284 research outputs found
Penile Prosthesis implantation and couple’s satisfaction
No full textObjective: Implant surgery is the most acceptable curative choice for patients with erectile dysfunction and their partners, since the results are excellent with regard to the couple's pleasure and the materials used are extremely manageable Materials and Methods: We performed 46 prosthesis implantations in patients with erectile dysfunction: in 22 patients we implanted soft prostheses; in 20 malleable prostheses; in 1 a mono-component prosthesis, and in 3 patients a tri-component model. All patients and partners were evaluated using a questionnaire. Results: We obtained a degree of satisfaction equal to 82% against 18% dissatisfaction due to a sensation of 'unnaturalness' report by the partner, with low perioperative and postoperative complications. Conclusion: In our opinion the degree of satisfaction of the patient is currently the only legitimate indicator to establish the effectiveness of therapy
Open prostatectomy in BPH: 10-year experience in Italy.
No full textThis study reports the experience of 47 Italian urology units together with the urology unit at the University of Perugia concerning open surgery in the management of benign prostatic hyperplasia (BPH). Until 20-25 years ago, open surgery was the most common approach. In the late 1970s the development of endoscopes and their methodology has led to a gradual reduction in open surgery operations, which decreased rapidly with the introduction of mini-invasive endoscopic techniques. Therefore, open surgery for BPH is declining, though still performed. Skill in traditional surgery is mandatory because, until an alternative is devised, indications for open surgery still exist and cannot be ignored. The survey shows the indications and contraindications, complications and results of a 10-year nationwide experience. Guidelines for open surgery in patients with BPH have been drawn up
Renal papillary adenocarcinoma with unusual metastases; case report and review of literature
No full textObjective: This study focuses on a case report on a patient with renal carcinoma who developed metastases at unusual sites. We also reviewed the literature, including the theories proposed by various authors on the possible etiology of these odd localizations. Case report: A 48-year-old patient underwent conservative surgery for renal carcinoma (papillary adenocarcinoma). Twenty-two months later, he developed mediastinal metastases and underwent immunotherapy; two years after that he had metastases to unusual sites such as the urethra and the prostate. The mechanisms responsible for metastases to these unusual sites are not entirely clear yet. We feel it is important to note the highly aggressive and multifocal nature of papillary adenocarcinoma, and the need to perform closer follow-up on these patients, particularly if nephron-sparing surgery has been performed
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