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Article ; Online: Quality of bladder cancer treatment information on YouTube: May the user's profile affect the quality of results?

Prontera, Pier Paolo / Prusciano, Francesca Romana / Lattarulo, Marco / Utano, Emanuele / Schiralli, Francesco / Sciorio, Carmine / Romano, Lorenzo / Grossi, Francesco Saverio

Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica

2024 Volume 96, Issue 1, Page(s) 12179

Abstract: Background: Social media are widely used information tools, including the medical/health field. Unfortunately, the levels of misinformation on these platforms seem to be high, with a medium-low quality of the proposed content, as evidenced by previous ... ...

Abstract	Background: Social media are widely used information tools, including the medical/health field. Unfortunately, the levels of misinformation on these platforms seem to be high, with a medium-low quality of the proposed content, as evidenced by previous studies. You Tube is one of the most important platforms for audio/video content. It shows content to users through a recommendation algorithm system. Materials and methods: We have classified in two cohorts the first results obtained by researching "bladder tumor treatment" on You Tube through two different user profiles: "Cohort A" with a not logged-in session in incognito mode (46 videos enrolled) and "Cohort B" with a logged-in session with a physician profile (50 videos enrolled). The videos were evaluated using validated instruments such as DISCERN and PEMAT-AV Furthermore, we used a Likert's scale for the evaluation of levels of misinformation. Results: Overall quality of information was moderate to poor (DISCERN 3) in 54% of Cohort A and 24% of Cohort B. Moreover, a high degree of misinformation (Likert score 3) was found in 52% of Cohort A cases and 32% of Cohort B. Conclusions: Levels of misinformation in both cohorts are positively correlated to the number of views per month. Globally, the levels of information quality, understandability and actionability are lower for the results obtained from searches performed with anonymous user profile (Cohort A).
MeSH term(s)	Humans ; Social Media ; Urinary Bladder Neoplasms/therapy ; Physicians ; Reproducibility of Results
Language	English
Publishing date	2024-02-16
Publishing country	Italy
Document type	Journal Article
ZDB-ID	1153526-x
ISSN	2282-4197 ; 1120-8538 ; 1124-3562
ISSN (online)	2282-4197
ISSN	1120-8538 ; 1124-3562
DOI	10.4081/aiua.2024.12179
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Article: Minimally invasive percutaneous nephrolithotomy (PCNL): Techniques and outcomes.

Kallidonis, Panagiotis / Tsaturyan, Arman / Lattarulo, Marco / Liatsikos, Evangelos

Turkish journal of urology

2020 Volume 46, Issue Supp. 1, Page(s) S58–S63

Abstract: Minimally invasive percutaneous nephrolithotomy (PCNL) was introduced to decrease the morbidity of the standard PCNL (sPCNL). Thereafter, many modifications and techniques have been presented with the introduction of different miniaturized PCNL (mPCNL) ... ...

Abstract	Minimally invasive percutaneous nephrolithotomy (PCNL) was introduced to decrease the morbidity of the standard PCNL (sPCNL). Thereafter, many modifications and techniques have been presented with the introduction of different miniaturized PCNL (mPCNL) techniques, such as micro-PCNL and ultra-mini-PCNL (UMP). As of present, none of the techniques has displaced the sPCNL. Nonetheless, mini-PCNL has continuously widening indications and has been proposed to have significant advantages over sPCNL. In the current review, each technique is presented while discussing the advantages and disadvantages of each approach. A comprehensive review of the current literature has been performed. Articles related to the topic were retrieved and critically analyzed. Less peri-operative bleeding and shorter hospital stay were the most important advantages advocated for mini-PCNL. Although the performance of mini-PCNL is safe, the utilization of micro-PCNL and UMP should be done with caution.
Language	English
Publishing date	2020-06-05
Publishing country	Turkey
Document type	Journal Article ; Review
ISSN	2149-3235
ISSN	2149-3235
DOI	10.5152/tud.2020.20161
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Article ; Online: Endoscopic management of encrusted ureteral stents: outcomes and tips and tricks.

