76 results on '"E. Pescatori"'
Search Results
2. Surgical and functional outcomes of penile prosthesis implantation in men with neurological conditions
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M. Falcone, P. Capogrosso, L. Cirigliano, M. Preto, M. Timpano, F. Peretti, I. Ferro, N. Plamadeala, N. Schifano, C. Ceruti, F. Giorgio, C. Bettocchi, T. Cai, A. Vitarelli, M. Carrino, M. Paradiso, E. Pescatori, F. Colombo, E. Caraceni, F. Dehò, A. Palmieri, and P. Gontero
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Urology - Published
- 2023
3. P–095 Outcomes and predictive factors of successful salvage microdissection testicular sperm extraction (mTESE) after failed TESE in men with non-obstructive azoospermia: results from a multicenter study
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Franco Gadda, Andrea Cocci, E Pescatori, Ermanno Greco, Andrea Salonia, Alessandro Palmieri, Matteo Turetti, F. Montorsi, Marco Capece, Mirko Preto, D. Dente, Emanuele Montanari, Luca Boeri, L Rolle, and Giorgio Franco
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Non obstructive azoospermia ,medicine.medical_specialty ,Reproductive Medicine ,Multicenter study ,business.industry ,Rehabilitation ,Urology ,Obstetrics and Gynecology ,Medicine ,business ,Microdissection ,Testicular sperm extraction - Abstract
Study question We assessed the outcome and predictors of successful salvage microdissection testicular sperm extraction (mTESE) in non-obstructive azoospermia (NOA) men previously submitted to unfruitful classic (cTESE). Summary answer The sperm retrieval rate at salvage mTESE was almost 50%. Hypospermatogenesis and low FSH values were associated with positive outcomes at salvage mTESE What is known already In men with NOA testicular sperm can be retrieved using cTESE in approximately 50% of cases. mTESE has been proposed as a salvage treatment option for men with a previously failed TESE, but data are scarce. Study design, size, duration Multicenter, cross-sectional study. Complete data from 61 NOA men who underwent mTESE after a failed cTESE between 01/2014 and 10/2020, at 6 tertiary referral centers in Italy were analysed. Participants/materials, setting, methods All men underwent testicular ultrasound, hormonal and genetic blood testing. Histopathological diagnosis from TESE was collected in every man. Semen analyses were based on the 2010 WHO reference criteria. mTESE was performed according to the technique of Schlegel et al. (1999). Descriptive statistics and logistic regression models were used to investigate potential predictors of positive sperm retrieval (SR+) after salvage mTESE. Main results and the role of chance Overall, median (IQR) age and testicular volume were 35 (31–38) years and 10 (6–15) ml, respectively. Baseline serum FSH and total testosterone levels were 17.1 (8.6–30.4) mUI/mL and 4.7 (3.5–6.4) ng/mL, respectively. Sertoli-cell-only (SCO) syndrome, maturation arrest (MA) and hypospermatogenesis were found in 24 (39.3%), 21 (34.4%) and 16 (26.2%) men after cTESE, respectively. Spermatozoa were retrieved in 30 (49.2%) men at salvage mTESE. Patients with a diagnosis of hypospermatogenesis had a higher rate of SR + [12/16 (75%)] than those with MA [12/21 (57.1%)] and SCOS [6/24 (25%)] after salvage mTESE (p Limitations, reasons for caution Despite we analysed one of the largest series of salvage mTESE, the samples size is too small to draw general conclusions. Because of the multicenter nature of the study we cannot rely on standardization of surgical techniques for TESE. Wider implications of the findings: This is one of the larger studies on salvage mTESE. The selection of patients for salvage mTESE is of critical importance. Trial registration number na
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- 2021
4. Trends of utilization and comparison between AMS® vs. Coloplast Titan® Inflatable Penile Prostheses (IPPs) in Italy – results from a national registry (INSIST-ED)
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N. Schifano, G. Antonini, C. Bettocchi, F. Colombo, G. Liguori, S. Fiordelise, A. Vitarelli, M. Silvani, M. Paradiso, C. Ceruti, F. Varvello, F. Palumbo, A. Avolio, D. Pozza, G. Franco, M. Bitelli, E. Conti, E. Caraceni, E. Pescatori, A. Salonia, A. Palmieri, F. Deho', and P. Capogrosso
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Urology - Published
- 2022
5. Risk of unfavorable outcomes after penile prosthesis implantation – results from a national registry (INSIST-ED)
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M. Silvani, Antonio Vitarelli, M. Bitelli, P. Capogrosso, Nicola Mondaini, E. Pescatori, E. Conti, Giorgio Franco, C. Ceruti, F. Varvello, Antonio Avolio, E. Caraceni, Fabrizio Palumbo, S. Fiordelise, Antonella Palmieri, Giovanni Liguori, D. Pozza, Matteo Paradiso, Gabriele Antonini, A. Salonia, F. Colombo, L. Utizi, F. Dehò, and C. Bettocchi
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medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,General surgery ,Urology ,medicine ,Penile prosthesis ,National registry ,business ,lcsh:Diseases of the genitourinary system. Urology ,lcsh:RC870-923 ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,lcsh:RC254-282 - Published
- 2020
6. Salvage microdissection testicular sperm extraction (MTESE) after failed tese in men with non-obstructive azoospermia: outcomes and predictors of sperm retrieval from a multicenter study
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L. Boeri, C. Bebi, D. Dente, E. Greco, M. Turetti, M. Capece, A. Cocci, G. Cito, M. Preto, E. Pescatori, W. Ciampaglia, F.I. Scroppo, M. Falcone, C. Ceruti, F. Gadda, G. Franco, A. Palmieri, L. Rolle, P. Gontero, F. Montorsi, A. Salonia, and E. Montanari
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Urology - Published
- 2021
7. Satisfaction rate at 1-year follow-up in patients treated with penile implants: data from the multicentre prospective registry INSIST-ED
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T. Tony Cai, Federico Dehò, Andrea Salonia, Paolo Capogrosso, E. Caraceni, L. Utizi, Alessandro Palmieri, E. Pescatori, Nicola Mondaini, Capogrosso, P., Pescatori, E., Caraceni, E., Mondaini, N., Utizi, L., Cai, T., Salonia, A., Palmieri, A., Deho', F., Capogrosso, Paolo, Pescatori, Edoardo, Caraceni, Enrico, Mondaini, Nicola, Utizi, Lilia, Cai, Tommaso, Salonia, Andrea, Palmieri, Alessandro, and Deho’, Federico
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Male ,Registrie ,medicine.medical_specialty ,QoLSPP ,erectile dysfunction ,medicine.medical_treatment ,Urology ,030232 urology & nephrology ,Penile Implantation ,Logistic regression ,Prosthesis Design ,Prosthesis ,Follow-Up Studie ,03 medical and health sciences ,0302 clinical medicine ,Patient satisfaction ,Quality of life ,medicine ,Humans ,Prospective Studies ,Registries ,Aged ,030219 obstetrics & reproductive medicine ,business.industry ,satisfaction ,Penile prosthesis ,Middle Aged ,medicine.disease ,Penile prosthesi ,Prospective Studie ,Erectile dysfunction ,Satisfaction rate ,Patient Satisfaction ,Etiology ,Physical therapy ,Clinical Competence ,Penile Prosthesis ,business ,Follow-Up Studies ,Human - Abstract
Objectives: To investigate scores and predictors of patient satisfaction at 1 year after penile prosthesis implantation (PPI) using the validated Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire. Patients and Methods: Analyses were performed for 142 patients prospectively included in the national multicentre registry Italian Nationwide Systematic Inventarization of Surgical Treatment for Erectile Dysfunction (INSIST-ED), which provided 1-year follow-up data. Postoperative patient satisfaction was assessed using the validated QoLSPP tool. Linear logistic regression analyses assessed predictors of QoLSPP total and single domain scores, including age at surgery, erectile dysfunction aetiology, type of prosthesis, surgical approach, surgeon experience and complications. Locally weighted regression methods were used to explore the relationship between surgeon experience and QoLSPP scores. Results: Overall, high median functional, relational, social, personal and total QoLSPP scores were reported at 1 year after PPI. Patients implanted with hydraulic devices had higher functional (23 vs 21.5; P = 0.01) and total scores (68 vs 65.5; P = 0.03) than those with a malleable prosthesis. Surgeon experience emerged as the only independent predictor of higher satisfaction scores, depicting a non-linear association with both QoLSPP total and single domain scores (all P < 0.03). Data suggested that the higher the number of procedures per year, the greater the satisfaction scores, reaching a plateau after l5 procedures/year. Conclusions: This study reports high functional and patient satisfaction scores at 1 year after PPI surgery using a dedicated tool for the first time. Better outcomes should be expected for patients treated by surgeons with greater experience.
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- 2019
8. PS-7-5 Risk of Unfavorable Outcomes after Penile Prosthesis Implantation - Results From a National Registry (INSIST-ED)
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Antonella Palmieri, Nicola Mondaini, Carlo Ceruti, Gabriele Antonini, Federico Dehò, Fulvio Colombo, Antonio Avolio, L. Utizi, M. Silvani, Andrea Salonia, Giorgio Franco, M. Bitelli, E. Caraceni, D. Pozza, F. Varvello, E. Pescatori, Matteo Paradiso, Paolo Capogrosso, Fabrizio Palumbo, S. Fiordelise, Carlo Bettocchi, Antonio Vitarelli, and Giovanni Liguori
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Psychiatry and Mental health ,medicine.medical_specialty ,Endocrinology ,Reproductive Medicine ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,Medicine ,Penile prosthesis ,National registry ,business ,Surgery - Published
- 2020
9. Subsequent impaired fertility (with or without sperm worsening) in men who had fathered children after a left varicocelectomy: A novel population?
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Gianni Paulis, Giorgio Cavallini, Roberto Mallus, E. Pescatori, Carlo Maretti, Beretta G, and Giulio Biagiotti
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Infertility ,varicocele ,medicine.medical_specialty ,endocrine system ,varicocele correction ,Urology ,media_common.quotation_subject ,Varicocele ,Population ,Fertility ,Physical examination ,lcsh:RC870-923 ,Male infertility ,Follicle-stimulating hormone ,medicine ,education ,media_common ,Gynecology ,education.field_of_study ,medicine.diagnostic_test ,business.industry ,medicine.disease ,lcsh:Diseases of the genitourinary system. Urology ,Sperm ,sperm analysis ,Original Article ,business - Abstract
Objectives: The objective of this paper was to assess whether the beneficial effects of a varicocelectomy on fertility are transitory or definitive after a first fathering. Materials and Methods: This was a retrospective study which involved seven andrological centers. The files of 2223 patients who underwent subinguinal ligation of a high grade left varicocele for (oligo)(astheno)(terato)-spermia and infertility between January 1 st , 2002 and January 1 st 2013 were reviewed. Inclusion criteria for the patients were the following: Sperm count improvement and fathering a child after an uneventful left varicocelectomy; 745 patients were considered. Patients who had undergone three assessments for (in-) fertility: Before surgery, before the first fathering and after the first fathering were included in the study. Each assessment included: Clinical history, physical examination, two sperm analyses, bilateral scrotal Duplex scans, blood hormonal levels [follicle stimulating hormone (FSH), luteinising hormone (LH), testosterone (T) and prolactin (PRL)]. Results: Forty patients were finally studied; they all had an improved sperm count and had fathered once after surgery. Fifteen had fathered twice and still had their sperm count increased after the second fathering. Twenty-five patients could not father twice; 13 patients had their sperm count decreased after the first fathering and 12 did not. A decrease in testicular volume and an increase in FSH paralleled the worsening of sperm concentration, motility and morphology after fathering. No other differences could be observed between the groups. Conclusions: Our data indicated that the beneficial effects of a varicocelectomy might be transitory in some cases.
