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Zanoni M, Chiarelli G, Arena P, Clementi M, Mazzieri C, Vota P, Toia G, Casale P, Lughezzani G, Buffi N, Taverna G. Thulium laser enucleation (ThuLEP) versus transurethral prostate resection (TURP): Impact on erectile function. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00064-7] [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: 02/12/2023]
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Taverna G, Grizzi F, Tidu L, Bax C, Zanoni M, Vota P, Lotesoriere B, Stefano P, Magagnin L, Langfelder G, Beatrici E, Arena P, Fasulo V, Frego N, Avolio P, Buffi N, Casale P, Capelli L. Accuracy of a new electronic nose (ENOSE) for prostate cancer diagnosis in urine samples. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01142-9] [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: 11/07/2022] Open
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Contieri R, Paciotti M, Frego N, Maffei D, Avolio P, Diana P, Uleri A, Fasulo V, Domanico L, Gobbo A, Lazzeri M, Saita A, Taverna G, Greco F, Muto G, Barra S, Casale P, Lughezzani G, Buffi N, Guazzoni G, Hurle R. Is it safe to replace retur in T1 high grade non-muscle invasive bladder cancer patients with urine cytology and in-office cystoscopy? Preliminary results from the ongoing prospective multicenter trial “hunire”. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00941-1] [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: 11/26/2022] Open
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Contieri R, Hurle R, Saita A, Casale P, Lughezzani G, Lazzeri M, Taverna G, Greco F, Barra S, Muto G, Paciotti M, Avolio P, Frego N, Diana P, Uleri A, Maffei D, Fasulo V, Domanico L, Buffi N, Guazzoni G. Is it safe to replace ReTUR in high grade T1 non-muscle invasive bladder cancer patients with urine cytology and in-office cystoscopy? Preliminary results from an ongoing prospective multicenter trial. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01138-6] [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]
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Zanoni M, Vota P, Toia G, Mazzieri C, Sangalli M, Mandressi A, Grizzi F, Frego N, Buffi N, Lughezzani G, Lazzeri M, Guazzoni G, Taverna G. Thulium Laser Enucleation (ThuLEP) versus Transurethral Bipolar Prostate Resection (TURP): Prospective randomized study: Early intra- and postoperative results. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00470-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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Bax C, Bernasconi R, Massironi F, Magagnin L, Grizzi F, Capelli L, Taverna G. Inkjet Printed ZnO Sensors for Early Prostate Cancer Detection by Means of Urine Odor Analysis. J Electrochem Soc 2021; 168:047513. [DOI: 10.1149/1945-7111/abf7e7] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/28/2023]
Abstract
In the second half of the 20th century, inkjet printing has rapidly evolved from a mere digital image reproduction technique into a highly versatile materials deposition technology. Recently, inkjet production of metal oxide-based gas sensors (MOS) has emerged, and inkjet sensors have been proposed for different applications. In this context, this paper proposes the adoption of inkjet MOS sensors for urine analysis for the purpose of developing an innovative tool for the early prostate cancer (KP) diagnosis. Based on the results reported in the scientific literature, proving the correlation between urine color and odor alterations and cancer, the study focuses on the analysis by means of MOS sensor array of odors emanated from urine samples from prostate cancer patients versus healthy donors. The results achieved in terms of diagnostic accuracy, sensitivity, and specificity (i.e., about 80%) proved the potentialities of inkjet MOS sensor for the challenging purpose of detection of prostate cancer in its early stages. Resulting significantly more powerful than current KP diagnostic protocol, the approach here presented might become, after validation, a rapid, non-invasive and low-cost screening tool, capable to provide a solution to the problems of patients’ overtreatment and high health spending associated to procedures currently adopted.
