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  1. Article: Three-component hydraulic penile prosthesis malfunction due to penile fibrolipoma secondary to augmentative phalloplasty: A case report.

    Antonini, Gabriele / Vicini, Patrizio / De Berardinis, Ettore / Pacchiarotti, Arianna / Gentile, Vincenzo / Perito, Paul

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

    2016  Volume 87, Issue 4, Page(s) 339–341

    Abstract: Fibrolipomas are an infrequent type of lipomas. We describe a case of a man suffering from subcutaneous penile fibrolipoma, who twelve months earlier has been submitted to augmentative phalloplasty due to aesthetic dysmorphophobia. The same patient three ...

    Abstract Fibrolipomas are an infrequent type of lipomas. We describe a case of a man suffering from subcutaneous penile fibrolipoma, who twelve months earlier has been submitted to augmentative phalloplasty due to aesthetic dysmorphophobia. The same patient three years earlier has been submitted to three-component hydraulic penile prostheses implantation due to erectile dysfunction. After six months from removing of the mass, the penile elongation and penile enlargement were stable, the prostheses were correctly functioning and the patient was satisfied with his sexual intercourse and life. The diagnostics and surgical characteristics of this case are reported.
    MeSH term(s) Fibroma/etiology ; Fibroma/surgery ; Humans ; Lipoma/etiology ; Lipoma/surgery ; Male ; Middle Aged ; Patient Satisfaction ; Penile Implantation/adverse effects ; Penile Neoplasms/etiology ; Penile Neoplasms/surgery ; Penile Prosthesis/adverse effects ; Penis/abnormalities ; Penis/surgery ; Prosthesis Failure ; Reconstructive Surgical Procedures/adverse effects ; Reoperation ; Surgical Flaps ; Treatment Outcome
    Language English
    Publishing date 2016-01-14
    Publishing country Italy
    Document type Case Reports ; Journal Article
    ZDB-ID 1153526-x
    ISSN 2282-4197 ; 1124-3562 ; 1120-8538
    ISSN (online) 2282-4197
    ISSN 1124-3562 ; 1120-8538
    DOI 10.4081/aiua.2015.4.339
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Risk of unfavorable outcomes after penile prosthesis implantation - results from a national registry (INSIST-ED).

    Preto, Mirko / Falcone, Marco / Plamadeala, Natalia / Schifano, Nicolò / Bettocchi, Carlo / Colombo, Fulvio / Fiordelise, Stefano / Vitarelli, Antonio / Silvani, Mauro / Mondaini, Nicola / Paradiso, Matteo / Ceruti, Carlo / Varvello, Francesco / Palumbo, Fabrizio / Avolio, Antonio / Antonini, Gabriele / Corvasce, Antonio / Pozza, Diego / Franco, Giorgio /
    Bitelli, Marco / Boezio, Francesco / Conti, Enrico / Caraceni, Enrico / Negro, Carlo / Carrino, Maurizio / Vicini, Patrizio / Ghidini, Nicola / Alei, Giovanni / Italiano, Emilio / Timpano, Massimiliano / Polito, Massimo / Natali, Alessandro / Tamai, Aldo / Pescatori, Edoardo / Dehò, Federico / Gideon, Blecher / Gontero, Paolo / Palmieri, Alessandro / Capogrosso, Paolo

    International journal of impotence research

    2023  

    Abstract: Like all surgeries, penile prosthesis implantation (PPI) has the potential for both postoperative complications and suboptimal patient satisfaction. In order to assess risk factors for poor satisfaction, we reviewed patients who had been prospectively ... ...