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- 2015
10. 672 Pattern of Surgical Care of Patients with Erectile Dysfunction: Pooled Analysis from Two Prospective Population-Based Registry
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W. Brant, Antonella Palmieri, K. Jani, Gerard D. Henry, Paolo Capogrosso, E. Karpman, Matteo Paradiso, Andrea Salonia, E. Pescatori, E. Caraceni, Fulvio Colombo, Federico Dehò, and Maurizio Carrino
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medicine.medical_specialty ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,Surgical care ,medicine.disease ,Psychiatry and Mental health ,Endocrinology ,Erectile dysfunction ,Pooled analysis ,Reproductive Medicine ,Internal medicine ,Medicine ,business ,Population-Based Registry - Published
- 2018
11. 600 Clinical Indications for Penile Prosthesis Implantation: Data from the National Prospective Registry of Penile Prosthesis Implantation 'INSIST-ED'
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Antonella Palmieri, Carlo Bettocchi, Fulvio Colombo, M. Polito, S. Ciampalini, E. Pescatori, G. Dachille, Gabriele Antonini, M. Capone, Federico Dehò, Paolo Capogrosso, Andrea Salonia, C. L. A. Negro, Walter Cazzaniga, and E. Caraceni
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Psychiatry and Mental health ,medicine.medical_specialty ,Endocrinology ,Reproductive Medicine ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,medicine ,Penile prosthesis ,business ,Surgery - Published
- 2018
12. 318 Pattern of Surgical Care of Patients with Erectile Dysfunction: Pooled Analysis from two Prospective Population-based Registry
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E. Karpman, Gerard D. Henry, K. Jani, E. Pescatori, W. Brant, D. Deho, and Paolo Capogrosso
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medicine.medical_specialty ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,Surgical care ,medicine.disease ,Psychiatry and Mental health ,Endocrinology ,Erectile dysfunction ,Pooled analysis ,Reproductive Medicine ,Internal medicine ,medicine ,business ,Population-Based Registry - Published
- 2018
13. PS-07-016 Which Patient May Benefit the Most from Penile Prosthesis Implantation?
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R.P. Insist-Ed, E. Pescatori, E. Caraceni, Nicola Mondaini, Federico Dehò, Paolo Capogrosso, and L. Utizi
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Psychiatry and Mental health ,medicine.medical_specialty ,Endocrinology ,Reproductive Medicine ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,Medicine ,Penile prosthesis ,business ,Surgery - Published
- 2019
14. Which patient may benefit the most from penile prosthesis implantation?
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Mauro Silvani, E. Conti, M. Paradiso, Giovanni Liguori, P. Capogrosso, Nicola Mondaini, Carlo Bettocchi, Fabrizio Palumbo, Federico Dehò, S. Fiordelise, Fulvio Colombo, Antonio Vitarelli, G. Franco, D. Pozza, M. Bitelli, Carlo Ceruti, Antonio Avolio, Gabriele Antonini, F. Varvello, Alessandro Palmieri, E. Caraceni, E. Pescatori, L. Utizi, La Croce, G, Schifano, N, Pescatori, E, Caraceni, E, Colombo, F, Bettocchi, C, Carrino, M, Vitarelli, A, Pozza, D, Fiordelise, S, Varvello, F, Paradiso, M, Silvani, M, Mondaini, N, Natali, A, Falcone, M, Ceruti, C, Salonia, A, Antonini, G, Cai, T, Palmieri, A, Dehò, F, Capogrosso, P, Deho, F., Capogrosso, P., Bettocchi, C., Colombo, F., Liguori, G., Fiordelise, S., Vitarelli, A., Silvani, M., Mondaini, N., Paradiso, M., Ceruti, C., Utizi, L., Varvello, F., Palumbo, F., Avolio, A., Antonini, G., Pozza, D., Franco, G., Bitelli, M., Conti, E., Caraceni, E., Pescatori, E., and Palmieri, A.
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Male ,medicine.medical_specialty ,penile implant ,result ,erectile dysfunction ,Endocrinology, Diabetes and Metabolism ,Peyronie's disease ,Urology ,medicine.medical_treatment ,Penile Induration ,penile implants ,results ,indications ,Penile Implantation ,Postoperative Complications ,Endocrinology ,medicine ,Humans ,business.industry ,questionnaire ,Penile prosthesis ,Middle Aged ,Surgery ,Reproductive Medicine ,Patient Satisfaction ,Quality of Life ,penile prosthesis implantation ,sexual satisfaction ,business - Abstract
Penile prosthesis implantation has been associated with overall good functional outcomes. Of relevance, some patients reported higher level of satisfaction and quality of life.We investigated the profile of the patients who may benefit the most from penile prosthesis implantation.Data from a national multi-institutional registry of penile prostheses including patients treated from 2014 to 2017 in Italy (Italian Nationwide Systematic Inventarization of Surgical Treatment for Erectile Dysfunction) were analyzed. All data have been prospectively recorded by 45 surgeons on a dedicated website (www.registro.andrologiaitaliana.it) and revised by a single data manager. Patients' baseline characteristics were recorded. In order to simultaneously evaluate perceived penile prosthesis function and quality of life, all patients were re-assessed at 1-year follow-up using the validated questionnaire Quality of Life and Sexuality with Penile Prosthesis. High quality of life after surgery was defined as a score higher than the 75th percentile in each of the subdomains of the Quality of Life and Sexuality with Penile Prosthesis questionnaire. Logistic regression analysis tested the association between clinical characteristics and high quality of life after penile prosthesis implantation.Follow-up data were available for 285 patients (median age 60 years; interquartile range: 56-67) who underwent penile prosthesis implantation. Erectile dysfunction etiology was organic in 40% (114), pelvic surgery/radiotherapy in 39% (111), and Peyronie's disease in 21% (60) of the cases. Patients showed good overall Quality of Life and Sexuality with Penile Prosthesis scores at 1-year follow-up for functional (22/25), personal (13/15), relational (17/20), and social (13/15) domains. Overall, 27.0% (77) of patients achieved scores consistent with the high quality of life definition. These patients did not differ in terms of median age (60 vs. 62), type of prosthesis (inflatable penile prostheses: 95% in both of the cases), and post-operative complications (10% vs. 14%) than those with lower quality of life score (all p gt; 0.1). At logistic regression analysis, erectile dysfunction etiology was the only factor independently associated with high quality of life at 1 year after surgery (p = 0.02). Patients treated for Peyronie's disease (odds ratio: 2.62; p = 0.01; 95% confidence interval: 1.20-5.74) were more likely to report better outcomes after accounting for age, post-operative complications, and surgical volume.Penile prosthesis implantation is associated with an overall good quality of life. The subset of patients affected by erectile dysfunction secondary to Peyronie's disease seemed to benefit the most from penile prosthesis implantation in terms of functional outcomes, relationship with their partners and the outside world, and perceived self-image. The systematic use of validated questionnaires specifically addressed at evaluating quality of life and satisfaction after penile prosthesis implantation should be further implemented in future studies to better define the predictors of optimal satisfaction after penile prosthesis implantation.
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- 2019
15. INSIST-ED: Italian Society of Andrology registry on penile prosthesis surgery. First data analysis
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Antonio Avolio, C. L. A. Negro, T. Tony Cai, Nicola Ghidini, Massimo Polito, Fulvio Colombo, Giovanni Liguori, Massimiliano Timpano, Gabriele Antonini, Alessandro Natali, Diego Pozza, E. Caraceni, Federico Dehò, Giovanni Alei, Matteo Paradiso, Carlo Maretti, Francesco Boezio, Fabrizio Palumbo, L. Utizi, Maurizio Carrino, Giuseppe La Pera, Giorgio Franco, Patrizio Vicini, E. Pescatori, S. Fiordelise, Nicola Mondaini, Francesco Varvello, Carlo Bettocchi, Antonio Corvasce, Marco Bitelli, Aldo Tamai, Enrico Conti, Emilio Italiano, Alessandro Palmieri, Antonio Vitarelli, Mauro Silvani, 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, and Dehã², Federico
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Registrie ,Male ,Surgical procedure ,Intraoperative Complication ,medicine.medical_treatment ,030232 urology & nephrology ,Penile Implantation ,lcsh:RC870-923 ,Prosthesis ,0302 clinical medicine ,Quality of life ,Surgical procedures ,Erectile Dysfunction ,Prospective Studies ,Registries ,Prospective cohort study ,Intraoperative Complications ,030219 obstetrics & reproductive medicine ,Penile implant ,Italy ,Erectile dysfunction ,Implant ,Impotence ,Penile prosthesis ,Penis ,Registry ,Surgery ,Penile Prosthesis ,Human ,Reoperation ,medicine.medical_specialty ,Urology ,Follow-Up Studie ,Andrology ,03 medical and health sciences ,medicine ,Humans ,business.industry ,Follow-Up Studies ,Quality of Life ,medicine.disease ,lcsh:Diseases of the genitourinary system. Urology ,Peni ,Penile prosthesi ,Prospective Studie ,business - 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.
