Dal sito AURO link Quel che riguarda il problema dell'impotenza sessuale esiste in letteratura una notevole variabilita dei dati riguardanti il recupero della potenza dopo tale intervento che vanno dal 10 al 75% dei casi trattati. Dal testo Consenso Informato in urologia - UTET 2002 Limpotenza erettile e presente quasi nel 100% dei pazienti; la tecnica nerve-sparing puo essere applicata (…) ai casi iniziali. Dal Atlante di Chirurgia Urologica di Hinman e Chirurgia urogenitale di Marshall Nella descrizione della preparazione alla PRR: MAI CITATO IL BILANCIO DELLA FUNZIONE ERETTILE Nella sezione complicanze si fa cenno alla funzione erettile preoperatoria senza indicare le modalita di bilancio (Marshall) e sulla possibilita di dover persino ricorrere a protesi peniene (in caso di lesione arteria pudenda accessoria) (Hinman) NON SANNO COSA DIRE! EAU Guidelines 2004 Erectile dysfunction used to occur in nearly all patients, but nerve-sparing techniques can be applied in early-stage disease.
EAU Guidelines 2004 In T1 tumours that warrant treatment, nerve-sparing radical prostatectomy can be offered when PSA is relatively low and the number of positive biopsies or the extent of biopsy involvement is limited. Dal sito del MSKCC Erectile Dysfunction Temporary erectile dysfunction, or impotence, is common after surgery, even in cases where surgeons use a sophisticated nerve-sparing technique that leaves the nerves intact. Algoritmo diagnostico nuove strategie RMN endorettale appare utile nel pianificare la preservazione del fascioVN?
PREVENZIONE DEL DANNO E RECUPERO DELLA FUNZIONE ERETTIVA DOPO CHIRURGIA PELVICA Enrico Caraceni Civitanova Marche Endourologia Chirurgia Diagnostica Urologia. Department of Emergency and Organ Transplantation Urology, Andrology and Kidney Transplantation Unit University of Bari – Italy La biopsia nel carcinoma. Master Funzioni di Coordinamento Gualberto Gussoni Direttore Scientifico Dipartimenti " Ricerca " e " Formazione " Fondazione FADOI Metodologie della Ricerca. Linterpretazione metodologica degli studi clinici Elia M.Biganzoli, PhD & Patrizia Boracchi, PhD Istituto di Statistica Medica e Biometria.
MASTER IN BIOETICA E FORMAZIONE Istituto Giovanni Paolo II, 16 marzo 2011 Dipartimento di Medicina Interna e Scienze Specialistiche Unita Operativa di. 1 Ruolo dellendoscopia nellapprofondimento diagnostico, nel monitoraggio e nella gestione assistenziale delle neoplasie vescicali. Universita degli Studi di Roma“Tor Vergata” L’Iter diagnostico della coppia infertile: revisione critica Luisa Casadei Fondazione PTV -Policlinico Tor.
Guys, pardon the frankness, but a couple failures in the bedroom on your end could actually be a lifesaver if you put aside the enormous male ego and take action.
Erectile dysfunction — the inability to get and keep an erection suitable for sex — can be an early warning sign of heart disease.
Ashby gives an example of the common patient who overlooks certain things, like early heart failure and breathing problems, but when it’s related to sexual performance, well, attention perks up. The same process that creates heart disease may also lead to erectile dysfunction — only earlier, hence the importance to screen for a possible relation.
The inability of the arteries to dilate fully and to subsequently harden, through the buildup of plaques in the arteries of the body, can lead to stroke, heart attack and even sudden death. Erectile dysfunction preceding heart disease is a function of endothelium, or the dysfunction of the inner linings of the blood vessels and smooth muscle. A report published in the Journal of the American College of Cardiology in 2008 detailed an Italian study of men with severe heart disease. There are other risk factors for heart and erectile problems, too, such as diabetes, smoking, over consumption of alcohol, obesity and age.
However, age, when looking for the correlation between impotence and heart disease, is especially a concern for younger men under 50 who are at much higher risk for a link. Penile implants, generally a 30-minute outpatient procedure most often covered by insurance, and Viagra, at $40 a pop and not often covered by insurance, are some of the remedies for impotence — once endothelium and atherosclerosis are ruled out.
The message is to listen to your body and speak up when something isn’t right, even if it causes momentary embarrassment. JavaScript is currently disabled, this site works much better if you enable JavaScript in your browser.
Turkey is the No.1 in the world with 14 centers followed by United Kingdom, Germany, Canada, Japan, Australia, HongKong, France, Italy, Brasil and Malaysia.
ED1000 Low Intensity Shock Waves create new blood vessels with consequent restoration of blood supply to penis and hence recovery of natural erection mechanism.

