosciani Cunico S, Martorana G, Minervini A, Serni S, Simonato A, Longo N, Imbimbo C, Montorsi F, Volpe A, Gontero P, Carmignani G, Mirone V, Zattoni F, Ficarra V. 1762 PARTIAL AND RADICAL NEPHRECTOMY FOR PT1 RENAL CELL CARCINOMA: RESULTS OF THE SATURN PROJECT. J Urol 2011. [DOI: 10.1016/j.juro.2011.02.2090] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Simeone C, Moroni A, Pettenò A, Antonelli A, Zani D, Orizio C, Cosciani Cunico S. Occurrence rates and predictors of lower urinary tract symptoms and incontinence in female athletes. Urologia 2010; 77:139-146. [PMID: 20890872] [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] [Accepted: 03/23/2010] [Indexed: 05/29/2023]
Abstract
INTRODUCTION AND HYPOTHESIS To assess the prevalence of lower urinary tract symptoms (LUTS) and incontinence in female athletes and to determine the etiological factors. METHODS An anonymous self-questionnaire was collected from 623 casual female athletes aged 18 to 56 years, who were involved in 12 different sports. The surveys were distributed by hand to the athletes, during their sports fitness tests, in a sports center. We investigated the relationship between urinary disorders and factors such as age, body mass index (BMI), parity, duration of physical exercise, and type of sport. RESULTS The prevalence of LUTS was 54.7%, and 30% for urinary incontinence. Changes in urinary frequency were detected in 91 (14.6%) women. Prevalence of dysuria was 13.3%, urinary straining was present in 173 (27.8%) athletes, whereas urinary urgency had an estimated prevalence of 37.2% with 232 athletes suffering from this disorder. Urgency was very common in volleyball players, as was dysuria among hockey and basketball players, whereas straining mainly affected aerobic participants and cyclists. Long training hours and competitive practices were correlated with the onset of LUTS. High-impact sports were more frequently associated with incontinence, while low-impact sports with LUTS. The sport with the main number of incontinent people was football. Urge incontinence affected a lot of athletes, mainly cyclists and football players. Stress incontinence was more frequent in hockey and volleyball players. CONCLUSIONS LUTS and incontinence are prevalent in female athletes. In many cases, the disorders were present only during sports activities. In this sample, the presence of urinary disorders did not seem to be a barrier during sports or exercise.
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Affiliation(s)
- C Simeone
- Department of Urology, University of Brescia, Brescia.
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48
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Zani D, Costa S, Beneduce L, Fassina G, Simeone C, Cosciani Cunico S. [Immunity and cancer: the role of PSA IgM Immune complexes for prostate cancer]. Urologia 2010; 77:1-3. [PMID: 20890851] [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] [Accepted: 02/15/2010] [Indexed: 05/29/2023]
Abstract
Immunoediting is a new concept in cancer surveillance. Immunity is involved in detecting cellular waste, and taking off transformed cells. In particular, natural IgM antibodies play an important role in immunosurveillance mechanisms against transformed cells in humans.? Scientific evidence indicates that biomarkers for different types of cancer, such as liver and colorectal cancer, circulate in blood associated with immunoglobulin M (IgM) to form complexes that improve diagnosis in comparison to circulating free biomarkers. In prostate cancer it has been demonstrated that testing for serum levels of the PSA-IgM immune complex improves the diagnostic performance of total PSA. Preliminary reports indicate that the combination of PSA-IgM with total PSA is the best approach to reduce the number of negative prostatic mapping thus improving the diagnosis of prostate cancer.
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Antonelli A, Simeone C, Giovanessi L, Zambolin T, Zani D, Cosciani Cunico S. Reducing pain during transperineal prostatic biopsy. Urologia 2009; 76:252-257. [PMID: 21086286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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Antonelli A, Simeone C, Giovanessi L, Zambolin T, Zani D, Cunico SCOSCIANI. Which Technical Aspects have an Impact on Perceived Pain during Transperineal Prostate Biopsy? A Prospective Study Involving 445 Cases. Urologia 2009. [DOI: 10.1177/039156030907600406] [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
To assess the technical aspects determining the perceived pain during prostate biopsy via transperineal access. Materials and Methods We conducted prostate biopsy with transperineal access in local anesthesia. Between January 2007 and January 2008, data on prostatic biopsies were prospectively surveyed. The patient was requested to assess perceived pain by means of a Visual Analogue Scale ranging from 0 (no pain) to 10 (unbearable pain). Complications were recorded by telephone interviews 30 days after the biopsy. The histological diagnosis was recorded. Results 445 prostate biopsies were conducted. The average perceived pain score amounted to 2.60. At univariate analysis, a lower score was recorded in cases where the anesthetic agent was diluted with physiological saline, those in which a single cutaneous access was chosen along the middle line, those in the first bioptic series as compared to the following series and those in which no sampling involved the transition region. However, the multivariate analysis showed that only the single cutaneous access was statistically significant. In those cases, also the rates of delayed perineal pain were significantly lower. The cancer diagnosis rate showed no correlations with the type of cutaneous access. Conclusions A single median cutaneous access reduces the pain associated to transperineal prostatic biopsy.
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Affiliation(s)
- A. Antonelli
- Chair of Urology, University of Brescia, Brescia
| | - C. Simeone
- Chair of Urology, University of Brescia, Brescia
| | | | - T. Zambolin
- Chair of Urology, University of Brescia, Brescia
| | - D. Zani
- Chair of Urology, University of Brescia, Brescia
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