    Abstract Like all surgeries, penile prosthesis implantation (PPI) has the potential for both postoperative complications and suboptimal patient satisfaction. In order to assess risk factors for poor satisfaction, we reviewed patients who had been prospectively recruited in a national multi-institutional registry of penile prostheses procedures (INSIST-ED) from 2014 to 20121. Patient baseline characteristics and postoperative complications were recorded. The primary endpoint of this study was unfavorable outcomes after inflatable PPI, defined as significant postoperative complications (Clavien-Dindo ≥2) and/or Sexuality with Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) scores below the 10th percentile. A total of 256 patients were included in the study. The median age was 60 years (IQR 56-67). The most common cause of erectile dysfunction (ED) was organic (42.2%), followed by pelvic surgery/radiotherapy (39.8%) and Peyronie's disease (18.0%). Postoperative complications were recorded in 9.6%. High-grade complications (Clavien ≥2) occurred in 4.7%. At 1-year follow-up, the median QoLSPP total score was 71 (IQR 65-76). In all, 14.8% of patients were classified as having experienced unfavorable outcomes because of significant postoperative complications and/or QoLSPP scores below the 10th percentile. Logistic regression analysis demonstrated patient age to be non-linearly associated with the risk of experiencing unfavorable outcomes. A U-shaped correlation showed a lower risk for younger and older patients and a higher risk for middle-aged men. ED etiology and surgical volume were not associated with PPI outcomes. Physicians should, therefore, be aware that middle-aged men may be at higher risk of being unsatisfied following PPI compared to both younger and older patients.
    Language English
    Publishing date 2023-10-31
    Publishing country England
    Document type Journal Article
    ZDB-ID 1034295-3
    ISSN 1476-5489 ; 0955-9930
    ISSN (online) 1476-5489
    ISSN 0955-9930
    DOI 10.1038/s41443-023-00784-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Penile prosthesis implant for erectile dysfunction: A new minimally invasive infrapubic surgical technique.

    Antonini, Gabriele / Busetto, Gian Maria / De Berardinis, Ettore / Giovannone, Riccardo / Vicini, Patrizio / Gentile, Vincenzo / Perito, Paul E

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

    2016  Volume 87, Issue 4, Page(s) 322–324

    Abstract: Erectile dysfunction, the most common male sexual disorder after premature ejaculation, with its important impact on man and partner's sexuality and quality of life is a persistent inability to obtain and maintain an erection sufficient to permit ... ...

    Abstract Erectile dysfunction, the most common male sexual disorder after premature ejaculation, with its important impact on man and partner's sexuality and quality of life is a persistent inability to obtain and maintain an erection sufficient to permit satisfactory sexual performance. Non-surgical treatments with controversial results are usually applyed before surgical treatment that has reached high levels of satisfaction. We describe a new surgical technique to implant three-pieces penile prosthesis in patients suffering from erectile dysfunction (ED) not responding to conventional medical therapy or reporting side effects with such a therapy. Implantation of an inflatable prosthesis, for treatment of ED, is a safe and efficacious approach with high satisfaction reported by patients and partners. Surgical technique should be minimally invasive and latest technology equipment should be implanted in order to decrease common complications and to obtain a better aesthetic result.
    MeSH term(s) Adult ; Erectile Dysfunction/etiology ; Erectile Dysfunction/surgery ; Humans ; Male ; Minimally Invasive Surgical Procedures/methods ; Patient Satisfaction ; Penile Implantation/methods ; Penile Prosthesis ; Quality of Life ; Treatment Outcome
    Language English
    Publishing date 2016-01-14
    Publishing country Italy
    Document type Journal Article ; Technical Report
    ZDB-ID 1153526-x
    ISSN 2282-4197 ; 1124-3562 ; 1120-8538
    ISSN (online) 2282-4197
    ISSN 1124-3562 ; 1120-8538
    DOI 10.4081/aiua.2015.4.322
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Large bowel infarct following antegrade scrotal sclerotherapy for varicocele: A case report.

    Vicini, Patrizio / Di Pierro, Giovanni Battista / Grande, Pietro / Voria, Giuseppe / Antonini, Gabriele / De Marco, Ferdinando / Di Nicola, Stefano / Gentile, Vincenzo

    Canadian Urological Association journal = Journal de l'Association des urologues du Canada

    2014  Volume 8, Issue 9-10, Page(s) E641–3

    Abstract: Varicocele is the main cause of male infertility. Treatment stops continuous damage to spermatogenesis, thereby potentially improving fertility. Among all the available procedures, the ante-grade scrotal sclerotherapy (ASS), a combined radiological- ... ...

    Abstract Varicocele is the main cause of male infertility. Treatment stops continuous damage to spermatogenesis, thereby potentially improving fertility. Among all the available procedures, the ante-grade scrotal sclerotherapy (ASS), a combined radiological-surgical approach first introduced by Tauber, is gaining more popularity due to its minimal invasiveness. We report the case of a 35-year old man who was subjected to a colonic resection after antegrade scrotal sclerotherapy for varicocele. The procedure was necessary due to the embolization of venous anastomosis between the spermatic and mesenteric veins, which were not detectable at the preoperative phlebography.
    Language English
    Publishing date 2014-10-01
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2431403-1
    ISSN 1911-6470
    ISSN 1911-6470
    DOI 10.5489/cuaj.1822
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  5. Article: Use of inflatable penile prostheses AMS CX with momentary squeeze in a patient with Peyronie's disease after removal of two previously implanted penile prostheses.

