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Boeri L, Bebi C, Dente D, Greco E, Turetti M, Capece M, Cocci A, Cito G, Preto M, Pescatori E, Ciampaglia W, Scroppo FI, Falcone M, Ceruti C, Gadda F, Franco G, Dehò F, Palmieri A, Rolle L, Gontero P, Montorsi F, Montanari E, Salonia A. Outcomes and predictive factors of successful salvage microdissection testicular sperm extraction (mTESE) after failed classic TESE: results from a multicenter cross-sectional study. Int J Impot Res 2022; 34:795-799. [PMID: 34743195 DOI: 10.1038/s41443-021-00487-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2021] [Revised: 10/14/2021] [Accepted: 10/21/2021] [Indexed: 12/24/2022]
Abstract
Microdissection testicular sperm extraction (mTESE) has been proposed as a salvage treatment option for men with a previously failed classic TESE (cTESE), but data are scarce. We aimed to assess the outcome of and potential predictors of successful salvage mTESE in a cohort of men previously submitted to unfruitful cTESE. Data from 61 men who underwent mTESE after a failed cTESE between 01/2014 and 10/2020, at 6 tertiary-referral centres in Italy were analysed. All men were investigated with semen analyses, testicular ultrasound, hormonal and genetic blood testing. Pathological diagnosis from TESE was collected in every man. Descriptive statistics and logistic regression models were used to investigate potential predictors of positive sperm retrieval (SR+) after salvage mTESE. Baseline serum Follicle-Stimulating hormone (FSH) and total testosterone levels were 17.2 (8.6-30.1) mUI/mL and 4.7 (3.5-6.4) ng/mL, respectively. Sertoli-cell-only syndrome (SCOS), maturation arrest (MA) and hypospermatogenesis were found in 24 (39.3%), 21 (34.4%) and 16 (26.2%) men after cTESE, respectively. At mTESE, SR+ was found in 30 (49.2%) men. Patients with a diagnosis of hypospermatogenesis had a higher rate of SR+ (12/16 (75%)) compared to MA (12/21 (57.1%)) and SCOS (6/24 (25%)) patients at mTESE (p < 0.01). No clinical and laboratory differences were observed between SR+ and SR- patients at mTESE. There were no significant complications after mTESE. At multivariable logistic regression analysis, only hypospermatogenesis (OR 9.5; p < 0.01) was independently associated with SR+ at mTESE, after accounting for age and FSH.In conclusion, salvage mTESE in NOA men with previous negative cTESE was safe and promoted SR+ in almost 50%. A baseline pathology of hypospermatogenesis at cTESE emerged as the only independent predictor of positive outcomes at salvage mTESE.
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Affiliation(s)
- Luca Boeri
- Department of Urology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.
| | - Carolina Bebi
- Department of Urology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Donato Dente
- Unit of Robotic & Mininvasive Surgery - Casa Di Cura Villa Igea, Ancona, Italy
| | - Ermanno Greco
- Centre for Reproductive Medicine, European Hospital, Rome, Italy
| | - Matteo Turetti
- Department of Urology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Marco Capece
- Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", Naples, Italy
| | - Andrea Cocci
- Department of Urology and Andrology Surgery, University of Florence, Florence, Italy
| | - Gianmartin Cito
- Department of Urology and Andrology Surgery, University of Florence, Florence, Italy
| | - Mirko Preto
- Division of Urology, A.O.U. Città della Salute e della Scienza di Torino - Presidio Molinette, Turin, Italy
| | - Edoardo Pescatori
- Reproductive Medicine Unit, GynePro Medical Centers, NextClinics International, Bologna, Italy
| | - Walter Ciampaglia
- Reproductive Medicine Unit, GynePro Medical Centers, NextClinics International, Bologna, Italy
| | | | - Marco Falcone
- Division of Urology, A.O.U. Città della Salute e della Scienza di Torino - Presidio Molinette, Turin, Italy
| | - Carlo Ceruti
- Division of Urology, A.O.U. Città della Salute e della Scienza di Torino - Presidio Molinette, Turin, Italy
| | - Franco Gadda
- Department of Urology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Giorgio Franco
- Department Gynaecological-Obstetrical and Urological Sciences, Sapienza University of Rome, Rome, Italy
| | - Federico Dehò
- Department of Urology and Andrology, Ospedale di Circolo e Fondazione Macchi, Varese, Italy
| | - Alessandro Palmieri
- Department of Neurosciences, Reproductive Sciences and Odontostomatology, University of Naples "Federico II", Naples, Italy
| | - Luigi Rolle
- Division of Urology, A.O.U. Città della Salute e della Scienza di Torino - Presidio Molinette, Turin, Italy
| | - Paolo Gontero
- Division of Urology, A.O.U. Città della Salute e della Scienza di Torino - Presidio Molinette, Turin, Italy
| | - Francesco Montorsi
- Vita-Salute San Raffaele University, Milan, Italy.,Division of Experimental Oncology/Unit of Urology, URI; IRCCS Ospedale San Raffaele, Milan, Italy
| | - Emanuele Montanari
- Department of Urology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Andrea Salonia
- Vita-Salute San Raffaele University, Milan, Italy.,Division of Experimental Oncology/Unit of Urology, URI; IRCCS Ospedale San Raffaele, Milan, Italy
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Boeri L, Dente D, Greco E, Turetti M, Capece M, Cocci A, Preto M, Pescatori E, Gadda F, Franco G, Palmieri A, Rolle L, Montorsi F, Salonia A, Montanari E. P–095 Outcomes and predictive factors of successful salvage microdissection testicular sperm extraction (mTESE) after failed TESE in men with non-obstructive azoospermia: results from a multicenter study. Hum Reprod 2021. [DOI: 10.1093/humrep/deab130.094] [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: 11/13/2022] Open
Abstract
Abstract
Study question
We assessed the outcome and predictors of successful salvage microdissection testicular sperm extraction (mTESE) in non-obstructive azoospermia (NOA) men previously submitted to unfruitful classic (cTESE).
Summary answer
The sperm retrieval rate at salvage mTESE was almost 50%. Hypospermatogenesis and low FSH values were associated with positive outcomes at salvage mTESE
What is known already
In men with NOA testicular sperm can be retrieved using cTESE in approximately 50% of cases. mTESE has been proposed as a salvage treatment option for men with a previously failed TESE, but data are scarce.
Study design, size, duration
Multicenter, cross-sectional study. Complete data from 61 NOA men who underwent mTESE after a failed cTESE between 01/2014 and 10/2020, at 6 tertiary referral centers in Italy were analysed.
Participants/materials, setting, methods
All men underwent testicular ultrasound, hormonal and genetic blood testing. Histopathological diagnosis from TESE was collected in every man. Semen analyses were based on the 2010 WHO reference criteria. mTESE was performed according to the technique of Schlegel et al. (1999). Descriptive statistics and logistic regression models were used to investigate potential predictors of positive sperm retrieval (SR+) after salvage mTESE.
Main results and the role of chance
Overall, median (IQR) age and testicular volume were 35 (31–38) years and 10 (6–15) ml, respectively. Baseline serum FSH and total testosterone levels were 17.1 (8.6–30.4) mUI/mL and 4.7 (3.5–6.4) ng/mL, respectively. Sertoli-cell-only (SCO) syndrome, maturation arrest (MA) and hypospermatogenesis were found in 24 (39.3%), 21 (34.4%) and 16 (26.2%) men after cTESE, respectively. Spermatozoa were retrieved in 30 (49.2%) men at salvage mTESE. Patients with a diagnosis of hypospermatogenesis had a higher rate of SR + [12/16 (75%)] than those with MA [12/21 (57.1%)] and SCOS [6/24 (25%)] after salvage mTESE (p < 0.01), which was bilateral in 36 (59%) cases. FSH was higher [16.5 (8–22) vs. 8.9 (5–13) mUI/mL, p < 0.01] in SR- patients compared to SR+. No difference in clinical characteristics was found between patients with SR+ and SR- at salvage mTESE. There were no significant complications after mTESE. Multivariable logistic regression analysis showed that hypospermatogenesis (OR 9.7; p < 0.01) and low FSH levels (OR 0.9, p < 0.001) were independent predictors of SR+ after salvage mTESE, after accounting for age.
Limitations, reasons for caution
Despite we analysed one of the largest series of salvage mTESE, the samples size is too small to draw general conclusions. Because of the multicenter nature of the study we cannot rely on standardization of surgical techniques for TESE.
Wider implications of the findings: This is one of the larger studies on salvage mTESE. The selection of patients for salvage mTESE is of critical importance.
