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2. THE 2011 NATIONAL COMPREHENSIVE CANCER NETWORK GUIDELINES RECOMMENDATIONS FOR PELVIC LYMPH NODE DISSECTION IN PROSTATE CANCER PATIENTS ARE NOT ACCURATE. A PLEA FOR RENEWAL

Author

Abdollah F, Suardi N, Gallina A, Rocchini L, Di Trapani D, Matloob R, SALONIA, ANDREA, Colombo R, Freschi M, Di Girolamo V, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Abdollah, F, Briganti, Alberto, Suardi, N, Gallina, A, Rocchini, L, Di Trapani, D, Matloob, R, Salonia, Andrea, Colombo, R, Freschi, M, Di Girolamo, V, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2012

3. HOW TO EXPAND INDICATIONS FOR ACTIVE SURVEILLANCE WITHOUT COMPROMISING CANCER CONTROL. THE IMPORTANCE OF THE EXTENT OF BIOPSY SAMPLING

Author

Suardi N, Gallina A, Abdollah F, Sun M, Castiglione F, Tutolo M, Di Trapani E, SALONIA, ANDREA, Colombo R, Di Girolamo V, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Suardi, N, Briganti, Alberto, Gallina, A, Abdollah, F, Sun, M, Castiglione, F, Tutolo, M, Di Trapani, E, Salonia, Andrea, Colombo, R, Di Girolamo, V, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2012

5. IDENTIFYING PATIENTS AT REAL RISK OF DYING FROM PROSTATE CANCER. A NOVEL RISK SCORE FOR THE SELECTION OF CANDIDATES FOR ADJUVANT RADIATION THERAPY

Author

Abdollah F, Suardi N, Gallina A, Tutolo M, Passoni N, Di Girolamo V, Di Muzio N, Cozzarini C, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Abdollah, F, Briganti, Alberto, Suardi, N, Gallina, A, Tutolo, M, Passoni, N, Di Girolamo, V, Di Muzio, N, Cozzarini, C, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2012

7. Impact of surgical volume on the rate of lymph node metastases in patients undergoing radical prostatectomy and extended pelvic lymph node dissection for clinically localized prostate cancer

Author

Briganti, A, Capitanio, U, Chun, F, Gallina, A, Suardi, N, Salonia, A, Da Pozzo, L, Colombo, R, Di Girolamo, V, Bertini, R, Guazzoni, G, Karakiewicz, P, Rigatti, P, Briganti A, Capitanio U, Chun FK, Gallina A, Suardi N, Salonia A, Da Pozzo L, Colombo R, Di Girolamo V, Bertini R, Guazzoni G, Karakiewicz PI, Rigatti P, Briganti, A, Capitanio, U, Chun, F, Gallina, A, Suardi, N, Salonia, A, Da Pozzo, L, Colombo, R, Di Girolamo, V, Bertini, R, Guazzoni, G, Karakiewicz, P, Rigatti, P, Briganti A, Capitanio U, Chun FK, Gallina A, Suardi N, Salonia A, Da Pozzo L, Colombo R, Di Girolamo V, Bertini R, Guazzoni G, Karakiewicz PI, and Rigatti P

Abstract

Background Previous trials have shown that the number of procedures done by a single surgeon, that is, surgical volume (SV), is associated with several outcomes after radical prostatectomy (RP). Objective To test the association between SV and the detection of lymph node metastases during extended pelvic lymph node dissection (ePLND). Design, setting, and participants The study cohort consisted of 1020 men surgically treated for clinically localized prostate cancer. Intervention All patients underwent RP and ePLND by a group of six surgeons who were trained by the surgeon with the highest SV. All surgeons performed an anatomically extended PLND, including removal of obturator, external iliac, and hypogastric nodes. Measurements Univariable and multivariable logistic regression models tested the association between SV (either continuously coded or dichotomized according to the most informative cut-off, namely >144 vs ≤144 ePLNDs) and the rate of lymph node invasion (LNI) after accounting for preoperative (baseline prostate-specific antigen [PSA], clinical stage, biopsy Gleason sum) and postoperative (pathologic stages and Gleason score, surgical margin status) patient characteristics. Results and limitations Mean number of nodes removed was 19.1 (median, 16; range, 7–63). Mean overall SV was 227 (range, 87–379). Overall, LNI rate was 11.8% (120/1020). No significant differences were found among patients treated by the different surgeons in terms of clinical and pathologic characteristics (all p ≥ 0.06). Conversely, the surgeon with the highest SV removed more nodes and found more nodal metastases compared with the other surgeons (21.1 vs 17.9 mean number of nodes removed; p < 0.001, and 15 vs 9.8% of LNI; p = 0.01, respectively). At univariable logistic regression analysis, either continuously coded or dichotomized SV was a significant predictor of LNI (p = 0.007 and p < 0.001, respectively). In multivariable models, continuously coded as well as di

