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Giulioni C, Garelli G, Riviere J, Piechaud-Kressmann J, Vuong N, Lopez L, Piechaud T, Roche J, Rouffilange J, Hoepffner J, Galosi A, Gaston R, Pierquet G. The evaluation of 6-months postoperative outcome of robot-assisted pudendal nerve decompression in case of entrapment: a first case series. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)01107-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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2
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Pignot G, Thiery-vuillemin A, Walz J, Lang H, Balssa L, Leblanc L, Borchiellini D, Parier B, Albiges L, Bensalah K, Schlurmann F, Mourey E, Bigot P, Ingels A, Bernhard J, Piechaud T, Roubaud G, Klifa D, Gravis G, Barthelemy P. Résultats oncologiques de la néphrectomie différée après réponse complète à l’immunothérapie pour cancer du rein métastatique au diagnostic. Prog Urol 2021. [DOI: 10.1016/j.purol.2021.08.154] [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: 10/19/2022]
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Pignot G, Thiery-Vuillemin A, Walz J, Lang H, Balssa L, Geoffrois L, Leblanc L, Albiges L, Bensalah K, Ladoire S, Bigot P, Ingels A, Saldana C, Roubaud G, Piechaud T, Cassuto O, Klifa D, Parier B, Bernhard J, Malouf G, Gravis G, Barthelemy P. Nephrectomy after complete response to immune checkpoint inhibitors for Metastatic Renal Cell Carcinoma (mRCC): A surgical challenge allowing favorable oncological outcomes. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01024-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Russo A, Pavan N, Lopez L, Piechaud T, Hoepffner J, Roche J, Gaboardi F, Gaston R. Heart-shaped neobladder: analysis of perioperative, functional and oncological outcomes. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)35626-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Calleris G, Marra G, Gontero P, Alessio P, Oderda M, Munoz F, Linares E, Dasgupta P, Challacombe B, Cahill D, Gillatt D, Palou J, Piechaud T, De La Taille A, Roupret M, Morlacco A, Mottrie A, Berger A, Monish A, Abreau A, Van Der Poel H, Tilki D, Lawrentschuk N, Davis J, Karnes R. Refining patient selection for salvage radical prostatectomy: Oncological outcomes compared between EAU guidelines-compliant and non-compliant patients. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)33403-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Boukheir G, Bakar A, Romain D, Albisinni S, Peltier A, Oderda M, Fasolis G, Ferriero M, Simone G, Roche J, Piechaud T, Pastore A, Carbone A, Fiard G, Descotes J, Evans D, Kumar P, Giaccobe A, Muto G, Beatrici V, Gontero P, Roumeguere T. Defining the ideal candidate for first-line MRI/TRUS software-assisted fusion biopsies: Results from a large multi-centric trial. EUR UROL SUPPL 2020. [DOI: 10.1016/s2666-1683(20)34161-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Oderda M, Marra G, Albisinni S, Altobelli E, Baco E, Beatrici V, Dellabella M, Descotes JL, Eldred-Evans D, Fasolis G, Ferriero M, Fiard G, Giacobbe A, Kumar P, Lacetera V, Mozer P, Muto G, Papalia R, Peltier A, Piechaud T, Pierangeli T, Simone G, Roche JB, Roupret M, Gontero P. Elastic fusion biopsy versus systematic biopsy for prostate cancer detection: Results of a multicentric study on 1,119 patients. Actas Urol Esp 2019; 43:431-438. [PMID: 31155373 DOI: 10.1016/j.acuro.2019.01.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Accepted: 01/04/2019] [Indexed: 11/29/2022]
Abstract
OBJECTIVES To assess the accuracy of targeted and systematic biopsies for the detection of prostate cancer (PCa) and clinically significant PCa (csPCa) in the everyday practice, evaluating the need for additional systematic biopsies at the time of targeted biopsy. PATIENTS AND METHODS From our multicentric database gathering data on 2,115 patients who underwent fusion biopsy with Koelis™ system between 2010 and 2017, we selected 1,119 patients who received targeted biopsies (a median of 3 for each target), followed by systematic sampling of the prostate (12 to 14 cores). Overall and clinically significant cancer detection rate (CDR) of Koelis™ fusion biopsies were assessed, comparing target and systematic biopsies. Secondary endpoint was the identification of predictors of PCa detection. RESULTS The CDR of targeted biopsies only was 48% for all cancers and 33% for csPCa. The performance of additional, systematic prostate sampling improved the CDR of 15% for all cancers and of 12% for csPCa. PCa was detected in 35%, 69%, and 92% of patients with lesions scored as PI-RADS 3, 4 and 5, respectively. Elevated PI-RADS score and positive digital rectal examination were predictors of PCa, whereas biopsy-naïve status was associated with csPCa. CONCLUSION In the everyday practice target biopsy with Koelis™ achieves a good CDR for all PCa and csPCa, which is significantly improved by subsequent systematic sampling of the prostate. The outstanding outcomes of fusion biopsy are confirmed also in biopsy-naïve patients. Elevated PI-RADS score and positive digital rectal examination are strongly associated with presence of PCa.