    Vicini, Patrizio / De Marco, Ferdinando / Antonini, Gabriele / De Berardinis, Ettore / Giovannone, Riccardo / Pecoraro, Stefano / Azzarri, Luigi / Gentile, Vincenzo

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

    2014  Volume 86, Issue 1, Page(s) 46–47

    Abstract: Objective: Peyronie's disease (PD) is a fibrotic wound-healing condition of the tunica albuginea that results in penile deformity, curvature, hinging, narrowing and shortening, penile pain, and in some cases, erectile dysfunction (ED). Surgery remains ... ...

    Abstract Objective: Peyronie's disease (PD) is a fibrotic wound-healing condition of the tunica albuginea that results in penile deformity, curvature, hinging, narrowing and shortening, penile pain, and in some cases, erectile dysfunction (ED). Surgery remains the gold standard treatment option, ensuring the faster and trustworthy treatment. For those patients who have erectile dysfunction and PD, penile prosthesis placement with straightening procedure is the best method to solve both diseases. The aim of this article is to present the use of hydraulic penile prostheses AMS CX with Momentary Squeeze associated with a complete isolation of the neurovascular bundle in a complex case after removal of two previously implanted prostheses in a man suffering from Peyronie's disease and erectile dysfunction.
    Material and method: A 50 year-old patient underwent two previous prosthetic implants in another hospital. The first implantation was performed using an infrapubic approach followed by placement of a three-component hydraulic penile prosthesis. After six months the prosthesis was removed using an infra-pubic approach and two soft prosthesis Virilis II were implanted during the same surgery. One year after the second operation we implanted a hydraulic penile prosthesis AMS CX with Momentary Squeeze after complete isolation of the neurovascular bundle, fixing the two crural tips at the same level of albuginea of the two corpora cavernosa.
    Result: Twelve months after surgery the penis was completely straight without penile shortening and the patient was fully satisfied with his sexual life.
    Conclusion: The procedure enabled a perfect alignment of the cylinders along the longitudinal axis and penile prosthetic symmetry to obtain a good penile rigidity and a perfect penile straightening.
    MeSH term(s) Device Removal ; Erectile Dysfunction/etiology ; Erectile Dysfunction/surgery ; Humans ; Male ; Middle Aged ; Patient Satisfaction ; Penile Implantation ; Penile Induration/complications ; Penile Induration/surgery ; Penile Prosthesis ; Prosthesis Design ; Reoperation ; Treatment Outcome
    Language English
    Publishing date 2014-03-28
    Publishing country Italy
    Document type Case Reports ; Journal Article
    ZDB-ID 1153526-x
    ISSN 2282-4197 ; 1124-3562 ; 1120-8538
    ISSN (online) 2282-4197
    ISSN 1124-3562 ; 1120-8538
    DOI 10.4081/aiua.2014.1.46
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  6. Article: Penile subcutaneous fibrolipoma postaugmentative phalloplasty.

    Vicini, Patrizio / De Marco, Ferdinando / Letizia, Piero / Alei, Lavinia / Antonini, Gabriele / Alei, Giovanni / Gentile, Vincenzo

    Case reports in urology

    2013  Volume 2013, Page(s) 696314

    Abstract: Fibrolipomas are a rare subtype of lipomas. We describe a case of a man suffering from subcutaneous penile fibrolipoma, who three months earlier has been submitted to an augmentative phalloplasty due to aesthetic dysmorphophobia. After six months from ... ...

    Abstract Fibrolipomas are a rare subtype of lipomas. We describe a case of a man suffering from subcutaneous penile fibrolipoma, who three months earlier has been submitted to an augmentative phalloplasty due to aesthetic dysmorphophobia. After six months from the excision of the mass, the penile elongation and penile enlargement were stable, and the patient was satisfied with his sexual intercourse and sexual life. To our knowledge, this is the first reported penile subcutaneous fibrolipoma case in the literature. The diagnostics and surgical features of this case are discussed.
    Language English
    Publishing date 2013-09-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2627659-8
    ISSN 2090-6978 ; 2090-696X
    ISSN (online) 2090-6978
    ISSN 2090-696X
    DOI 10.1155/2013/696314
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  7. Article: Penile fracture: penoscrotal approach with degloving of penis after Magnetic Resonance Imaging (MRI).