Published
2008

9. MORE EXTENSIVE PELVIC LYMPH NODE DISSECTION IS ASSOCIATED WITH REDUCED RISK OF CANCER PROGRESSION IN NODE NEGATIVE ORGAN CONFINED PROSTATE CANCER PATIENTS

Author

BRIGANTI , ALBERTO, Gallina A, Tutolo M, Suardi N, Capitanio U, Matloob R, SALONIA, ANDREA, Bianchi M, Fossati N, Passoni NM, Di Girolamo V, MONTORSI, FRANCESCO, Briganti, Alberto, Gallina, A, Tutolo, M, Suardi, N, Capitanio, U, Matloob, R, Salonia, Andrea, Bianchi, M, Fossati, N, Passoni, Nm, Di Girolamo, V, and Montorsi, Francesco

Published
2011

10. ADJUVANT RADIOTHERAPY REDUCES THE RATE OF URINARY CONTINENCE RECOVERY AFTER RADICAL PROSTATECTOMY IN INTERMEDIATE AND HIGH RISK PROSTATE CANCER PATIENTS

Author

Gallina A, Suardi N, Capitanio U, Di Trapani E, Bianchi M, La Croce G, Tutolo M, Passoni NM, Cozzarini C, Di Muzio N, Di Girolamo V, Colombo R, Rigatti P, Guazzoni G, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Gallina, A, Briganti, Alberto, Suardi, N, Capitanio, U, Di Trapani, E, Bianchi, M, La Croce, G, Tutolo, M, Passoni, Nm, Cozzarini, C, Di Muzio, N, Di Girolamo, V, Colombo, R, Rigatti, P, Guazzoni, G, and Montorsi, Francesco

Published
2011

11. CHARLSON COMORBIDITY INDEX IS NOT AN INDEPENDENT PREDICTOR OF OVERALL SURVIVAL IN PATIENTS WITH INTERMEDIATE AND HIGH RISK PROSTATE CANCER TREATED WITH RADICAL PROSTATECTOMY

Author

Suardi N, Gallina A, Capitanio U, Tutolo M, Bianchi M, Fossati N, Passoni NM, Scattoni V, SALONIA, ANDREA, Colombo R, Di Girolamo V, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Suardi, N, Briganti, Alberto, Gallina, A, Capitanio, U, Tutolo, M, Bianchi, M, Fossati, N, Passoni, Nm, Scattoni, V, Salonia, Andrea, Colombo, R, Di Girolamo, V, Rigatti, P, and Montorsi, Francesco

Published
2011

12. AT LEAST ONE PHOSPHODIESTERASE TYPE 5 INHIBITOR DOSE PER WEEK SHOULD BE TAKEN IN ORDER TO IMPROVE ERECTILE FUNCTION RECOVERY AFTER BILATERAL NERVE SPARING RADICAL PROSTATECTOMY

Author

Gallina A, Suardi N, Bianchi M, Tutolo M, Capitanio U, Saccà A, Castiglione F, SALONIA, ANDREA, Rocchini L, Di Girolamo V, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Gallina, A, Briganti, Alberto, Suardi, N, Bianchi, M, Tutolo, M, Capitanio, U, Saccà, A, Castiglione, F, Salonia, Andrea, Rocchini, L, Di Girolamo, V, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2011

13. AGE AND AGGRESSIVE PROSTATE CANCER IN PATIENTS WITH LOW RISK CHARACTERISTICS. IMPLICATIONS FOR CONSERVATIVE MANAGEMENT

Author

Gallina A, Suardi N, Capitanio U, Tutolo M, Cozzarini C, Bianchi M, Matloob R, Di Trapani E, SALONIA, ANDREA, Fossati N, Di Girolamo V, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Gallina, A, Briganti, Alberto, Suardi, N, Capitanio, U, Tutolo, M, Cozzarini, C, Bianchi, M, Matloob, R, Di Trapani, E, Salonia, Andrea, Fossati, N, Di Girolamo, V, Rigatti, P, and Montorsi, Francesco

Published
2011

14. TC/PET CON [11C] COLINA PER LA RISTADIAZIONE DEI PAZIENTI AFFETTI DA RECIDIVA BIOCHIMICA DI NEOPLASIA PROSTATICA DOPO PROSTATECTOMIA RADICALE E DI NESSUNA EVIDENZA DI MALATTIA ALL IMAGING TRADIZIONALE

Author

Fossati N, Picchio M, Scattoni V, Giovacchini G, Tutolo M, Gianolli L, SALONIA, ANDREA, Colombo R, Di Girolamo V, Guazzoni G, Messa C, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Fossati, N, Briganti, Alberto, Picchio, M, Scattoni, V, Giovacchini, G, Tutolo, M, Gianolli, L, Salonia, Andrea, Colombo, R, Di Girolamo, V, Guazzoni, G, Messa, C, Rigatti, P, and Montorsi, Francesco