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Affiliation(s)
- M Oderda
- Departamento de Ciencias Quirúrgicas, Urología, Universitad de Turín, Turín, Italia; Departamento de Urología, Hospital San Lázaro, Alba, Italia.
| | - G Marra
- Departamento de Ciencias Quirúrgicas, Urología, Universitad de Turín, Turín, Italia
| | - S Albisinni
- Departamento de Urología, Hospital Eraste, Universidad Libre de Bruselas, Bruselas, Bélgica
| | - E Altobelli
- Departamento de Urología, Campus Biomédico Universidad, Roma, Italia
| | - E Baco
- Departamento de Urología, Hospital Universitario de Oslo, Oslo, Noruega
| | - V Beatrici
- Departamento de Urología, Azienda Ospedaliera Ospedali Riuniti Marche Nord, Pesaro-Fano, Italia
| | - M Dellabella
- Departamento de Urología, INRCA-IRCCS, Ancona, Italia
| | - J L Descotes
- Departamento de Urología, Centre Hospitalier Universitaire de Grenoble, Grenoble, Francia
| | - D Eldred-Evans
- Departamento de Urología, Hospital Royal Marsden, Londres, Reino Unido
| | - G Fasolis
- Departamento de Urología, Hospital San Lázaro, Alba, Italia
| | - M Ferriero
- Departamento de Urología, Regina Elena National Cancer Institute, Roma, Italia
| | - G Fiard
- Departamento de Urología, Centre Hospitalier Universitaire de Grenoble, Grenoble, Francia
| | - A Giacobbe
- Departamento de Urología, Humanitas Gradenigo Hospital, Turín, Italia
| | - P Kumar
- Departamento de Urología, Hospital Royal Marsden, Londres, Reino Unido
| | - V Lacetera
- Departamento de Urología, Azienda Ospedaliera Ospedali Riuniti Marche Nord, Pesaro-Fano, Italia
| | - P Mozer
- Departamento de Urología, Pitié Salpétrière Hospital, Assistance Publique - Hôpitaux de Paris, Universités Paris Sorbonne, París, Francia
| | - G Muto
- Departamento de Urología, Humanitas Gradenigo Hospital, Turín, Italia
| | - R Papalia
- Departamento de Urología, Campus Biomédico Universidad, Roma, Italia
| | - A Peltier
- Departamento de Urología, Instituto Jules Bordet, Universidad Libre de Bruselas, Bruselas, Bélgica
| | - T Piechaud
- Departamento de Urología, Clinique Saint Augustin, Burdeos, Francia
| | - T Pierangeli
- Unidad de Cáncer de Próstata, INRCA-IRCCS, Ancona, Italia
| | - G Simone
- Departamento de Urología, Regina Elena National Cancer Institute, Roma, Italia
| | - J B Roche
- Departamento de Urología, Clinique Saint Augustin, Burdeos, Francia
| | - M Roupret
- Departamento de Urología, Pitié Salpétrière Hospital, Assistance Publique - Hôpitaux de Paris, Universités Paris Sorbonne, París, Francia
| | - P Gontero
- Departamento de Ciencias Quirúrgicas, Urología, Universitad de Turín, Turín, Italia
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Fakhfakh S, Hoepffner J, Brissac N, Piechaud T. Cystoprostatectomie robot assistée avec curage pelvien en « Mono Bloc » et néovessie intracorporelle : une technique innovante et reproductible. Prog Urol 2018. [DOI: 10.1016/j.purol.2018.07.232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Marra G, Gontero P, Alessio P, Oderda M, Palazzetti A, Pisano F, Battaglia A, Munegato S, Calleris G, Frea B, Munoz F, Filippini C, Linares E, Sanchez-Salas R, Goonewardene S, Dasgupta P, Cahill D, Challacombe B, Popert R, Gillatt D, Persad R, Palou J, Joniau S, Smelzo S, Piechaud T, De La Taille A, Roupret M, Albisinni S, Van Velthoven R, Morlacco A, Vidit S, Gandaglia G, Mottrie A, Smith J, Joshi S, Fiscus G, Berger A, Aron M, Van Der Poel H, Tilki D, Murphy D, Lawrentschuk N, Davis J, Gordon L, Karnes R. Is it worth to perform radical prostatectomy in a salvage setting? Results of a contemporary multicentre series of 395 cases. ACTA ACUST UNITED AC 2018. [DOI: 10.1016/s1569-9056(18)31234-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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10