    Antonini, Gabriele / Vicini, Patrizio / Sansalone, Salvatore / Garaffa, Giulio / Vitarelli, Antonio / De Berardinis, Ettore / Von Heland, Magnus / Giovannone, Riccardo / Casciani, Emanuele / Gentile, Vincenzo

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

    2014  Volume 86, Issue 1, Page(s) 39–40

    Abstract: Fracture of the penis, a relatively uncommon emergency in Urology, consists in the traumatic rupture of the tunica albuginea of the corpus cavernosum. Examination and clinical history can be highly suspicious of penile fracture in the majority of cases ... ...

    Abstract Fracture of the penis, a relatively uncommon emergency in Urology, consists in the traumatic rupture of the tunica albuginea of the corpus cavernosum. Examination and clinical history can be highly suspicious of penile fracture in the majority of cases and ultrasonography (USS) can be useful to identify the exact location of the tunical rupture, which is proximal in 2/3 of cases and therefore manageable through a penoscrotal approach. Although expensive and not readily available in the acute setting, Magnetic Resonance Imaging (MRI) may play a role in the differential diagnosis with rupture of a circumflex or dorsal vein of the penis or when the tunical rupture is not associated with tear of the overlying Buck's fascia. This form of imaging is more sensitive than USS at identifying the presence of a tunical tear. The treatment of choice is immediate surgical repair, which allows preserving erectile function and minimizing corporeal fibrosis.
    MeSH term(s) Diagnosis, Differential ; Erectile Dysfunction/etiology ; Erectile Dysfunction/prevention & control ; Humans ; Magnetic Resonance Imaging ; Male ; Penis/injuries ; Penis/pathology ; Penis/surgery ; Rupture ; Scrotum/injuries ; Scrotum/pathology ; Scrotum/surgery ; Urologic Surgical Procedures, Male
    Language English
    Publishing date 2014-03-28
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 1153526-x
    ISSN 2282-4197 ; 1124-3562 ; 1120-8538
    ISSN (online) 2282-4197
    ISSN 1124-3562 ; 1120-8538
    DOI 10.4081/aiua.2014.1.39
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Superselective embolization of bladder arteries in the treatment of intractable bladder haemorrhage.

    De Berardinis, Ettore / Vicini, Patrizio / Salvatori, Filippo / Sciarra, Alessandoro / Gentile, Vincenzo / Di Silverio, Franco

    International journal of urology : official journal of the Japanese Urological Association

    2005  Volume 12, Issue 5, Page(s) 503–505

    Abstract: Bladder hemorrhage following radiation therapy is a serious complication in patients undergoing this treatment. Several methods have been proposed to control this particular situation; however, results have been far from satisfactory, with the exception ... ...

    Abstract Bladder hemorrhage following radiation therapy is a serious complication in patients undergoing this treatment. Several methods have been proposed to control this particular situation; however, results have been far from satisfactory, with the exception of drastic measures such as hypogastric artery ligation and radical cystectomy. We recently used a method of superselective embolization of the bladder arteries which enabled us to control severe intractable bleeding in a patient submitted to bladder irradiation for a transitional cell infiltrating carcinoma. Compared to selective embolization and other methods, the advantages of superselective embolization are a lower recurrence rate concerning bleeding, fewer side-effects and the possibility of using adaptable embospheres (150-1000 micron) which, on account of their marked plasticity, offer better occlusion of the vessels. For these reasons, superselective embolization of the bladder arteries should be considered as the treatment of choice in intractable bladder hemorrhage.
    MeSH term(s) Aged ; Angiography ; Carcinoma, Transitional Cell/pathology ; Carcinoma, Transitional Cell/radiotherapy ; Cystoscopy ; Embolization, Therapeutic/methods ; Follow-Up Studies ; Gelatin Sponge, Absorbable/administration & dosage ; Hematuria/therapy ; Hemorrhage/therapy ; Hemostatics/administration & dosage ; Humans ; Injections, Intra-Arterial ; Male ; Radiation Injuries/therapy ; Tomography, X-Ray Computed ; Urinary Bladder/blood supply ; Urinary Bladder/radiation effects ; Urinary Bladder Diseases/therapy ; Urinary Bladder Neoplasms/pathology ; Urinary Bladder Neoplasms/radiotherapy
    Chemical Substances Hemostatics
    Language English
    Publishing date 2005-05
    Publishing country Australia
    Document type Case Reports ; Journal Article
    ZDB-ID 1328401-0
    ISSN 0919-8172
    ISSN 0919-8172
    DOI 10.1111/j.1442-2042.2005.01074.x
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  9. Article: INSIST-ED: Italian Society of Andrology registry on penile prosthesis surgery. First data analysis.