Tsaturyan, Arman / Faria-Costa, Gabriel / Peteinaris, Angelis / Lattarulo, Marco / Martinez, Begona Ballesta / Vrettos, Theofanis / Liatsikos, Evangelos / Kallidonis, Panagiotis

World journal of urology

2023 Volume 41, Issue 5, Page(s) 1415–1421

Abstract: Purpose: To report our experience in the management of encrusted ureteral stents (EUS) and provide technical insight of our endourological approaches for difficult scenarios posed by this entity.: Materials and methods: A retrospective evaluation of ... ...

Abstract	Purpose: To report our experience in the management of encrusted ureteral stents (EUS) and provide technical insight of our endourological approaches for difficult scenarios posed by this entity. Materials and methods: A retrospective evaluation of a longitudinally collected database of 58 patients with encrusted US between December 2012 and May 2022 was performed. The ureteral stents were initially inserted due to obstructive uropathy, pyelonephritis or after a successful endoscopic procedure for urolithiasis. A combination of antegrade/retrograde treatment in single or multiple sessions took place for the retrieval of the encrusted stents. Non-contrast enhanced computer tomography was used for the follow-up of the patients at 1-month after the removal of the encrusted stent. Results: Overall 58 patients, 39 males and 19 females with a median age of 51 years old were included in the study. Indwelling time was < 6 months, 6-12 months and > 12 months in 22%, 57% and 21% of the cases, respectively. All US were successfully removed. Semi-rigid ureteroscopy (URS) and flexible ureteroscopy (fURS) were used in 90% of the cases. In 10% of the cases, a second-stage percutaneous nephrolithotomy (PCNL) or endoscopic combined intrarenal surgery (ECIRS) was performed. All US were successfully released. Stone-free rate was 84% at 1-month. Overall complication rate was 10.5% (mostly postoperative fevers, 5.4%). Conclusion: Removal of the encrusted US is a challenging procedure. Appropriate decision-making and knowledge of specific tricks may result in safe and successful management of significant EUS.
MeSH term(s)	Male ; Female ; Humans ; Middle Aged ; Ureteroscopy/methods ; Retrospective Studies ; Lithotripsy/methods ; Device Removal/methods ; Ureter/surgery ; Ureteral Calculi/surgery ; Stents/adverse effects
Language	English
Publishing date	2023-04-06
Publishing country	Germany
Document type	Journal Article
ZDB-ID	380333-8
ISSN	1433-8726 ; 0724-4983
ISSN (online)	1433-8726
ISSN	0724-4983
DOI	10.1007/s00345-023-04361-8
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Article: Effect of patient positioning on anesthesiologic risk in endourological procedures.

Vrettos, Theofanis / Martinez, Begona Ballesta / Tsaturyan, Arman / Liourdi, Despoina / Al-Aown, Abdulrahman / Lattarulo, Marco / Liatsikos, Evangelos / Kallidonis, Panagiotis

Urology annals

2023 Volume 15, Issue 3, Page(s) 261–265

Abstract: Objective: The objective is to compare supine and prone positions in terms of arterial blood gas during lithotripsy endourology procedures in different stages.: Material and methods: Cases of during lithotripsy endourology procedures in our ... ...

Abstract	Objective: The objective is to compare supine and prone positions in terms of arterial blood gas during lithotripsy endourology procedures in different stages. Material and methods: Cases of during lithotripsy endourology procedures in our department from March to September 2020 were included prospectively. The variables registered were body mass index, age, the American Society of Anesthesiologists (ASA) score, diabetes mellitus, positive end-expiratory pressure (PEEP), FiO Results: Thirty patients in prone position and 30 in lithotomy position were included in this study. Patients in prone position underwent percutaneous nephrolithotomy, and patients in supine/lithotomy underwent retrograde intrarenal surgery or ureteroscopy. Statistically significant differences were found in PEEP, duration, PaO Conclusions: Both prone and supine positions were safe regarding anesthesiologic risk and had no clinically relevant differences in terms of individual comparisons in arterial blood gas parameters in static moments of the procedure. Prone position was related to an increase in PaO
Language	English
Publishing date	2023-06-16
Publishing country	India
Document type	Journal Article
ISSN	0974-7796
ISSN	0974-7796
DOI	10.4103/ua.ua_113_22
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Article ; Online: Comparison between standard, mini and ultra-mini percutaneous nephrolithotomy for single renal stones: a prospective study.