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Zanoni M, Grizzi F, Vota P, Justich M, Maffei D, Toia G, Mazzieri C, Malagola G, Mandressi A, Taverna G. Retrotrigonal muscular layer sling associated with total anatomical reconstruction in robotic-assisted radical prostatectomy and early continence. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35888-2] [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: 12/01/2022] Open
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Zanoni M, Taverna G, Vota P, Justich M, Maffei D, Frego N, Mandressi A, Guazzoni G. Thulium laser enucleation (THULEP) versus transurethral bipolar prostate resection (TURP): prospective randomized study: early intra- and postoperative results. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35457-4] [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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Taverna G, Grizzi F, Zanoni M, Vota P, Justich M, Maffei D, Frego N, Guazzoni G. ADAR1 is highly expressed in primary prostate cancer and correlated with CD8+ T-lymphocytes density. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35403-3] [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: 10/23/2022] Open
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Maffei D, Grizzi F, Zanoni M, Vota P, Justich M, Taverna G. Recurrent transient global amnesia after intracavernous Caverject injection in erectile dysfunction after robotic prostatectomy. Urol Case Rep 2020; 31:101184. [PMID: 32280597 PMCID: PMC7139104 DOI: 10.1016/j.eucr.2020.101184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2020] [Accepted: 03/26/2020] [Indexed: 12/04/2022] Open
Abstract
Treatment of erectile dysfunction after radical prostatectomy includes intracavernous Caverject injections. We present the case of recurrent transient global amnesia in a man performing self-administration of Caverject after robotic radical prostatectomy. The correlation between the intracavernous injection and the neurological phenomenon was repeated and evident, yet the specific aetiology of transient global amnesia remains uncertain.
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Seveso M, Melegari S, De Francesco O, Macchi A, Romero Otero J, Taverna G, Bozzini G. Surgical correction of Peyronie's disease via tunica albuginea plication: long-term follow-up. Andrology 2017; 6:47-52. [DOI: 10.1111/andr.12431] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2016] [Revised: 08/13/2017] [Accepted: 09/04/2017] [Indexed: 12/01/2022]
Affiliation(s)
- M. Seveso
- Department of Urology; Humanitas Mater Domini; Castellanza Italy
| | - S. Melegari
- Department of Urology; Humanitas Mater Domini; Castellanza Italy
| | - O. De Francesco
- Department of Urology; Humanitas Mater Domini; Castellanza Italy
| | - A. Macchi
- Facolta di Medicina e Chirurgia; Universita degli Studi di Milano; Milano Italy
| | | | - G. Taverna
- Department of Urology; Humanitas Mater Domini; Castellanza Italy
| | - G. Bozzini
- Department of Urology; Humanitas Mater Domini; Castellanza Italy
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Cortinovis DL, Hollander LH, Carlucci L, Grosso F, Ceresoli GL, Pacchetti I, Zucali PA, D'Incalci M, Tiseo M, Legramandi L, Canova S, Ugo F, Abbate MI, Taverna G, Cogliati V, Bidoli P. Trabectedin (T) as second line treatment option for patients with epithelioid malignant pleural mesothelioma (MPM) in progression following pemetrexed/platin-derivates chemotherapy: ATREUS trial. J Clin Oncol 2017. [DOI: 10.1200/jco.2017.35.15_suppl.8513] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
8513 Background: Systemic chemotherapy in MPM is inevitably followed by relapse, and response rates to second line treatment are limited. T is an antineoplastic agent targeting both the malignant cells and the tumor microenvironment with demonstrated activity against a range of tumors. We aimed to study the activity and safety of T in advanced MPM. Methods: ATREUS, an Italian multicenter single arm phase II trial, assessed the activity T in MPM evaluating the proportion of patients responding to treatment and achieving progression free survival for 12 weeks (PFS12w). Pre-treated epithelioid and naive or pre-treated biphasic/sarcomatoid pts were treated until progression or unacceptable toxicity. Initial dose was 1.3 mg/m2, over 3 hours every 21 days, later reduced to 1.1 mg/m2to improve tolerability. In the epithelioid cohort, sample size was based on a Simon's Optimal Two-Stage Design. The study was set to reject, at an alpha error of 10% the hypothesis that PFS12w was ≤25% and to demonstrate, with a power of 85% the hypothesis that PFS12w was ≥40%. At least 20 out of 62 pts with assessed disease, no major protocol violations, either receiving ≥12 weeks of treatment or interrupting before for progression or death (per protocol – PP analysis) were to reach PFS12w in order to consider T effective. Results: 71 pts were enrolled and evaluable. Average age was 65.8 ± 8.75 years. 71.8% were male and 82.5% presented stage III or IV disease. 42.4% (25/59) of pts included in the PP analysis obtained PFS12w (95% CI: 29.6% - 55.9%). In a second, more conservative analysis, including pts withdrawn prematurely for toxicity or intercurrent illness as failures, PFS12w rate reached 38.5% (25/65 pts). The most frequent grade ≥3 treatment-related toxicities werehepatic toxicity (60.5%), non-febrile neutropenia (21.1%), and fatigue (6.6%). Five pts (7%) interrupted treatment for toxicities (2 liver, 1 multi-organ failure, 1 thrombocytopenia, 1 T intolerance). Conclusions: In pts with advanced epithelioid MPM, second line treatment with T showed an elevated rate of disease stabilization. Safety data is promising but require further evaluation. Clinical trial information: NCT02194231.