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- 2016
16. ANDROLOGY
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J. C. Y. Hu, B. K. Seo, Q. V. Neri, Z. Rozenwaks, G. D. Palermo, T. Fields, D. Monahan, Z. Rosenwaks, P. Szkodziak, K. Plewka, S. Wozniak, P. Czuczwar, A. Mroczkowski, C. Lorenzo Leon, J. Hernandez, E. Chinea Mendez, C. Concepcion Lorenzo, V. Sanabria Perez, M. Puopolo, A. Palumbo, B. Toth, C. Franz, M. Montag, A. Boing, T. Strowitzki, R. Nieuwland, G. Griesinger, A. Schultze-Mosgau, T. Cordes, M. Depenbusch, K. Diedrich, V. Vloeberghs, G. Verheyen, M. Camus, H. Van de Velde, A. Goossens, H. Tournaye, G. Coppola, G. Di Caprio, M. Wilding, P. Ferraro, G. Esposito, L. Di Matteo, R. Dale, B. Dale, S. Daoud, J. Auger, J. P. Wolf, E. Dulioust, R. Lafuente, G. Lopez, M. Brassesco, M. Hamad, M. Montenarh, M. Hammadeh, F. Robles, M. C. Magli, A. Crippa, E. Pescatori, A. P. Ferraretti, L. Gianaroli, M. Zahiri, M. Movahedin, S. J. Mowla, M. Noruzinia, A. M. Crivello, N. Sermondade, C. Dupont, E. Hafhouf, I. Cedrin-Durnerin, C. Poncelet, B. Benzacken, R. Levy, C. Sifer, F. Ferfouri, F. Boitrelle, P. Clement, D. Molina Gomes, M. Bailly, J. Selva, F. Vialard, E. Yaprak, M. Basar, E. Guzel, O. Arda, T. Irez, P. Norambuena, P. Krenkova, F. Tuettelmann, S. Kliesch, P. Paulasova, A. Stambergova, M. Macek, R. Rivera, T. Garrido-Gomez, S. Galletero, M. Meseguer, F. Dominguez, N. Garrido, C. Mallidis, V. Sanchez, L. Weigeng, K. Redmann, J. Wistuba, P. Gross, F. Wuebbelling, C. Fallnich, M. Burger, S. Schlatt, M. San Celestino Carchenilla, A. Pacheco Castro, P. Simon Sanjurjo, A. Molinero Ballesteros, S. Rubio Garcia, J. A. Garcia Velasco, B. Macanovic, V. Otasevic, A. Korac, M. Vucetic, E. Garalejic, I. Ivanovic Burmazovic, M. R. Filipovic, B. Buzadzic, A. Stancic, A. Jankovic, K. Velickovic, I. Golic, M. Markelic, B. Korac, J. Gosalvez, M. Ruiz-Jorro, C. Garcia-Ochoa, P. Sachez-Martin, M. Martinez-Moya, P. Caballero, N. Hasegawa, N. Fukunaga, R. Nagai, H. Kitasaka, T. Yoshimura, F. Tamura, M. Kato, K. Nakayama, H. Oono, E. Kojima, K. Yasue, H. Watanabe, E. Asano, Y. Hashiba, Y. Asada, M. Das, N. Al-Hathal, M. San-Gabriel, S. Phillips, I. J. Kadoch, F. Bissonnette, H. Holzer, A. Zini, A. G. Zebitay, P. Ocal, S. Sahmay, S. Karahuseyinoglu, T. Usta, S. Repping, S. Silber, M. Van Wely, A. Datta, K. Nayini, A. Eapen, S. Barlow, G. Lockwood, R. Tavares, M. Baptista, S. J. Publicover, J. Ramalho-Santos, D. Vaamonde, I. Rodriguez, A. Diaz, C. Darr, V. Chow, S. Ma, R. Smith, F. Jeria, J. Rivera, F. Gabler, H. Nicolai, M. Cunha, P. Viana, A. Goncalves, J. Silva, C. Oliveira, J. Teixeira da Silva, L. Ferraz, C. Madureira, S. Doria, M. Sousa, A. Barros, M. B. Herrero, G. Delbes, E. Troueng, P. T. K. Chan, L. Vingris, A. S. Setti, D. P. A. F. Braga, R. C. S. Figueira, A. Iaconelli, E. Borges, A. Sargin Oruc, C. Gulerman, T. Zeyrek, N. Yilmaz, D. Tuzcuoglu, N. Cicek, F. Scarselli, M. Terribile, G. Franco, D. Zavaglia, D. Dente, V. Zazzaro, T. Riccio, M. G. Minasi, E. Greco, A. Cejudo-Roman, C. G. Ravina, L. Candenas, M. Gallardo-Castro, D. Martin-Lozano, M. Fernandez-Sanchez, F. M. Pinto, A. Balasuriya, P. Serhal, A. Doshi, J. Harper, L. Romany, J. L. Fernandez, A. Pellicer, J. Ribas-Maynou, A. Garcia-Peiro, A. Fernandez-Encinas, E. Prada, I. Jorda, P. Cortes, M. Llagostera, J. Navarro, J. Benet, H. Kesici, S. Cayli, F. Erdemir, Z. Karaca, H. Aslan, S. Ocakli, U. Tas, A. A. Ozdemir, R. G. Aktas, O. E. Tok, S. Li, C. Lu, Y. Hwu, R. K. Lee, I. Landaburu, M. C. Gonzalvo, A. Clavero, J. P. Ramirez, S. Pedrinaci, M. Serrano, L. Montero, S. Carrillo, J. Weiss, A. P. Ortiz, J. A. Castilla, O. Sahin, E. Bakircioglu, M. Serdarogullari, A. Bayram, S. Yayla, U. Ulug, S. B. Tosun, M. Bahceci, S. Y. Yoon, D. H. Shin, T. E. Shin, E. A. Park, H. J. Won, Y. S. Kim, W. S. Lee, T. K. Yoon, D. R. Lee, H. Hattori, Y. Nakajo, T. Kyoya, M. Kuchiki, S. Kanto, K. Kyono, M. Park, M. R. Park, E. J. Lim, Y. Choi, A. Mitra, J. Bhattacharya, A. Kundu, D. Mukhopadhaya, M. Pal, M. Enciso, S. Alfarawati, D. Wells, C. Abad, M. J. Amengual, V. Esmaeili, M. Safiri, A. H. Shahverdi, A. R. Alizadeh, B. Ebrahimi, A. M. Brucculeri, G. Ruvolo, L. Giovannelli, R. Schillaci, E. Cittadini, G. Scaravelli, A. Perino, S. Cortes Gallego, A. Gabriel Segovia, R. Nunez Calonge, A. Guijarro Ponce, L. Ortega Lopez, P. Caballero Peregrin, B. Heindryckx, J. Kashir, C. Jones, G. Mounce, W. M. Ramadan, B. Lemmon, P. De Sutter, J. Parrington, K. Turner, T. Child, E. McVeigh, K. Coward, S. Tosun, N. Ciray, S. Saeidi, F. Shapouri, H. Hoseinifar, M. Sabbaghian, A. Pacey, R. Aflatoonian, L. Bosco, L. Carrillo, A. Pane, M. Manno, M. C. Roccheri, E. Selles, S. Garcia-Herrero, J. A. Martinez, M. Munoz, A. Durmaz, N. Dikmen, C. Gunduz, E. Tavmergen Goker, E. Tavmergen, D. Gozuacik, H. S. Vatansever, B. Kara, N. Calimlioglu, P. Yasar, B. Semerci, M. Baka, K. Ozbilgin, A. Karabulut, A. Tekin, B. Sabah, V. Cottin, D. Kottelat, M. Fellmann, S. Halm, E. Rosenthaler, T. Kisida, F. Kojima, T. Sakamoto, V. A. Makutina, S. L. Balezin, O. F. Rosly, T. V. Slishkina, E. Hatzi, L. Lazaros, N. Xita, G. Makrydimas, N. Sofikitis, A. Kaponis, T. Stefos, K. Zikopoulos, I. Georgiou, H. Hibi, T. Ohori, M. Sumitomo, C. Anarte, I. Calvo, A. Domingo, N. Presilla, M. Aleman, R. Bou, F. Guardiola, J. A. Agirregoikoa, J. L. De Pablo, G. Barrenetxea, I. Zhylkova, O. Feskov, I. Feskova, O. Zozulina, O. Somova, A. Nabi, M. A. Khalili, F. Roudbari, L. Parmegiani, G. E. Cognigni, S. Bernardi, S. Taraborrelli, E. Troilo, W. Ciampaglia, P. Pocognoli, F. E. Infante, C. Tabarelli de fatis, A. Arnone, A. M. Maccarini, M. Filicori, L. Silva, J. B. A. Oliveira, C. G. Petersen, A. L. Mauri, F. C. Massaro, M. Cavagna, R. L. R. Baruffi, J. G. Franco, Y. Fujii, Y. Endou, H. Mtoyama, S. Shokri, and R. J. Aitken
- Subjects
Reproductive Medicine ,Rehabilitation ,Obstetrics and Gynecology - Published
- 2012
17. Clinical indications for penile prosthesis implantation: Data from the national prospective registry of penile prosthesis implantation 'INSIST-ED'
- Author
-
P. Capogrosso, Alessandro Palmieri, E. Pescatori, C. L. A. Negro, Walter Cazzaniga, M. Polito, G. Dachille, Carlo Bettocchi, E. Caraceni, S. Ciampalini, M. Capone, Federico Dehò, Fulvio Colombo, Andrea Salonia, E. Conti, and Gabriele Antonini
- Subjects
medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Urology ,Medicine ,Penile prosthesis ,business ,Surgery - Published
- 2018
18. Quality of life after penile prosthesis implantation: 1-year follow-up data of the INSIST-ED national prospective registry
- Author
-
A. Barbieri, Mauro Silvani, M. Paradiso, Federico Dehò, Alessandro Palmieri, Maurizio Carrino, Carlo Bettocchi, E. Caraceni, D. Pozza, P. Capogrosso, Nicola Mondaini, A. Corvasce, Andrea Salonia, F. Boezio, E. Pescatori, A. Lagana, Carlo Ceruti, and L. Utizi
- Subjects
medicine.medical_specialty ,Quality of life ,business.industry ,Urology ,medicine.medical_treatment ,General surgery ,medicine ,1 year follow up ,Penile prosthesis ,business - Published
- 2018
19. 669 Perioperative Management Strategies for Penile Prosthesis Implantation - Data from the Prospective National Registry 'INSIST-ED'
- Author
-
Paolo Capogrosso, S. Fiordelise, Emilio Italiano, Fulvio Colombo, Giorgio Franco, Massimiliano Timpano, Alessandro Palmieri, G. La pera, Federico Dehò, E. Pescatori, Giovanni Liguori, G. Polloni, G. Alei, Walter Cazzaniga, and E. Caraceni
- Subjects
medicine.medical_specialty ,Perioperative management ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,General surgery ,Penile prosthesis ,Psychiatry and Mental health ,Endocrinology ,Reproductive Medicine ,medicine ,National registry ,business - Published
- 2018
20. 633 Contemporary Use of Non-hydraulic Penile Prosthesis in Patients with Erectile Dysfunction: Data from the National Prospective Registry of Penile Prosthesis Implantation 'INSIST-ED'
- Author
-
M. Matera, Andrea Salonia, Antonio Vitarelli, Antonella Palmieri, Patrizio Vicini, E. Pescatori, F. De Luca, Walter Cazzaniga, Paolo Capogrosso, Marco Falcone, A. Tamai, Federico Dehò, Fabrizio Palumbo, G. Garaffa, and Alessandro Natali
- Subjects
medicine.medical_specialty ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,Penile prosthesis ,medicine.disease ,Surgery ,Psychiatry and Mental health ,Endocrinology ,Erectile dysfunction ,Reproductive Medicine ,medicine ,In patient ,business - Published
- 2018
21. 667 Profile of Candidates to Penile Prosthesis Implantation for ED; Pooled Analysis from Two Prospective Population-based Registry
- Author
-
E. Caraceni, Antonella Palmieri, Andrea Salonia, Antonio Vitarelli, E. Karpman, E. Pescatori, K. Jani, Federico Dehò, S. Fiordelise, D. Pozza, Paolo Capogrosso, B. Carlo, M. Silvani, Gerard D. Henry, and W. Brant
- Subjects
medicine.medical_specialty ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,Penile prosthesis ,Surgery ,Psychiatry and Mental health ,Endocrinology ,Pooled analysis ,Reproductive Medicine ,medicine ,business ,Population-Based Registry - Published
- 2018
22. 058 Quality of Life after Penile Prosthesis Implantation – 1-year follow-up Data of the INSIST-ED National Prospective Registry
- Author
-
L. Utizi, M. Silvani, A. Barbieri, M. Carrino, D. Pozza, Walter Cazzaniga, A. Lagana, Nicola Mondaini, E. Caraceni, Federico Dehò, Carlo Ceruti, E. Pescatori, Alessandro Palmieri, Andrea Salonia, and Paolo Capogrosso
- Subjects
medicine.medical_specialty ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,General surgery ,medicine.medical_treatment ,1 year follow up ,Penile prosthesis ,Psychiatry and Mental health ,Endocrinology ,Reproductive Medicine ,Quality of life ,medicine ,business - Published
- 2018
23. PS-06-001 Preliminary Results of the First European Registry for Penile Implants: The INSIST-ED REGISTRY (Italian Nationwide Systematic Inventarisation of Surgical Treatment for ED)
- Author
-
L. Utizi, Federico Dehò, Fulvio Colombo, E. Caraceni, E. Pescatori, and Giorgio Franco
- Subjects
medicine.medical_specialty ,030219 obstetrics & reproductive medicine ,business.industry ,Urology ,Endocrinology, Diabetes and Metabolism ,General surgery ,030232 urology & nephrology ,03 medical and health sciences ,Psychiatry and Mental health ,0302 clinical medicine ,Endocrinology ,Reproductive Medicine ,medicine ,Surgical treatment ,business - Published
- 2016
24. V70 Bilateral impending distal erosion of soft penile implant treated by device removal, bilateral distal re-tunneling upon penile MRI guidance, and inflatable device insertion
- Author
-
N. Ghidini, P. Pisi, E. Pescatori, and B. Drei
- Subjects
medicine.medical_specialty ,Inflatable ,Device removal ,business.industry ,Urology ,medicine ,Penile implant ,business ,Surgery - Published
- 2016
25. I Traumi Dell'Uretra Anteriore
- Author
-
S. Guatelli, G. Drago, G. Oliva, T. Prayer-Galletti, M. Mangano, E. Pescatori, Francesco Pagano, C. Romano, G. Cancarini, D. Banzato, and M. Dal Bianco
- Subjects
business.industry ,Medicine ,General Medicine ,business - Published
- 1991
26. Painless Scrotal Masses in the Pediatric Population
- Author
-
G. Passerini Glazel, Paolo Tomà, E. Pescatori, Francesco Aragona, E. Talenti, and S. Malena
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,Urology ,Testicular Diseases ,Diagnosis, Differential ,Sebaceous Cyst ,Scrotum ,Prevalence ,medicine ,Humans ,Child ,Pathological ,Retrospective Studies ,Ultrasonography ,business.industry ,Age Factors ,Infant, Newborn ,Infant ,Retrospective cohort study ,Surgery ,medicine.anatomical_structure ,El Niño ,Child, Preschool ,Genital Neoplasms, Male ,Genital neoplasm ,Etiology ,Radiology ,Genital Diseases, Male ,Differential diagnosis ,business - Abstract