Trial registration number
na
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Affiliation(s)
- L Boeri
- Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico- University of Milan- Milan- Italy, Urology, Milan, Italy
| | - D Dente
- Unit of Robotic & Mininvasive Surgery - Casa Di Cura Villa Igea- Ancona, Urology, Ancona, Italy
| | - E Greco
- Centre for Reproductive Medicine- European Hospital- Rome- Italy, ivf, Rome, Italy
| | - M Turetti
- Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico- University of Milan- Milan- Italy, Urology, Milan, Italy
| | - M Capece
- Department of Neurosciences- Reproductive Sciences and Odontostomatology- University of Naples “Federico II”- Naples, Urology, Naples, Italy
| | - A Cocci
- Department of Urology and Andrology Surgery- University of Florence, Urology, Florence, Italy
| | - M Preto
- Division of Urology- A.O.U. Città della Salute e della Scienza di Torino - Presidio Molinette, Urology, Turin, Italy
| | - E Pescatori
- Reproductive Medicine Unit- GynePro Medical Centers- NextClinics International- Bologna- Italy, Urology, Bologna, Italy
| | - F Gadda
- Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico- University of Milan- Milan- Italy, Urology, Milan, Italy
| | - G Franco
- Department Gynaecological-Obstetrical and Urological Sciences- Sapienza University of Rome, Urology, Rome, Italy
| | - A Palmieri
- Department of Neurosciences- Reproductive Sciences and Odontostomatology- University of Naples “Federico II”- Naples, Urology, Naples, Italy
| | - L Rolle
- Division of Urology- A.O.U. Città della Salute e della Scienza di Torino - Presidio Molinette, Urology, Turin, Italy
| | - F Montorsi
- Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy, Urology, Milan, Italy
| | - A Salonia
- Division of Experimental Oncology/Unit of Urology- URI- IRCCS Ospedale San Raffaele- Milan- Italy, Urology, Milan, Italy
| | - E Montanari
- Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico- University of Milan- Milan- Italy, Urology, Milan, Italy
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Falcone M, Ceruti C, Preto M, Timpano M, Cirigliano L, Sedigh O, Blecher G, Rolle L, Gontero P. Long-Term Surgical, Functional, and Patient Reported Outcomes of a Modified Corporoplasty: A Tertiary Referral Center Experience. J Sex Med 2020; 17:1779-1786. [PMID: 32669248 DOI: 10.1016/j.jsxm.2020.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 06/01/2020] [Accepted: 06/03/2020] [Indexed: 11/17/2022]
Abstract
BACKGROUND Nesbit corporoplasty was proposed to address penile curvature (PC), both congenital (CPC) and acquired (APC). AIM To evaluate surgical, functional, and patient reported outcomes (PROs) of a modified corporoplasty. METHODS From May 2005 to January 2017, a consecutive series of patients underwent a modified corporoplasty. Data were retrospectively extrapolated. Intra and postoperative complications and hospital stay were recorded as surgical outcomes. 2 validated international questionnaires were administered preoperatively and at 12 months after surgery: International Index of Erectile Function and Sexual Encounter Profile (items 2-3). An "ad hoc" questionnaire was utilized to assess PROs. OUTCOMES Postoperative surgical and functional outcomes and PROs were the primary outcomes assessed in this study. RESULTS 87 out of 145 patients had complete data available and were included in the study. CPC was noted in 61 patients whilst APC, secondary to Peyronie's disease, was present in 26 patients. Median preoperative PC was 60° (interquartile range [IQR] 45-70). Functional and PROs were evaluated 12 months after surgery for all enrolled patients. Considering surgical outcomes, the median follow-up time was 110 months (IQR 27-132.5). Median operative time was 130 minutes for CPC (IQR 115-150) and 120 minutes for APC (IQR 95-140). Median hospital stay was 2 days for both groups (IQR 1-2). After the median follow-up time of 110 months (IQR 27-132.5), a recurrent curvature was observed in 9.2% of cases. Minor residual curvature (<20°) was detected in 13.8%. International Index of Erectile Function and Sexual Encounter Profile 2-3 scores improved in both groups. Long-term de novo postoperative erectile dysfunction was observed in 3.2% of CPC cases and in 38.5% in APC (P = .001). A multivariate analysis revealed that etiology (APC), patient age (>35 years), and postoperative complications represented independent risk factors for the development of postoperative erectile dysfunction. Postoperative complications, in terms of bleeding, infection, or poor esthetic wound healing, occurred in 12.6% of patients. No Clavien-Dindo grade III-IV intraoperative complications were reported. Postoperative hematoma was more frequent in CPC when compared to APC (P = .003). In relation to PROs, 26.4% of patients responded as being dissatisfied with postoperative penile length, with a higher incidence in the APC group (P = .001). Overall, a significant improvement in everyday and sexual life quality was observed in both categories. CLINICAL IMPLICATIONS The modified corporoplasty described showed better residual curvature rates, whilst maintaining similar PROs even if APC patients reported less favorable outcomes when compared to CPC. STRENGTHS & LIMITATIONS The primary limitations of this study are its retrospective nature, no objective evaluation of postoperative curvature, and no penile length assessment. CONCLUSION The aforementioned corporoplasty may represent an excellent option for PC correction, with low complication rate and high patient satisfaction. Falcone M, CerutiC, Preto M, et al. Long-Term Surgical, Functional, and Patient Reported Outcomes of a Modified Corporoplasty: A Tertiary Referral Center Experience. J Sex Med 2020;17:1779-1786.
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Affiliation(s)
- Marco Falcone
- Urology Clinic - A.O.U. "Città della Salute e della Scienza" - Molinette Hospital, University of Turin, Turin, Italy
| | - Carlo Ceruti
- Urology Clinic - A.O.U. "Città della Salute e della Scienza" - Molinette Hospital, University of Turin, Turin, Italy
| | - Mirko Preto
- Urology Clinic - A.O.U. "Città della Salute e della Scienza" - Molinette Hospital, University of Turin, Turin, Italy.
| | - Massimiliano Timpano
- Urology Clinic - A.O.U. "Città della Salute e della Scienza" - Molinette Hospital, University of Turin, Turin, Italy
| | - Lorenzo Cirigliano
- Urology Division, Federico II Hospital, University of Naples, Naples, Italy
| | - Omid Sedigh
- Urology Clinic - A.O.U. "Città della Salute e della Scienza" - Molinette Hospital, University of Turin, Turin, Italy
| | - Gideon Blecher
- Urology Department, University College of London Hospital, London, UK
| | - Luigi Rolle
- Urology Clinic - A.O.U. "Città della Salute e della Scienza" - Molinette Hospital, University of Turin, Turin, Italy
| | - Paolo Gontero
- Urology Clinic - A.O.U. "Città della Salute e della Scienza" - Molinette Hospital, University of Turin, Turin, Italy
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Boeri L, Capogrosso P, Ventimiglia E, Preto M, Sibona M, Franceschelli A, Gentile G, Falcone M, Timpano M, Ceruti C, Gadda F, Colombo F, Rolle L, Gontero P, Sànchez-Curbelo J, Montanari E, Mirone V, Montorsi F, Salonia A. Rate of hypogonadism among Klinefelter patients at first presentation: A multicenter cross-sectional study. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33027-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Pozzi E, Boeri L, Capogrosso P, Palmisano F, Preto M, Sibona M, Franceschelli A, Ruiz-Castañé E, Sarquella-Geli J, Bassas-Arnau L, Scroppo FI, Gentile G, Falcone M, Timpano M, Ceruti C, Gadda F, Colombo F, Rolle L, Gontero P, Montorsi F, Sánchez-Curbelo J, Montanari E, Salonia A. Rates of hypogonadism forms in Klinefelter patients undergoing testicular sperm extraction: A multicenter cross-sectional study. Andrology 2020; 8:1705-1711. [PMID: 32558292 DOI: 10.1111/andr.12843] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 05/23/2020] [Accepted: 06/09/2020] [Indexed: 01/02/2023]
Abstract
INTRODUCTION AND OBJECTIVES Adult patients with Klinefelter syndrome (KS) may present with testicular volume loss and a decrease in circulating testosterone (T) levels. However, the actual rate of hypogonadism in adult KS men is unknown. We aimed to (a) assess the prevalence of different forms of hypogonadism in a cohort of KS patients with non-obstructive azoospermia (NOA); and (b) investigate potential preoperative predictor of positive sperm retrieval (SR) at surgery in the same cohort of men. METHODS Complete data from 103 KS men with NOA who underwent testicular sperm extraction (TESE) between 2008 and 2019 at five centers were analyzed. Comorbidities were scored with the Charlson Comorbidity Index (CCI). Patients were categorized into four groups of hypogonadism as follows: eugonadism [normal total T (tT) (≥3.03 ng/mL) and normal luteinizing hormone (LH) (≤9.4 mUI/mL)], secondary hypogonadism [low tT (≤3.03 ng/mL) and low/normal LH (≤9.4 mUI/mL)], primary hypogonadism [low tT (≤3.03 ng/mL) and elevated LH (≥9.4 mUI/mL)], and compensated hypogonadism [normal tT (≥3.03 ng/mL) and elevated LH (≥9.4 mUI/mL)]. Descriptive statistics tested the association between clinical characteristics and laboratory values among the four groups. RESULTS Median (IQR) patients age was 32 (24, 37) years. Baseline follicle-stimulating hormone and tT levels were 29.5 (19.9, 40.9) mUI/mL and 3.8 (2.5, 11.0) ng/mL, respectively. Eugonadism, primary hypogonadism, and compensated hypogonadism were found in 16 (15.6%), 34 (33.0%), and 53 (51.4%) men, respectively. No patients had secondary hypogonadism. Positive SR rate at TESE was 21.4% (22 patients); of 22, 15 (68.2%) patients underwent assisted reproductive technology and five (22.7%) ended in live birth children. Patients' age, BMI, CCI, FSH levels, and positive SR rates were comparable among hypogonadism groups. No preoperative parameters were associated with positive SR at logistic regressions analysis. CONCLUSIONS Findings from this cross-sectional study showed that 15.6% of adult KS men have normal tT values at presentation in the real-life setting. Most KS patients presented with either compensated or primary hypogonadism. Sperm retrieval rates were not associated with different forms of hypogonadism.
