1,721,006 research outputs found
Intracavernosal injection therapy and surgical therapy in diabetic patientswith erectile dysfunction
No full textStraightening corporoplasty for Peyronie's disease: a review of 218 patients with median follow-up of 89 months
No full textOBJECTIVE: To evaluate the outcome at long term follow-up after straightening corporoplasty of penile curvature due to Peyronie's disease. METHODS: Between 1986 and 2001 a total of 279 patients with Peyronie's disease were operated on using the Nesbit procedure. We were able to obtain complete follow-up data in 218 patients. The follow-up data included evaluation of complete correction of the curvature, penile shortening, sexual function, complications and subjective patient satisfaction. RESULTS: After a median follow-up of 89 months subjective patient determination of satisfaction indicated that 83.5% were completely satisfied with the results of surgery. Complete correction of the penis was obtained in 86.3% of the patients. One hundred and ninety patients (87.1%) had good erectile function (IIEF-5 >21). Shortening of the penis (from 1.5 to more than 3 cm) occurred in 38 patients (17.4%), but only in 5 (2.3%) was intercourse difficult because of excessive shortening. Major senso
Prevalence and incidence of enuresis before puberty
No full textOBJECTIVE:
A mixed study of the prevalence and incidence of enuresis addressed to the schools of the province of Sassari was planned over a 2-year period.
METHODS:
School children aged between 3 and 11 years were considered. 734 children aged 3, 6, and 9, of 3 schools representative of the urban, suburban and rural areas of Sassari were selected by "cluster" sampling. In this first stage of the project a study of prevalence in children aged 3, 6, and 9 years was carried out. The second stage encompasses a 1-year longitudinal study of the cohort selected in the first stage and provides incidence data pertinent to children aged 4, 7 and 10 years.
RESULTS AND CONCLUSIONS:
Cross sectional study: In the 73 children aged 3 years who attended nursery schools, 7 cases of enuresis (9.6%) were identified. In the 306 6-year old children of the first year of primary school, 22 cases of enuresis (7.2%) were observed. In the 355 9-year-old students of the fourth year of primary school, 10 cases (2.8%) were reported. Follow up: No case of enuresis was observed among children of the nursery school (aged 4 years); 2 new cases (0.7%) were identified in the 7 year-old group and only 1 new case (0.57%) was encountered in the group of children aged 10. Prevalence of enuresis reached 5.3% in the overall sample and showed a progressive decrease from the younger to the older age grou
Laparoscopically assisted penile revascularization for vasculogenic impotence: 2 additional cases
No full textPURPOSE:
Microsurgical revascularization of the penis in vasculogenic impotence is an accepted surgical procedure in young men with a history of blunt pelvic or perineal trauma. Most penile revascularization techniques use the inferior epigastric artery in direct artery-to-artery revascularization or dorsal vein arterialization procedures. To obviate the wide pararectal incision laparoscopic mobilization of the inferior epigastric vessels has been recently proposed. We present 2 cases of successful laparoscopically assisted penile revascularization.
MATERIALS AND METHODS:
With the patient under general anesthesia the first trocar was inserted in the umbilical region and pneumoperitoneum was induced. Two other trocars were positioned laterally. As soon as the inferior epigastric vessels were accessed, dissection was initiated below the level of the arcuate line. The vessels were dissected cephalad en bloc to a point of bifurcation of the inferior epigastric artery above the umbilical level. The inferior epigastric pedicle was ligated with clips and transected at the cephalad edge of the dissection. It was then mobilized and tunneled through an infrapubic incision at the base of the penis for subsequent microvascular anastomosis with the penile vessels.
RESULTS:
The anastomosis was patent and hemostasis was satisfactory. Operative time in the 2 cases was 4.3 and 5.2 hours, respectively. At 3 months both patients reported complete erections.
CONCLUSIONS:
Our experience confirms the extremely practical use of laparoscopy which, due to its magnification power, makes it possible to perform fast, accurate excision of the epigastric bundle. Moreover, a wide pararectal incision, which is a frequent cause of postoperative complications, is avoided
Prevalence and incidence of enuresis before puberty
No full textOBJECTIVE:
A mixed study of the prevalence and incidence of enuresis addressed to the schools of the province of Sassari was planned over a 2-year period.
METHODS:
School children aged between 3 and 11 years were considered. 734 children aged 3, 6, and 9, of 3 schools representative of the urban, suburban and rural areas of Sassari were selected by "cluster" sampling. In this first stage of the project a study of prevalence in children aged 3, 6, and 9 years was carried out. The second stage encompasses a 1-year longitudinal study of the cohort selected in the first stage and provides incidence data pertinent to children aged 4, 7 and 10 years.
RESULTS AND CONCLUSIONS:
Cross sectional study: In the 73 children aged 3 years who attended nursery schools, 7 cases of enuresis (9.6%) were identified. In the 306 6-year old children of the first year of primary school, 22 cases of enuresis (7.2%) were observed. In the 355 9-year-old students of the fourth year of primary school, 10 cases (2.8%) were reported. Follow up: No case of enuresis was observed among children of the nursery school (aged 4 years); 2 new cases (0.7%) were identified in the 7 year-old group and only 1 new case (0.57%) was encountered in the group of children aged 10. Prevalence of enuresis reached 5.3% in the overall sample and showed a progressive decrease from the younger to the older age groupOBJECTIVE:
A mixed study of the prevalence and incidence of enuresis addressed to the schools of the province of Sassari was planned over a 2-year period.