Published
2010

15. PRE-OPERATIVE URINARY AND ERECTILE FUNCTION REPRESENT SIGNIFICANT PREDICTORS OF POST-OPERATIVE URINARY CONTINENCE RECOVERY IN PATIENTS TREATED WITH NERVE SPARING RADICAL PROSTATECTOMY

Author

Gallina A, Barbieri L, SALONIA, ANDREA, Colombo R, Sozzi F, Giuseppe Z, Pellucchi F, Di Girolamo V, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Gallina, A, Briganti, Alberto, Barbieri, L, Salonia, Andrea, Colombo, R, Sozzi, F, Giuseppe, Z, Pellucchi, F, Di Girolamo, V, Rigatti, P, and Montorsi, Francesco

Published
2010

17. PRE-OPERATIVE URINARY AND ERECTILE FUNCTION REPRESENT SIGNIFICANT PREDICTORS OF POST-OPERATIVE URINARY CONTINENCE RECOVERY IN PATIENTS TREATED WITH NERVE SPARING RADICAL PROSTATECTOMY

Author

Villa L, Gallina A, Barbieri L, SALONIA, ANDREA, Sozzi F, Zanni G, Pellucchi F, Fossati N, Bianchi M, Colombo R, Di Girolamo V, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Villa, L, Gallina, A, Briganti, Alberto, Barbieri, L, Salonia, Andrea, Sozzi, F, Zanni, G, Pellucchi, F, Fossati, N, Bianchi, M, Colombo, R, Di Girolamo, V, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2010

18. RUOLO DEI MARGINI CHIRURGICI POSITIVI IN PAZIENTI CON NEOPLASIA PROSTATICA ORGANOCONFINATA. IDENTIFICAZIONE DEI PAZIENTI CANDIDABILI AD UN TRATTAMENTO ADIUVANTE

Author

Bianchi M, Gallina A, Suardi N, Capitanio U, Tutolo M, Passoni N, Colombo R, SALONIA, ANDREA, Scattoni V, Angiolilli D, Abdollah F, Di Girolamo V, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Bianchi, M, Briganti, Alberto, Gallina, A, Suardi, N, Capitanio, U, Tutolo, M, Passoni, N, Colombo, R, Salonia, Andrea, Scattoni, V, Angiolilli, D, Abdollah, F, Di Girolamo, V, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2010

19. PREOPERATIVE CIRCULATING ESTRADIOL, TESTOSTERONE AND SEX HORMONE BINDING GLOBULIN ARE NOT PREDICTORS OF POSITIVE SURGICAL MARGINS AT OPEN RADICAL PROSTATECTOMY

Author

SALONIA, ANDREA, Gallina A, Suardi N, Bertini R, Di Girolamo V, Barbieri L, Freschi M, Buffi N, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Salonia, Andrea, Gallina, A, Briganti, Alberto, Suardi, N, Bertini, R, Di Girolamo, V, Barbieri, L, Freschi, M, Buffi, N, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2010

20. L’ETÀ È UN FATTORE PREDITTIVO DI GLEASON SCORE UPGRADING IN PAZIENTI AFFETTI DA NEOPLASIA PROSTATICA TRATTATI CON PROSTATECTOMIA RADICALE

Author

Di Trapani E, Suardi N, Gallina A, Capitanio U, SALONIA, ANDREA, Abdollah F, Raber M, Passoni N, Freschi M, Colombo R, Guazzoni G, Di Girolamo V, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Di Trapani, E, Briganti, Alberto, Suardi, N, Gallina, A, Capitanio, U, Salonia, Andrea, Abdollah, F, Raber, M, Passoni, N, Freschi, M, Colombo, R, Guazzoni, G, Di Girolamo, V, Rigatti, P, and Montorsi, Francesco

Published
2010

21. QUALI PAZIENTI CANDIDARE A RIABILITAZIONE PENIENA DOPO PROSTATECTOMIA RADICALE NERVE-SPARING? RISULTATI DI UNO STUDIO RETROSPETTIVO

Author

Tutolo M, Gallina A, Suardi N, Bianchi M, SALONIA, ANDREA, Fossati N, Di Girolamo V, Bua L, Colombo R, Scattoni V, Cestari A, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Tutolo, M, Briganti, Alberto, Gallina, A, Suardi, N, Bianchi, M, Salonia, Andrea, Fossati, N, Di Girolamo, V, Bua, L, Colombo, R, Scattoni, V, Cestari, A, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2010

22. QUAL È LA MIGLIORE DEFINIZIONE DI RECUPERO DELLA FUNZIONE ERETTILE DOPO PROSTATECTOMIA RADICALE NERVE-SPARING BILATERALE? ANALISI DELLA SODDISFAZIONE DEI PAZIENTI

Author

Gallina A, Suardi N, Capitanio U, Bianchi M, Tutolo M, Passoni NM, Fossati N, Villa L, Zanni G, Colombo R, SALONIA, ANDREA, Di Girolamo V, Guazzoni G, MONTORSI, FRANCESCO, Rigatti P., BRIGANTI , ALBERTO, Gallina, A, Briganti, Alberto, Suardi, N, Capitanio, U, Bianchi, M, Tutolo, M, Passoni, Nm, Fossati, N, Villa, L, Zanni, G, Colombo, R, Salonia, Andrea, Di Girolamo, V, Guazzoni, G, Montorsi, Francesco, and Rigatti, P.