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Blais E, Karahissarlian V, Sargos P, Cazeau A, Piechaud T, Thomas L. Diagnosis Performances and Impact on Therapeutic Strategy of (18) F-Choline-PET/CT in Biochemical Relapse after I125 Brachytherapy for Localized Prostate Cancer. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1118] [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: 10/18/2022]
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Lagabrielle S, Descat E, Piechaud T, Lebras Y, Dupin C, Kaboré R, Yacoub M, Grenier N, Pasticier G, Bernhard J, Bensadoun H, Ferrière J, Robert G. L’IRM multiparamétrique dans l’évaluation des cancers de prostate localement avancés, corrélation avec les pièces d’anatomopathologie. Prog Urol 2016. [DOI: 10.1016/j.purol.2016.07.287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Butet Y, Villers A, Delmas V, Piechaud T. Bases anatómicas quirúrgicas de la prostatectomía radical con o sin conservación nerviosa. ACTA ACUST UNITED AC 2012. [DOI: 10.1016/s1761-3310(12)62106-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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13
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Cusumano S, Annino F, Selas ER, Hanna S, Piechaud T, Gaston R. Feasibility, Technique, and Principles of Tension- and Energy-Free Laparoscopic Radical Prostatectomy with Lateral Intrafascial Dissection of the Neurovascular Bundles with the Use of a High-Definition Optical Device. J Endourol 2008; 22:1981-7. [DOI: 10.1089/end.2008.9762] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Affiliation(s)
- S. Cusumano
- St-Augustin Urology Clinic, Bordeaux, France
| | - F. Annino
- Department of Urology, University of Modena & Reggio Emilia, Modena, Italy
| | | | - S. Hanna
- St-Augustin Urology Clinic, Bordeaux, France
| | - T. Piechaud
- St-Augustin Urology Clinic, Bordeaux, France
| | - R. Gaston
- St-Augustin Urology Clinic, Bordeaux, France
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Curto F, Benijts J, Pansadoro A, Barmoshe S, Hoepffner JL, Mugnier C, Piechaud T, Gaston R. Nerve Sparing Laparoscopic Radical Prostatectomy: Our Technique. Eur Urol 2006; 49:344-52. [PMID: 16413102 DOI: 10.1016/j.eururo.2005.11.029] [Citation(s) in RCA: 101] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2005] [Accepted: 11/30/2005] [Indexed: 11/18/2022]
Abstract
PURPOSE To describe our technique of nerve sparing laparoscopic radical prostatectomy (LRP). We present the oncological and functional results (potency and urinary continence). MATERIAL AND METHODS LRP has become standard at our institution based on experience with more than 2800 consecutive cases operated on between 1997 and 2005. From May 2003 to March 2005 a total of 677 LRP were performed, 425 consecutive patients candidates for a nerve sparing technique have been operated using the intrafascial approach. The challenge of our technique is to remove the prostate without any thermic and mechanic traumatism, avoiding dissection of outer layer. Oncological data were assessed by pathological examination and post-operative PSA level. Functional results were assessed with a self questionnaire. RESULTS By pathological stage, 2 pT2a specimens (7.4%), 7 pT2b specimens (21%), 44 pT2c specimens (24%), 63 pT3a specimens (43%), 11 pT3b specimens (46%) were found to have positive surgical margins (SMs). In 86 specimen (59%) positive SMs were focal inframillimetric. Median follow-up was 11 months (range 1-22). The continence rate (no leakage/no pad) was 95% at 6 months, confirmed at 12 months among 202 patients. For 137 patients, potency rate was 58.5% at 12 months. CONCLUSION Intrafascial LRP provides satisfactory results in regard to recovery of continence and sexual function. Long-term progression and survival outcome are necessary before this procedure should be offered as a replacement for interfascial nerve sparing technique.