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Affiliation(s)
- Edoardo Pozzi
- Division of Experimental Oncology/Unit of Urology, URI; RCCS Ospedale San Raffaele, Milan, Italy
| | - Luca Boeri
- Division of Experimental Oncology/Unit of Urology, URI; RCCS Ospedale San Raffaele, Milan, Italy.,Department of Urology, Foundation IRCCS Ca' Granda - Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Paolo Capogrosso
- Division of Experimental Oncology/Unit of Urology, URI; RCCS Ospedale San Raffaele, Milan, Italy.,Department of Urology and Andrology, Ospedale di Circolo and Macchi Foundation, Varese, Italy
| | - Franco Palmisano
- Department of Urology, Foundation IRCCS Ca' Granda - Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Mirko Preto
- Division of Urology, A.O.U. Città della Salute e della Scienza di Torino - Presidio Molinette, Turin, Italy
| | - Mattia Sibona
- Division of Urology, A.O.U. Città della Salute e della Scienza di Torino - Presidio Molinette, Turin, Italy
| | | | - Eduard Ruiz-Castañé
- Fundació Puigvert, Department of Andrology, Universitat Autonoma de Barcelona, Barcelona, Spain
| | - Joaquim Sarquella-Geli
- Fundació Puigvert, Department of Andrology, Universitat Autonoma de Barcelona, Barcelona, Spain
| | - Lluís Bassas-Arnau
- Fundació Puigvert, Department of Andrology, Universitat Autonoma de Barcelona, Barcelona, Spain
| | - Fabrizio I Scroppo
- Department of Urology and Andrology, Ospedale di Circolo and Macchi Foundation, Varese, Italy
| | - Giorgio Gentile
- Andrology Unit, University Hospital S. Orsola, Bologna, Italy
| | - Marco Falcone
- Division of Urology, A.O.U. Città della Salute e della Scienza di Torino - Presidio Molinette, Turin, Italy
| | - Massimiliano Timpano
- Division of Urology, A.O.U. Città della Salute e della Scienza di Torino - Presidio Molinette, Turin, Italy
| | - Carlo Ceruti
- Division of Urology, A.O.U. Città della Salute e della Scienza di Torino - Presidio Molinette, Turin, Italy
| | - Franco Gadda
- Department of Urology, Foundation IRCCS Ca' Granda - Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Fulvio Colombo
- Andrology Unit, University Hospital S. Orsola, Bologna, Italy
| | - Luigi Rolle
- Division of Urology, A.O.U. Città della Salute e della Scienza di Torino - Presidio Molinette, Turin, Italy
| | - Paolo Gontero
- Division of Urology, A.O.U. Città della Salute e della Scienza di Torino - Presidio Molinette, Turin, Italy
| | - Francesco Montorsi
- Division of Experimental Oncology/Unit of Urology, URI; RCCS Ospedale San Raffaele, Milan, Italy.,University Vita-Salute San Raffaele, Milan, Italy
| | - Josvany Sánchez-Curbelo
- Fundació Puigvert, Department of Andrology, Universitat Autonoma de Barcelona, Barcelona, Spain
| | - Emanuele Montanari
- Department of Urology, Foundation IRCCS Ca' Granda - Ospedale Maggiore Policlinico, University of Milan, Milan, Italy
| | - Andrea Salonia
- Division of Experimental Oncology/Unit of Urology, URI; RCCS Ospedale San Raffaele, Milan, Italy.,University Vita-Salute San Raffaele, Milan, Italy
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Vedovo F, Di Blas L, Perin C, Pavan N, Zatta M, Bucci S, Morelli G, Cocci A, Delle Rose A, Caroassai Grisanti S, Gentile G, Colombo F, Rolle L, Timpano M, Verze P, Spirito L, Schiralli F, Bettocchi C, Garaffa G, Palmieri A, Mirone V, Trombetta C. P-06-1 Operated Male to Female Sexual Function Index (OMTFSFI): A Study on the Validity of the First Questionnaire Developed in Order to Assess the Sexual Function after Male to Female Gender Reassignment Surgery. J Sex Med 2020. [DOI: 10.1016/j.jsxm.2020.04.344] [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]
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7
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Boeri L, Palmisano F, Preto M, Sibona M, Capogrosso P, Franceschelli A, Ruiz‐Castañé E, Sarquella‐Geli J, Bassas‐Arnau L, Scroppo FI, Saccà A, Gentile G, Falcone M, Timpano M, Ceruti C, Gadda F, Trost L, Colombo F, Rolle L, Gontero P, Montorsi F, Sánchez‐Curbelo J, Salonia A, Montanari E. Sperm retrieval rates in non‐mosaic Klinefelter patients undergoing testicular sperm extraction: What expectations do we have in the real‐life setting? Andrology 2020; 8:680-687. [DOI: 10.1111/andr.12767] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2019] [Revised: 11/20/2019] [Accepted: 01/27/2020] [Indexed: 12/12/2022]
Affiliation(s)
- Luca Boeri
- Department of Urology Foundation IRCCS Ca’ Granda – Ospedale Maggiore Policlinico University of Milan Milan Italy
- Division of Experimental Oncology/Unit of Urology URI IRCCS Ospedale San Raffaele Milan Italy
| | - Franco Palmisano
- Department of Urology Foundation IRCCS Ca’ Granda – Ospedale Maggiore Policlinico University of Milan Milan Italy
| | - Mirko Preto
- Division of Urology A.O.U. Città della Salute e della Scienza di Torino – Presidio Molinette Turin Italy
| | - Mattia Sibona
- Division of Urology A.O.U. Città della Salute e della Scienza di Torino – Presidio Molinette Turin Italy
| | - Paolo Capogrosso
- Division of Experimental Oncology/Unit of Urology URI IRCCS Ospedale San Raffaele Milan Italy
| | | | - Eduard Ruiz‐Castañé
- Fundació Puigvert Department of Andrology Universitat Autonoma de Barcelona Barcelona Spain
| | - Joaquim Sarquella‐Geli
- Fundació Puigvert Department of Andrology Universitat Autonoma de Barcelona Barcelona Spain
| | - Lluís Bassas‐Arnau
- Fundació Puigvert Department of Andrology Universitat Autonoma de Barcelona Barcelona Spain
| | | | - Antonino Saccà
- Department of Urology AO Papa Giovanni XXIII Bergamo Italy
| | | | - Marco Falcone
- Division of Urology A.O.U. Città della Salute e della Scienza di Torino – Presidio Molinette Turin Italy
| | - Massimiliano Timpano
- Division of Urology A.O.U. Città della Salute e della Scienza di Torino – Presidio Molinette Turin Italy
| | - Carlo Ceruti
- Division of Urology A.O.U. Città della Salute e della Scienza di Torino – Presidio Molinette Turin Italy
| | - Franco Gadda
- Department of Urology Foundation IRCCS Ca’ Granda – Ospedale Maggiore Policlinico University of Milan Milan Italy
| | - Landon Trost
- Department of Urology Mayo Clinic Rochester MN USA
| | - Fulvio Colombo
- Andrology Unit University Hospital S. Orsola Bologna Italy
| | - Luigi Rolle
- Division of Urology A.O.U. Città della Salute e della Scienza di Torino – Presidio Molinette Turin Italy
| | - Paolo Gontero
- Division of Urology A.O.U. Città della Salute e della Scienza di Torino – Presidio Molinette Turin Italy
| | - Francesco Montorsi
- Division of Experimental Oncology/Unit of Urology URI IRCCS Ospedale San Raffaele Milan Italy
| | | | - Andrea Salonia
- Division of Experimental Oncology/Unit of Urology URI IRCCS Ospedale San Raffaele Milan Italy
| | - Emanuele Montanari
- Department of Urology Foundation IRCCS Ca’ Granda – Ospedale Maggiore Policlinico University of Milan Milan Italy
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8
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Ceruti C, Sibona M, Sedigh O, Timpano M, Falcone M, Preto M, Rolle L, Gontero P. PS-07-008 Which penile implant has the best surgical and satisfaction outcomes? Data from a 203 patients monocentric series. J Sex Med 2019. [DOI: 10.1016/j.jsxm.2019.03.096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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9
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Zavattaro M, Ceruti C, Motta G, Allasia S, Marinelli L, Di Bisceglie C, Tagliabue MP, Sibona M, Rolle L, Lanfranco F. Treating varicocele in 2018: current knowledge and treatment options. J Endocrinol Invest 2018; 41:1365-1375. [PMID: 30284221 DOI: 10.1007/s40618-018-0952-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2018] [Accepted: 09/11/2018] [Indexed: 01/20/2023]
Abstract
PURPOSE Varicocele is defined as a state of varicosity and tortuosity of the pampiniform plexus around the testis caused by retrograde blood flow through the internal spermatic vein. The prevalence of clinically relevant varicocele ranges from 5 to 20% in the male population and is often associated with infertility and reduction of sperm quality. In this review, the pathophysiology and clinical aspects of varicocele are reviewed along with therapeutic options and treatment effects on sperm parameters and fertility both in adult and in pediatric/adolescent subjects. METHODS We conducted a Medline and a PubMed search from 1965 to 2018 to identify publications related to varicocele clinical aspects, treatment procedures and treatment outcomes. Keywords used for the search were: "varicocele", "varicocelectomy", "sclerotherapy", "male infertility", "subfertility", and "semen abnormalities". RESULTS Data from a large number of studies in adolescent and adult males indicate that varicocele correction improves semen parameters in the majority of patients, reducing oxidative stress and improving sperm nuclear DNA integrity either with surgical or percutaneous approach. CONCLUSIONS Varicocele repair seems to represent a cost-effective therapeutic option for all males (both adolescent and adults) with a clinical varicocele in the presence of testicular hypotrophy, worsening sperm alterations or infertility. On the other hand, some investigators questioned the role of varicocelectomy in the era of assisted reproduction. Thus, a better understanding of the pathophysiology of varicocele-associated male subfertility is of paramount importance to elucidating the deleterious effects of varicocele on spermatogenesis and possibly formulating new treatment strategies.
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Affiliation(s)
- M Zavattaro
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy
| | - C Ceruti
- Division of Urology, Department of Surgical Sciences, University of Turin, Turin, Italy
| | - G Motta
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy
| | - S Allasia
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy
| | - L Marinelli
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy
| | - C Di Bisceglie
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy
| | - M P Tagliabue
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy
| | - M Sibona
- Division of Urology, Department of Surgical Sciences, University of Turin, Turin, Italy
| | - L Rolle
- Division of Urology, Department of Surgical Sciences, University of Turin, Turin, Italy
| | - F Lanfranco
- Division of Endocrinology, Diabetology and Metabolism, Department of Medical Sciences, University of Turin, Corso Dogliotti 14, 10126, Turin, Italy.