Published
2010

23. LYMPHATIC SPREAD OF NODAL METASTASES IN PROSTATE CANCER: A MAPPING SINGLE-INSTITUTION STUDY

Author

Bianchi M, Suardi N, Gallina A, Capitanio U, Tutolo M, Passoni N, Rocchini L, Strada E, SALONIA, ANDREA, Colombo R, Di Girolamo V, Da Pozzo LF, Guazzoni G, MONTORSI, FRANCESCO, Rigatti P., BRIGANTI , ALBERTO, Bianchi, M, Briganti, Alberto, Suardi, N, Gallina, A, Capitanio, U, Tutolo, M, Passoni, N, Rocchini, L, Strada, E, Salonia, Andrea, Colombo, R, Di Girolamo, V, Da Pozzo, Lf, Guazzoni, G, Montorsi, Francesco, and Rigatti, P.

Published
2010

25. ANCHE I PAZIENTI POTENTI PRIMA DI UNA PROSTATECTOMIA RADICALE NERVE- SPARING HANNO UNA RIPRESA DELLA FUNZIONALITÀ ERETTILE PIÙ RAPIDA NEL POSTOPERATORIO SE TRATTATI CON INIBITORI DELLA FOSFODIESTERASI 5. IMPORTANZA DEL TRATTAMENTO PRECOCE

Author

Di Trapani D, Gallina A, Suardi N, Capitanio U, Bianchi M, Villa L, Passoni N, Zanni G, SALONIA, ANDREA, Colombo R, Di Girolamo V, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Di Trapani, D, Briganti, Alberto, Gallina, A, Suardi, N, Capitanio, U, Bianchi, M, Villa, L, Passoni, N, Zanni, G, Salonia, Andrea, Colombo, R, Di Girolamo, V, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2010

26. CIRCULATING ESTRADIOL BUT NOT TESTOSTERONE IS A SIGNIFICANT PREDICTOR OF HIGH GRADE PROSTATE CANCER IN PATIENTS UNDERGOING OPEN RADICAL PROSTATECTOMY

Author

SALONIA, ANDREA, Gallina A, Suardi N, Colombo R, Di Girolamo V, Barbieri L, Freschi M, Scattoni V, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Salonia, Andrea, Gallina, A, Briganti, Alberto, Suardi, N, Colombo, R, Di Girolamo, V, Barbieri, L, Freschi, M, Scattoni, V, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2010

27. RUOLO DEL CAMPIONAMENTO BIOPTICO TRANS RETTALE DI SATURAZIONE NELL'INDIVIDUAZIONE DELLA SEDE DEL TUMORE PROSTATICO: CONFRONTO CON LA DIAGNOSI ISTOLOGICA POST CHIRURGICA

Author

Scattoni V, Abdollah F, Roscigno M, Angiolilli D, Gallina A, Tutolo M, Bianchi M, Di Girolamo V, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Scattoni, V, Abdollah, F, Roscigno, M, Angiolilli, D, Briganti, Alberto, Gallina, A, Tutolo, M, Bianchi, M, Di Girolamo, V, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2009

28. SVILUPPO E VALIDAZIONE INTERNA DI UN NOMOGRAMMA PER DETERMINARE L'IMPATTO DELLO SCHEMA BIOPTICO SULLA INDIVIDUAZIONE DI TUMORE IN UOMINI SOTTOPOSTI AD UNA PRIMA BIOPSIA PROSTATICA

Author

Scattoni V, Abdollah F, Roscigno M, Angiolilli D, Suardi N, Bianchi M, Tutolo M, Passoni NM, Di Girolamo V, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Scattoni, V, Abdollah, F, Roscigno, M, Angiolilli, D, Briganti, Alberto, Suardi, N, Bianchi, M, Tutolo, M, Passoni, Nm, Di Girolamo, V, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2009

29. I PAZIENTI CON NEOPLASIA PROSTATICA ORGANO-CONFINATA E MARGINI CHIRURGICI POSITIVI HANNO TASSI DI RIPRESA DI MALATTIA SIMILI AI PAZIENTI CON ESTENSIONE EXTRA-CAPSULARE DI MALATTIA E MARGINI CHIRURGICI NEGATIVI. PROPOSTA DI RICLASSIFICAZIONE