In the pediatric population a broad spectrum of intrascrotal pathology ranging from congenital to neoplastic lesions present as a painless scrotal mass. The aim of our 10-year retrospective study was to review 71 pediatric cases of a painless scrotal mass to determine the overall and age specific prevalence of diseases manifesting as such masses.From 1980-1991, 71 patients 1 day to 16 years old with a painless scrotal mass underwent evaluation using 7.5 or 10 MHz. ultrasound probes with transverse and longitudinal sections.The painless scrotal mass was testicular in 61 cases (86%, 28 neoplasms, 27 congenital malformations, and 6 posttraumatic/inflammatory lesions) and extratesticular in 10 (14%, 5 neoplasms, 2 hematoceles, 2 pachyvaginitis and 1 sebaceous cyst). Patient age distribution showed 2 peaks at 0 to 1-year and 13 to 14-year intervals. More than a third of the painless scrotal masses (24 cases) were found during the first year of life, predominantly congenital anomalies (in utero torsion) and neoplasia. A total of 45 patients (63%) underwent surgery (orchiectomy in 39 and conservative treatment in 6) and a pathognomonic echo pattern allowed nonsurgical treatment in 26 (37%).Testicular ultrasound proved to be highly reliable in differentiating intratesticular from extratesticular lesions but it demonstrated poor specificity because of extensive overlap between benign and malignant pathologies. Therefore, testicular ultrasound changed the management of a few select cases of a painless scrotal mass (epididymal cysts/spermatoceles and in utero torsion).
- Published
- 1996
27. The role of arthrography in the diagnosis of meniscal tears
- Author
-
A, Nicolini and E, Pescatori
- Subjects
Adult ,Adolescent ,Air ,Contrast Media ,Humans ,Knee Injuries ,Middle Aged ,Arthrography ,Menisci, Tibial ,Sensitivity and Specificity ,Aged ,Tibial Meniscus Injuries - Abstract
The authors discuss the value of arthrography as a supplement to arthroscopy in the diagnosis of meniscal tears. Arthrography is superior to arthroscopy in its ability to detect lesions of the posterior horn of the medial meniscus, which are the most common meniscal tears. Moreover, arthrography can be done on an out-patient basis and at low cost. In any case, the best screening remains thorough clinical examination supplemented, if necessary, by imaging studies.
- Published
- 1991
28. [Congenital hip dislocation: at what age to screen with ultrasound?]
- Author
-
A, Nicolini, F, D'Agrosa, and E, Pescatori
- Subjects
Male ,Age Factors ,Infant, Newborn ,Humans ,Infant ,Mass Screening ,Female ,Hip Dislocation, Congenital ,Ultrasonography - Abstract
The Authors report their experience in ultrasound screening for congenital hip dislocation. Goal of this study is to recognize the best age for the screening.
- Published
- 1991
29. [Congenital hip dysplasia. The controversial results of a screening program]
- Author
-
F, D'Agrosa, A, Nicolini, E, Pescatori, M, Franzetti, N, Fucà, W, Piloni, and F, Gaboardi
- Subjects
Male ,Patient Care Team ,Radiography ,Italy ,Risk Factors ,Infant, Newborn ,Humans ,Infant ,Mass Screening ,Female ,Hip Joint ,Hip Dislocation, Congenital ,Ultrasonography - Abstract
The authors report their experience in a screening program for congenital hip dislocation. Goal of this study is to recognize the best technique for early diagnosis in this disease. The result show that we need further study and complete cooperation between pediatrician, radiologist and orthopedist to realize the best cost/benefit ratio.
- Published
- 1990
30. [Metastasis of endometrial carcinoma to the tarsus]
- Author
-
R, Zorzi and E, Pescatori
- Subjects
Radiography ,Uterine Neoplasms ,Humans ,Bone Neoplasms ,Female ,Tarsal Bones ,Aged - Published
- 1982
31. [Post-traumatic diabetes insipidus: description of a case]
- Author
-
R, Zorzi, E, Pescatori, and G, Bottiglieri
- Subjects
Male ,Adolescent ,Humans ,Femoral Fractures ,Brain Concussion ,Diabetes Insipidus - Published
- 1982
32. [Bloodless treatment of fractures of the clavicle using O-shaped soft bandages]
- Author
-
G, Bottiglieri, R, Zorzi, F, Brocchetta, and E, Pescatori
- Subjects
Adult ,Radiography ,Fractures, Bone ,Immobilization ,Adolescent ,Humans ,Middle Aged ,Bandages ,Clavicle ,Aged - Abstract
The authors, on the basis of the clinico-radiographic revieping of 45 patients suffering from clavicle fracture and treated through "O"-shaped soft bandage, state the results obtained: they particularly point out the advantages of such method in the fractures of clavicle 3rd medium, with single rima in patients aged between 10 and 70.
- Published
- 1983
33. [Use of electroanalgesia in orthopedics: comparison of its effects in postoperative and non-postoperative pain]
- Author
-
R, Zorzi, E, Pescatori, and G, Bottiglieri
- Subjects
Pain, Postoperative ,Humans ,Pain Management ,Electric Stimulation Therapy ,Analgesia - Published
- 1981
34. [Stable dorsolumbar somatic fractures: treatment with a corset having 3 support points]
- Author
-
E, Pescatori and R, Zorzi
- Subjects
Adult ,Fractures, Bone ,Braces ,Lumbar Vertebrae ,Time Factors ,Humans ,Middle Aged ,Thoracic Vertebrae ,Aged ,Follow-Up Studies - Published
- 1981
35. [Calcitonin test]
- Author
-
R, Zorzi and E, Pescatori
- Subjects
Aged, 80 and over ,Calcitonin ,Male ,Time Factors ,Humans ,Osteoporosis ,Calcium ,Female ,Middle Aged ,Aged - Abstract
Considering that the Calcitonin is one of the main therapeutic means in the senile Osteoporosis, the authors go over and over the necessity of a simple diagnostic test in order to point out the sensitiveness and resistance to the drug in subjects suffering from this pathology. After a single subministration of the drug to the subjects suffering from Osteoporosis at a high turn-over, it has been considered as sensitive at the therapeutic effect. Subjects in whom, a lowering of the calcemia under 0.3 mEq/1 was obtained within ten hours since the drug had been given.
- Published
- 1986
36. [Functional retraining in osteosynthesis of the femur]
- Author
-
E, Pescatori and R, Zorzi
- Subjects
Fracture Fixation ,Humans ,Hip Joint ,Femoral Fractures ,Physical Therapy Modalities ,Exercise Therapy - Abstract
Kinesis therapy is now an integral and essential stage in osteosynthetic surgery. According to the different anatomical zones, a series of functional exercises designed to restore joint movement in fractures of the femur are described.
- Published
- 1982
37. Skeletal changes in a case of Goltz's syndrome (focal dermal hypoplasia)
- Author
-
C, Consolo, E, Pescatori, and R, Zorzi
- Subjects
Adult ,Radiography ,Pregnancy ,Humans ,Abnormalities, Multiple ,Female ,Syndrome ,Hand ,Pelvic Bones ,Skin Diseases ,Bone and Bones ,Skin - Abstract
Goltz's syndrome (focal dermal hypoplasia) is a rare congenital disease only 50 cases of which have been recorded in the literature. Complex changes in the skin and the skeleton occur in this disease. Although the bone changes have been described in nearly all reported cases, these have only been reported in the orthopaedic literature in one case (Lynch, 1981) in which the disease was accompanied by an aneurysmal bone cyst in the pelvis. The disease is hereditary but is not sex-linked, although all the reported cases have been female. This is because the disease is lethal in males during gestation (Gorlin et al., 1963). The case reported by us, however, brought her pregnancy to term and gave birth to a male infant with no malformations either of the bones or the skin.
- Published
- 1983
38. [Technical note on the postoperative treatment of Dupuytren's disease after sub-total aponeurectomy using the Vigliani-Rodighiero method]
- Author
-
G, Bottiglieri, R, Zorzi, and E, Pescatori
- Subjects
Dupuytren Contracture ,Postoperative Care ,Humans ,Bandages - Published
- 1982
39. The process of translation and cross cultural adaptation of the Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire, as part of the Phoenix Registry
- Author
-
E. Pescatori, Hans Timmerman, L. Utizi, Christien Caris, W. Witjes, and E. Caraceni
- Subjects
Medical education ,biology ,Process (engineering) ,business.industry ,Urology ,medicine.medical_treatment ,Human sexuality ,Penile prosthesis ,biology.organism_classification ,medicine ,Cross-cultural ,Phoenix ,Adaptation (computer science) ,business - Abstract
Introduction & Objectives: According to the EAU guidelines, a penile prosthesis implant (PPI) is indicated as third line option in patients non responding to other treatments for Erectile Dysfunction (ED) or preferring a permanent solution to their problem. In patients receiving a PPI as well as their partners high satisfaction rates have been reported. To date however a validated multi language questionnaire to assess prosthesis specific satisfaction is missing. In 2014 the Quality of Life and Sexuality with Penile Prosthesis (QoLSPP) questionnaire was published (J Sex Med. 2014;11:1005-12), but is lacking linguistic and cross-cultural validation in other languages than Italian. As part of the Phoenix registry (prospective registry that aims to follow-up 1000 patients with a PPI), the QoLSPP is undergoing a robust validation process in English and in six other languages. Materials & Methods: The translation process is performed according to the international ISPOR guidelines (the professional society for health economics and outcomes research), including multiple forward and backward translations, as well as cognitive debriefing, by means of patient interviews. Results: The original Italian QoLSPP was first translated into English. Two independent forward translations were performed, which were compared by a third independent linguist to create a unified translation. This reconciled document was translated back, and after review of all versions by the project team qualitative interviews with 5 patients with ED were conducted and the translation was finalized. During discussions however with local interviewers there appeared to be differences in the interpretation of the meaning of some questions. These issues were discussed with the QoLSPP designers and led to a modified English version of the QoLSPP. Because of the modifications a new round of cognitive debriefing was needed. Five English patients with a PPI were interviewed. The interview results were discussed with the designers and the English QoLSPP was modified again. After another round of three interviews the English version was finalized. This modified version was used for translations from English into Spanish, Dutch, French, German, Portuguese and Swedish. The Italian QoLSPP has also been adapted based on the modified English version. Currently the translated questionnaires are being tested by means of patient interviews in the different countries. Conclusions: The gap of a dedicated tool that allows to assess QoL in recipients of a PPI is close to be filled. The QoLSPP has been linguistically and culturally validated in several languages and will be shortly available to different countries. It is expected that this questionnaire will prove instrumental in comparing short and long term QoL results of penile prosthetic surgery, performed in different regions, with different devices.