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10
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Ceruti C, Sibona M, Preto M, Bertinato R, Sedigh O, Timpano M, Falcone M, Gontero P, Rolle L. 666 Previous pelvic radiation therapy is the single strongest risk factor for penile prosthesis infection. Data from a large monocentric series. J Sex Med 2018. [DOI: 10.1016/j.jsxm.2018.04.574] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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11
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Marco F, Cirigliano L, Ceruti C, Timpano M, Sedigh O, Preto M, Sibona M, Gontero P, Rolle L. 653 Long-term surgical, functional and patients’ reported outcomes of the turin's corporoplasty: results from a tertiary referral center experience. J Sex Med 2018. [DOI: 10.1016/j.jsxm.2018.04.560] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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12
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Preto M, Garaffa G, Falcone M, Gontero P, Rolle L. Response and Rebuttal to Editorial Comment "A Comparative Study Between 2 Different Grafts Used as Patches After Plaque Incision and Inflatable Penile Prosthesis Implantation for End-Stage Peyronie's Disease". J Sex Med 2018; 15:1061-1062. [PMID: 29861353 DOI: 10.1016/j.jsxm.2018.04.646] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2018] [Accepted: 04/23/2018] [Indexed: 11/19/2022]
Affiliation(s)
- Mirko Preto
- Urology Clinic, Città della Salute e della Scienza, University of Turin, Turin, Italy.
| | - Giulio Garaffa
- Andrology Unit, University College of London Hospital, London, United Kingdom
| | - Marco Falcone
- Urology Clinic, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Paolo Gontero
- Urology Clinic, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Luigi Rolle
- Urology Clinic, Città della Salute e della Scienza, University of Turin, Turin, Italy
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13
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Falcone M, Preto M, Ceruti C, Timpano M, Garaffa G, Sedigh O, Sibona M, Oderda M, Gontero P, Rolle L. A Comparative Study Between 2 Different Grafts Used as Patches After Plaque Incision and Inflatable Penile Prosthesis Implantation for End-Stage Peyronie's Disease. J Sex Med 2018; 15:848-852. [PMID: 29753801 DOI: 10.1016/j.jsxm.2018.04.632] [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] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Revised: 03/12/2018] [Accepted: 04/12/2018] [Indexed: 11/30/2022]
Abstract
BACKGROUND Although many grafts have been used for plaque incision with grafting (PIG) and penile prosthesis (PP) implantation, there is no evidence that favors 1 specific graft over another. AIM To compare fibrin-coated collagen fleece (TachoSil; Baxter International, Deerfield, IL, USA) with porcine small intestinal submucosa (SIS; Cook Biotech, West Lafayette, IN, USA) as grafts. METHODS From January 2007 to January 2015, 60 non-randomized consecutive patients affected by end-stage Peyronie disease underwent PIG and PP implantation (AMS 700CX; Boston Scientific, Marlborough, MA, USA). All patients underwent preoperative penile dynamic duplex ultrasound. All procedures were performed by the same surgeon. Patients were divided in 2 different groups according to the graft used to cover the albuginea defect. SIS was used for grafting in 34 patients (group A) and TachoSil was used in 26 patients (group B). OUTCOMES Overall hospital stay, operative time, 5-point Likert hematoma scale, visual analog scale, incidence of postoperative complications, and PP mechanical failure were selected as outcome measures. Functional outcomes were assessed through validated questionnaires (International Index of Erectile Function, Erectile Dysfunction Inventory of Treatment Satisfaction, and Sexual Encounter Profile questions 2 and 3) preoperatively and 3, 6, and 12 months postoperatively. RESULTS The patients' median age was 63 years. No statistically significant differences were detected between groups for age and type and degree of curvature (median = 65°). Average follow-up was 35 months. No major intraoperative complications were reported. The average operative time was 145 minutes for group A and 120 minutes for group B. No statistically significant differences between groups were detected for postoperative complications. Only 3 patients developed a major postoperative complication requiring a 2nd surgical intervention: 1 patient in group A for mechanic failure and 1 patient in group A and 1 in group B for inflatable PP infection. Multivariate statistical analysis showed no significant difference for all variables analyzed between the 2 groups, except for operative time, which was significantly shorter for group B. CLINICAL IMPLICATIONS TachoSil could represent a valuable option for grafting, considering its advantages in operative time and cost compared with SIS. STRENGTHS AND LIMITATIONS Long-term follow-up represents a strength factor. Main limitations are the non-randomized nature of the study and the small number of patients. CONCLUSIONS TachoSil seems to represent an effective solution for grafting after PIG and PP implantation. However, additional studies are warranted to confirm our results. Falcone M, Preto M, Ceruti C, et al. A Comparative Study Between 2 Different Grafts Used as Patches After Plaque Incision and Inflatable Penile Prosthesis Implantation for End-Stage Peyronie's Disease. J Sex Med 2018;15:848-852.
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Affiliation(s)
- Marco Falcone
- Urology Clinic, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Mirko Preto
- Urology Clinic, Città della Salute e della Scienza, University of Turin, Turin, Italy.
| | - Carlo Ceruti
- Urology Clinic, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Massimiliano Timpano
- Urology Clinic, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Giulio Garaffa
- Andrology Unit, University College of London Hospital, London, UK
| | - Omidreza Sedigh
- Urology Clinic, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Mattia Sibona
- Urology Clinic, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Marco Oderda
- Urology Clinic, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Paolo Gontero
- Urology Clinic, Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Luigi Rolle
- Urology Clinic, Città della Salute e della Scienza, University of Turin, Turin, Italy
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14
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Negro C, Destefanis P, Bosio A, Bisconti A, De Maria C, Carchedi M, Buffardi A, Rolle L, Fontana D. Riparazione Trans-Vaginale di Fistola Neovescico-Vaginale. Urologia 2018. [DOI: 10.1177/0391560310077016s03] [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: 11/16/2022]
Abstract
Introduction Neobladder vaginal fistula is a known complication after cystectomy and orthotopic neobladder in women. The exact incidence is still unknown, even if in some of the largest series is reported in about 5% of female patients. We present our personal experience with a case of neobladder vaginal fistula. Methods A fifty-year old woman affected by T2G3 bladder cancer underwent radical cystectomy and orthotopic neobladder in December 2007. Definitive pathological examination revealed pT3aN0G3 urothelial cancer with squamous aspects. Two cycles of neoadjuvant chemotherapy were administered before cystectomy. Three weeks after cystectomy, a retrograde cystography revealed a fistula between vagina and neobladder. At first, the patient was treated conservatively, keeping the urethral catheter for two months. Cystographies, repeated every month, recorded a reduction in size of the fistula but not the complete closure. A surgical correction was planned. Preoperative cystoscopy showed the neobladder opening of the fistula on the posterior wall. Then a transvaginal approach with fistula excision and a two layer cross suture were performed. Results At the cystography performed 1 month after surgical repair no fistula was detected, and the patient was completely dry. At 3 months follow-up the patient was completely dry. Conclusion The development of a neobladder-vaginal fistula is a significant, even if infrequent, complication after cystectomy. In our case, we performed a transvaginal approach without tissue interposition, with good results. Such procedure is easy and effective and, in our opinion, can be tempted as first line surgical treatment.