Adamou, Constantinos / Goulimi, Evangelia / Pagonis, Konstantinos / Peteinaris, Angelis / Tsaturyan, Arman / Vagionis, Athanasios / Lattarulo, Marco / Giannitsas, Konstantinos / Liatsikos, Evangelos / Kallidonis, Panagiotis

World journal of urology

2022 Volume 40, Issue 10, Page(s) 2543–2548

Abstract: Purpose: Based on the current trend of miniaturization of instruments used in percutaneous nephrolithotomy (PCNL), it is necessary to compare different PCNL modalities regarding their access sheath size used. Thus, the safety and efficacy among standard, ...

Abstract	Purpose: Based on the current trend of miniaturization of instruments used in percutaneous nephrolithotomy (PCNL), it is necessary to compare different PCNL modalities regarding their access sheath size used. Thus, the safety and efficacy among standard, mini and ultra-mini PCNL (s-PCNL, m-PCNL, um-PCNL) were compared. Methods: We performed a prospective, non-randomized trial between January 2018 and July 2020. Patients with stones classified as Guy's stone score grade I were included. The set-up for s-PCNL and m-PCNL included a 30 Fr and 22 Fr percutaneous tract, respectively. In both set-ups, an ultrasonic/ballistic lithotripter was utilized. In the case of um-PCNL, a 12 Fr percutaneous tract was established. A high-power laser was used for lithotripsy. Hemoglobin drop, complication rate, length of hospital stay (LOS), stone-free rate (SFR) and operation time were evaluated. Results: A total of 84 patients, 28 patients per method, were evaluated. Hemoglobin drop was higher in the s-PCNL group when compared to m-PCNL (p = 0.008) and um-PCNL groups (p < 0.001), while um-PCNL group had the slightest hemoglobin drop. LOS was similar between s-PCNL group and m-PCNL group, but um-PCNL group required shorter hospital stay than the other two modalities (p < 0.001). The complication and transfusion rates as well as SFR did not differ between groups. Operation time in the um-PCNL set-up was longer compared to s-PCNL (p < 0.001) and m-PCNL (p = 0.011), whereas s-PCNL and m-PCNL did not differ significantly. Conclusion: m-PCNL showed less hemoglobin drop, but similar operation time and SFR when compared to s-PCNL. um-PCNL showed even less hemoglobin drop, but the operation time was longer compared to the two other modalities.
MeSH term(s)	Hemoglobins ; Humans ; Kidney Calculi/surgery ; Nephrolithotomy, Percutaneous/methods ; Prospective Studies ; Treatment Outcome
Chemical Substances	Hemoglobins
Language	English
Publishing date	2022-07-28
Publishing country	Germany
Document type	Journal Article
ZDB-ID	380333-8
ISSN	1433-8726 ; 0724-4983
ISSN (online)	1433-8726
ISSN	0724-4983
DOI	10.1007/s00345-022-04107-y
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Article ; Online: The use of 14/16Fr ureter access sheath for safe and effective management of large upper ureteral calculi.

Tsaturyan, Arman / Kalogeropoulos, George / Lattarulo, Marco / Adamou, Constantinos / Pagonis, Konstantinos / Peteinaris, Angelis / Liourdi, Despoina / Vrettos, Theofanis / Liatsikos, Evangelos / Kallidonis, Panagiotis

World journal of urology

2022 Volume 40, Issue 5, Page(s) 1217–1222

Abstract: Objective: To evaluate the effectiveness of ureteroscopic lithotripsy for the management of large proximal ureteral stones > 10 mm using 14/16 Fr ureteral access sheath (UAS).: Materials and methods: Patients' data from prospective database ... ...