40. Global Practice Patterns and Variations in the Medical and Surgical Management of Non-Obstructive Azoospermia: Results of a World-Wide Survey, Guidelines and Expert Recommendations.
- Author
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Rambhatla A, Shah R, Ziouziou I, Kothari P, Salvio G, Gul M, Hamoda T, Kavoussi P, Atmoko W, Toprak T, Birowo P, Ko E, Arafa M, Ghayda RA, Karthikeyan VS, Russo GI, Pinggera GM, Chung E, Harraz AM, Martinez M, Phuoc NHV, Tadros N, Saleh R, Savira M, Colpi GM, Zohdy W, Pescatori E, Park HJ, Fukuhara S, Tsujimura A, Rojas-Cruz C, Marino A, Mak SK, Amar E, Ibrahim W, Sindhwani P, Alhathal N, Busetto GM, Al Hashimi M, El-Sakka A, Ramazan A, Dimitriadis F, Timpano M, Jezek D, Altay B, Zylbersztejn DS, Wong MY, Moon DG, Wyns C, Gamidov S, Akhavizadegan H, Franceschelli A, Aydos K, Quang N, Ashour S, Al Dayel A, Al-Marhoon MS, Micic S, Binsaleh S, Hussein A, Elbardisi H, Mostafa T, Ramsay J, Zachariou A, Abdelrahman IFS, Rajmil O, Kalkanli A, Molina JMC, Bocu K, Duarsa GWK, Çeker G, Serefoglu EC, Bahar F, Gherabi N, Kuroda S, Bouzouita A, Gudeloglu A, Ceyhan E, Hasan MSM, Musa MU, Motawi A, Cho CL, Taniguchi H, Ho CCK, Vazquez JFS, Mutambirwa S, Gungor ND, Bendayan M, Giulioni C, Baser A, Falcone M, Boeri L, Blecher G, Kheradmand A, Sethupathy T, Adriansjah R, Narimani N, Konstantinidis C, Nguyen TT, Japari A, Dolati P, Singh K, Ozer C, Sarikaya S, Sheibak N, Bosco NJ, Özkent MS, Le ST, Sokolakis I, Katz D, Smith R, Truong MN, Le TV, Huang Z, Deger MD, Arslan U, Calik G, Franco G, Rashed A, Kahraman O, Andreadakis S, Putra R, Balercia G, Khalafalla K, Cannarella R, Tuân AÐ, El Meliegy A, Zilaitiene B, Ramirez MLZ, Giacone F, Calogero AE, Makarounis K, Jindal S, Hoai BN, Banthia R, Peña MR, Moorthy D, Adamyan A, Kulaksiz D, Kandil H, Sofikitis N, Salzano C, Jungwirth A, Banka SR, Mierzwa TC, Turunç T, Jain D, Avoyan A, Salacone P, Kadıoğlu A, Gupta C, Lin H, Shamohammadi I, Mogharabian N, Barrett T, Danacıoğlu YO, Crafa A, Daoud S, Malhotra V, Almardawi A, Selim OM, Moussa M, Haghdani S, Duran MB, Kunz Y, Preto M, Eugeni E, Nguyen T, Elshahid AR, Suyono SS, Parikesit D, Nada E, Orozco EG, Boitrelle F, Trang NTM, Jamali M, Nair R, Ruzaev M, Gadda F, Thomas C, Ferreira RH, Gul U, Maruccia S, Kanbur A, Kinzikeeva E, Abumelha SM, Kosgi R, Gokalp F, Soebadi MA, Paul GM, Sajadi H, Gupte D, Ambar RF, Sogutdelen E, Singla K, Basukarno A, Kim SHK, Gilani MAS, Nagao K, Brodjonegoro SR, Rezano A, Elkhouly M, Mazzilli R, Farsi HMA, Ba HN, Alali H, Kafetzis D, Long TQT, Alsaid S, Cuong HBN, Oleksandr K, Mustafa A, Acosta H, Pai H, Şahin B, Arianto E, Teo C, Jayaprakash SP, Rachman RI, Yenice MG, Sefrioui O, Priyadarshi S, Tanic M, Alfatlaw NK, Rizaldi F, Vishwakarma RB, Kanakis G, Cherian DT, Lee J, Galstyan R, Keskin H, Wurzacher J, Seno DH, Noegroho BS, Margiana R, Javed Q, Castiglioni F, Tanwar R, Puigvert A, Kaya C, Purnomo M, Yazbeck C, Amir A, Borges E, Bellavia M, Deswanto IA, Kv V, Liguori G, Minh DH, Siddiqi K, Colombo F, Zini A, Patel N, Çayan S, Al-Kawaz U, Ragab M, Hebrard GH, de la Rosette J, Efesoy O, Hoffmann I, Teixeira TA, Saylam B, Delgadillo D, and Agarwal A
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Purpose: Non-obstructive azoospermia (NOA) is a common, but complex problem, with multiple therapeutic options and a lack of clear guidelines. Hence, there is considerable controversy and marked variation in the management of NOA. This survey evaluates contemporary global practices related to medical and surgical management for patients with NOA., Materials and Methods: A 56-question online survey covering various aspects of the evaluation and management of NOA was sent to specialists around the globe. This paper analyzes the results of the second half of the survey dealing with the management of NOA. Results have been compared to current guidelines, and expert recommendations have been provided using a Delphi process., Results: Participants from 49 countries submitted 336 valid responses. Hormonal therapy for 3 to 6 months was suggested before surgical sperm retrieval (SSR) by 29.6% and 23.6% of participants for normogonadotropic hypogonadism and hypergonadotropic hypogonadism respectively. The SSR rate was reported as 50.0% by 26.0% to 50.0% of participants. Interestingly, 46.0% reported successful SSR in <10% of men with Klinefelter syndrome and 41.3% routinely recommended preimplantation genetic testing. Varicocele repair prior to SSR is recommended by 57.7%. Half of the respondents (57.4%) reported using ultrasound to identify the most vascularized areas in the testis for SSR. One-third proceed directly to microdissection testicular sperm extraction (mTESE) in every case of NOA while others use a staged approach. After a failed conventional TESE, 23.8% wait for 3 months, while 33.1% wait for 6 months before proceeding to mTESE. The cut-off of follicle-stimulating hormone for positive SSR was reported to be 12-19 IU/mL by 22.5% of participants and 20-40 IU/mL by 27.8%, while 31.8% reported no upper limit., Conclusions: This is the largest survey to date on the real-world medical and surgical management of NOA by reproductive experts. It demonstrates a diverse practice pattern and highlights the need for evidence-based international consensus guidelines., Competing Interests: The authors have nothing to disclose., (Copyright © 2024 Korean Society for Sexual Medicine and Andrology.)
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- 2024
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41. Global Practice Patterns in the Evaluation of Non-Obstructive Azoospermia: Results of a World-Wide Survey and Expert Recommendations.
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Shah R, Rambhatla A, Atmoko W, Martinez M, Ziouziou I, Kothari P, Tadros N, Phuoc NHV, Kavoussi P, Harraz A, Salvio G, Gul M, Hamoda T, Toprak T, Birowo P, Ko E, Arafa M, Ghayda RA, Karthikeyan VS, Saleh R, Russo GI, Pinggera GM, Chung E, Savira M, Colpi GM, Zohdy W, Pescatori E, Park HJ, Fukuhara S, Tsujimura A, Rojas-Cruz C, Marino A, Mak SK, Amar E, Ibrahim W, Sindhwani P, Alhathal N, Busetto GM, Al Hashimi M, El-Sakka A, Ramazan A, Dimitriadis F, Timpano M, Jezek D, Altay B, Zylbersztejn DS, Wong MY, Moon DG, Wyns C, Gamidov S, Akhavizadegan H, Franceschelli A, Aydos K, Quang VN, Ashour S, Al Dayel A, Al-Marhoon MS, Micic S, Binsaleh S, Hussein A, Elbardisi H, Mostafa T, Taha E, Ramsay J, Zachariou A, Abdelrahman IFS, Rajmil O, Kalkanli A, Molina JMC, Bocu K, Duarsa GWK, Ceker G, Serefoglu EC, Bahar F, Gherabi N, Kuroda S, Bouzouita A, Gudeloglu A, Ceyhan E, Hasan MSM, Musa MU, Motawi A, Chak-Lam C, Taniguchi H, Ho CCK, Vazquez JFS, Mutambirwa S, Gungor ND, Bendayan M, Giulioni C, Baser A, Falcone M, Boeri L, Blecher G, Kheradmand A, Sethupathy T, Adriansjah R, Narimani N, Konstantinidis C, Nguyen TT, Japari A, Dolati P, Singh K, Ozer C, Sarikaya S, Sheibak N, Bosco NJ, Özkent MS, Le ST, Sokolakis I, Katz D, Smith R, Truong MN, Le TV, Huang Z, Deger MD, Arslan U, Calik G, Franco G, Rashed A, Kahraman O, Andreadakis S, Putra R, Balercia G, Khalafalla K, Cannarella R, Tuân AÐ, El Meliegy A, Zilaitiene B, Ramirez MLZ, Giacone F, Calogero AE, Makarounis K, Jindal S, Hoai BN, Banthia R, Peña MR, Moorthy D, Adamyan A, Kulaksiz D, Kandil H, Sofikitis N, Salzano C, Jungwirth A, Banka SR, Mierzwa TC, Turunç T, Jain D, Avoyan A, Salacone P, Kadıoğlu A, Gupta C, Lin H, Shamohammadi I, Mogharabian N, Barrett T, Danacıoğlu YO, Crafa A, Daoud S, Malhotra V, Almardawi A, Selim OM, Moussa M, Haghdani S, Duran MB, Kunz Y, Preto M, Eugeni E, Nguyen T, Elshahid AR, Suyono SS, Parikesit D, Nada E, Orozco EG, Boitrelle F, Trang NTM, Jamali M, Nair R, Ruzaev M, Gadda F, Thomas C, Ferreira RH, Gul U, Maruccia S, Kanbur A, Kinzikeeva E, Abumelha S, Quang N, Kosgi R, Gokalp F, Soebadi MA, Paul GM, Sajadi H, Gupte D, Ambar RF, Sogutdelen E, Singla K, Basurkano A, Kim SHK, Gilani MAS, Nagao K, Brodjonegoro SR, Rezano A, Elkhouly M, Mazzilli R, Farsi HMA, Ba HN, Alali H, Kafetzis D, Long TQT, Alsaid S, Cuong HBN, Oleksandr K, Mustafa A, Acosta H, Pai H, Şahin B, Arianto E, Teo C, Jayaprakash SP, Rachman RI, Yenice MG, Sefrioui O, Paghdar S, Priyadarshi S, Tanic M, Alfatlawy NK, Rizaldi F, Vishwakarma RB, Kanakis G, Cherian DT, Lee J, Galstyan R, Keskin H, Wurzacher J, Seno DH, Noegroho BS, Margiana R, Javed Q, Castiglioni F, Tanwar R, Puigvert A, Kaya C, Purnomo M, Yazbeck C, Amir A, Borges E, Bellavia M, Deswanto IA, V VK, Liguori G, Minh DH, Siddiqi K, Colombo F, Zini A, Patel N, Çayan S, Al-Kawaz U, Ragab M, Hebrard GH, Hoffmann I, Efesoy O, Saylam B, and Agarwal A
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Purpose: Non-obstructive azoospermia (NOA) represents the persistent absence of sperm in ejaculate without obstruction, stemming from diverse disease processes. This survey explores global practices in NOA diagnosis, comparing them with guidelines and offering expert recommendations., Materials and Methods: A 56-item questionnaire survey on NOA diagnosis and management was conducted globally from July to September 2022. This paper focuses on part 1, evaluating NOA diagnosis. Data from 367 participants across 49 countries were analyzed descriptively, with a Delphi process used for expert recommendations., Results: Of 336 eligible responses, most participants were experienced attending physicians (70.93%). To diagnose azoospermia definitively, 81.7% requested two semen samples. Commonly ordered hormone tests included serum follicle-stimulating hormone (FSH) (97.0%), total testosterone (92.9%), and luteinizing hormone (86.9%). Genetic testing was requested by 66.6%, with karyotype analysis (86.2%) and Y chromosome microdeletions (88.3%) prevalent. Diagnostic testicular biopsy, distinguishing obstructive azoospermia (OA) from NOA, was not performed by 45.1%, while 34.6% did it selectively. Differentiation relied on physical examination (76.1%), serum hormone profiles (69.6%), and semen tests (68.1%). Expectations of finding sperm surgically were higher in men with normal FSH, larger testes, and a history of sperm in ejaculate., Conclusions: This expert survey, encompassing 367 participants from 49 countries, unveils congruence with recommended guidelines in NOA diagnosis. However, noteworthy disparities in practices suggest a need for evidence-based, international consensus guidelines to standardize NOA evaluation, addressing existing gaps in professional recommendations., Competing Interests: The authors have nothing to disclose., (Copyright © 2024 Korean Society for Sexual Medicine and Andrology.)