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Affiliation(s)
- C.L.A. Negro
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette” - Torino
| | - P. Destefanis
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette” - Torino
| | - A. Bosio
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette” - Torino
| | - A. Bisconti
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette” - Torino
| | - C. De Maria
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette” - Torino
| | - M. Carchedi
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette” - Torino
| | - A. Buffardi
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette” - Torino
| | - L. Rolle
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette” - Torino
| | - D. Fontana
- Divisione Universitaria di Urologia 2 - Ospedale San Giovanni Battista “Molinette” - Torino
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15
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Benucci I, Río Segade S, Cerreti M, Giacosa S, Paissoni M, Liburdi K, Bautista-Ortín A, Gómez-Plaza E, Gerbi V, Esti M, Rolle L. Application of enzyme preparations for extraction of berry skin phenolics in withered winegrapes. Food Chem 2017; 237:756-765. [DOI: 10.1016/j.foodchem.2017.06.003] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2017] [Revised: 05/31/2017] [Accepted: 06/01/2017] [Indexed: 11/27/2022]
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16
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Falcone M, Sibona M, Preto M, Cocci A, Timpano M, Rolle L, Ceruti C, Oderda M, Gontero P, Garaffa G. An Update on the Management of the Short Penis: Results from a Systematic Review. Curr Sex Health Rep 2017. [DOI: 10.1007/s11930-017-0127-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
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17
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Santini D, Rolle L, Cascio P, Mannini F. Modifications in Chemical, Physical and Mechanical Properties of Nebbiolo (Vitis vinifera L.) Grape Berries Induced by Mixed Virus Infection. S AFR J ENOL VITIC 2016. [DOI: 10.21548/32-2-1378] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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18
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Cagnasso E, Torchio F, Gerbi V, Segade SR, Giacosa S, Rolle L. Evolution of the Phenolic Content and Extractability Indices During Ripening of Nebbiolo Grapes from the Piedmont Growing Areas over Six Consecutive Years. S AFR J ENOL VITIC 2016. [DOI: 10.21548/32-2-1383] [Citation(s) in RCA: 4] [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: 11/06/2022] Open
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19
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Vincenzi S, Tomasi D, Gaiotti F, Lovat L, Giacosa S, Torchio F, Segade SR, Rolle L. Comparative Study of the Resveratrol Content of Twenty-one Italian Red Grape Varieties. S AFR J ENOL VITIC 2016. [DOI: 10.21548/34-1-1078] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
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20
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Torchio F, Giacosa S, Río Segade S, Gerbi V, Rolle L. Berry Heterogeneity as a Possible Factor Affecting the Potential of Seed Mechanical Properties to Classify Wine Grape Varieties and Estimate Flavanol Release in Wine-like Solution. S AFR J ENOL VITIC 2016. [DOI: 10.21548/35-1-982] [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: 11/06/2022] Open
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21
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Falcone M, Timpano M, Ceruti C, Sedigh O, Preto M, Sibona M, Frea B, Rolle L. P-01-041 A single center analysis on the learning curve of male to female peno-scrotal vaginoplasty by multiple outcome measures. J Sex Med 2016. [DOI: 10.1016/j.jsxm.2016.03.194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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22
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Ceruti C, Sedigh O, Timpano M, Falcone M, Preto M, Sibona M, Frea B, Rolle L. HP-05-006 Distal repair of tunica albuginea for herniation of penile implant: comparison of outcomes using two types of non - autologous graft. J Sex Med 2016. [DOI: 10.1016/j.jsxm.2016.03.133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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23
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Ceruti C, Sedigh O, Timpano M, Sibona M, Falcone M, Preto M, Oderda M, Gontero P, Frea B, Rolle L. P-01-024 Treatment of prostate cancer and sexual rehabilitation when a nerve-sparing procedure is not feasible: placement of the reservoir for a three-component penile implant during robotic extra-aponeurotic radical prostatectomy. J Sex Med 2016. [DOI: 10.1016/j.jsxm.2016.03.179] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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24
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Rolle L, Falcone M, Ceruti C, Timpano M, Sedigh O, Ralph DJ, Kuehhas F, Oderda M, Preto M, Sibona M, Gillo A, Garaffa G, Gontero P, Frea B. A prospective multicentric international study on the surgical outcomes and patients' satisfaction rates of the 'sliding' technique for end-stage Peyronie's disease with severe shortening of the penis and erectile dysfunction. BJU Int 2015; 117:814-20. [PMID: 26688436 DOI: 10.1111/bju.13371] [Citation(s) in RCA: 48] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
OBJECTIVES To report the results from a prospective multicentric study of patients with Peyronie's disease (PD) treated with the 'sliding' technique (ST). PATIENTS AND METHODS From June 2010 to January 2014, 28 consecutive patients affected by stable PD with severe penile shortening and end-stage erectile dysfunction (ED) were enrolled in three European PD tertiary referral centres. The validated International Index of Erectile Function (IIEF) questionnaire, the Sexual Encounter Profile (SEP) Questions 2 and 3, and the Peyronie's disease questionnaire (PDQ) were completed preoperatively by all patients. At the follow-up visits (at 3, 6 and 12 months), the IIEF, the SEP Questions 2 and 3, the PDQ, and the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) were completed. The outcome analysis was focused on penile length restoration, and intra- and postoperative complications classified according the Clavien-Dindo Classification. RESULTS The mean (range) follow-up was 37 (9-60) months. A malleable penile prosthesis (PP) was implanted in seven patients, while an inflatable three-pieces PP was placed in the remainder. In the case of inflatable PP implantation, porcine small intestinal submucosa and acellular porcine dermal matrix were used to cover the tunical defects. While in patients undergoing malleable PP implantation, collagen-fibrin sponge was used. The mean operative time was 145 min in the inflatable PP group and 115 min in the malleable PP group. There were no intraoperative complications. Postoperative complications included profuse bleeding requiring a blood transfusion in one patient (3.5%) on anticoagulation therapy for a mechanical heart valve (Grade II) and PP infection requiring the removal of the device (7%) (Grade III). There were no late recurrences of the shaft deformation. The postoperative functional data showed a progressive improvement in the score of all questionnaires, peaking at 12 months postoperatively. The mean (range) penile lengthening was 3.2 (2.5-4) cm and no patient reported recurrence of the curvature. CONCLUSIONS The present series suggests that, in the hands of experienced high-volume surgeons, penile length restoration with the use of the ST represents an effective option for end-stage PD associated with ED and severe shortening of the shaft. Larger series and longer follow-up will be required to fully establish the efficacy of this procedure.
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Affiliation(s)
- Luigi Rolle
- Department of Urology, Città della Salute e della Scienza, University of Turin , Turin, Italy
| | - Marco Falcone
- Department of Urology, Città della Salute e della Scienza, University of Turin , Turin, Italy.,St. Peter's Andrology and The Institute of Urology, University College of London Hospital (UCLH), London, UK
| | - Carlo Ceruti
- Department of Urology, Città della Salute e della Scienza, University of Turin , Turin, Italy
| | - Massimiliano Timpano
- Department of Urology, Città della Salute e della Scienza, University of Turin , Turin, Italy
| | - Omid Sedigh
- Department of Urology, Città della Salute e della Scienza, University of Turin , Turin, Italy
| | - David J Ralph
- St. Peter's Andrology and The Institute of Urology, University College of London Hospital (UCLH), London, UK
| | - Franklin Kuehhas
- Department of Urology, Medical University of Vienna, Vienna, Austria
| | - Marco Oderda
- Department of Urology, Città della Salute e della Scienza, University of Turin , Turin, Italy
| | - Mirko Preto
- Department of Urology, Città della Salute e della Scienza, University of Turin , Turin, Italy
| | - Mattia Sibona
- Department of Urology, Città della Salute e della Scienza, University of Turin , Turin, Italy
| | - Arianna Gillo
- Department of Urology, Città della Salute e della Scienza, University of Turin , Turin, Italy
| | - Giulio Garaffa
- St. Peter's Andrology and The Institute of Urology, University College of London Hospital (UCLH), London, UK
| | - Paolo Gontero
- Department of Urology, Città della Salute e della Scienza, University of Turin , Turin, Italy
| | - Bruno Frea
- Department of Urology, Città della Salute e della Scienza, University of Turin , Turin, Italy
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25
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Turinetto V, Pardini B, Allione A, Fiorito G, Viberti C, Guarrera S, Russo A, Anglesio S, Ruo Redda MG, Casetta G, Cucchiarale G, Destefanis P, Oderda M, Gontero P, Rolle L, Frea B, Vineis P, Sacerdote C, Giachino C, Matullo G. H2AX phosphorylation level in peripheral blood mononuclear cells as an event-free survival predictor for bladder cancer. Mol Carcinog 2015; 55:1833-1842. [PMID: 27439749 DOI: 10.1002/mc.22431] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2015] [Revised: 11/02/2015] [Accepted: 11/03/2015] [Indexed: 11/06/2022]
Abstract
Bladder cancer (BC) has a typical aetiology characterized by a multistep carcinogenesis due to environmental exposures, genetic susceptibility, and their interaction. Several lines of evidence suggest that DNA repair plays a role in the development and progression of BC. In particular, the study of individual susceptibility to DNA double strand breaks (DSBs) may provide valuable information on BC risk, and help to identify those patients at high-risk of either recurrence or progression of the disease, possibly personalizing both surveillance and treatment. Among the different DSB markers, the most well characterized is phosphorylation of the histone H2AX (γ-H2AX). We assessed any potential role of γ-H2AX as a molecular biomarker in a case-control study (146 cases and 146 controls) to identify individuals with increased BC risk and at high-risk of disease recurrence or progression. We investigated γ-H2AX levels in peripheral blood mononuclear cells before and after their exposure to ionizing radiation (IR). We did not find any significant difference among cases and controls. However, we observed a significant association between γ-H2AX basal levels and risk of disease recurrence or progression. In particular, both BC patients as a whole and the subgroup of non-muscle invasive BC (NMIBC) with high basal H2AX phosphorylation levels had a decreased risk of recurrence or progression (for all BC HR 0.70, 95%CI 0.52-0.94, P = 0.02; for NMIBC HR 0.68, 95%CI 0.50-0.92, P = 0.01), suggesting a protective effect of basal DSB signaling. Our data suggest that γ-H2AX can be considered as a potential molecular biomarker to identify patients with a higher risk of BC recurrence. © 2015 Wiley Periodicals, Inc.
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Affiliation(s)
- Valentina Turinetto
- Department of Clinical and Biological Sciences, University of Turin, Orbassano, Turin, Italy.
| | - Barbara Pardini
- Human Genetics Foundation (HuGeF), Turin, Italy. .,Department of Medical Sciences, University of Turin, Turin, Italy.