    Pescatori, Edoardo / Alei, Giovanni / Antonini, Gabriele / Avolio, Antonio / Bettocchi, Carlo / Bitelli, Marco / Boezio, Francesco / Cai, Tommaso / Caraceni, Enrico / Carrino, Maurizio / Colombo, Fulvio / Conti, Enrico / Corvasce, Antonio / Dehò, Federico / Fiordelise, Stefano / Ghidini, Nicola / Italiano, Emilio / La Pera, Giuseppe / Liguori, Giovanni /
    Maretti, Carlo / Mondaini, Nicola / Natali, Alessandro / Negro, Carlo / Palmieri, Alessandro / Palumbo, Fabrizio / Paradiso, Matteo / Polito, Massimo / Pozza, Diego / Silvani, Mauro / Tamai, Aldo / Timpano, Massimiliano / Utizi, Lilia / Varvello, Francesco / Vicini, Patrizio / Vitarelli, Antonio / Franco, Giorgio

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

    2016  Volume 88, Issue 2, Page(s) 122–127

    Abstract: Objectives: The Italian Society of Andrology, i.e. "Società Italiana di Andrologia" (S.I.A.), launched on December 2014 a prospective, multicenter, monitored and internal review board approved Registry for penile implants, the "INSIST-ED" (Italian ... ...

    Abstract Objectives: The Italian Society of Andrology, i.e. "Società Italiana di Andrologia" (S.I.A.), launched on December 2014 a prospective, multicenter, monitored and internal review board approved Registry for penile implants, the "INSIST-ED" (Italian Nationwide Systematic Inventarisation of Surgical Treatment for ED) Registry. Purpose of this first report is to present a baseline data analysis of the characteristics of penile implant surgery in Italy.
    Material and methods: The INSIST-ED Registry is open to all surgeons implanting penile prostheses (all brands, all models) in Italy, providing anonymous patient, device, surgical procedure, outcome, follow-up data, for both first and revision surgeries. A Registry project Board overviews all the steps of the project, and a Registry Monitor interacts with the Registry implanting surgeons.
    Results: As by April 8, 2016, 31 implanting surgeons actively joined the Registry, entering 367 surgical procedures in its database, that comprise: 310 first implants, 43 prosthesis substitutions, 14 device explants without substitution. Implanted devices account for: 288 three-component devices (81,3%), 20 two-component devices (5,4%), 45 non-hydraulic devices (12,3%). Leading primary ED etiologies in first implant surgeries resulted: former radical pelvic surgery in 111 cases (35,8%), Peyronie's disease in 66 cases (21,3%), diabetes in 39 cases (12,6%). Two intraoperative complications have been recorded. Main reasons for 57 revision surgeries were: device failure (52,6%), erosion (19,3%), infection (12,3%), patient dissatisfaction (10,5%). Surgical settings for patients undergoing a first penile implant were: public hospitals in 251 cases (81%), private environments in 59 cases (19%).
    Conclusions: The INSIST-ED Registry represents the first European experience of penile prosthesis Registry. This baseline data analysis shows that: three-pieces inflatable prosthesis is the most implanted device, leading etiology of erectile dysfunction (ED) in patient receiving a prosthesis is former radical pelvic surgery, primary reason for revision surgery is device failure, primary settings for first penile implant surgery are public hospitals. Evaluation of penile implant impact on recipients quality of life is presently ongoing.
    MeSH term(s) Erectile Dysfunction/surgery ; Follow-Up Studies ; Humans ; Intraoperative Complications/epidemiology ; Italy ; Male ; Penile Implantation/methods ; Penile Prosthesis ; Prospective Studies ; Quality of Life ; Registries ; Reoperation/statistics & numerical data
    Language English
    Publishing date 2016-07-04
    Publishing country Italy
    Document type Journal Article ; Multicenter Study
    ZDB-ID 1153526-x
    ISSN 2282-4197 ; 1124-3562 ; 1120-8538
    ISSN (online) 2282-4197
    ISSN 1124-3562 ; 1120-8538
    DOI 10.4081/aiua.2016.2.122
    Database MEDical Literature Analysis and Retrieval System OnLINE

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