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- 2024
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42. Effects of Varicocele Repair on Sperm DNA Fragmentation and Seminal Malondialdehyde Levels in Infertile Men with Clinical Varicocele: A Systematic Review and Meta-Analysis.
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Cannarella R, Shah R, Saleh R, Boitrelle F, Hamoda TAA, Singh R, Salvio G, Toprak T, Falcone M, Gul M, Dimitriadis F, Rambhatla A, Russo GI, Ko E, Zini A, Kavoussi P, Phuoc NHV, Kandil H, Ghayda RA, Birowo P, Gherabi N, Ceyhan E, Dong J, Malhotra V, Durairajanayagam D, Kolbasi B, Bahar F, Calik G, Çayan S, Pinggera GM, Calogero AE, Rajmil O, Mostafa T, Atmoko W, Harraz AM, Le TV, de la Rosette J, Hakim L, Pescatori E, Sergeyev O, Rashed A, Saini P, and Agarwal A
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Purpose: Varicoceles can be a source of elevated seminal oxidative stress (OS) and sperm DNA fragmentation (SDF). However, it remains unclear whether varicocele repair (VR) could reduce these parameters. This systematic review and meta-analysis (SRMA) aims to investigate the impact of VR on SDF and seminal malondialdehyde (MDA)., Materials and Methods: A literature search was performed in Scopus, PubMed, Ovid, Embase, and Cochrane databases. This SRMA included randomized controlled trials and observational studies reporting the pre- and postoperative levels of SDF and seminal OS in infertile men with clinical varicocele that underwent VR. Subgroup analyses included techniques of VR and SDF testing. The effect size was expressed as standardized mean difference (SMD)., Results: Out of 1,632 abstracts assessed for eligibility, 29 studies with 1,491 infertile men were included. The analysis showed a significant reduction in SDF after VR, compared to preoperative values (SMD -1.125, 95% confidence interval [CI] -1.410, -0.840; p<0.0001) with high inter-study heterogeneity (I²=90.965%). Reduction in SDF was evident with microsurgical technique and non-microsurgical inguinal approaches (SMD -1.014, 95% CI -1.263, -0.765; p<0.0001, and SMD -1.495, 95% CI -2.116, -0.873; p<0.0001), respectively. Reduction in SDF was significant irrespective of testing was done by sperm chromatin dispersion (SMD -2.197, 95% CI -3.187, -1.207; p<0.0001), sperm chromatin structure assay (SMD -0.857, 95% CI -1.156, -0.559; p<0.0001) or TUNEL (SMD -1.599, 95% CI -2.478, -0.719; p<0.0001). A significant decrease in seminal MDA levels was observed following VR (SMD -2.450, 95% CI -3.903 to -0.997, p=0.001) with high inter-study heterogeneity (I²=93.7%)., Conclusions: Using pre- and post-intervention data, this SRMA indicates a significant reduction in SDF and seminal MDA levels in infertile men with clinical varicocele treated with VR. These findings may have important implications for the future management of this selected group of infertile patients., Competing Interests: The authors have nothing to disclose., (Copyright © 2024 Korean Society for Sexual Medicine and Andrology.)
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- 2024
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43. Technical Aspects and Clinical Limitations of Sperm DNA Fragmentation Testing in Male Infertility: A Global Survey, Current Guidelines, and Expert Recommendations.
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Agarwal A, Farkouh A, Saleh R, Hamoda TAA, Salvio G, Boitrelle F, Harraz AM, Ghayda RA, Kavoussi P, Gül M, Toprak T, Russo GI, Durairajanayagam D, Rambhatla A, Birowo P, Cannarella R, Phuoc NHV, Zini A, Arafa M, Wyns C, Tremellen K, Sarıkaya S, Lewis S, Evenson DP, Ko E, Calogero AE, Bahar F, Martínez M, Ambar RF, Colpi GM, Bakircioglu ME, Henkel R, Kandil H, Serefoglu EC, Alfakhri A, Tsujimura A, Kheradmand A, Marino A, Adamyan A, Zilaitiene B, Ozer C, Pescatori E, Vogiatzi P, Busetto GM, Balercia G, Elbardisi H, Akhavizadegan H, Sajadi H, Taniguchi H, Park HJ, Maldonado Rosas I, Al-Marhoon M, Sadighi Gilani MA, Alhathal N, Quang N, Pinggera GM, Kothari P, Micic S, Homa S, Long TQT, Zohdy W, Atmoko W, Ibrahim W, Sabbaghian M, Abumelha SM, Chung E, Ugur MR, Ozkent MS, Selim O, Darbandi M, Fukuhara S, Jamali M, de la Rosette J, Kuroda S, Smith RP, Baser A, Kalkanli A, Tadros NN, Aydos K, Mierzwa TC, Khalafalla K, Malhotra V, Moussa M, Finocchi F, Rachman RI, Giulioni C, Avidor-Reiss T, Kahraman O, Çeker G, Zenoaga-Barbăroșie C, Barrett TL, Yilmaz M, Kadioglu A, Jindal S, Omran H, Bocu K, Karthikeyan VS, Franco G, Solorzano JF, Vishwakarma RB, Arianto E, Garrido N, Jain D, Gherabi N, Sokolakis I, Palani A, Calik G, Kulaksiz D, Simanaviciene V, Simopoulou M, Güngör ND, Blecher G, Falcone M, Jezek D, Preto M, Amar E, Le TV, Ahn ST, Rezano A, Singh K, Rocco L, Savira M, Rajmil O, Darbandi S, Sogutdelen E, Boeri L, Hernández G, Hakim L, Morimoto Y, Japari A, Sofikitis N, Altay B, Metin Mahmutoglu A, Al Hashimi M, Ziouziou I, Anagnostopoulou C, Lin H, and Shah R
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Purpose: Sperm DNA fragmentation (SDF) is a functional sperm abnormality that can impact reproductive potential, for which four assays have been described in the recently published sixth edition of the WHO laboratory manual for the examination and processing of human semen. The purpose of this study was to examine the global practices related to the use of SDF assays and investigate the barriers and limitations that clinicians face in incorporating these tests into their practice., Materials and Methods: Clinicians managing male infertility were invited to complete an online survey on practices related to SDF diagnostic and treatment approaches. Their responses related to the technical aspects of SDF testing, current professional society guidelines, and the literature were used to generate expert recommendations via the Delphi method. Finally, challenges related to SDF that the clinicians encounter in their daily practice were captured., Results: The survey was completed by 436 reproductive clinicians. Overall, terminal deoxynucleotidyl transferase deoxyuridine triphosphate Nick-End Labeling (TUNEL) is the most commonly used assay chosen by 28.6%, followed by the sperm chromatin structure assay (24.1%), and the sperm chromatin dispersion (19.1%). The choice of the assay was largely influenced by availability (70% of respondents). A threshold of 30% was the most selected cut-off value for elevated SDF by 33.7% of clinicians. Of respondents, 53.6% recommend SDF testing after 3 to 5 days of abstinence. Although 75.3% believe SDF testing can provide an explanation for many unknown causes of infertility, the main limiting factors selected by respondents are a lack of professional society guideline recommendations (62.7%) and an absence of globally accepted references for SDF interpretation (50.3%)., Conclusions: This study represents the largest global survey on the technical aspects of SDF testing as well as the barriers encountered by clinicians. Unified global recommendations regarding clinician implementation and standard laboratory interpretation of SDF testing are crucial., Competing Interests: The authors have nothing to disclose., (Copyright © 2024 Korean Society for Sexual Medicine and Andrology.)
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- 2024
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44. Risk of unfavorable outcomes after penile prosthesis implantation - results from a national registry (INSIST-ED).
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Preto M, Falcone M, Plamadeala N, Schifano N, Bettocchi C, Colombo F, Fiordelise S, Vitarelli A, Silvani M, Mondaini N, Paradiso M, Ceruti C, Varvello F, Palumbo F, Avolio A, Antonini G, Corvasce A, Pozza D, Franco G, Bitelli M, Boezio F, Conti E, Caraceni E, Negro C, Carrino M, Vicini P, Ghidini N, Alei G, Italiano E, Timpano M, Polito M, Natali A, Tamai A, Pescatori E, Dehò F, Gideon B, Gontero P, Palmieri A, and Capogrosso P
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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., (© 2023. The Author(s), under exclusive licence to Springer Nature Limited.)
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- 2023
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45. Controversy and Consensus on the Management of Elevated Sperm DNA Fragmentation in Male Infertility: A Global Survey, Current Guidelines, and Expert Recommendations.