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Affiliation(s)
| | | | - Luciano Carlucci
- IRCCS - Mario Negri Institute for Pharmacological Research, Milan, Italy
| | - Federica Grosso
- Oncology, SS Antonio e Biagio General Hospital, Alessandria, Italy
| | | | - Ilaria Pacchetti
- IRCCS - Mario Negri Institute for Pharmacological Research, Milan, Italy
| | | | - Maurizio D'Incalci
- IRCCS - Mario Negri Institute for Pharmacological Research, Milan, Italy
| | - Marcello Tiseo
- Medical Oncology Unit, University Hospital of Parma, Parma, Italy
| | - Lorenzo Legramandi
- IRCCS - Mario Negri Institute for Pharmacological Research, Milan, Italy
| | | | - Francesca Ugo
- SC Oncologia SS Antonio e Biagio and C Arrigo Hospital, Alessandria, Italy
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Maruccia S, Seveso M, Casellato S, Provenzano M, Buffi N, Taverna G, Guazzoni G, Bozzini G. The role for frozen section analysis during partial nephrectomy: Outcomes after ten years of FU. ACTA ACUST UNITED AC 2017. [DOI: 10.1016/s1569-9056(17)30843-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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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Caturegli P, Di Dalmazi G, Lombardi M, Grosso F, Larman HB, Larman T, Taverna G, Cosottini M, Lupi I. Hypophysitis Secondary to Cytotoxic T-Lymphocyte-Associated Protein 4 Blockade: Insights into Pathogenesis from an Autopsy Series. Am J Pathol 2016; 186:3225-3235. [PMID: 27750046 PMCID: PMC5225294 DOI: 10.1016/j.ajpath.2016.08.020] [Citation(s) in RCA: 230] [Impact Index Per Article: 28.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/29/2016] [Revised: 08/08/2016] [Accepted: 08/10/2016] [Indexed: 12/19/2022]
Abstract
Hypophysitis that develops in cancer patients treated with monoclonal antibodies blocking cytotoxic T-lymphocyte-associated protein 4 (CTLA-4; an inhibitory molecule classically expressed on T cells) is now reported at an incidence of approximately 10%. Its pathogenesis is unknown, in part because no pathologic examination of the pituitary gland has been reported to date. We analyzed at autopsy the pituitary glands of six cancer patients treated with CTLA-4 blockade, one with clinical and pathologic evidence of hypophysitis, one with mild lymphocytic infiltration in the pituitary gland but no clinical signs of hypophysitis, and four with normal pituitary structure and function. CTLA-4 antigen was expressed by pituitary endocrine cells in all patients but at different levels. The highest levels were found in the patient who had clinical and pathologic evidence of severe hypophysitis. This high pituitary CTLA-4 expression was associated with T-cell infiltration and IgG-dependent complement fixation and phagocytosis, immune reactions that induced an extensive destruction of the adenohypophyseal architecture. Pituitary CTLA-4 expression was confirmed in a validation group of 37 surgical pituitary adenomas and 11 normal pituitary glands. The study suggests that administration of CTLA-4 blocking antibodies to patients who express high levels of CTLA-4 antigen in the pituitary can cause an aggressive (necrotizing) form of hypophysitis through type IV (T-cell dependent) and type II (IgG dependent) immune mechanisms.