Abstract	Objective: To evaluate the effectiveness of ureteroscopic lithotripsy for the management of large proximal ureteral stones > 10 mm using 14/16 Fr ureteral access sheath (UAS). Materials and methods: Patients' data from prospective database undergoing ureteroscopic laser lithotripsy with a use of 14/16Fr UAS were collected. All patients were pre-stented prior to the procedure. The fragmentation was performed with a semi-rigid ureteroscope using holmium laser energy with a power setting of 35 W (frequency-35 Hz; energy-1 J). Follow-up was scheduled at 4 weeks and 3 months postoperatively. Results: In total 78 patients, 43 males and 35 females, were included in the study. The mean age of the patients was 59.5 ± 13.3 with a mean maximal stone diameter of 13.4 ± 2.1. The mean operative time was 35.7 ± 9.7 and the mean hospital stay was 2 ± 0.7 days. The primary SFR at 4 weeks was 73 patients (93.6%), while all 78 patients (100%) were stone free at 3-month follow-up, 2 of the patients receiving additional treatment. In total, 8 (10.2%) patients experienced Grade II complications. Intraoperative ureteral lesions were observed in 41 (52.6%) cases. Out of them 31 patients (39.7%) developed Grade 1, 8 patients (10.3%) Grade 2 and only 3 patients (2.6%) Grade 3 lesions. Conclusion: The use of 14/16Fr ureteral access sheath on pre-stented patients was associated with successful outcomes. A high stone-free rate of 93.6% was achieved at 4-week follow-up. The procedure was not associated with increased rate of postoperative complications and intraoperative ureteral injury.
MeSH term(s)	Female ; Humans ; Lithotripsy ; Lithotripsy, Laser/methods ; Male ; Treatment Outcome ; Ureter/surgery ; Ureteral Calculi/surgery ; Ureteroscopy/methods
Language	English
Publishing date	2022-02-12
Publishing country	Germany
Document type	Journal Article
ZDB-ID	380333-8
ISSN	1433-8726 ; 0724-4983
ISSN (online)	1433-8726
ISSN	0724-4983
DOI	10.1007/s00345-022-03949-w
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Article ; Online: Position-related anesthesiologic considerations and surgical outcomes of prone percutaneous nephrolithotomy: a review of the current literature.

Tsaturyan, Arman / Vrettos, Theofanis / Ballesta Martinez, Begona / Liourdi, Despoina / Lattarulo, Marco / Liatsikos, Evangelos / Kallidonis, Panagiotis

Minerva urology and nephrology

2022

Abstract: The aim of the current paper was to perform a critical review of existing literature and report the potential morbidity of patient positioning during urological surgeries as well as evaluate the surgical outcomes and anesthesiological benefits and risks ... ...

Abstract	The aim of the current paper was to perform a critical review of existing literature and report the potential morbidity of patient positioning during urological surgeries as well as evaluate the surgical outcomes and anesthesiological benefits and risks of prone percutaneous nephrolithotomy (PCNL). A narrative review of the current literature has been performed. Articles related to position-related injuries and complications under general anesthesia in prone positions were selected, studied, and considered for the current review. We found that under general anesthesia, the prone position improved the oxygenation of patients and increased the elimination of carbon dioxide. A potential risk for position-related anesthesiological side effects was reported for longer spine surgeries in a prone position. The injuries and position-related side effects were extremely rare following prone PCNL since the mean duration of the procedure was significantly shorter than that of spine surgery. In conclusion, the prone PCNL remains the most often utilized and preferred approach globally with well-established success and complication rates. Clinical outcomes of prone PCNL do not demonstrate an increased rate of anesthesiological complications compared to the supine approach. Standardization of turnover of the position, and reduction of the operative time warrant a faster and complication-free recovery.
Language	English
Publishing date	2022-05-27
Publishing country	Italy
Document type	Journal Article
ZDB-ID	3062840-4
ISSN	2724-6442
ISSN (online)	2724-6442
DOI	10.23736/S2724-6051.22.04787-5
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Article ; Online: Early diagnosis and management of arterio-ureteral ﬁstulas: A literature review.