Author

BRIGANTI , ALBERTO, Gallina A, Suardi N, Capitanio U, Passoni NM, Bianchi M, Tutolo M, Fossati N, Zanni G, Di Girolamo V, Bertini R, Da Pozzo L, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, Briganti, Alberto, Gallina, A, Suardi, N, Capitanio, U, Passoni, Nm, Bianchi, M, Tutolo, M, Fossati, N, Zanni, G, Di Girolamo, V, Bertini, R, Da Pozzo, L, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2009

30. QUALI PAZIENTI HANNO UN REALE RISCHIO DI MORIRE PER CARCINOMA PROSTATICO? FOLLOW UP A LUNGO TERMINE DI PAZIENTI CON TUMORE PROSTATICO AD ALTO RISCHIO TRATTATI NELL'ERA DEL PSA

Author

BRIGANTI , ALBERTO, Gallina A, Suardi N, Bianchi M, Tutolo M, Passoni NM, Capitanio U, Di Girolamo V, Vincenzo S, Da Pozzo L, SALONIA, ANDREA, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, Briganti, Alberto, Gallina, A, Suardi, N, Bianchi, M, Tutolo, M, Passoni, Nm, Capitanio, U, Di Girolamo, V, Vincenzo, S, Da Pozzo, L, Salonia, Andrea, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2009

31. DEVELOPMENT AND SPLIT SAMPLE VALIDATION OF AN UPDATED NOMOGRAM PREDICTING THE PROBABILITY OF LYMPH NODE INVASION IN PATIENTS WITH CLINICALLY LOCALIZED PROSTATE CANCER UNDERGOING EXTENDED PELVIC LYMPH NODE DISSECTION

Author

BRIGANTI , ALBERTO, Gallina A, Suardi N, Chun FKH, Bianchi M, Abdollah F, SALONIA, ANDREA, Da Pozzo L, Di Girolamo V, Karakiewicz PI, Rigatti P, MONTORSI, FRANCESCO, Briganti, Alberto, Gallina, A, Suardi, N, Chun, Fkh, Bianchi, M, Abdollah, F, Salonia, Andrea, Da Pozzo, L, Di Girolamo, V, Karakiewicz, Pi, Rigatti, P, and Montorsi, Francesco

Published
2009

32. CONFRONTO TRA BIOPSIE TRANS-RETTALI E TRANS-PERINEALI NELL'INDIVIDUAZIONE DEL TUMORE PROSTATICO IN PAZIENTI GIA’ SOTTOPOSTI AD UN CAMPIONAMENTO BIOPTICO PRECEDENTEMENTE RISULTATO NEGATIVO

Author

Scattoni V, Abdollah F, Roscigno M, Angiolilli D, Gallina A, Tutolo M, Bianchi M, Zanni G, Di Girolamo V, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Scattoni, V, Abdollah, F, Roscigno, M, Angiolilli, D, Briganti, Alberto, Gallina, A, Tutolo, M, Bianchi, M, Zanni, G, Di Girolamo, V, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2009

33. IMPATTO DELLO STAGE MIGRATION SULLA PREVALENZA DI METASTASI LINFONODALI IN PAZIENTI SOTTOPOSTI A LINFOADENECTOMIA PELVICA ESTESA PER NEOPLASIA PROSTATICA: 23 ANNI DI ESPERIENZA DI UN SINGOLO ISTITUTO

Author

BRIGANTI , ALBERTO, Suardi N, Gallina A, SALONIA, ANDREA, Capitanio U, Tutolo M, Bianchi M, Zanni G, Passoni NM, Freschi M, Doglioni C, Di Girolamo V, Da Pozzo L, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, Briganti, Alberto, Suardi, N, Gallina, A, Salonia, Andrea, Capitanio, U, Tutolo, M, Bianchi, M, Zanni, G, Passoni, Nm, Freschi, M, Doglioni, C, Di Girolamo, V, Da Pozzo, L, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2009

34. LA CURVA DI APPRENDIMENTO E' INFINITA: IL TASSO DI RECIDIVA BIOCHIMICA CONTINUA A VARIARE ANCHE TRA CHIRURGHI AD ALTO VOLUME DI PROSTATECTOMIA RADICALE RETROPUBICA

Author

Gallina A, Suardi N, SALONIA, ANDREA, Passoni NM, Bianchi M, Colombo R, Da Pozzo L, Di Girolamo V, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Gallina, A, Briganti, Alberto, Suardi, N, Salonia, Andrea, Passoni, Nm, Bianchi, M, Colombo, R, Da Pozzo, L, Di Girolamo, V, Rigatti, P, and Montorsi, Francesco

Published
2009

35. Small bowel intussussception due to metastatic melanoma of unknown primary site. Case report

Author

STAGNITTI, F., ORSINI, S., MARTELLUCCI, A., TUDISCO, A., AVALLONE, M., AIUTI, F., DI GIROLAMO, V., STEFANELLI, F., DE ANGELIS, F., COSTANTINO, A., DI GRAZIA, C., NAPOLEONI, A., NICODEMI, S., CIPRIANI, B., CECI, F., MOSILLO, R., CORELLI, S., CASCIARO, G., and SPAZIANI, E.