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Affiliation(s)
- Patrizio Caturegli
- Division of Immunology, Department of Pathology, The Johns Hopkins School of Medicine, Baltimore, Maryland.
| | - Giulia Di Dalmazi
- Division of Immunology, Department of Pathology, The Johns Hopkins School of Medicine, Baltimore, Maryland; Department of Medicine, G. D'Annunzio University of Chieti, Chieti, Italy
| | - Martina Lombardi
- Endocrinology Unit, Saints Anthony and Biagio, and Cesare Arrigo Hospital, Alessandria, Italy; Oncology Center, Saints Anthony and Biagio, and Cesare Arrigo Hospital, Alessandria, Italy
| | - Federica Grosso
- Oncology Center, Saints Anthony and Biagio, and Cesare Arrigo Hospital, Alessandria, Italy
| | - H Benjamin Larman
- Division of Immunology, Department of Pathology, The Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Tatianna Larman
- Division of Immunology, Department of Pathology, The Johns Hopkins School of Medicine, Baltimore, Maryland
| | - Giacomo Taverna
- Department of Radiology, Mesothelioma Unit, Saint Spirit Hospital, Casale Monferrato, Italy
| | - Mirco Cosottini
- Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy
| | - Isabella Lupi
- Department of Endocrinology, University of Pisa, Pisa, Italy
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Erra S, Patrucco G, Speranza G, Barbero S, Brucculeri F, Taverna G. Unusual pleural effusion from vulvar squamous cell carcinoma: report of a case and review of the literature. Pathologica 2016; 108:148-150. [PMID: 28195268] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023] Open
Abstract
Vulvar tumors are not very common and account for about 4% of all cancers affecting the female genital organs. Frequently, malignant neoplasia of this site have squamous phenotype and the rare cases of metastasization are reported in the locoregional lymph nodes and in the surrounding organs. We report a case of metastasization of a vulvar squamous cell carcinoma in an unusual place such as the parietal pleura, in a relapsing patient that was submitted to a surgical vulvectomy the previous year.
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Affiliation(s)
- S Erra
- SOC Anatomia Patologica ASL AL, P.O. Casale Monferrato
| | - G Patrucco
- SOC Anatomia Patologica ASL AL, P.O. Casale Monferrato
| | - G Speranza
- SOC Anatomia Patologica ASL AL, P.O. Casale Monferrato
| | - S Barbero
- SOC Radiologia Diagnostica e interventistica ASL AL, P.O. Casale Monferrato (AL), Italy
| | - F Brucculeri
- SOC Radiologia Diagnostica e interventistica ASL AL, P.O. Casale Monferrato (AL), Italy
| | - G Taverna
- SOC Radiologia Diagnostica e interventistica ASL AL, P.O. Casale Monferrato (AL), Italy
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Bellardita L, Damiano R, Porpiglia F, Scattoni V, Amodeo A, Bortolus R, Lapini A, Cocci A, Cicalese V, Caponera M, Mastrangelo P, Francesca F, Valdagni R, Taverna G, di Trapani D, Leonardi R, Minocci D, Gaboardi F, Montanari E, Conti G. Adaptation and validation of an Italian version of the Prostate Cancer Specific Quality of Life Instrument (PROSQOLI). Eur Rev Med Pharmacol Sci 2016; 20:2773-2778. [PMID: 27424974] [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: 06/06/2023]
Abstract
OBJECTIVE The Prostate Cancer Specific Quality of Life Instrument (PROSQOLI) is a measure of health-related quality of life (HRQoL) in advanced hormone-resistant prostate cancer. In this study, we aimed at performing a cross-cultural adaptation and validation of the Italian version of the PROSQOLI. PATIENTS AND METHODS The original version of the PROSQOLI underwent several turnarounds of translations. A total of 472 patients treated with radical prostatectomy, radiotherapy or medical therapy were enrolled for the validation of the questionnaire. The PROSQOLI was administered together with the SF-12. Reliability indexes were calculated by using Cronbach alpha. To evaluate the validity of the construct, relationships between PROSQOLI and SF12 were assessed. The ANOVA test was used to evaluate the differences between groups of patients who had received different treatments. RESULTS The reliability coefficient was 0.91. Item-to-total correlation indices were in most cases >0.70. The correlation between the scores of the PROSQOLI and those of the SF-12 questionnaire was high (r=0.8139, p<0.0001). The ANOVA test showed significant differences between groups (p<0.01) based on age, recurrence risk and treatment. CONCLUSIONS The adaptation process showed that the PROSQOLI Italian version has high reliability and presents both convergent and discriminant validity. This version of the tool can be used to assess HRQoL in Italian men who underwent radical treatment for advanced prostate cancer.