Prontera, Pier Paolo / Sciorio, Carmine / De Cillis, Antonio / Martinelli, Evangelista / Schiralli, Francesco / Lattarulo, Marco / D'Elia, Angelo / Utano, Emanuele / Grossi, Francesco Saverio

Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica

2023 Volume 95, Issue 1, Page(s) 10928

Abstract: Objectives: Arterio-ureteralﬁstula (AUF) is an infrequent but potentially life-threatening condition. The aim of this study was reviewing the literature to build a ﬂow-chart useful for an early and effective diagnosis and treatment of this pathology.: ...

Abstract	Objectives: Arterio-ureteralﬁstula (AUF) is an infrequent but potentially life-threatening condition. The aim of this study was reviewing the literature to build a ﬂow-chart useful for an early and effective diagnosis and treatment of this pathology. Materials and methods: A literature search in PubMed was conducted. In addition, retrieved articles were cross-referenced. Data parameters included oncologic, vascular and urological history, diagnostics, treatment, and follow up were collected using a standard template by 2 independent reviewers. Results: A total of 140 cases of AUF out of 172 available in the literature at the time of the review, were considered. All patients presented gross hematuria. Chronic indwelling ureteral catheter (CIUC); history of pelvic surgery (HPS) and history of pelvic radiotherapy (HRT) were present respectively in 81%, 62.1%and 58.6% of the sample. The most predominant location of AUF was at the common iliac artery ureteral crossing. Angiography with provocative measures had the highest diagnostic sensitivity (50%) and endovascular treatment with stent-graft placement across the ﬁstula is the current state of the art treatment choice. Conclusions: Failure to diagnose can postpone a potentially life-saving targeted therapy and lead to complications. The identiﬁ-cation of the Trifecta hematuria, history of pelvic surgery (HPS) and history of pelvic radiotherapy (HPR) would allow the identity-ﬁcation of patients at high risk of AUF, who may beneﬁt from more sensitive early diagnostic investigations such as CT angiography and provocative angiography. The treatment of choice in case of AUF to date consist in endovascular prosthesis placement.
MeSH term(s)	Humans ; Vascular Fistula/diagnosis ; Vascular Fistula/therapy ; Vascular Fistula/etiology ; Hematuria/etiology ; Urinary Fistula/etiology ; Iliac Artery ; Ureteral Diseases/diagnosis ; Ureteral Diseases/therapy ; Ureteral Diseases/etiology ; Early Diagnosis ; Stents/adverse effects
Language	English
Publishing date	2023-02-22
Publishing country	Italy
Document type	Review ; Journal Article
ZDB-ID	1153526-x
ISSN	2282-4197 ; 1120-8538 ; 1124-3562
ISSN (online)	2282-4197
ISSN	1120-8538 ; 1124-3562
DOI	10.4081/aiua.2023.10928
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Article: Holmium: Yttrium-aluminum-garnet laser lithotripsy: Is there a difference in ablation rates between short and long pulse duration?

Ntasiotis, Panteleimon / Peteinaris, Angelis / Lattarulo, Marco / Tsaturyan, Arman / Asutay, Mehmet Kazim / Adamou, Constantinos / Vagionis, Athanasios / Pagonis, Konstantinos / Koukiou, Georgia / Al-Aown, Abdulrahman / Liatsikos, Evangelos / Kallidonis, Panagiotis

Urology annals

2023 Volume 15, Issue 2, Page(s) 202–206

Abstract: Introduction: The high-power holmium: yttrium-aluminum-garnet lasers provide a wide variety of settings for stone disintegration. The aim of this : Materials and methods: Two types of artificial stones were created by BegoStone™ with different ... ...

