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  1. Article ; Online: Opening the Horizons of Functional Urology and Neurourology to Robot-assisted Surgery.

    De Cillis, Sabrina / Geretto, Paolo / Phé, Veronique

    European urology

    2023  Volume 83, Issue 3, Page(s) 189–190

    Abstract: Robot-assisted surgery is likely to become the new standard of care for functional urology and neurourology. It has the potential to fill the gap that has prevented the spread of laparoscopic surgery in these fields. With its many technical advantages, ... ...

    Abstract Robot-assisted surgery is likely to become the new standard of care for functional urology and neurourology. It has the potential to fill the gap that has prevented the spread of laparoscopic surgery in these fields. With its many technical advantages, together with the potentially more efficient training of junior surgeons, robot-assisted surgery could finally bring more homogeneity to high-level surgical procedures in functional urology and neurourology worldwide.
    MeSH term(s) Humans ; Male ; Robotic Surgical Procedures/education ; Urology/methods ; Robotics/methods ; Prostatectomy/methods ; Laparoscopy/adverse effects ; Laparoscopy/methods
    Language English
    Publishing date 2023-01-04
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 193790-x
    ISSN 1873-7560 ; 1421-993X ; 0302-2838
    ISSN (online) 1873-7560 ; 1421-993X
    ISSN 0302-2838
    DOI 10.1016/j.eururo.2022.12.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 1247: Show issues Location:
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  2. Article ; Online: Re: Evaluation of Clinical Performance and Safety for the Rechargeable InterStim Micro Device in Overactive Bladder Subjects: 6-month Results from the Global Postmarket ELITE Study.

    De Cillis, Sabrina / Geretto, Paolo / Gallo, Maria Lucia / Phé, Veronique

    European urology

    2023  Volume 84, Issue 5, Page(s) 510–511

    MeSH term(s) Humans ; Urinary Bladder, Overactive/therapy ; Electric Stimulation Therapy ; Quality of Life ; Treatment Outcome
    Language English
    Publishing date 2023-06-02
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 193790-x
    ISSN 1873-7560 ; 1421-993X ; 0302-2838
    ISSN (online) 1873-7560 ; 1421-993X
    ISSN 0302-2838
    DOI 10.1016/j.eururo.2023.05.027
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Surgical treatment of male stress urinary incontinence: a knot still to be unravelled.

    Geretto, Paolo / De Nunzio, Cosimo / Li Marzi, Vincenzo / Lombardo, Riccardo

    Translational andrology and urology

    2023  Volume 12, Issue 10, Page(s) 1614–1616

    Language English
    Publishing date 2023-10-20
    Publishing country China
    Document type Journal Article ; Comment
    ZDB-ID 2851630-8
    ISSN 2223-4691 ; 2223-4691 ; 2223-4683
    ISSN (online) 2223-4691
    ISSN 2223-4691 ; 2223-4683
    DOI 10.21037/tau-23-446
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Voiding patterns following radical cystectomy and orthotopic neobladder: is intermittent self-catheterization worth the hype?

    Geretto, Paolo / DE Cillis, Sabrina / Phé, Veronique

    Minerva urology and nephrology

    2022  Volume 75, Issue 2, Page(s) 246–247

    MeSH term(s) Humans ; Cystectomy ; Urinary Bladder/surgery ; Urinary Bladder Neoplasms/surgery ; Surgically-Created Structures ; Catheterization
    Language English
    Publishing date 2022-12-01
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 3062840-4
    ISSN 2724-6442
    ISSN (online) 2724-6442
    DOI 10.23736/S2724-6051.23.05316-8
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  5. Article ; Online: Uncomplicated overactive bladder: do we need urodynamics testing for better etiologic evaluation?

    DE Cillis, Sabrina / Geretto, Paolo / Cancrini, Fabiana / Phé, Véronique

    Minerva urology and nephrology

    2022  Volume 73, Issue 6, Page(s) 868–869

    MeSH term(s) Humans ; Urinary Bladder ; Urinary Bladder, Overactive/diagnosis ; Urinary Incontinence ; Urodynamics ; Urologic Surgical Procedures
    Language English
    Publishing date 2022-01-24
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 3062840-4
    ISSN 2724-6442
    ISSN (online) 2724-6442
    DOI 10.23736/S2724-6051.21.04823-0
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  6. Article ; Online: Totally intracorporeal robot-assisted supratrigonal cystectomy and ileal augmentation cystoplasty with periprostatic artificial urinary sphincter implantation for male neurogenic mixed urinary incontinence.