Subjects
Male, Oncology, Pathology, medicine.medical_specialty, Ileum, Metastasis, Clinical Practice, Internal medicine, medicine, Humans, Malignant melanoma, Unknown primary, Intestinal intussusceptions, Disseminated disease, Melanoma, Gastrointestinal tract, business.industry, Middle Aged, medicine.disease, Ileal Neoplasms, medicine.anatomical_structure, Iron-deficiency anemia, Neoplasms, Unknown Primary, Segmental resection, business, Intestinal Obstruction, Brain metastasis
Abstract

Malignant melanoma is characterized by metastases also to the gastrointestinal tract, especially in the small bowel. The diagnosis is often delayed because unspecific clinical presentation (frequently as chronic iron deficiency anemia, rectal bleeding or intestinal obstruction). We present a case of melanoma of unknown primary site, with clinical presentation of intestinal obstruction. A segmental resection of the ileum was performed including mesentery with lymph nodes. Histology revealed metastatic melanoma from unknown primary. PET and MRI confirmed disseminated disease without brain metastasis.

Published
2014

36. IL GRADO DI INVASIONE LINFONODALE DIPENDE DALLA ESTENSIONE DELLA LINFADENECTOMIA NEI PAZIENTI CON METASTASI LINFONODALI DA CARCINOMA PROSTATICO

Author

BRIGANTI , ALBERTO, Da Pozzo L, Gallina A, SALONIA, ANDREA, Suardi N, Di Girolamo V, Cestari A, Bianchi M, Abdollah F, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, Briganti, Alberto, Da Pozzo, L, Gallina, A, Salonia, Andrea, Suardi, N, Di Girolamo, V, Cestari, A, Bianchi, M, Abdollah, F, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2008

38. Improving Prediction Of Erectile Function Recovery After Bilateral Nerve Sparing Radical Prostatectomy. Importance Of Early Assessment Of Potency After Surgery

Author

BRIGANTI , ALBERTO, Gallina A, SALONIA, ANDREA, Suardi N, Dehò F, Zanni G, Bianchi M, Rocchini L, Di Girolamo V, Guazzoni G, Rigatti P, MONTORSI, FRANCESCO, Briganti, Alberto, Gallina, A, Salonia, Andrea, Suardi, N, Dehò, F, Zanni, G, Bianchi, M, Rocchini, L, Di Girolamo, V, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Published
2008

39. LA PERCENTUALE DI PSA LIBERO È LA VARIABILE PIÙ INFORMATIVA DEL RISCHIO DI CARCINOMA PROSTATICO ALLA PRIMA BIOPSIA A QUALSIASI ETÀ DEL PAZIENTE

Author

Gallina A, Walz J, SALONIA, ANDREA, Lesma A, Petralia G, Scattoni V, Colombo R, Di Girolamo V, Graefen M, Huland H, Karakiewicz PI, Rigatti PI, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Gallina, A, Walz, J, Briganti, Alberto, Salonia, Andrea, Lesma, A, Petralia, G, Scattoni, V, Colombo, R, Di Girolamo, V, Graefen, M, Huland, H, Karakiewicz, Pi, Rigatti, Pi, and Montorsi, Francesco

Published
2007

40. IL FREE ANDROGEN INDEX (FAI)NON RAPPRESENTA UNA FATTORE PREDITTIVO INDIPENDENTE DI MALATTIA LOCALMENTE AVANZATA IN PAZIENTI SOTTOPOSTI A PROSTATECTOMIA RADICALE RETROPUBICA

Author

SALONIA, ANDREA, Gallina A, Zanni G, Saccà A, Capitanio U, Deho' F, Pellucchi F, Colombo R, Di Girolamo V, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Salonia, Andrea, Gallina, A, Briganti, Alberto, Zanni, G, Saccà, A, Capitanio, U, Deho', F, Pellucchi, F, Colombo, R, Di Girolamo, V, Rigatti, P, and Montorsi, Francesco

Published
2007

41. LA PREVALENZA DI METASTASI LINFONODALI NEL CARCINOMA PROSTATICO È DIRETTAMENTE CORRELATA ALL' ESTENSIONE DELLA LINFADENECTOMIA. SVILUPPO E VALIDAZIONE DI UN NOMOGRAMMA PREDITTIVO