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Affiliation(s)
- L Bellardita
- Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
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Grosso F, Roveta A, Gallizzi G, Muzio A, Taverna G, Pernazza F, Aurelio A, Zai S, Libener R, Barbero S, D'angelo M, Ferretti G, Franzone P, Girino M, Mancuso M, Mariani N, Numico G, Pastormerlo M, Piccolini E, Degiovanni D. Malignant pleural mesothelioma (MPM): Outcome of 352 patients (pts) treated by a dedicated multidisciplinary team (MT) in the highly asbestos polluted area of Casale Monferrato, Piedmont (Italy). J Clin Oncol 2016. [DOI: 10.1200/jco.2016.34.15_suppl.e20078] [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: 11/20/2022] Open
Affiliation(s)
| | | | | | - Alberto Muzio
- Oncology, S Spirito Hospital, Casale Monferrato, Italy
| | | | | | | | - Silvia Zai
- Oncology, SS Antonio e Biagio General Hospital, Alessandria, Italy
| | - Roberta Libener
- Pathology SS Antonio e Biagio General Hospital Alessandria, Alessandria, Italy
| | | | | | - Gabriele Ferretti
- Pneumology, SS Antonio e Biagio General Hospital, Alessandria, Italy
| | - Paola Franzone
- SS Antonio e Biagio General Hospital, Alessandria, Italy
| | | | - Maurizio Mancuso
- Thoracic Surgery, SS Antonio e Biagio General Hospital, Alessandria, Italy
| | - Narciso Mariani
- Pathology, SS Antonio e Biagio General Hospital, Alessandria, Italy
| | | | | | - Ezio Piccolini
- Pneumology; S Spirito Hospital, Casale Monferrato, Italy
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Proietti S, Sofer M, Giannantoni A, Luciani L, Taverna G, Giusti G. Resonance® metallic stent in patients with ureterocutaneostomies. Int Urol Nephrol 2015; 48:207-12. [DOI: 10.1007/s11255-015-1174-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2015] [Accepted: 11/25/2015] [Indexed: 11/12/2022]
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Giusti G, Proietti S, Cindolo L, Peschechera R, Sortino G, Berardinelli F, Taverna G. Is retrograde intrarenal surgery a viable treatment option for renal stones in patients with solitary kidney? World J Urol 2014; 33:309-14. [PMID: 24756177 DOI: 10.1007/s00345-014-1305-6] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2014] [Accepted: 04/10/2014] [Indexed: 12/31/2022] Open
Abstract
PURPOSE To evaluate the effectiveness and safety of retrograde intrarenal surgery (RIRS) for stones up to 2 cm in diameter in patients with solitary kidney. METHODS From January 2008 to January 2013, we prospectively enrolled all consecutive patients with solitary kidney and renal stones. Plain abdominal computed tomography scan was performed preoperatively and 1 month after the procedure to assess the stone-free rates (SFR). Serum creatinine levels were detected preoperatively, at day 1 postoperatively, at 1 month postoperatively, and then every 6 months postoperatively. RESULTS During the study period, we prospectively enrolled a total of 29 patients. The mean age was 55.7 ± 12.3 years; the mean stone size was 1.3 ± 0.4 cm. The primary SFR was 72.4 %; the secondary SFR was 93.1 %. The mean number of procedures per patient was 1.24. The mean serum creatinine levels were 1.5 ± 0.6, 1.6 ± 0.7, 1.6 ± 0.6, and 1.7 ± 0.7 mg/dl preoperatively, at 1 day after RIRS, at 1 month after RIRS, and at 1 year after RIRS, respectively, without detection of any statistical difference (p = 0.76). Median follow-up time was 35.7 ± 19.3 (12-72) months, but that was available for only 18 patients. The mean serum creatinine level at the last follow-up was 1.7 ± 0.9 mg/dl. No major complications were recorded. Grade I complications occurred in eight patients (27.4 %). CONCLUSIONS RIRS is safe and effective in the treatment of renal stones in patients with solitary kidney, without worsening renal function.