    Geretto, Paolo / DE Cillis, Sabrina / Karsenty, Gilles / Candela, Luigi / Phé, Véronique

    Minerva urology and nephrology

    2023  Volume 75, Issue 3, Page(s) 272–274

    MeSH term(s) Male ; Humans ; Cystectomy ; Robotics ; Urinary Sphincter, Artificial ; Urologic Surgical Procedures ; Urinary Incontinence
    Language English
    Publishing date 2023-05-23
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 3062840-4
    ISSN 2724-6442
    ISSN (online) 2724-6442
    DOI 10.23736/S2724-6051.23.05314-4
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  7. Article ; Online: Robot-assisted esophagectomy with robot-sewn intrathoracic anastomosis (Ivor Lewis): surgical technique and early results.

    Marano, Alessandra / Salomone, Sara / Pellegrino, Luca / Geretto, Paolo / Robella, Manuela / Borghi, Felice

    Updates in surgery

    2022  Volume 75, Issue 4, Page(s) 941–952

    Abstract: Esophagectomy is the selected treatment for nonmetastatic esophageal and esophagogastric junction cancer, although high perioperative morbidity and mortality incur. Robot-assisted minimally invasive esophagectomy (RAMIE) effectively reduces ... ...

    Abstract Esophagectomy is the selected treatment for nonmetastatic esophageal and esophagogastric junction cancer, although high perioperative morbidity and mortality incur. Robot-assisted minimally invasive esophagectomy (RAMIE) effectively reduces cardiopulmonary complications compared to open esophagectomy and offers a technical advantage, especially for lymph node dissection and intrathoracic anastomosis. This article aims at describing our initial experience of Ivor Lewis RAMIE, focusing on the technique's main steps and robotic-sewn esophagogastrostomy. Prospectively collected data from all consecutive patients who underwent Ivor Lewis RAMIE for cancer was reviewed. Reconstruction was performed with a gastric conduit pull-up and a robotic-sewn intrathoracic anastomosis. Intraoperative and postoperative complications were recorded as prescribed by the Esophagectomy Complications Consensus Group (ECCG). Thirty patients underwent Ivor Lewis RAMIE with complete mediastinal lymph node dissection and robot-sewn anastomosis. No intraoperative complications nor conversion occurred. Pulmonary complications totaled 26.7%. Anastomotic leakage (ECCG, type III) and conduit necrosis (ECCG, type III) both occurred in one patient (3.3%). Chylothorax appeared in 2 patients (6.7%) (ECCG, Type IIA). Anastomotic stricture, successfully treated with endoscopic dilatations, occurred in 8 cases (26.7%). Median overall postoperative stay was 11 days (range, 6-51 days). 30 day and 90 day mortality was 0%. R0 resection was performed in 96.7% of patients with a median number of 47 retrieved lymph nodes. RAMIE with robot-sewn intrathoracic anastomosis appears to be feasible, safe and effective, with favorable perioperative results. Nevertheless, further high-quality studies are needed to define the best anastomotic technique for Ivor Lewis RAMIE.
    MeSH term(s) Humans ; Esophagectomy/methods ; Robotics ; Robotic Surgical Procedures/methods ; Esophageal Neoplasms/pathology ; Retrospective Studies ; Anastomosis, Surgical/methods ; Postoperative Complications/epidemiology ; Postoperative Complications/surgery ; Treatment Outcome
    Language English
    Publishing date 2022-12-12
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-022-01439-7
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    Zs.B 101: Show issues Location:
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  8. Article: Comparison Study between Artificial Urinary Sphincter and Adjustable Male Sling: A Propensity-Score-Matched Analysis.

    Geretto, Paolo / Ammirati, Enrico / Falcone, Marco / Manassero, Alberto / Agnello, Marco / Della Corte, Marcello / Gontero, Paolo / Giammò, Alessandro

    Journal of clinical medicine

    2023  Volume 12, Issue 17

    Abstract: Aims: This study aimed to compare the outcomes of the AUS and an adjustable male sling (ATOMS: Methods: It was a retrospective observational cohort study with two arms. Propensity score matching (PSM) was performed in order to limit selection bias ... ...

    Abstract Aims: This study aimed to compare the outcomes of the AUS and an adjustable male sling (ATOMS
    Methods: It was a retrospective observational cohort study with two arms. Propensity score matching (PSM) was performed in order to limit selection bias and, consequently, a comparison between groups in terms of functional outcomes (24 h pad test and perception of improvement questionnaires), complications (overall complications, high-grade complications, reinterventions and explantations) and device survival was performed.
    Results: 49 patients in both arms were included. The baseline characteristics were similar between the groups. The mean follow up was 43 ± 35 months. Dryness was achieved in 22 patients (44.9%) in the AUS group and 11 (22.5%) in the sling group (
    Conclusions: While the AUS may be characterized by a higher dry rate, it has an increased risk of high-grade complications and reinterventions. It is proposed that the ATOMS prosthesis can be successfully used for patients who require a less invasive procedure that maintains good functional outcomes.
    Language English
    Publishing date 2023-08-24
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12175489
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  9. Article ; Online: Management of complex ischial-urethral fistula in neurogenic patients performing clean intermittent self-catheterization.