METHODS:
School children aged between 3 and 11 years were considered. 734 children aged 3, 6, and 9, of 3 schools representative of the urban, suburban and rural areas of Sassari were selected by "cluster" sampling. In this first stage of the project a study of prevalence in children aged 3, 6, and 9 years was carried out. The second stage encompasses a 1-year longitudinal study of the cohort selected in the first stage and provides incidence data pertinent to children aged 4, 7 and 10 years.
RESULTS AND CONCLUSIONS:
Cross sectional study: In the 73 children aged 3 years who attended nursery schools, 7 cases of enuresis (9.6%) were identified. In the 306 6-year old children of the first year of primary school, 22 cases of enuresis (7.2%) were observed. In the 355 9-year-old students of the fourth year of primary school, 10 cases (2.8%) were reported. Follow up: No case of enuresis was observed among children of the nursery school (aged 4 years); 2 new cases (0.7%) were identified in the 7 year-old group and only 1 new case (0.57%) was encountered in the group of children aged 10. Prevalence of enuresis reached 5.3% in the overall sample and showed a progressive decrease from the younger to the older age groupOBJECTIVE: A mixed study of the prevalence and incidence of enuresis addressed to the schools of the province of Sassari was planned over a 2-year period. METHODS: School children aged between 3 and 11 years were considered. 734 children aged 3, 6 and 9, of 3 schools representative of the. urban, suburban and rural areas of Sassari were selected by "cluster" sampling. In this first stage of the project a study of prevalence in children aged 3, 6 and 9 years was carried out. The second stage encompasses a 1-year longitudinal study of the cohort selected in the first stage and provides incidence data pertinent to children aged 4, 7 and 10 years. RESULTS AND CONCLUSIONS: Cross sectional study: In the 73 children aged 3 years who attended nursery schools, 7 cases of enuresis (9.6%) were identified. In the 306 6-year-old children of the first year of primary school, 22 cases of enuresis (7.2%) were observed. In the 355 9-year-old students of the fourth year of primary school, 10 cases (2.8%) were reported. Follow up: No case of enuresis was observed among children of the nursery school (aged 4 years); 2 new cases (0.7%) were identified in the 7 year-old group and only 1 new case (0.57%) was encountered in the group of children aged 10. Prevalence of enuresis reached 53% in the overall sample and showed a progressive decrease from the younger to the older age group.OBJECTIVE: A mixed study of the prevalence and incidence of enuresis addressed to the schools of the province of Sassari was planned over a 2-year period. METHODS: School children aged between 3 and 11 years were considered. 734 children aged 3, 6 and 9, of 3 schools representative of the. urban, suburban and rural areas of Sassari were selected by "cluster" sampling. In this first stage of the project a study of prevalence in children aged 3, 6 and 9 years was carried out. The second stage encompasses a 1-year longitudinal study of the cohort selected in the first stage and provides incidence data pertinent to children aged 4, 7 and 10 years. RESULTS AND CONCLUSIONS: Cross sectional study: In the 73 children aged 3 years who attended nursery schools, 7 cases of enuresis (9.6%) were identified. In the 306 6-year-old children of the first year of primary school, 22 cases of enuresis (7.2%) were observed. In the 355 9-year-old students of the fourth year of primary school, 10 cases (2.8%) were reported. Follow up: No case of enuresis was observed among children of the nursery school (aged 4 years); 2 new cases (0.7%) were identified in the 7 year-old group and only 1 new case (0.57%) was encountered in the group of children aged 10. Prevalence of enuresis reached 53% in the overall sample and showed a progressive decrease from the younger to the older age group
Laparoscopically assisted penile revascularization for vasculogenic impotence: 2 additional cases
No full textPurpose: Microsurgical revascularization of the penis in vasculogenic impotence is an accepted surgical procedure in young men with a history of blunt pelvic or perineal trauma. Most penile revascularization techniques use the inferior epigastric artery in direct artery-to-artery revascularization or dorsal vein arterialization procedures. To obviate the wide pararectal incision laparoscopic mobilization of the inferior epigastric vessels has been recently proposed. We present 2 cases of successful laparoscopically assisted penile revascularization. Materials and Methods: With the patient under general anesthesia the first trocar was inserted in the umbilical region and pneumoperitoneum was induced. Two other trocars were positioned laterally. As soon as the inferior epigastric vessels were accessed, dissection was initiated below the level of the arcuate line. The vessels were dissected cephalad en bloc to a point of bifurcation of the inferior epigastric artery above the umbilical level. The inferior epigastric pedicle was ligated with clips and transected at the cephalad edge of the dissection. It was then mobilized and tunneled through an infrapubic incision at the base of the penis for subsequent microvascular anastomosis with the penile vessels. Results: The anastomosis was patent and hemostasis was satisfactory. Operative time in the 2 cases was 4.3 and 5.2 hours, respectively. At 3 months both patients reported complete erections. Conclusions: Our experience confirms the extremely practical use of laparoscopy which, due to its magnification power, makes it possible to perform fast, accurate excision of the epigastric bundle. Moreover, a wide pararectal incision, which is a frequent cause of postoperative complications, is avoided
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