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Affiliation(s)
- G Giusti
- Stone Center at Department of Urology, Humanitas Clinical and Research Center, Rozzano, Italy
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Giusti G, Proietti S, Peschechera R, Taverna G, Graziotti P. 923 Prospective study on outcomes of retrograde intrarenal surgery (RIRS) in the treatment of renal calculi between 2 & 3cm. ACTA ACUST UNITED AC 2014. [DOI: 10.1016/s1569-9056(14)60909-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Giusti G, Proietti S, Peschechera R, Taverna G, Graziotti P. Total ureteral replacement by means of Boari vesical flap and psoas hitching: a case report. MINERVA UROL NEFROL 2014; 66:97-99. [PMID: 24721946] [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: 06/03/2023]
Affiliation(s)
- G Giusti
- Stone Center, Urology Department, Humanitas Clinical and Research Center, Rozzano, Milan, Italy -
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Campanino PP, Tota D, Bagnera S, Regini E, Taverna G, Luparia A, Durando M, Mariscotti G, Gandini G. Breast calciphylaxis following coronary artery bypass grafting completely resolved with total parathyroidectomy. Breast J 2010; 16:544-7. [PMID: 20722652 DOI: 10.1111/j.1524-4741.2010.00966.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Pier Paolo Campanino
- Istituto di Radiologia Diagnostica ed Interventistica, Università di Torino, ASOU San Giovanni Battista di Torino, Sede Molinette, Via Genova 3, Turin, Italy.
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Pisani E, Austoni E, Trinchieri A, Zanetti G, Montanari E, Rovera F, Taverna G, Russo R. Laparoscopic treatment of renal cysts. ACTA ACUST UNITED AC 2009. [DOI: 10.3109/13645709309152959] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Giusti G, Piccinelli A, Taverna G, Maugeri O, Corinti M, Pasini L, Benetti A, Teppa A, Zandegiacomo De Zorzi S, Graziotti P. 880 COMPARISON BETWEEN RETROGRADE INTRARENAL SURGERY (RIRS) AND PERCUTANEOUS NEPHROLITHOTOMY (PNL) IN THE TREATMENT OF RENAL STONES OF 1 TO 2.5 CM IN DIAMETER. ACTA ACUST UNITED AC 2007. [DOI: 10.1016/s1569-9056(07)60875-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Maffezzini M, Giusti G, Taverna G, Seveso M, Benetti A, Gelosa M, Piccinelli A, Vavassori I, Graziotti P. [Recovery of urinary incontinence after retropubic radical prostatectomy. Results in 100 patients]. Arch Ital Urol Androl 2001; 73:147-52. [PMID: 11822058] [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: 02/23/2023] Open
Abstract
AIM OF THE STUDY To shorten the time to recovery of full urinary continence after radical retropubic prostatectomy and to increase the postoperative continence rate. MATERIALS AND METHODS One hundred and five consecutive patients were submitted to radical retropubic prostatectomy for prostate cancer, with curative intent, focusing our attention on three steps of the operation. First, to achieve a complete control of bleeding from the dorsal vein complex and to perform a minimal touch dissection of the urethral stump; second, to perform a conservative dissection of the bladder neck, and, third, to implement a vascular type, watertight, vesico urethral anastomosis. Continence was assessed 24 hours after catheter removal and at monthly follow up visits until full recovery and graded as dry if no dropping was visible and the patient was able to interrupt the urinary stream during micturition; stress incontinence, if any dropping was observed during abdominal strain between micturitions; and wet, if uncontrollable dropping occurred, and the number of pads needed per day recorded. RESULTS At a median follow-up time of 18 months, range 6 to 30, a total of 87 of 100 evaluable patients (87%) resulted as dry; 10 patients (10%) resulted as having a variable degree of stress incontinence needing one to three pads per day, and 3 patients (3%) resulted as wet. In 41 of the 87 dry patients (47.1%) continence was achieved within the first day from catheter removal, and in a median time of 4 weeks, range 2 to 16 in the remaining 46 patients (52.9%). CONCLUSIONS The results of total continence rate of the present study seem to compare to the recent literature except for the time to full recovery which is shorter; it is difficult to identify the contribution of each single surgical step.
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Affiliation(s)
- M Maffezzini
- Unità Operativa di Urologia, Istituto Clinico Humanitas, Rozzano, Milano
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Carosio G, Taverna G, Ballestrero G, Reale M. Percutaneous coronary angioplasty of unprotected left main stem: a case report. G Ital Cardiol 1998; 28:1400-3. [PMID: 9887394] [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: 02/09/2023]
Abstract
We describe the case of a 60-year-old man with unstable angina and a critical stenosis of an unprotected left main stem. The patient was also affected with oligophrenia and Paget's disease that contraindicated surgical revascularization. We performed a percutaneous transluminal coronary angioplasty in the cardiac surgery operating room, preparing a femoro-femoral cardiopulmonary bypass by means of a portable X-ray system. The final results were good and they were confirmed by an angiographic control performed three months later as well as during the six-month follow-up. Angioplasty of the unprotected left main stem is feasible and adequate technologic support can reduce the risks for the patient.