Abstract	Introduction: The high-power holmium: yttrium-aluminum-garnet lasers provide a wide variety of settings for stone disintegration. The aim of this Materials and methods: Two types of artificial stones were created by BegoStone™ with different compositions (15:3 and 15:6, stone/water ratio). Stones with a 15:3 and 15:6 powder-to-water ratio were defined as hard and soft stones, respectively. Lithotripsy was performed with different laser settings using a custom-made Results: Higher pulse rates and higher total power settings were related to higher ablation rates. Short pulse duration was more effective on soft stones, whereas long pulse duration was more effective on hard stones. For the same power settings, the highest energy-lowest frequency combination resulted in higher ablation rate in comparison to the lowest energy-higher frequency combination. Finally, short and long pulse average ablation rates do not differ so much. Conclusion: Regardless of the stone type and pulse duration, utilization of higher power settings with higher energies increased the ablation rates. Higher ablation rates were demonstrated for hard stones using long pulse duration, and for soft stones with short pulse duration.
Language	English
Publishing date	2023-03-17
Publishing country	India
Document type	Journal Article
ISSN	0974-7796
ISSN	0974-7796
DOI	10.4103/ua.ua_111_22
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Article ; Online: The use of ureteral access sheath during mini-percutaneous nephrolithotomy with high-power holmium YAG laser.

Tsaturyan, Arman / Lattarulo, Marco / Adamou, Constantinos / Pagonis, Konstantinos / Peteinaris, Angelis / Liourdi, Despoina / Vrettos, Theofanis / Liatsikos, Evangelos / Kallidonis, Panagiotis

World journal of urology

2021 Volume 40, Issue 3, Page(s) 789–794

Abstract: Purpose: To present our preliminary results and describe a technical modification of mini-PCNL (12Fr) with the insertion of a ureteral access sheath (UAS) to facilitate the procedure.: Methods: A prospective study for the time period of January 2020 ... ...

Abstract	Purpose: To present our preliminary results and describe a technical modification of mini-PCNL (12Fr) with the insertion of a ureteral access sheath (UAS) to facilitate the procedure. Methods: A prospective study for the time period of January 2020 to January 2021 was conducted including patients with renal stones sized ≤ 25 mm in whom prone mini-PCNL (tract size 12Fr) together with the retrograde insertion of UAS was performed. All patients had been prestented at least 1 week prior to the planned surgery. A single-step tract dilation to 12Fr diameter was performed through a nonpapillary medial puncture. The lithotripsy was achieved using high-power holmium yttrium aluminum garnet laser (Ho:YAG) with the 60 W power setting (40 Hz and 1.5 J). The follow-up investigations were planned at 1-month after the surgery. Results: In total, 32 patients with the median age and stone size of 56.5 (IQR = 53-62) years and 20.8 (IQR = 19.3-22.7) mm were included. The median operative and cumulative fluoroscopy time were 34.0 (IQR = 29.9-37.5) and 1.9 (1.8-2.1) min, respectively. The stone-free rate (SFR) at 1-month follow-up was 93.8% (30/32). Only one patient developed a fever and required prolonged antibiotic administration. None of the patients experienced clinically significant bleeding. Conclusion: Our preliminary results showed that the use of UASs during mini-PCNL procedures is feasible and provides directed evacuation of the stone fragments reaching 93.8% SFR at a 1-month follow-up. Future well-designed studies are necessary to prove our findings.
MeSH term(s)	Humans ; Kidney Calculi/surgery ; Lasers, Solid-State/therapeutic use ; Lithotripsy ; Male ; Nephrolithotomy, Percutaneous ; Prospective Studies ; Treatment Outcome
Language	English
Publishing date	2021-12-02
Publishing country	Germany
Document type	Journal Article
ZDB-ID	380333-8
ISSN	1433-8726 ; 0724-4983
ISSN (online)	1433-8726
ISSN	0724-4983
DOI	10.1007/s00345-021-03894-0
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