| | - Alessandra Allione
- Human Genetics Foundation (HuGeF), Turin, Italy.,Department of Medical Sciences, University of Turin, Turin, Italy
| | - Giovanni Fiorito
- Human Genetics Foundation (HuGeF), Turin, Italy.,Department of Medical Sciences, University of Turin, Turin, Italy
| | - Clara Viberti
- Human Genetics Foundation (HuGeF), Turin, Italy.,Department of Medical Sciences, University of Turin, Turin, Italy
| | - Simonetta Guarrera
- Human Genetics Foundation (HuGeF), Turin, Italy.,Department of Medical Sciences, University of Turin, Turin, Italy
| | - Alessia Russo
- Human Genetics Foundation (HuGeF), Turin, Italy.,Department of Medical Sciences, University of Turin, Turin, Italy
| | - Silvia Anglesio
- Department of Oncology, Radiation Oncology Unit, S. Luigi Hospital, University of Turin, Orbassano, Italy
| | - Maria Grazia Ruo Redda
- Department of Oncology, Radiation Oncology Unit, S. Luigi Hospital, University of Turin, Orbassano, Italy
| | - Giovanni Casetta
- Department of Urology, Città della Salute e della Scienza, Turin, Italy
| | | | - Paolo Destefanis
- Department of Urology, Città della Salute e della Scienza, Turin, Italy
| | - Marco Oderda
- Department of Urology, Città della Salute e della Scienza, Turin, Italy
| | - Paolo Gontero
- Department of Urology, Città della Salute e della Scienza, Turin, Italy
| | - Luigi Rolle
- Department of Urology, Città della Salute e della Scienza, Turin, Italy
| | - Bruno Frea
- Department of Urology, Città della Salute e della Scienza, Turin, Italy
| | - Paolo Vineis
- Human Genetics Foundation (HuGeF), Turin, Italy.,MRC-HPA Centre for Environment and Health, School of Public Health, Imperial College London, London, United Kingdom
| | | | - Claudia Giachino
- Department of Clinical and Biological Sciences, University of Turin, Orbassano, Turin, Italy
| | - Giuseppe Matullo
- Human Genetics Foundation (HuGeF), Turin, Italy.,Department of Medical Sciences, University of Turin, Turin, Italy
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Laureano J, Giacosa S, Río Segade S, Torchio F, Cravero F, Gerbi V, Englezos V, Carboni C, Cocolin L, Rantsiou K, Faroni L, Rolle L. Effects of Continuous Exposure to Ozone Gas and Electrolyzed Water on the Skin Hardness of Table and Wine Grape Varieties. J Texture Stud 2015. [DOI: 10.1111/jtxs.12158] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [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)
- J. Laureano
- CAPES Foundation, Ministry of Education of Brazil; 70040-020 Brasília Distrito Federal Brazil
- Departamento de Engenharia Agrícola; Universidade Federal de Viçosa; Av. PH Rolfs s/n 36570-000 Viçosa Minas Gerais Brazil
| | - S. Giacosa
- Dipartimento di Scienze Agrarie, Forestali e Alimentari, Università degli Studi di Torino; Largo Paolo Braccini 2 10095 Grugliasco Turin Italy
| | - S. Río Segade
- Dipartimento di Scienze Agrarie, Forestali e Alimentari, Università degli Studi di Torino; Largo Paolo Braccini 2 10095 Grugliasco Turin Italy
| | - F. Torchio
- Istituto di Enologia e Ingegneria Agro-Alimentare, Università Cattolica del Sacro Cuore; Via Emilia Parmense 84 29122 Piacenza Italy
| | - F. Cravero
- Dipartimento di Scienze Agrarie, Forestali e Alimentari, Università degli Studi di Torino; Largo Paolo Braccini 2 10095 Grugliasco Turin Italy
| | - V. Gerbi
- Dipartimento di Scienze Agrarie, Forestali e Alimentari, Università degli Studi di Torino; Largo Paolo Braccini 2 10095 Grugliasco Turin Italy
| | - V. Englezos
- Dipartimento di Scienze Agrarie, Forestali e Alimentari, Università degli Studi di Torino; Largo Paolo Braccini 2 10095 Grugliasco Turin Italy
| | - C. Carboni
- Industrie De Nora SpA. Via Bistolfi 35; 20134 Milano Italy
| | - L. Cocolin
- Dipartimento di Scienze Agrarie, Forestali e Alimentari, Università degli Studi di Torino; Largo Paolo Braccini 2 10095 Grugliasco Turin Italy
| | - K. Rantsiou
- Dipartimento di Scienze Agrarie, Forestali e Alimentari, Università degli Studi di Torino; Largo Paolo Braccini 2 10095 Grugliasco Turin Italy
| | - L.R.D. Faroni
- Departamento de Engenharia Agrícola; Universidade Federal de Viçosa; Av. PH Rolfs s/n 36570-000 Viçosa Minas Gerais Brazil
| | - L. Rolle
- Dipartimento di Scienze Agrarie, Forestali e Alimentari, Università degli Studi di Torino; Largo Paolo Braccini 2 10095 Grugliasco Turin Italy
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Sedigh O, Falcone M, Ceruti C, Timpano M, Preto M, Oderda M, Kuehhas F, Sibona M, Gillo A, Gontero P, Rolle L, Frea B. Sexual function after surgical treatment for penile cancer: Which organ-sparing approach gives the best results? Can Urol Assoc J 2015; 9:E423-7. [PMID: 26279710 DOI: 10.5489/cuaj.2801] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
INTRODUCTION We compared the postoperative sexual function of patients who underwent wide local excision (WLE) and glansectomy with urethral glanduloplasty for penile cancer. METHODS We retrospectively reviewed clinical data of 41 patients affected by superficial, localized penile cancer (≤cT2a) between 2006 and 2013. Patients with severe erectile dysfunction and not interested in resuming an active sexual life were selected for penile partial amputation. Patients with preoperative satisfying erectile function and concerned about the preservation of their sexual potency were scheduled for WLE (Group A) or glansectomy with urethral glanduloplasty (Group B). Sexual function was assessed with the International Index of Erectile Function (IIEF) questionnaire and the Sex Encounter Profile (SEP). At 1 year, patients were asked to complete the questionnaires again and were questioned about their genital sensibility and ejaculatory reflex persistence. Postoperative complications were reported according to the Clavien-Dindo classification. Statistical analysis was performed by two-tailed test: Student t-test and chi-square. RESULTS Among the 41 patients enrolled, 12 underwent WLE (29.2%), 23 glansectomy with urethral glanduloplasty (56%) and 6 with penile partial amputation (14.6%). A decrease in postoperative IIEF was recorded in both groups, but was statistically significant only in Group B (p = 0.003). As for the SEP, while no significant changes were recorded postoperatively in Group A, a marked reduction was reported for Group B, with a statistically significant decrease in the possibility of achieving penetrative intercourse (p = 0.006) and in the perceived satisfaction during sexual activity (p = 0.004). CONCLUSIONS WLE lead to better sexual outcomes and less postoperative complications as compared to glansectomy with urethral glanduloplasty.
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Affiliation(s)
- Omid Sedigh
- Department of Urology, University of Turin, Turin, Italy
| | - Marco Falcone
- Department of Urology, University of Turin, Turin, Italy
| | - Carlo Ceruti
- Department of Urology, University of Turin, Turin, Italy
| | | | - Mirko Preto
- Department of Urology, University of Turin, Turin, Italy
| | - Marco Oderda
- Department of Urology, University of Turin, Turin, Italy
| | | | - Mattia Sibona
- Department of Urology, University of Turin, Turin, Italy
| | - Arianna Gillo
- Department of Urology, University of Turin, Turin, Italy
| | - Paolo Gontero
- Department of Urology, University of Turin, Turin, Italy
| | - Luigi Rolle
- Department of Urology, University of Turin, Turin, Italy
| | - Bruno Frea
- Department of Urology, University of Turin, Turin, Italy
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Timpano M, Falcone M, Kuehhas F, Ceruti C, Sedigh O, Oderda M, Gontero P, Frea B, Rolle L. Surgical management of hypogonadic patients with hypotrophic testicles and small penis: a novel, combined technique with an infrapubic approach. Asian J Androl 2015; 18:143-4. [PMID: 25761832 PMCID: PMC4736344 DOI: 10.4103/1008-682x.145431] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Affiliation(s)
| | - Marco Falcone
- Department of Urology, University of Turin, Città della Salute e della Scienza, Turin 10100, Italy
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Russo A, Modica F, Guarrera S, Fiorito G, Pardini B, Viberti C, Allione A, Critelli R, Bosio A, Casetta G, Cucchiarale G, Destefanis P, Gontero P, Rolle L, Zitella A, Fontana D, Frea B, Vineis P, Sacerdote C, Matullo G. Shorter Leukocyte Telomere Length Is Independently Associated with Poor Survival in Patients with Bladder Cancer. Cancer Epidemiol Biomarkers Prev 2014; 23:2439-46. [DOI: 10.1158/1055-9965.epi-14-0228] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Rolle L, Falcone M, Vighetti S, Ceruti C, Sedigh O, Timpano M, Molo MT, Castelli L, Preto M, Gontero P, Frea B. Does sex reassignment surgery induce cerebral modifications in MTF transsexuals? J Sex Med 2014; 11:312. [PMID: 24433562 DOI: 10.1111/jsm.12355] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Luigi Rolle
- University of Turin, Urology Clinic, Torino, Italy
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Falcone M, Rolle L, Ceruti C, Timpano M, Sedigh O, Preto M, Gonella A, Frea B. Prospective analysis of the surgical outcomes and patients' satisfaction rate after the AMS Spectra penile prosthesis implantation. Urology 2013; 82:373-6. [PMID: 23791218 DOI: 10.1016/j.urology.2013.04.027] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2013] [Revised: 04/15/2013] [Accepted: 04/19/2013] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To evaluate the outcomes, the patients', and their partners' satisfaction concerning the AMS Spectra penile prosthesis implantation. METHODS Twenty-two unresponsive or dissatisfied patients with phosphodiesterase 5 inhibitor oral therapy or prostaglandin intracavernous injection underwent a Spectra penile prosthesis implantation. No major intraoperative or postoperative complications were observed. The preoperative erectile dysfunction (ED) was rated by the International Index of Erectile Function (IIEF) questionnaire. The patients and their partners were submitted to the IIEF and Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS) questionnaires through telephonic interviews at the third, sixth, and 12th months after the penile surgery. RESULTS This study demonstrates that 86.4% of the patients and 52.6% of their partners are satisfied by the AMS Spectra penile prosthesis. The preoperative average IIEF score was equal to 28.5 (range 13-39). The postoperative IIEF rates were 47.7 (43-53), 51.8 (48-58), and 53.9 (50-58) at the third, sixth, and 12th months, respectively. The patient average EDITS score amounted to 39.5 (31-48), 43.4 (36-50), and 45.2 (38-50) at the third, sixth, and 12th months, respectively. The increase between the preoperative and postoperative IIEF parameters resulted to be statistically significant (P <.05) as well as the increase in EDITS at the third, sixth, and 12th months postoperatively. CONCLUSION The AMS Spectra is a reliable device to treat ED as shown by the high grade of the patients' satisfaction. Moreover, the AMS Spectra is highly convenient in terms of cost savings in comparison to an inflatable device. In selected patients, this prosthesis should be considered as an effective solution to treat severe ED.
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Affiliation(s)
- Marco Falcone
- Urologic Clinic, "Città della Salute e della Scienza" - Molinette Hospital, Corso Bramante 88, Torino, Italy.