Tale tecnica non puo essere applicata nei tumori scarsamente differenziati, con estensione apicale e con tumore palpabile.
Patients who benefit from nerve-sparing radical prostatectomy have a higher chance of local disease recurrence and should therefore be carefully selected. In T2a cancers, which are often understaged, a contralateral nerve-sparing procedure can be proposed. Erectile dysfunction may occur when nerves that run along two sides of the prostate and control the blood flow to the penis are injured during the operation. They don’t think it’s a problem until something is wrong down there — some of the things we place a priority on. The process is called atherosclerosis, and the plaque buildup reduces the blood flow to the penis, rendering a male impotent. George Suarez explains, the smallest arteries, not the heart but the arteries of the penis, which are very small, become blocked first. Endothelial dysfunction leads to both poor blood flow to the heart and the penis and develops into atherosclerosis.
Nearly all of the men, 93 percent, had erectile dysfunction two years before their heart attack or the onset of heart disease symptoms.
Doctors can check the patient’s medications, if applicable, adjust them or prescribe treatment for the cholesterol and blood pressure issues and screen for heart disease. If there’s any chance or risk that is going to interfere with intimacy and that they can’t have sex, they should seek help,” Suarez says. These are oral agents, intracavernosal and intraurethral therapies, and local devices, such as vacuum and penile prosthesis. All rights reserved.No part of this web site may be reproduced in any form without prior written authorization.
Nel consenso informato, tra le complicanze … impotenza, che potra essere trattata farmacologicamente ….
Patients with poorly differentiated tumours, apical tumour extension and an intra-operatively palpable tumour are not suitable candidates for a nerve-sparing approach.
In T2b cancer, a nerve-sparing attempt can result in positive surgical margins and give rise to local failure.
This shows up in the inability to become erect or to stay erect to engage in a satisfying sexual activity.
The first-line treatment for ED is oral phosphodiesterase type 5 inhibitors (PDE5Is); second-line treatment options include any combination of intracavernosal agents, such as papaverine, phentolamine, PGE1, or transurethral alprostadil. Some well-, or moderately-well, differentiated T3 cancers with a low PSA level can be cured by radical prostatectomy. Penile prosthesis implantation is a highly effective treatment option which yields high success rates, increased patient satisfaction, and low complication rates for men who fail first- and second-line treatment. Penile prostheses are indicated in a variety of conditions which cause ED, such as diabetes mellitus (DM), Peyronie’s disease, corporal fibrosis following priapism, ED following radical prostatectomy for prostate cancer and spinal cord injury. Efficacy and safety of tadalafil 5, 10, and 20 mg in Japanese men with erectile dysfunction: Results of a multicenter, randomized, double-blind, placebo-controlled study. Efficacy and safety of two dosing regimens of tadalafil and patterns of sexual activity in men with diabetes mellitus and erectile dysfunction: Scheduled use vs. A multicenter, randomized, double-blind, crossover study to evaluate patient preference between tadalafil and sildenafil.
Combination therapy using oral alpha-blockers and intracavernosal injection in men with erectile dysfunction.
Surgical technique to maintain penile length after insertion of an inflatable penile prosthesis via infrapubic approach. Three-piece inflatable penile prostheses can be safely implanted after radical prostatectomy through a transverse scrotal incision.
Safety and efficacy outcome of mentor alpha-1 inflatable penile prosthesis implantation for impotence treatment.

Comparison of mechanical reliability of original and enhanced mentor alpha I penile prosthesis. AMS three-piece inflatable implants for erectile dysfunction: A long-term multiinstitutional study in 200 consecutive patients.
Efficacy, safety and patient satisfaction outcomes of the AMS 700CX inflatable penile prosthesis: Results of a long-term multicenter study.
Long-term survival of inflatable penile prostheses: Single surgical group experience with 2,384 first-time implants spanning two decades.
Gangrene of the penis after implantation of penile prosthesis: Case reports, treatment recommendations and review of the literature. The AMS 700 inflatable penile prosthesis: Long-term experience with the controlled expansion cylinders. Early experience with the first pre-connected 3-piece inflatable penile prosthesis: The Mentor Alpha-1.
Mechanical reliability, surgical complications, and patient and partner satisfaction of the modern three-piece inflatable penile prosthesis.
Clinical experience with the Mentor Alpha-1 inflatable penile prosthesis: Report on 65 patients. Outcome of penile prosthesis implantation for treating erectile dysfunction: Experience with 504 procedures.
Reconstructing penile supersonic transporter (SST) deformity using glanulopexy (glans fixation).
Efficacy of antibiotic impregnation of inflatable penile prostheses in decreasing infection in original implants.
Implantation of penile prosthesis in a patient with severe corporeal fibrosis induced by cavernosal injection therapy. Implantation of inflatable penile prosthesis in patients with severe corporeal fibrosis: Introduction of a new penile cavernotome. Penile prosthesis implantation in cases of fibrosis: Ultrasound-guided cavernotomy and sheathed trochar excavation. Corporeal excavation: New technique for penile prosthesis implantation in men with severe corporeal fibrosis. Mechanical failure of the American Medical Systems Ultrex inflatable penile prosthesis: Before and after 1993 structural modification. Prospective long-term results and quality-of-life assessment after Dura-II penile prosthesis placement. Mechanical reliability of the AMS 700CXM inflatable penile prosthesis for the treatment of male erectile dysfunction. Management of distal extrusion of penile prosthesis: Partial disassembly and tip reinforcement by double breasting or grafting. AMS three-piece inflatable implants for erectile dysfunction: A long-term multi-institutional study in 200 consecutive patients. AMS 700 CX inflatable penile implants for Peyronie’s disease: Functional results, morbidity and patient-partner satisfaction. The impact of sildenafil citrate on sexual satisfaction profiles in men with a penile prosthesis in situ. Use of transurethral alprostadil (MUSE) (prostaglandin E1) for glans tumescence in a patient with penile prosthesis.

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