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Affiliation(s)
- F Curto
- Department of Urology, Clinique St. Augustin, Bordeaux, France.
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Abstract
Remaining the gold standard treatment of muscle-invasive bladder cancer and high-risk superficial tumors, the radical cystectomy has been translated into a fully laparoscopic protocol, actually gaining more and more acceptance worldwide. In this article, a transperitoneal antegrade laparoscopic protocol is described for radical cystectomy performed in both genders. After removal of the specimen, generally through a mini-laparotomy, most of the teams perform the maneuvers for urinary diversion through an ileal conduit as an open procedure, although a completely laparoscopic procedure has been successfully achieved. Laparoscopic cystectomy will face the proof of time if oncologic rules about surgical management of transitional cell carcinoma are carefully respected to avoid any cell spillage. When obvious laparoscopic advantages for the patients are encountered with laparoscopic cystectomy, it seems unlikely that a full laparoscopic protocol, including the diversion, may gain wide acceptance; in that case, the true laparoscopic benefits would be wasted by unjustified lengthening of operative time and by compromising the quality of uretero-ileal anastomoses.
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Affiliation(s)
- R F van Velthoven
- Department of Urology, Institut Jules Bordet, Heger-bordet Street 1, 1000 Brussels, Belgium.
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Abstract
Testicular biopsies and hormone profiles were obtained from 23 paraplegic patients who had sustained a complete spinal cord section. The hormone profiles were normal, but patients with a spinal lesion including the T10-L2 metameres showed a particular pattern of germinal cell abnormalities. The atrophy is multifactorial, but may well include destruction of the sympathetic innervation of the testis by the lesion.
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Affiliation(s)
- P A Chapelle
- Service de Rééducation Neurologique, Hôpital Raymond Poincaré, Garches, France
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17
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Le Guillou M, Ferrière JM, Gaston R, Piechaud T, Brucher P. [Vesical replacement by ileo-caecal graft detubulized after total prostato-cystectomy]. Presse Med 1988; 17:161-3. [PMID: 2964612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023] Open
Abstract
Following total prostato-cystectomy, the nearest substitute to a physiological reservoir is a constructed ileo-caecal pouch. The non-mesenteric sides of the caecum and ileum are incised on a length of 15 cm for each apex of the caecum which is anastomosed with the urethra, respecting the striated sphincter. The ureters are implanted into the caecal portion of the pouch. Owing to the length of the ileo-caecal mesenterium, this technique can be used in every case of prostato-cystectomy. Twelve cases followed up for 6 to 18 months are reported.
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Affiliation(s)
- M Le Guillou
- Service d'Urologie, Le Tripode, Hôpital Pellegrin, Bordeaux
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