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Sacerdote C, Guarrera S, Ricceri F, Pardini B, Polidoro S, Allione A, Critelli R, Russo A, Andrew AS, Ye Y, Wu X, Kiemeney LA, Bosio A, Casetta G, Cucchiarale G, Destefanis P, Gontero P, Rolle L, Zitella A, Fontana D, Vineis P, Matullo G. Polymorphisms in the XRCC1 gene modify survival of bladder cancer patients treated with chemotherapy. Int J Cancer 2013; 133:2004-9. [PMID: 23553206 DOI: 10.1002/ijc.28186] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2012] [Accepted: 03/13/2013] [Indexed: 12/28/2022]
Abstract
Survival of bladder cancer patients depends on several factors including disease stage and grade at diagnosis, age, health status of the patient and the applied treatment. Several studies investigated the role of DNA repair genetic variants in cancer susceptibility, but only few studies investigated their role in survival and response to chemotherapy for bladder cancer. We genotyped 28 single nucleotide polymorphisms (SNP) in DNA repair genes in 456 bladder cancer patients, reconstructed haplotypes and calculated a score for combinations of the SNPs. We estimated Hazard Ratios (adjHR) for time to death. Among patients treated with chemotherapy, variant alleles of five SNPs in the XRCC1 gene conferred better survival (rs915927 adjHR 0.55 (95%CI 0.32-0.94); rs76507 adjHR 0.48 (95%CI 0.27-0.84); rs2854501 adjHR 0.25 (95%CI 0.12-0.52); rs2854509 adjHR 0.21 (95%CI 0.09-0.46); rs3213255 adjHR 0.46 (95%CI 0.26-0.80). In this group of patients, an increasing number of variant alleles in a XRCC1 gene score were associated with a better survival (26% decrease of risk of death for each additional variant allele in XRCC1). By functional analyses we demonstrated that the previous XRCC1 SNPs confer lower DNA repair capacity. This may support the hypothesis that survival in these patients may be modulated by the different DNA repair capacity determined by genetic variants. Chemotherapy treated cancer patients bearing an increasing number of "risky" alleles in XRCC1 gene had a better survival, suggesting that a proficient DNA repair may result in resistance to therapy and shorter survival. This finding may have clinical implications for the choice of therapy.
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Lasaponara F, Sedigh O, Pasquale G, Bosio A, Rolle L, Ceruti C, Timpano M, Negro CLA, Paradiso M, Abbona A, Segoloni GP, Fontana D. Phosphodiesterase type 5 inhibitor treatment for erectile dysfunction in patients with end-stage renal disease receiving dialysis or after renal transplantation. J Sex Med 2013; 10:2798-814. [PMID: 23346948 DOI: 10.1111/jsm.12038] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [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: 11/29/2022]
Abstract
INTRODUCTION The phosphodiesterase type 5 (PDE5) inhibitors are generally well tolerated and effective for treating erectile dysfunction (ED), including in patients with significant comorbidity. Because of this benign safety profile, investigators have used PDE5 inhibitors to treat patients with ED and severe renal disease or those who have received renal transplants. AIM To assess safety and efficacy of PDE5 inhibitors in patients receiving dialysis or renal transplants. MAIN OUTCOME MEASURES Erectile function as assessed by the International Index of Erectile Function (IIEF) and Global Assessment Questions; adverse events (AEs). METHODS We reviewed published studies of PDE5 inhibitors in patients receiving dialysis or renal transplants. RESULTS In double-blind, placebo-controlled studies in patients receiving dialysis or renal transplants, sildenafil significantly improved erectile function as assessed by the IIEF, and 75-85% of patients reported improved erectile function on Global Assessment Questions; efficacy was more variable in less well-controlled studies. In >260 patients undergoing dialysis who received sildenafil in clinical studies, there were only six reported discontinuations because of AEs (headache [N=3], headache and nausea [N=1], gastrointestinal [N=1], and symptomatic blood pressure decrease [N=1]). In approximately 400 patients with renal transplants who received sildenafil, only three patients discontinued because of AEs. Vardenafil improved IIEF scores of up to 82% of renal transplant recipients in randomized, controlled studies (N=59, total), with no reported discontinuations because of AEs. Limited data also suggest benefit with tadalafil. CONCLUSIONS ED is common in patients undergoing renal dialysis or postrenal transplant and substantially affects patient quality of life. Sildenafil and vardenafil appear to be efficacious and well tolerated in patients receiving renal dialysis or transplant.
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Rolle L, Giacosa S, Gerbi V, Bertolino M, Novello V. Varietal Comparison of The Chemical, Physical, and Mechanical Properties of Five Colored Table Grapes. International Journal of Food Properties 2013. [DOI: 10.1080/10942912.2011.558231] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Galletto L, Fontana D, Rolle L, Galletto E, Garetto A, Bianciotto A. M490 VAGINAL RECONSTRUCTION WITH ILEUM AND UTERUS-NEOVAGINAL ANASTOMOSIS IN PATIENT WITH VARIANT OF ROKITANSY SYNDROME. Int J Gynaecol Obstet 2012. [DOI: 10.1016/s0020-7292(12)61678-6] [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: 10/27/2022]
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Zouid I, Siret R, Jourjon F, Mehinagic E, Rolle L. Impact of Grapes Heterogeneity According to Sugar Level on both Physical and Mechanical Berries Properties and Their Anthocyanins Extractability at Harvest. J Texture Stud 2012. [DOI: 10.1111/jtxs.12001] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- I. Zouid
- LUNAM Université, Groupe ESA, UMT VINITERA, UPSP GRAPPE; 55 rue Rabelais, B.P. 30748 F-49007 Angers Cedex 01 France
| | - R. Siret
- LUNAM Université, Groupe ESA, UMT VINITERA, UPSP GRAPPE; 55 rue Rabelais, B.P. 30748 F-49007 Angers Cedex 01 France
| | - F. Jourjon
- LUNAM Université, Groupe ESA, UMT VINITERA, UPSP GRAPPE; 55 rue Rabelais, B.P. 30748 F-49007 Angers Cedex 01 France
| | - E. Mehinagic
- LUNAM Université, Groupe ESA, UMT VINITERA, UPSP GRAPPE; 55 rue Rabelais, B.P. 30748 F-49007 Angers Cedex 01 France
| | - L. Rolle
- Dipartimento di Scienze Agrarie, Forestali e Alimentari; University of Turin; Grugliasco Turin Italy
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Rolle L, Memarzadeh M, Ignatov T, Karsten F, Costa SD, Zenclussen A, Jensen F. Regulatory B-cells expand in peripheral blood of pregnant women having normal pregnancies but are very low in women suffering from spontaneous abortions. J Reprod Immunol 2012. [DOI: 10.1016/j.jri.2012.03.301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Destefanis P, Sacerdote C, Ricceri F, Allione A, Casetta G, Cucchiarale G, Rolle L, Bosio A, Gontero P, Zitella A, Vineis P, Matullo G, Fontana D. 557 POLYMORPHISMS IN DNA REPAIR GENES MODIFY SURVIVAL OF BLADDER CANCER PATIENTS. J Urol 2012. [DOI: 10.1016/j.juro.2012.02.632] [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: 10/28/2022]
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Rolle L, Ceruti C, Timpano M, Sedigh O, Destefanis P, Galletto E, Falcone M, Fontana D. A new, innovative, lengthening surgical procedure for Peyronie's disease by penile prosthesis implantation with double dorsal-ventral patch graft: the "sliding technique". J Sex Med 2012; 9:2389-95. [PMID: 22429331 DOI: 10.1111/j.1743-6109.2012.02675.x] [Citation(s) in RCA: 61] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
INTRODUCTION Peyronie's disease is the result of the formation of fibrous plaques in the tunica albuginea of the penis; typical presentations of the disease are represented by pain during erection, erectile dysfunction, and penile deformities, such as curvature, narrowing, and penile shortening. The most complex treatment is related to penile shortening. AIM To find a safe procedure in penile shortening due to Peyronie's disease providing a satisfactory lengthening, allowing an early stabilization of the penis, and preventing axial tension on the neurovascular bundles during dilation. METHODS We describe a new lengthening surgical procedure based on a ventro-dorsal incision of the tunica albuginea, penile prosthesis implantation, and double dorsal-ventral patch grafting with porcine small intestinal submucosa. Three patients, affected by Peyronie's disease with penile shortening and erectile dysfunction, underwent this procedure with approval of our local ethical committee. We evaluated the penis lengthening, intraoperative and postoperative complications, patient's preoperative and postoperative sexual life satisfaction (International Index of Erectile Function [IIEF] questionnaire). RESULTS The average operative time was 2 hours and 50 minutes. No major intraoperative nor postoperative complications occurred. No significant bleedings were recorded. Patients were discharged after 48-72 hours. The average increase in length obtained was 3.2 cm. All patients resumed sexual intercourses with satisfaction; no significant loss of sensitivity or any sign of vascular distress of the glans was recorded. The follow-up is 13 months. The average IIEF score is 60. CONCLUSIONS The lengthening of the penis by a double dorsal-ventral patch graft is an innovative procedure that is based on current techniques of plaque incision and grafting, and that can easily resolve severe shortening of the penis due to Peyronie's disease. In the cases presented, this procedure resulted easily, effectively, and safely. Nevertheless, the technique proposed in this article shall be validated through prospective studies with larger samples.
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Affiliation(s)
- Luigi Rolle
- Divisione Universitaria di Urologia II, Dipartimento di Discipline Medico-Chirurgiche, Ospedale San Giovanni Battista-Molinette, Università degli Studi di Torino, Torino, Italy.