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Affiliation(s)
- G Carosio
- Laboratorio di Emodinamica, UOA di Cardiologia, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria
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Carosio G, Taverna G, Ballestrero G, Reale M, Molendi V. Portable fluoroscopic X-ray systems and traditional fixed angiographic systems: a comparison in the detection of coronary stenosis. G Ital Cardiol 1998; 28:979-83. [PMID: 9788036] [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: 02/09/2023]
Abstract
INTRODUCTION The ability to perform coronary angiography at the bedside has multiple applications. METHODS In this study, we compare the images obtained in 100 patients undergoing elective coronary angiography for coronary heart disease, with a portable X-ray imaging system (OEC 9600 Cardiac Version) to those obtained with a traditional fixed system (Siemens Coroskop C). RESULTS A complete concordance between the systems for lesion location, stenosis quantification, morphologic characterization, TI-MI flow and collaterals was found. CONCLUSIONS These findings demonstrate that a portable imaging system can produce high-quality images. The feasibility of performing a complete diagnostic procedure and the routine use of the system require more specific evaluation.
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Affiliation(s)
- G Carosio
- Laboratorio di Emodinamica, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria
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Ortensia A, Carosio G, Iberti M, Reale M, Della Volpe M, Taverna G, Veronesi G, Balestrero G. [Transluminal percutaneous angioplasty of stenosis of arteriovenous fistulas; 24-month follow-up]. MINERVA UROL NEFROL 1998; 50:45-9. [PMID: 9578657] [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: 02/07/2023]
Abstract
Stenosis is a common cause of the functional loss of vascular shunts used in chronic hemodialysis and percutaneous transluminal angioplasty represents the elective method to correct these anomalies. A total of 42 percutaneous transluminal angioplasties were performed, with a prospective study and follow-up lasting an average of 18 months, in 32 patients with insufficient blood flow of arteriovenous fistula. In over 90% of cases the procedure restored adequate hemodynamic conditions that remained unchanged during follow-up. The authors therefore conclude that percutaneous transluminal angioplasty is an efficacious, easily performed and low-cost method that does not present major complications.
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Affiliation(s)
- A Ortensia
- Azienda Ospedaliera S.S. Antonio e Biagio e C. Arrigo, Alessandria
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Taverna G, Trinchieri A, Mandressi A, Del Nero A, Mangiarotti B, Antonelli D, Chisena S, Pisani E. Variation in nocturnal urinary excretion of melatonin in a group of patients older than 55 years suffering from urogenital tract disorders. Arch Ital Urol Androl 1997; 69:293-7. [PMID: 9477613] [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: 02/06/2023] Open
Abstract
Melatonin (MLT) is directly or indirectly related to cell growth (both of normal and neoplastic cells), to the immune system stimulation and to the endocrine system modulation. This controlled study was carried out to evaluate urinary excretion of MLT in patients suffering from urogenital tract disorders. Eighty-one patients affected by urogenital disorders were divided in two groups (neoplastic and non-neoplastic) and urinary excretion of MLT was evaluated. Mean diurnal (from 8 a.m. to p.m.) urinary excretion of MLT was 4.97 + 6.08 pg/12 h in non-oncologic patients and 4.82 + 6.21 pg/12 h in oncologic patients (p = 0.50). Mean nocturnal (from 8 p.m. at 8 a.m.) urinary excretion of MLT was 11.97 + 9.34 pg/12 h in non-oncologic patients while in oncologic patients it was 7.86 + 8.95 pg/12 h. Statistically significant variation in nocturnal urinary excretion of melatonin was observed in oncologic patients (p = 0.022) versus non oncologic patients.
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Affiliation(s)
- G Taverna
- Istituto di Urologia, Università di Milano, IRCCS Ospedale Maggiore di Milano
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Carosio G, Taverna G, Ballestrero G, Reale M, Ravazzi PA. [Complete occlusion at the origin of the common trunk of the left coronary artery with intercoronary and aorto-coronary anastomotic circle: description of a case]. G Ital Cardiol 1991; 21:1331-5. [PMID: 1818005] [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: 12/28/2022]
Abstract
We describe the case of a patient with unstable angina and left main coronary artery occlusion, yet with good collateral circulation from the right coronary artery, and with normal left ventricular function. We identified an anomalous vessel from the ascending aorta ensuring a good supply to the left coronary artery.