Author

Zanni G, Chun K. H. F, SALONIA, ANDREA, Da Pozzo LF, Gallina A, Dehò F, Suardi N, Di Girolamo V, Bocciardi A, Ghezzi M, Scattoni V, Farina E, Saccà A, Colombo R, Sangalli M, MONTORSI, FRANCESCO, Rigatti P, Karakiewicz PI, BRIGANTI , ALBERTO, Zanni, G, Briganti, Alberto, Chun K. H., F, Salonia, Andrea, Da Pozzo, Lf, Gallina, A, Dehò, F, Suardi, N, Di Girolamo, V, Bocciardi, A, Ghezzi, M, Scattoni, V, Farina, E, Saccà, A, Colombo, R, Sangalli, M, Montorsi, Francesco, Rigatti, P, and Karakiewicz, Pi

Published
2006

44. ESISTE UNA DIFFERENZA NELLE CARATTERISTICHE CLINICO-DEMOGRAFICHE, CHIRURGICHE O PATOLOGICHE TRA I PAZIENTI CON E SENZA MARGINE CHIRURGICO POSITIVO ALLA PROSTATECTOMIA RADICALE RETROPUBICA?

Author

SALONIA, ANDREA, Gallina A, Zanni G, Freschi M, Sangalli M, Saccà A, Scattoni V, Da Pozzo LF, Di Girolamo V, Farina E, Rigatti P, MONTORSI, FRANCESCO, BRIGANTI , ALBERTO, Salonia, Andrea, Gallina, A, Zanni, G, Freschi, M, Sangalli, M, Saccà, A, Briganti, Alberto, Scattoni, V, Da Pozzo, Lf, Di Girolamo, V, Farina, E, Rigatti, P, and Montorsi, Francesco

Published
2005

45. Impact of the introduction of a robotic training programme on prostate cancer stage migration at a single tertiary referral centre

Author

Briganti, A, Bianchi, M, Sun, M, Suardi, N, Gallina, A, Abdollah, F, Bertini, R, Colombo, R, Di Girolamo, V, Salonia, A, Scattoni, V, Karakiewicz, Pi, Guazzoni, G, Rigatti, P, Montorsi, F, Briganti, Alberto, Bianchi, M, Sun, M, Suardi, N, Gallina, A, Abdollah, F, Bertini, R, Colombo, R, Girolamo, Vd, Salonia, Andrea, Scattoni, V, Karakiewicz, Pi, Guazzoni, G, Rigatti, P, and Montorsi, Francesco

Subjects
Male, Prostatectomy, Urology, Medicine (all), Tertiary Care Center, Middle Aged, prostate cancer, radical prostatectomy, minimally invasive treatment, Robotic, Italy, Retrospective Studie, Prostatic Neoplasm, Education, Medical, Continuing, Aged, Human, Neoplasm Staging, Program Evaluation
Abstract

What's known on the subject? and What does the study add? Previous studies have retrospectively compared functional and oncological outcomes between robot-assisted radical prostatectomy (RARP) and open retropubic radical prostatectomy (RRP), reporting non-inferior or superior outcomes associated with the use of the robotic approach. The study demonstrates that baseline selection biases makes comparisons of RARP and RRP problematic. Patients treated with RARP may have significantly better baseline characteristics than patients treated with RRP. Indeed, when both facilities are available within the same centre, patients with the most favourable clinical and cancer profile are inherently selected to RARP. In the absence of a prospective randomized trial, the decision to prefer one approach over another should be tailored according to each single patient and surgeon. Objective To evaluate the trend in robot-assisted radical prostatectomy (RARP) and open retropubic radical prostatectomy (RRP) use over time and to compare preoperative and pathological characteristics of patients treated with RARP or RRP at a single centre. Patients and Methods Between 2006 and 2010, 2511 consecutive patients treated with RP, with or without pelvic lymph node dissection (PLND), for prostate cancer (PCa) at a single tertiary care centre were analysed. Baseline patient characteristics and PCa risk distribution were compared according to treatment type (RRP vs RARP) in the overall population, as well as in three surgeons' initial 50 RARP and three surgeons' initial 50 RRP cases (n = 300). We used a chi-squared trend test to evaluate the differences in treatment type administration over time according to PCa characteristics. Logistic regression analyses focused on the prediction of PLND and adjuvant radiotherapy (RT) use. Results Overall, 1873 (74.6%) and 638 (25.4%) patients underwent RRP and RARP, respectively. Men treated with RARP were younger (mean age: 62 vs 65 years), less obese (mean BMI: 24.8 vs 26.4kg/m2), healthier (Charlson comorbidity index = 0: 68.7 vs 53.3%) and more likely to harbour clinical low-risk PCa (51 vs 30%) than their RRP counterparts (all P < 0.001). Similar findings were observed in sub-analyses focusing on six surgeons' 50 initial patients (all P 0.02). A significant increase in the rate of patients with low-risk PCa treated with RARP vs RRP was reported over time (5 vs 95% and 66 vs 34% in 2006 and 2010, respectively). Conversely, 76% of patients with high risk PCa were still treated with RRP in 2010. Patients treated with RARP were less likely to receive PLND at RP and adjuvant RT (all P 0.01), even after adjusting for clinical and PCa characteristics. Conclusions The introduction of a robotic training programme at a high volume centre led to significant patient selection in terms of clinical and PCa characteristics. When both RRP and RARP facilities are available within the same centre, patients with the most favourable clinical and cancer profile are selected to undergo RARP. Use of RARP negatively influenced the rates and the extent of PLND as well as the use of adjuvant RT after surgery. Thus, baseline patient selection, surgical and treatment biases make any comparisons of RARP with RRP problematic.