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Sedigh O, Rolle L, Negro C, Ceruti C, Timpano M, Galletto E, Hosseini S, Al Ansari A, Shamsodini A, Fontana D. UP-03.057 Early Insertion of Inflatable Penile Prosthesis for Intractable Ischemic Priapism. Urology 2011. [DOI: 10.1016/j.urology.2011.07.1147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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De Maria C, Rolle L, Ceruti C, Lillaz B, Sedigh O, Timpano M, Negro C, Falcone M, Fontana D. UP-03.165 Urinary Incontinence and Erectile Dysfunction Post-Prostatectomy: Simultaneous or Delayed Surgical Correction? Urology 2011. [DOI: 10.1016/j.urology.2011.07.1254] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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Khadjavi A, Barbero G, Destefanis P, Mandili G, Giribaldi G, Mannu F, Pantaleo A, Ceruti C, Bosio A, Rolle L, Turrini F, Fontana D. Evidence of Abnormal Tyrosine Phosphorylated Proteins in the Urine of Patients With Bladder Cancer: The Road Toward a New Diagnostic Tool? J Urol 2011; 185:1922-9. [DOI: 10.1016/j.juro.2010.12.029] [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] [Received: 07/28/2010] [Indexed: 10/18/2022]
Affiliation(s)
- Amina Khadjavi
- Research Center for Experimental Medicine, University of Turin Medical School, Turin, Italy
- Department of Genetics, Biology and Biochemistry, University of Turin Medical School, Turin, Italy
- DIAPHAN Consortium, University of Turin Medical School, Turin, Italy
| | - Giovanna Barbero
- Department of Genetics, Biology and Biochemistry, University of Turin Medical School, Turin, Italy
| | - Paolo Destefanis
- Divisione Universitaria di Urologia 2-Ospedale San Giovanni Battista Molinette, University of Turin Medical School, Turin, Italy
| | - Giorgia Mandili
- Research Center for Experimental Medicine, University of Turin Medical School, Turin, Italy
- Department of Genetics, Biology and Biochemistry, University of Turin Medical School, Turin, Italy
| | - Giuliana Giribaldi
- Department of Genetics, Biology and Biochemistry, University of Turin Medical School, Turin, Italy
- DIAPHAN Consortium, University of Turin Medical School, Turin, Italy
| | - Franca Mannu
- DIAPHAN Consortium, University of Turin Medical School, Turin, Italy
- Nurex S. R. L., Sassari, Italy
| | | | - Carlo Ceruti
- Divisione Universitaria di Urologia 2-Ospedale San Giovanni Battista Molinette, University of Turin Medical School, Turin, Italy
| | - Andrea Bosio
- Divisione Universitaria di Urologia 2-Ospedale San Giovanni Battista Molinette, University of Turin Medical School, Turin, Italy
| | - Luigi Rolle
- Divisione Universitaria di Urologia 2-Ospedale San Giovanni Battista Molinette, University of Turin Medical School, Turin, Italy
| | - Francesco Turrini
- Research Center for Experimental Medicine, University of Turin Medical School, Turin, Italy
- DIAPHAN Consortium, University of Turin Medical School, Turin, Italy
| | - Dario Fontana
- DIAPHAN Consortium, University of Turin Medical School, Turin, Italy
- Divisione Universitaria di Urologia 2-Ospedale San Giovanni Battista Molinette, University of Turin Medical School, Turin, Italy
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Negro CLA, Destefanis P, Bosio A, Bisconti A, De Maria C, Carchedi M, Buffardi A, Rolle L, Fontana D. [Avulsion of the penile skin: a conservative approach]. Urologia 2010; 77 Suppl 16:21-24. [PMID: 21104656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
INTRODUCTION Skin avulsion of male genital is a rare urological emergency. Although not life-threatening such lesions are both physically and psychologically traumatic. If poorly managed in the acute setting, these injuries may result in long-term problems or permanent disabilities. METHODS A 58 year-old male patient was admitted to the Emergency Department of our hospital with a traumatic injury of the penis, caused by a bike trauma. At the inspection, a rather complete degloving of penis and a tear in scrotal skin with no involvement of testes were observed. The skin was completely detached, out of the penis, but for a small flap at the peno-scrotal angle. After a careful cleaning, the penis was covered again with the skin attached to peno-scrotal angle through multiple circumferential sutures. RESULTS A complete cover of the defects was obtained with one-step surgery. The patient was treated with broad spectrum of antibiotics for 1 month. No infections occurred. The patient was discharged from hospital after 5 days. After 3 months from trauma, the patient is able to achieve sexual intercourse, with normal erectile function, no painful erections and no penile recurvatum. CONCLUSIONS Traumatic skin avulsion of penis is a rare condition; the best aesthetic and functional results depends on the choice of the proper treatment. Conservative approach in selected cases can provide good results both aesthetically and functionally.
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Negro C, Destefanis P, Bosio A, Bisconti A, De Maria C, Carchedi M, Buffardi A, Rolle L, Fontana D. Avulsione della Cute Peniena: Un Approccio Conservativo. Urologia 2010. [DOI: 10.1177/0391560310077016s05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction Skin avulsion of male genital is a rare urological emergency. Although not life-threatening such lesions are both physically and psychologically traumatic. If poorly managed in the acute setting, these injuries may result in long-term problems or permanent disabilities. Methods A 58 year-old male patient was admitted to the Emergency Department of our hospital with a traumatic injury of the penis, caused by a bike trauma. At the inspection, a rather complete degloving of penis and a tear in scrotal skin with no involvement of testes were observed. The skin was completely detached, out of the penis, but for a small flap at the penoscrotal angle. After a careful cleaning, the penis was covered again with the skin attached to penoscrotal angle through multiple circumferential sutures. Results A complete cover of the defects was obtained with one-step surgery. The patients was treated with broad spectrum of antibiotics for 1 month. No infections occurred. The patient was discharged from hospital after 5 days. After 3 months from trauma, the patient is able to achieve a sexual intercourse, with normal erectile function, no painful erections and no penile recurvatum. Conclusions Traumatic skin avulsion of penis is a rare condition; the best aesthetic and functional results depends on the choice of the proper treatment. Conservative approach in selected cases can provide good results both aesthetically and functionally.
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Affiliation(s)
- C.L.A. Negro
- Divisione Universitaria di Urologia 2, Ospedale “San Giovanni Battista, Molinette”, Torino
| | - P. Destefanis
- Divisione Universitaria di Urologia 2, Ospedale “San Giovanni Battista, Molinette”, Torino
| | - A. Bosio
- Divisione Universitaria di Urologia 2, Ospedale “San Giovanni Battista, Molinette”, Torino
| | - A. Bisconti
- Divisione Universitaria di Urologia 2, Ospedale “San Giovanni Battista, Molinette”, Torino
| | - C. De Maria
- Divisione Universitaria di Urologia 2, Ospedale “San Giovanni Battista, Molinette”, Torino
| | - M. Carchedi
- Divisione Universitaria di Urologia 2, Ospedale “San Giovanni Battista, Molinette”, Torino
| | - A. Buffardi
- Divisione Universitaria di Urologia 2, Ospedale “San Giovanni Battista, Molinette”, Torino
| | - L. Rolle
- Divisione Universitaria di Urologia 2, Ospedale “San Giovanni Battista, Molinette”, Torino
| | - D. Fontana
- Divisione Universitaria di Urologia 2, Ospedale “San Giovanni Battista, Molinette”, Torino
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Negro CLA, De Stefanis P, Bosio A, Bisconti A, De Maria C, Charchedi M, Buffardi A, Rolle L, Fontana D. [Transvaginal repair of neobladder vaginal fistula]. Urologia 2010; 77 Suppl 16:11-15. [PMID: 21104654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
INTRODUCTION Neobladder vaginal fistula is a known complication after cystectomy and orthotopic neobladder in women. The exact incidence is still unknown, even if in some of the largest series is reported in about 5% of female patients. We present our personal experience with a case of neobladder vaginal fistula. METHODS A fifty-year old woman affected by T2G3 bladder cancer underwent radical cystectomy and orthotopic neobladder in December 2007. Definitive pathological examination revealed pT3aN0G3 urothelial cancer with squamous aspects. Two cycles of neoadjuvant chemotherapy were administered before cystectomy. Three weeks after cystectomy, a retrograde cystography revealed a fistula between vagina and neobladder. At first, the patient was treated conservatively, keeping the urethral catheter for two months. Cystographies, repeated every month, recorded a reduction in size of the fistula but not the complete closure. A surgical correction was planned. Preoperative cystoscopy showed the neobladder opening of the fistula on the posterior wall. Then a transvaginal approach with fistula excision and a two layer cross suture were performed. RESULTS At the cystography performed 1 month after surgical repair no fistula was detected, and the patient was completely dry. At 3 months follow-up the patient was completely dry. CONCLUSION The development of a neobladder-vaginal fistula is a significant, even if infrequent, complication after cystectomy. In our case, we performed a transvaginal approach without tissue interposition, with good results. Such procedure is easy and effective and, in our opinion, can be tempted as first line surgical treatment.
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Torello Marinoni D, Raimondi S, Mannini F, Rolle L. GENETIC AND PHENOLIC CHARACTERIZATION OF SEVERAL INTRASPECIFIC CROSSES (VITIS VINIFERA L.) REGISTERED IN THE ITALIAN NATIONAL CATALOGUE. ACTA ACUST UNITED AC 2009. [DOI: 10.17660/actahortic.2009.827.84] [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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Rolle L, Ceruti C, Tamagnone A, Timpano M, Negro C, Galletto E, Fontana D. T05-O-20 Plaque incision surgery with tunica vaginalis patch for penile curvature in La Peyronie's disease: preliminary report. Sexologies 2008. [DOI: 10.1016/s1158-1360(08)72756-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Molo M, Rolle L, Manieri C, Angelini G, Gualerzi A, Manzon M, Cavalot A, Datta G, Mariscotti G, Fontana D. T04-O-03 Model of an integrated intervention in a public health service for GID people. Sexologies 2008. [DOI: 10.1016/s1158-1360(08)72726-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Rolle L, Ceruti C, Tamagnone A, Timpano M, Negro C, Cugiano A, Galletto E, Fontana D. T05-O-19 The “Apollo” tissue expander: a novel approach to penile shortening due to fibrosis. Sexologies 2008. [DOI: 10.1016/s1158-1360(08)72755-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Rolle L, Ceruti C, Tamagnone A, Timpano M, Negro C, Galletto E, Fontana D. T05-O-21 The modified Nesbit's corporoplasty in penile curvature due to La Peyronie's disease: our experience. Sexologies 2008. [DOI: 10.1016/s1158-1360(08)72757-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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