    Ammirati, Enrico / Geretto, Paolo / Giammò, Alessandro / Falcone, Marco / Gontero, Paolo / Manassero, Alberto

    Urologia

    2021  Volume 90, Issue 1, Page(s) 174–179

    Abstract: Introduction: Neurogenic patients performing clean-intermittent self-catheterization (CIC) may develop an urethral erosion, resulting in ischial-urethral fistulas (I-UF). In this work we present our single-center experience in dealing with this peculiar ...

    Abstract Introduction: Neurogenic patients performing clean-intermittent self-catheterization (CIC) may develop an urethral erosion, resulting in ischial-urethral fistulas (I-UF). In this work we present our single-center experience in dealing with this peculiar complication.
    Methods: In this work we included all neurogenic patients performing CIC treated at out Institution for I-UF. All patients had a spinal cord injury or myelomeningocele. We extracted from the patients' medical records the surgical management and postoperative clinical data. We defined failure the persistence of the fistula at X-ray contrast fistulography, retrograde urethrography, or uretrocystoscopy.
    Results: We treated 11 patients (8 spinal cord injury, 3 myelomeningocele). Four patients have been treated with the placement of a new generation urethral stent (Uventa) after surgical toilette of the skin ulcer and placement of a temporary suprapubic catheter. All patients demonstrated a complete healing of the urethral lesion at stent removal and continued CIC without any difficulty. Four patients have been treated with perineal urethroplasty, requiring a buccal mucosal graft in two cases. In two patients a suprapubic permanent catheter was placed for a simpler bladder management due to the patients' comorbidities. In one case the incidental finding of an high grade muscle invasive urothelial bladder cancer, made it mandatory to perform an uretheroileocutaneostomy.
    Conclusions: This work represent a unique series of I-UF in neurogenic patients performing CIC. Surgical urethral reconstruction, often with the use of buccal mucosa in large lesions, may be a difficult solution in neurogenic patients, new generation stents (Uventa) represent a minimally invasive, effective, and safe alternative.
    MeSH term(s) Humans ; Meningomyelocele/complications ; Urinary Bladder, Neurogenic/therapy ; Urinary Bladder, Neurogenic/surgery ; Intermittent Urethral Catheterization/adverse effects ; Catheterization/adverse effects ; Spinal Cord Injuries/complications
    Language English
    Publishing date 2021-12-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 204043-8
    ISSN 1724-6075 ; 0376-0057 ; 0391-5603
    ISSN (online) 1724-6075
    ISSN 0376-0057 ; 0391-5603
    DOI 10.1177/03915603211062414
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  10. Article: How to Prevent Catheter-Associated Urinary Tract Infections: A Reappraisal of Vico's Theory-Is History Repeating Itself?

    Musco, Stefania / Giammò, Alessandro / Savoca, Francesco / Gemma, Luca / Geretto, Paolo / Soligo, Marco / Sacco, Emilio / Del Popolo, Giulio / Li Marzi, Vincenzo

    Journal of clinical medicine

    2022  Volume 11, Issue 12

    Abstract: New, contextualized modern solutions must be found to solve the dilemma of catheter-associated urinary infection (CAUTI) in long-term care settings. In this paper, we describe the etiology, risk factors, and complications of CAUTI, explore different ... ...

    Abstract New, contextualized modern solutions must be found to solve the dilemma of catheter-associated urinary infection (CAUTI) in long-term care settings. In this paper, we describe the etiology, risk factors, and complications of CAUTI, explore different preventive strategies proposed in literature from the past to the present, and offer new insights on therapeutic opportunities. A care bundle to prevent CAUTI mainly consists of multiple interventions to improve clinical indications, identifying a timeline for catheter removal, or whether any alternatives may be offered in elderly and frail patients suffering from chronic urinary retention and/or untreatable urinary incontinence. Among the various approaches used to prevent CAUTI, specific urinary catheter coatings according to their antifouling and/or biocidal properties have been widely investigated. Nonetheless, an ideal catheter offering holistic antimicrobial effectiveness is still far from being available. After pioneering research in favor of bladder irrigations or endovesical instillations was initially published more than 50 years ago, only recently has it been made clear that evidence supporting their use to treat symptomatic CAUTI and prevent complications is needed.
    Language English
    Publishing date 2022-06-14
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11123415
    Database MEDical Literature Analysis and Retrieval System OnLINE

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