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Farkouh A, Agarwal A, Hamoda TAA, Kavoussi P, Saleh R, Zini A, Arafa M, Harraz AM, Gul M, Karthikeyan VS, Durairajanayagam D, Rambhatla A, Boitrelle F, Chung E, Birowo P, Toprak T, Ghayda RA, Cannarella R, Phuoc NHV, Dimitriadis F, Russo GI, Sokolakis I, Mostafa T, Makarounis K, Ziouziou I, Kuroda S, Bendayan M, Kaiyal RS, Japari A, Simopoulou M, Rocco L, Garrido N, Gherabi N, Bocu K, Kahraman O, Le TV, Wyns C, Tremellen K, Sarikaya S, Lewis S, Evenson DP, Ko E, Calogero AE, Bahar F, Martinez M, Crafa A, Nguyen Q, Ambar RF, Colpi G, Bakircioglu ME, Henkel R, Kandil H, Serefoglu EC, Alarbid A, Tsujimura A, Kheradmand A, Anagnostopoulou C, Marino A, Adamyan A, Zilaitiene B, Ozer C, Pescatori E, Vogiatzi P, Busetto GM, Balercia G, Elbardisi H, Akhavizadegan H, Sajadi H, Taniguchi H, Park HJ, Maldonado Rosas I, Al-Marhoon M, Sadighi Gilani MA, Alhathal N, Pinggera GM, Kothari P, Mogharabian N, Micic S, Homa S, Darbandi S, Long TQT, Zohdy W, Atmoko W, Sabbaghian M, Ibrahim W, Smith RP, Ho CCK, de la Rosette J, El-Sakka AI, Preto M, Zenoaga-Barbăroșie C, Abumelha SM, Baser A, Aydos K, Ramirez-Dominguez L, Kumar V, Ong TA, Mierzwa TC, Adriansjah R, Banihani SA, Bowa K, Fukuhara S, Rodriguez Peña M, Moussa M, Ari UÇ, Cho CL, Tadros NN, Ugur MR, Amar E, Falcone M, Santer FR, Kalkanli A, Karna KK, Khalafalla K, Vishwakarma RB, Finocchi F, Giulioni C, Ceyhan E, Çeker G, Yazbeck C, Rajmil O, Yilmaz M, Altay B, Barrett TL, Ngoo KS, Roychoudhury S, Salvio G, Lin H, Kadioglu A, Timpano M, Avidor-Reiss T, Hakim L, Sindhwani P, Franco G, Singh R, Giacone F, Ruzaev M, Kosgi R, Sofikitis N, Palani A, Calik G, Kulaksız D, Jezek D, Al Hashmi M, Drakopoulos P, Omran H, Leonardi S, Celik-Ozenci C, Güngör ND, Ramsay J, Amano T, Sogutdelen E, Duarsa GWK, Chiba K, Jindal S, Savira M, Boeri L, Borges E, Gupte D, Gokalp F, Hebrard GH, Minhas S, and Shah R
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Purpose: Sperm DNA fragmentation (SDF) has been associated with male infertility and poor outcomes of assisted reproductive technology (ART). The purpose of this study was to investigate global practices related to the management of elevated SDF in infertile men, summarize the relevant professional society recommendations, and provide expert recommendations for managing this condition., Materials and Methods: An online global survey on clinical practices related to SDF was disseminated to reproductive clinicians, according to the CHERRIES checklist criteria. Management protocols for various conditions associated with SDF were captured and compared to the relevant recommendations in professional society guidelines and the appropriate available evidence. Expert recommendations and consensus on the management of infertile men with elevated SDF were then formulated and adapted using the Delphi method., Results: A total of 436 experts from 55 different countries submitted responses. As an initial approach, 79.1% of reproductive experts recommend lifestyle modifications for infertile men with elevated SDF, and 76.9% prescribe empiric antioxidants. Regarding antioxidant duration, 39.3% recommend 4-6 months and 38.1% recommend 3 months. For men with unexplained or idiopathic infertility, and couples experiencing recurrent miscarriages associated with elevated SDF, most respondents refer to ART 6 months after failure of conservative and empiric medical management. Infertile men with clinical varicocele, normal conventional semen parameters, and elevated SDF are offered varicocele repair immediately after diagnosis by 31.4%, and after failure of antioxidants and conservative measures by 40.9%. Sperm selection techniques and testicular sperm extraction are also management options for couples undergoing ART. For most questions, heterogenous practices were demonstrated., Conclusions: This paper presents the results of a large global survey on the management of infertile men with elevated SDF and reveals a lack of consensus among clinicians. Furthermore, it demonstrates the scarcity of professional society guidelines in this regard and attempts to highlight the relevant evidence. Expert recommendations are proposed to help guide clinicians., Competing Interests: The authors have nothing to disclose., (Copyright © 2023 Korean Society for Sexual Medicine and Andrology.)
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- 2023
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46. Controversy and Consensus on Indications for Sperm DNA Fragmentation Testing in Male Infertility: A Global Survey, Current Guidelines, and Expert Recommendations.
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Agarwal A, Farkouh A, Saleh R, Abdel-Meguid Hamoda TA, Harraz AM, Kavoussi P, Arafa M, Salvio G, Rambhatla A, Toprak T, Gül M, Phuoc NHV, Boitrelle F, Birowo P, Ghayda RA, Cannarella R, Kuroda S, Durairajanayagam D, Zini A, Wyns C, Sarikaya S, Tremellen K, Mostafa T, Sokolakis I, Evenson DP, Henkel R, Zohdy W, Chung E, Ziouziou I, Falcone M, Russo GI, Al-Hashimi M, Calogero AE, Ko E, Colpi G, Lewis S, Serefoglu EC, Bahar F, Martinez M, Nguyen Q, Ambar RF, Bakircioglu ME, Kandil H, Mogharabian N, Sabbaghian M, Taniguchi H, Tsujimura A, Sajadi H, Ibrahim W, Atmoko W, Vogiatzi P, Gunes S, Sadighi Gilani MA, Roychoudhury S, Güngör ND, Hakim L, Adriansjah R, Kothari P, Jindal S, Amar E, Park HJ, Long TQT, Homa S, Karthikeyan VS, Zilaitiene B, Maldonado Rosas I, Marino A, Pescatori E, Ozer C, Akhavizadegan H, Garrido N, Busetto GM, Adamyan A, Al-Marhoon M, Elbardisi H, Dolati P, Darbandi M, Darbandi S, Balercia G, Pinggera GM, Micic S, Ho CCK, Moussa M, Preto M, Zenoaga-Barbăroșie C, Smith RP, Kosgi R, de la Rosette J, El-Sakka AI, Abumelha SM, Mierzwa TC, Ong TA, Banihani SA, Bowa K, Fukuhara S, Boeri L, Danacıoğlu YO, Gokalp F, Selim OM, Cho CL, Tadros NN, Ugur MR, Ozkent MS, Chiu P, Kalkanli A, Khalafalla K, Vishwakarma RB, Finocchi F, Andreadakis S, Giulioni C, Çeker G, Ceyhan E, Malhotra V, Yilmaz M, Timpano M, Barrett TL, Kim SHK, Ahn ST, Giacone F, Palani A, Duarsa GWK, Kadioglu A, Gadda F, Zylbersztejn DS, Aydos K, Kulaksız D, Gupte D, Calik G, Karna KK, Drakopoulos P, Baser A, Kumar V, Molina JMC, Rajmil O, Ferreira RH, Leonardi S, Avoyan A, Sogutdelen E, Franco G, Ramsay J, Ramirez L, and Shah R
- Abstract
Purpose: Sperm DNA fragmentation (SDF) testing was recently added to the sixth edition of the World Health Organization laboratory manual for the examination and processing of human semen. Many conditions and risk factors have been associated with elevated SDF; therefore, it is important to identify the population of infertile men who might benefit from this test. The purpose of this study was to investigate global practices related to indications for SDF testing, compare the relevant professional society guideline recommendations, and provide expert recommendations., Materials and Methods: Clinicians managing male infertility were invited to take part in a global online survey on SDF clinical practices. This was conducted following the CHERRIES checklist criteria. The responses were compared to professional society guideline recommendations related to SDF and the appropriate available evidence. Expert recommendations on indications for SDF testing were then formulated, and the Delphi method was used to reach consensus., Results: The survey was completed by 436 experts from 55 countries. Almost 75% of respondents test for SDF in all or some men with unexplained or idiopathic infertility, 39% order it routinely in the work-up of recurrent pregnancy loss (RPL), and 62.2% investigate SDF in smokers. While 47% of reproductive urologists test SDF to support the decision for varicocele repair surgery when conventional semen parameters are normal, significantly fewer general urologists (23%; p=0.008) do the same. Nearly 70% would assess SDF before assisted reproductive technologies (ART), either always or for certain conditions. Recurrent ART failure is a common indication for SDF testing. Very few society recommendations were found regarding SDF testing., Conclusions: This article presents the largest global survey on the indications for SDF testing in infertile men, and demonstrates diverse practices. Furthermore, it highlights the paucity of professional society guideline recommendations. Expert recommendations are proposed to help guide clinicians., Competing Interests: The authors have nothing to disclose., (Copyright © 2023 Korean Society for Sexual Medicine and Andrology.)
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- 2023
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47. Consensus and Diversity in the Management of Varicocele for Male Infertility: Results of a Global Practice Survey and Comparison with Guidelines and Recommendations.