Published
2013

46. Detubularized sigmoid colon for bladder replacement after radical cystectomy

Author

Da Pozzo, L, Colombo, R, Pompa, P, Montorsi, F, Di Girolamo, V, Rigatti, P, Da Pozzo L, Colombo R, Pompa P, Montorsi F, Di Girolamo V, Rigatti P, Da Pozzo, L, Colombo, R, Pompa, P, Montorsi, F, Di Girolamo, V, Rigatti, P, Da Pozzo L, Colombo R, Pompa P, Montorsi F, Di Girolamo V, and Rigatti P

Abstract

During the last 6 years 24 sigmoid colon neobladders were constructed at our institute according to a surgical technique that provides for an optimal spherical configuration of the orthotopic reservoir. All patients underwent radical cystectomy for locally advanced or superficial recurrent bladder cancer. The surgical complication rate was minimal. Mean followup was 38.3 months (range 7 to 70). Patients were evaluated at 9 and 18 months with urodynamic tests. Daytime continence was achieved in 20 of 21 (95.2%) and in 16 of 17 (94.1%) patients, respectively. Nocturnal incontinence was noted in 9 of 21 (42.8%) and 5 of 17 (29.4%) patients. The mean neobladder capacity was 414 cc and 492 cc, respectively. Endoluminal pressure at the maximum reservoir capacity was 31cm. water (range 23 to 54) and this did not change significantly at 18 months. Minimal post-voiding residual volume was evidenced in all but 1 patient and was maintained at 18 months. Our modified sigmoid colon neobladder is an easy surgical procedure that provides satisfactory total bladder replacement in select patients.

Published
1994

47. Long term experience with the prostatic spiral for urinary retention due to benign prostatic hyperplasia

Author

Guazzoni, G, Montorsi, F, Colombo, R, Di Girolamo, V, Da Pozzo, L, Rigatti, P, Guazzoni G, Montorsi F, Colombo R, Di Girolamo V, Da Pozzo L, Rigatti P, Guazzoni, G, Montorsi, F, Colombo, R, Di Girolamo, V, Da Pozzo, L, Rigatti, P, Guazzoni G, Montorsi F, Colombo R, Di Girolamo V, Da Pozzo L, and Rigatti P

Abstract

Twenty high risk patients with benign prostatic hyperplasia and urinary retention were treated by insertion of an intraprostatic spiral, The device was positioned under fluoroscopic guidance using a technique developed by us. The procedure required only local anaesthesia and successfully relieved the obstruction in all patients. At the six-month follow-up full continence had been achieved in 15 patients (75%). Three patients (15%) complained of mild stress incontinence but this was not severe enough to require removal and repositioning of the spiral. A 92-yearold patient reported severe incontinence despite correct positioning of the spiral. Removal of the spiral was necessary in one of the continent patients who was receiving anti-coagulant drugs because of sudden, severe macrohaematuria with subsequent acute urinary retention. The spiral became displaced and required repositioning in one patient. Median residual urine volume was constantly lower than 50 ml and the median maximum flow rate at six-month follow-up was 13.2 ml/s. Our long term follow-up study shows the effectiveness and safety of the prostatic spiral as an alternative treatment for selected patients with urinary retention caused by benign prostatic hyperplasia.

Published
1991

48. Multimodal therapy for stones in pelvic kidneys

Author

Rigatti, P, Montorsi, F, Guazzoni, G, Di Girolamo, V, Consonni, P, Colombo, R, Da Pozzo, L, Bocciardi, A, Rigatti P, Montorsi F, Guazzoni G, Di Girolamo V, Consonni P, Colombo R, Da Pozzo L, Bocciardi A, Rigatti, P, Montorsi, F, Guazzoni, G, Di Girolamo, V, Consonni, P, Colombo, R, Da Pozzo, L, Bocciardi, A, Rigatti P, Montorsi F, Guazzoni G, Di Girolamo V, Consonni P, Colombo R, Da Pozzo L, and Bocciardi A

Abstract

Stones located in pelvic kidneys can be successfully treated by extracorporeal lithotripsy, either alone or in combination with endourology and open surgery. A multimodal approach was used in 16 patients with pelvic kidney stone disease and a 87.5% stone-free rate was achieved. The proper positioning of the patient on the lithotripter apparatus and the correct integration of the different therapeutic procedures were the real clues for obtaining a remarkable success rate with a minimally invasive approach

Published
1991

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