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305 results on '"Miano, R."'

54. TUMT e TUNA

Author

Miano, R and Asimakopoulos, A

Subjects
Settore MED/24 - Urologia
Published
2012

63. Position: prone or supine is the issue of percutaneous nephrolithotomy

Author

Miano, R., Scoffone, C., De Nunzio, C., Germani, S., Cracco, C., Usai, P., Tubaro, A., Kim, Fj, Micali, Salvatore, and International Translation Research in Uro Sciences Team

Subjects
medicine.medical_specialty, Supine position, Percutaneous, Urology, medicine.medical_treatment, Kidney, nephrolithotomy, Settore MED/24 - Urologia, mental disorders, Prone Position, Supine Position, Medicine, Humans, Percutaneous nephrolithotomy, Nephrostomy, Percutaneous, prone, supine, percutaneous, Nephrostomy, business.industry, Lithotomy position, Surgery, Radiography, Prone position, Position (obstetrics), business, psychological phenomena and processes
Abstract

The prone position has been considered the only position for percutaneous access to the kidney for the past 25 years, whereas the supine Valdivia position has recently started to gain acceptance, although it was originally described in the late 1980s. Even more recently, the Galdakao-modified supine Valdivia position was described. However, there is no consensus on which is the best position for percutaneous nephrolithotomy, and the choice is currently based on the surgeon's preference.The prone, supine, and modified supine positions are described, pointing out the advantages, disadvantages, and results of each technique.A number of potential advantages have been described for the supine over the prone position: less cardiovascular change; no need for patient repositioning (with less associated risk of central and peripheral nervous system injury); less X-ray exposure to the surgeon; and less risk of colonic injury. The recently described Galdakao-modified supine Valdivia position allows for a simultaneous anterograde and retrograde approach to the renal cavities for the one-stage treatment of complex renal stones or concurrent renal and ureteral calculi. Moreover, the use of a flexible ureteroscope allows for Endovision puncture to achieve perfect access to the kidney.The prone position still represents the standard for percutaneous access to the kidney, and other positions should be compared with this position. However, the supine and the modified supine positions have potentially important advantages for both patients and surgeons that need to be investigated in a large randomised trial to define their superiority over the traditional prone position.

Published
2010

68. Calcolosi urinaria

Author

Vespasiani, G and Miano, R

Subjects
Settore MED/24 - Urologia
Published
2010

70. Photoselective prostatic vaporization for bladder outlet obstruction: 12-month evaluation of storage and voiding symptoms

Author

DE NUNZIO, Cosimo, Roberto, Miano, Trucchi, Alberto, Miano, Lucio, Franco, Giorgio, Miano, R., Trucchi, A., Lucio, Miano, Squillaciotti, S., Stefano, Squillacciotti, and Tubaro, Andrea

Subjects
Adult, Male, laser treatment, medicine.medical_specialty, Time Factors, prostate, volatilization, prostatic hyperplasia, urinary bladder neck obstruction, Urology, media_common.quotation_subject, Prostatic Hyperplasia, Urination, Settore MED/24 - Urologia, Bladder outlet obstruction, Lower urinary tract symptoms, Prostate, Aged, 80 and over, Humans, Aged, Urinary Bladder Neck Obstruction, Middle Aged, Transurethral Resection of Prostate, 80 and over, medicine, media_common, Urinary bladder, business.industry, Urinary bladder neck obstruction, medicine.disease, Prostate-specific antigen, medicine.anatomical_structure, International Prostate Symptom Score, business
Abstract

We evaluated voiding and storage symptom evolution in patients treated with prostate photoselective vaporization by a KTP laser.Enrolled in the study were 150 consecutive patients with lower urinary tract symptoms due to benign prostatic hyperplasia and a diagnosis of bladder outlet obstruction. Patients underwent prostate photoselective vaporization with the 80 W KTP laser. Baseline parameters included prostate volume, International Prostate Symptom Score with voiding and storage symptom subscores, uroflowmetry, pressure flow study and serum prostate specific antigen. Patients were followed 1, 3, 6 and 12 months after surgery.Mean +/- SD patient age was 69.6 +/- 10 years. Mean prostate volume was 52 +/- 18 ml. Mean International Prostate Symptom Score was 22.3 +/- 4, mean maximum urine flow was 9 +/- 2.9 ml per second and mean Schäfer obstruction class was 3.6 +/- 1. An average of 190 +/- 44 kJ were delivered in a mean of 68 +/- 24 minutes with an average of 3.6 kJ/ml prostate. The mean number of fibers was 1.2 +/- 0.4. Mean catheterization time was 20 +/- 8 hours. Retrograde ejaculation was reported in 67% of patients. Prostate specific antigen was significantly decreased at 12 months (2.6 +/- 2.3 vs 0.9 +/- 0.7 ng/ml, p = 0.001). Storage symptoms decreased by 54.5%, 63.6%, 72.7% and 81.8% at 1, 3, 6 and 12 months, respectively (p0.001). Voiding symptoms decreased 63.6%, 72.7%, 81.8% and 90.9% at 1, 3, 6 and 12 months, respectively (p0.001).As shown by a prostate specific antigen significant decrease, proper prostate debulking may be achieved by prostate photoselective vaporization. Significant continuous improvement in storage and voiding symptoms was observed at up to 12-month followup.

Published
2009

81. Urologia

Author

Miano, R and Germani, S

Subjects
Settore MED/24 - Urologia
Published
2008

99. Transperineal versus transrectal prostate biopsy for predicting the final laterality of prostate cancer: are they reliable enough to select patients for focal therapy? Results from a multicenter international study

Author

Miano, R., primary, De Nunzio, C., additional, Kim, F.J., additional, Rocco, B., additional, Gontero, P., additional, Vicentini, C., additional, Micali, S., additional, Oderda, M., additional, Masciovecchio, S., additional, and Asimakopoulos, A.D., additional

Published
2014
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