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Shah R, Agarwal A, Kavoussi P, Rambhatla A, Saleh R, Cannarella R, Harraz AM, Boitrelle F, Kuroda S, Hamoda TAA, Zini A, Ko E, Calik G, Toprak T, Kandil H, Gül M, Bakırcıoğlu ME, Parekh N, Russo GI, Tadros N, Kadioglu A, Arafa M, Chung E, Rajmil O, Dimitriadis F, Malhotra V, Salvio G, Henkel R, Le TV, Sogutdelen E, Vij S, Alarbid A, Gudeloglu A, Tsujimura A, Calogero AE, El Meliegy A, Crafa A, Kalkanli A, Baser A, Hazir B, Giulioni C, Cho CL, Ho CCK, Salzano C, Zylbersztejn DS, Tien DMB, Pescatori E, Borges E, Serefoglu EC, Saïs-Hamza E, Huyghe E, Ceyhan E, Caroppo E, Castiglioni F, Bahar F, Gokalp F, Lombardo F, Gadda F, Duarsa GWK, Pinggera GM, Busetto GM, Balercia G, Cito G, Blecher G, Franco G, Liguori G, Elbardisi H, Keskin H, Lin H, Taniguchi H, Park HJ, Ziouziou I, de la Rosette J, Hotaling J, Ramsay J, Molina JMC, Lo KL, Bocu K, Khalafalla K, Bowa K, Okada K, Nagao K, Chiba K, Hakim L, Makarounis K, Hehemann M, Rodriguez Peña M, Falcone M, Bendayan M, Martinez M, Timpano M, Altan M, Fode M, Al-Marhoon MS, Sadighi Gilani MA, Soebadi MA, Gherabi N, Sofikitis N, Kahraman O, Birowo P, Kothari P, Sindhwani P, Javed Q, Ambar RF, Kosgi R, Ghayda RA, Adriansjah R, Condorelli RA, La Vignera S, Micic S, Kim SHK, Fukuhara S, Ahn ST, Mostafa T, Ong TA, Takeshima T, Amano T, Barrett T, Arslan U, Karthikeyan VS, Atmoko W, Yumura Y, Yuan Y, Kato Y, Jezek D, Cheng BK, Hatzichristodoulou G, Dy J, Castañé ER, El-Sakka AI, Nguyen Q, Sarikaya S, Boeri L, Tan R, Moussa MA, El-Assmy A, Alali H, Alhathal N, Osman Y, Perovic D, Sajadi H, Akhavizadegan H, Vučinić M, Kattan S, Kattan MS, Mogharabian N, Phuoc NHV, Ngoo KS, Alkandari MH, Alsuhaibani S, Sokolakis I, Babaei M, King MS, Diemer T, Gava MM, Henrique R, Silva RSE, Paul GM, Mierzwa TC, Glina S, Siddiqi K, Wu H, Wurzacher J, Farkouh A, Son H, Minhas S, Lee J, Magsanoc N, Capogrosso P, Albano GJ, Lewis SEM, Jayasena CN, Alvarez JG, Teo C, Smith RP, Chua JBM, Jensen CFS, Parekattil S, Finelli R, Durairajanayagam D, Karna KK, Ahmed A, Evenson D, Umemoto Y, Puigvert A, Çeker G, and Colpi GM
- Abstract
Purpose: Varicocele is a common problem among infertile men. Varicocele repair (VR) is frequently performed to improve semen parameters and the chances of pregnancy. However, there is a lack of consensus about the diagnosis, indications for VR and its outcomes. The aim of this study was to explore global practice patterns on the management of varicocele in the context of male infertility., Materials and Methods: Sixty practicing urologists/andrologists from 23 countries contributed 382 multiple-choice-questions pertaining to varicocele management. These were condensed into an online questionnaire that was forwarded to clinicians involved in male infertility management through direct invitation. The results were analyzed for disagreement and agreement in practice patterns and, compared with the latest guidelines of international professional societies (American Urological Association [AUA], American Society for Reproductive Medicine [ASRM], and European Association of Urology [EAU]), and with evidence emerging from recent systematic reviews and meta-analyses. Additionally, an expert opinion on each topic was provided based on the consensus of 16 experts in the field., Results: The questionnaire was answered by 574 clinicians from 59 countries. The majority of respondents were urologists/uro-andrologists. A wide diversity of opinion was seen in every aspect of varicocele diagnosis, indications for repair, choice of technique, management of sub-clinical varicocele and the role of VR in azoospermia. A significant proportion of the responses were at odds with the recommendations of AUA, ASRM, and EAU. A large number of clinical situations were identified where no guidelines are available., Conclusions: This study is the largest global survey performed to date on the clinical management of varicocele for male infertility. It demonstrates: 1) a wide disagreement in the approach to varicocele management, 2) large gaps in the clinical practice guidelines from professional societies, and 3) the need for further studies on several aspects of varicocele management in infertile men., Competing Interests: The authors have nothing to disclose., (Copyright © 2023 Korean Society for Sexual Medicine and Andrology.)
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- 2023
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48. Outcomes and predictive factors of successful salvage microdissection testicular sperm extraction (mTESE) after failed classic TESE: results from a multicenter cross-sectional study.
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Boeri L, Bebi C, Dente D, Greco E, Turetti M, Capece M, Cocci A, Cito G, Preto M, Pescatori E, Ciampaglia W, Scroppo FI, Falcone M, Ceruti C, Gadda F, Franco G, Dehò F, Palmieri A, Rolle L, Gontero P, Montorsi F, Montanari E, and Salonia A
- Subjects
- Humans, Male, Cross-Sectional Studies, Follicle Stimulating Hormone, Microdissection methods, Retrospective Studies, Semen, Spermatozoa, Azoospermia surgery, Azoospermia pathology, Oligospermia
- Abstract
Microdissection testicular sperm extraction (mTESE) has been proposed as a salvage treatment option for men with a previously failed classic TESE (cTESE), but data are scarce. We aimed to assess the outcome of and potential predictors of successful salvage mTESE in a cohort of men previously submitted to unfruitful cTESE. Data from 61 men who underwent mTESE after a failed cTESE between 01/2014 and 10/2020, at 6 tertiary-referral centres in Italy were analysed. All men were investigated with semen analyses, testicular ultrasound, hormonal and genetic blood testing. Pathological diagnosis from TESE was collected in every man. Descriptive statistics and logistic regression models were used to investigate potential predictors of positive sperm retrieval (SR+) after salvage mTESE. Baseline serum Follicle-Stimulating hormone (FSH) and total testosterone levels were 17.2 (8.6-30.1) mUI/mL and 4.7 (3.5-6.4) ng/mL, respectively. Sertoli-cell-only syndrome (SCOS), maturation arrest (MA) and hypospermatogenesis were found in 24 (39.3%), 21 (34.4%) and 16 (26.2%) men after cTESE, respectively. At mTESE, SR+ was found in 30 (49.2%) men. Patients with a diagnosis of hypospermatogenesis had a higher rate of SR+ (12/16 (75%)) compared to MA (12/21 (57.1%)) and SCOS (6/24 (25%)) patients at mTESE (p < 0.01). No clinical and laboratory differences were observed between SR+ and SR- patients at mTESE. There were no significant complications after mTESE. At multivariable logistic regression analysis, only hypospermatogenesis (OR 9.5; p < 0.01) was independently associated with SR+ at mTESE, after accounting for age and FSH.In conclusion, salvage mTESE in NOA men with previous negative cTESE was safe and promoted SR+ in almost 50%. A baseline pathology of hypospermatogenesis at cTESE emerged as the only independent predictor of positive outcomes at salvage mTESE., (© 2021. The Author(s), under exclusive licence to Springer Nature Limited.)
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- 2022
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49. Which patient may benefit the most from penile prosthesis implantation?
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La Croce G, Schifano N, Pescatori E, Caraceni E, Colombo F, Bettocchi C, Carrino M, Vitarelli A, Pozza D, Fiordelise S, Varvello F, Paradiso M, Silvani M, Mondaini N, Natali A, Falcone M, Ceruti C, Salonia A, Antonini G, Cai T, Palmieri A, Dehò F, and Capogrosso P
- Subjects
- Humans, Male, Middle Aged, Patient Satisfaction, Postoperative Complications epidemiology, Postoperative Complications etiology, Quality of Life, Erectile Dysfunction complications, Erectile Dysfunction surgery, Penile Implantation adverse effects, Penile Implantation methods, Penile Induration surgery
- Abstract
Background: Penile prosthesis implantation has been associated with overall good functional outcomes. Of relevance, some patients reported higher level of satisfaction and quality of life., Aim: We investigated the profile of the patients who may benefit the most from penile prosthesis implantation., Materials and Methods: Data from a national multi-institutional registry of penile prostheses including patients treated from 2014 to 2017 in Italy (Italian Nationwide Systematic Inventarization of Surgical Treatment for Erectile Dysfunction) were analyzed. All data have been prospectively recorded by 45 surgeons on a dedicated website (www.registro.andrologiaitaliana.it) and revised by a single data manager. Patients' baseline characteristics were recorded. In order to simultaneously evaluate perceived penile prosthesis function and quality of life, all patients were re-assessed at 1-year follow-up using the validated questionnaire Quality of Life and Sexuality with Penile Prosthesis. High quality of life after surgery was defined as a score higher than the 75th percentile in each of the subdomains of the Quality of Life and Sexuality with Penile Prosthesis questionnaire. Logistic regression analysis tested the association between clinical characteristics and high quality of life after penile prosthesis implantation., Results: Follow-up data were available for 285 patients (median age 60 years; interquartile range: 56-67) who underwent penile prosthesis implantation. Erectile dysfunction etiology was organic in 40% (114), pelvic surgery/radiotherapy in 39% (111), and Peyronie's disease in 21% (60) of the cases. Patients showed good overall Quality of Life and Sexuality with Penile Prosthesis scores at 1-year follow-up for functional (22/25), personal (13/15), relational (17/20), and social (13/15) domains. Overall, 27.0% (77) of patients achieved scores consistent with the high quality of life definition. These patients did not differ in terms of median age (60 vs. 62), type of prosthesis (inflatable penile prostheses: 95% in both of the cases), and post-operative complications (10% vs. 14%) than those with lower quality of life score (all p > 0.1). At logistic regression analysis, erectile dysfunction etiology was the only factor independently associated with high quality of life at 1 year after surgery (p = 0.02). Patients treated for Peyronie's disease (odds ratio: 2.62; p = 0.01; 95% confidence interval: 1.20-5.74) were more likely to report better outcomes after accounting for age, post-operative complications, and surgical volume., Conclusion: Penile prosthesis implantation is associated with an overall good quality of life. The subset of patients affected by erectile dysfunction secondary to Peyronie's disease seemed to benefit the most from penile prosthesis implantation in terms of functional outcomes, relationship with their partners and the outside world, and perceived self-image. The systematic use of validated questionnaires specifically addressed at evaluating quality of life and satisfaction after penile prosthesis implantation should be further implemented in future studies to better define the predictors of optimal satisfaction after penile prosthesis implantation., (© 2022 American Society of Andrology and European Academy of Andrology.)
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- 2022
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50. Antisperm Antibody Testing: A Comprehensive Review of Its Role in the Management of Immunological Male Infertility and Results of a Global Survey of Clinical Practices.
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Gupta S, Sharma R, Agarwal A, Boitrelle F, Finelli R, Farkouh A, Saleh R, Abdel-Meguid TA, Gül M, Zilaitiene B, Ko E, Rambhatla A, Zini A, Leisegang K, Kuroda S, Henkel R, Cannarella R, Palani A, Cho CL, Ho CCK, Zylbersztejn DS, Pescatori E, Chung E, Dimitriadis F, Pinggera GM, Busetto GM, Balercia G, Salvio G, Colpi GM, Çeker G, Taniguchi H, Kandil H, Park HJ, Maldonado Rosas I, de la Rosette J, Cardoso JPG, Ramsay J, Alvarez J, Molina JMC, Khalafalla K, Bowa K, Tremellen K, Evgeni E, Rocco L, Rodriguez Peña MG, Sabbaghian M, Martinez M, Arafa M, Al-Marhoon MS, Tadros N, Garrido N, Rajmil O, Sengupta P, Vogiatzi P, Kavoussi P, Birowo P, Kosgi R, Bani-Hani S, Micic S, Parekattil S, Jindal S, Le TV, Mostafa T, Toprak T, Morimoto Y, Malhotra V, Aghamajidi A, Durairajanayagam D, and Shah R
- Abstract
Antisperm antibodies (ASA), as a cause of male infertility, have been detected in infertile males as early as 1954. Multiple causes of ASA production have been identified, and they are due to an abnormal exposure of mature germ cells to the immune system. ASA testing (with mixed anti-globulin reaction, and immunobead binding test) was described in the WHO manual 5th edition and is most recently listed among the extended semen tests in the WHO manual 6th edition. The relationship between ASA and infertility is somewhat complex. The presence of sperm agglutination, while insufficient to diagnose immunological infertility, may indicate the presence of ASA. However, ASA can also be present in the absence of any sperm agglutination. The andrological management of ASA depends on the etiology and individual practices of clinicians. In this article, we provide a comprehensive review of the causes of ASA production, its role in immunological male infertility, clinical indications of ASA testing, and the available therapeutic options. We also provide the details of laboratory procedures for assessment of ASA together with important measures for quality control. Additionally, laboratory and clinical scenarios are presented to guide the reader in the management of ASA and immunological male infertility. Furthermore, we report the results of a recent worldwide survey, conducted to gather information about clinical practices in the management of immunological male infertility., Competing Interests: The authors have nothing to disclose., (Copyright © 2022 Korean Society for Sexual Medicine and Andrology.)
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- 2022
- Full Text
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