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Affiliation(s)
- G Carosio
- Divisione di Cardiologia, Ospedale Civile Alessandria
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Carosio G, Taverna G, Ballestrero G, Reale M, Massa R, Ravazzi PA. [Use of 5 French catheters in percutaneous femoral coronaro-ventriculography (500 consecutive procedures with 5 French catheters)]. G Ital Cardiol 1991; 21:725-30. [PMID: 1765232] [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: 12/28/2022]
Abstract
To verify the advantages and the systematic use of 5 French catheters in femoral percutaneous coronaroventriculography, 500 consecutive unselected patients with confirmed or suspected coronary artery disease underwent this procedure. In one case only (0.2%) we had recourse to 7 French catheters on account of the inability to enter the left coronary ostium. There were no major local complications. General complications were represented by vagal reactions in 20 cases (4%) and by transient minor motor aphasia in one case (0.2%). The cardiac complications were represented by: -1 (0.2%) atrio-ventricular isorhythmic dissociation; -1 (0.2%) complete right bundle branch block; -3 (0.6%) atrial fibrillation; (all had a rapid and spontaneous regression) -1 (0.2%) ventricular fibrillation treated successfully with D.C. shock; -1 (0.2%) non fatal acute myocardial infarction (at the end of the procedure); -2 (0.4%) attacks of cardiac asthma treated successfully with medical therapy. 5 French catheters have proved to be extremely efficacious, with some technical experience, in percutaneous coronaroventriculography via femoral approach. The possible advantages could consist of a reduction in local complications, a patient's precocious mobilization and a minor traumatism on the arterial wall. The major complications are comparable with those observed using 7-8 French catheters. In the future it might be possible, in selected patients, to use 5 French catheters to perform ambulatory cardiac catheterization with reduction of both costs and hospitalization period.
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Affiliation(s)
- G Carosio
- Divisione di Cardiologia, Laboratorio di Emodinamica, Ospedale Civile, Alessandria
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Carosio G, Taverna G, Guarraggi F, Ravazzi PA, Sangiacomo G, Cerruti E, Bonati P. [Complications during cardioangiography using 2 different contrast media]. Minerva Cardioangiol 1986; 34:763-6. [PMID: 3574703] [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: 01/06/2023]
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Guarraggi F, Carosio G, Taverna G, Ravazzi PA. [Significance of various atypical oscillographic pictures]. Minerva Cardioangiol 1986; 34:767-9. [PMID: 2952901] [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: 01/03/2023]
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Guarraggi F, Carosio G, Taverna G, Ravazzi PA. [Comparison of various anamnestic and instrumental findings in the evaluation of coronary function]. Minerva Cardioangiol 1986; 34:759-62. [PMID: 3574702] [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: 01/06/2023]
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Ravazzi PA, Carosio G, Taverna G, Gandini G, Villa M, Provera FP, Guarraggi F, Ivaldi M, Fornari GP. [The bicycle ergometry test and 2-dimensional echocardiography in the evaluation of recent myocardial infarction. Prognostic implications]. Minerva Cardioangiol 1986; 34:497-504. [PMID: 3774164] [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: 01/07/2023]
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Carosio G, Taverna G, Ravazzi PA, Ivaldi M, Guarraggi F, Sangiacomo G. [Evaluation of coronary function. Correlation between ergometric, dynamic electrocardiographic findings and coronaro-ventriculographic data]. Minerva Cardioangiol 1986; 34:199-201. [PMID: 3725024] [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: 01/07/2023]
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Carosio G, Taverna G, Ivaldi M, Ravazzi PA, Guarraggi F, Sangiacomo G. [Hand-grip test in infarct patients. Hemodynamic evaluation before and after the sublingual administration of nifedipine]. Minerva Cardioangiol 1986; 34:203-6. [PMID: 3725025] [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: 01/07/2023]
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Tronconi L, Recusani F, Sgalambro A, Taverna G, Sarasso G. [Digitalization and blood digitalis levels. Relation between its clinical effects and blood concentrations]. Minerva Cardioangiol 1977; 25:889-96. [PMID: 609377] [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: 12/23/2022]
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