N. Stanojevic

Spitalul Clinic Judeţean de Urgenţe "Sf. Spiridon" Iaşi

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A Ruffo

Santa Casa de Misericórdia de Marília

V. Pešić

University Hospital Center Dr Dragiša Mišović

Rados Djinovic

Foundation Center

Fabrizio Iacono

University of Molise

Sasha Sekulovic

Spitalul Clinic Judeţean de Urgenţe "Sf. Spiridon" Iaşi

M. Slavković

Spitalul Clinic Judeţean de Urgenţe "Sf. Spiridon" Iaşi

Salvatore Sansalone

Clinica Valle Giulia

B. Spiridonescu

Institutul Clinic Fundeni

Marco Bandini

Kulkarni reconstructive Urology Center

Andrea Salonia

IRCCS Ospedale San Raffaele

Cooperative Institutions

University of Naples Federico II

University of Belgrade

Ospedale Santa Maria

Federico II University Hospital

Spitalul Clinic Judeţean de Urgenţe "Sf. Spiridon" Iaşi

Fondazione Roma

Collegio Carlo Alberto

Istituti di Ricovero e Cura a Carattere Scientifico

Vita-Salute San Raffaele University

San Raffaele University of Rome

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PS-5-3 Management of Erectile Dysfunction Using a Combination Treatment of Low-Intensity Shock Waves (LISW) and Platelet Rich Plasma (PRP) Intracavernosal Injections

The Journal of Sexual Medicine (2020)

A Ruffo N. Stanojevic G Romeo Filippo Riccardo Francesco Trama

Combination therapy

10.1016/j.jsxm.2020.04.048

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Citations (12)

P-01-050 Treatment of Peyronie's Disease: Restoration of Penile Length and Girth Using Albugineal Grafting and Penile Implant

The Journal of Sexual Medicine (2017)

A Ruffo N. Stanojevic G. Di Lauro L. Romis Giuseppe Romeo

Girth (graph theory)

Penile prosthesis

10.1016/j.jsxm.2017.03.179

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602 REDO HYPOSPADIAS REPAIR–SURGICAL PROBLEMS FACED IN 223 ADULT PATIENTS

The Journal of Urology (2011)

Rados Djinovic Guido Barnagli Salvatore Sansalone Giusepe Romano Saša Tomovic

You have accessJournal of UrologyPenis/Testis/Urethra: Benign & Malignant Disease1 Apr 2011602 REDO HYPOSPADIAS REPAIR–SURGICAL PROBLEMS FACED IN 223 ADULT PATIENTS Rados Djinovic, Guido Barnagli, Salvatore Sansalone, Giusepe Romano, Sasa Tomovic, and Nikola Stanojevic Rados DjinovicRados Djinovic Belgrade, Yugoslavia More articles by this author , Guido BarnagliGuido Barnagli Arezzo, Italy More articles by this author , Salvatore SansaloneSalvatore Sansalone Rome, Italy More articles by this author , Giusepe RomanoGiusepe Romano Arezzo, Italy More articles by this author , Sasa TomovicSasa Tomovic Belgrade, Yugoslavia More articles by this author , and Nikola StanojevicNikola Stanojevic Belgrade, Yugoslavia More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1434AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Failed hypospadias repair present difficult problem with growing number of adult patients needing surgical treatment. Treatment is often challenging because majority had multiple previous surgeries with lack of quality tissue for repair. We present our experience and principles of treatment in 223 patients. METHODS Between January 2003 and December 2008, 223 patients aged between 18 and 59 years (mean 28) were treated for complications of previously failed hypospadias repair: urethral stricture–168, followed by short penile skin–55, residual ventral curvature–53, urethral fistula–34, peno-scrotal transposition–17, urethral diverticulum in 12. Unsatisfactory esthetic appearance of external genitalia was in 143 patients. Majority of patients had several complications and treatment was individual according to the finding. One or two-stage buccal mucosa inlay was the mainstay of stricture management–131 patients. In remaining 37 local penile skin/praeputial flaps were used. Curvature repair was done by tunical attenuation -modified Nesbit procedure. In patients with excessive chordee three-stage repair was used with ventral grafting in the first stage and 2-stage buccal mucosa urethropalsty in the next two. Diverticulum was treated by tapering and placation of surrounding tissue. Scrotal skin flaps were used for reconstruction of missing penile skin with correction of peno-scrotal transposition when present. RESULTS The mean follow−up was 54 months (23−94). Successful repair was achieved in 209 patients. 7 patients developed postoperative fistula and 6 of them were treated successfully by additional surgery and in one fistula closed spontaneously. Urethral stricture developed in 4 patients who were treated surgically. 2 patients had small residual curvature that didn't require additional repair. One patient remained with subcoronal hypospadias dut to previous glans injury. CONCLUSIONS Successful surgical treatment of failed hypospadias requires appropriate estimation of all remaining deformities i.e.: urethra, cavernosal bodies, glans and penile skin as well as their treatment using individual approach. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e242-e243 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Rados Djinovic Belgrade, Yugoslavia More articles by this author Guido Barnagli Arezzo, Italy More articles by this author Salvatore Sansalone Rome, Italy More articles by this author Giusepe Romano Arezzo, Italy More articles by this author Sasa Tomovic Belgrade, Yugoslavia More articles by this author Nikola Stanojevic Belgrade, Yugoslavia More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

10.1016/j.juro.2011.02.1434

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(233) Treatment of Benign Prostatic Hyperplasia. How to Preseve the Ejaculatory Function with the Transperineal Laser Ablation of the Prostate

The Journal of Sexual Medicine (2023)

A Ruffo Fabio Esposito Antonio Scarpato Francesco Trama Federica Riccardo

Rectal examination

Urinary retention

Prostatic urethra

Retrograde ejaculation

10.1093/jsxmed/qdad060.221

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(140) Penile Length and Girth Restoration in Mb Peyronie: Less Invasive Approach for Complex Composite Graft Corporplasty and Implantation of Inflatable Penile Prosthesis

The Journal of Sexual Medicine (2023)

N. Stanojevic A Ruffo

Tunica albuginea (penis)

Penile prosthesis

Inflatable

10.1093/jsxmed/qdad060.135

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101 TOTAL PHALLOPLASTY USING MUSCULOCUTANEOUS LATISSIMUS DORSI FLAP - EXPERIENCE IN 92 PATIENTS

The Journal of Urology (2011)

Rados Djinovic Saša Tomovic Salvatore Sansalone Marko Milosavljevic V. Pešić

You have accessJournal of UrologyTrauma/Reconstruction: Trauma & Reconstructive Surgery1 Apr 2011101 TOTAL PHALLOPLASTY USING MUSCULOCUTANEOUS LATISSIMUS DORSI FLAP - EXPERIENCE IN 92 PATIENTS Rados Djinovic, Sasa Tomovic, Salvatore Sansalone, Marko Milosavljevic, Vladislav Pesic, Nikola Stanojevic, and Miodrag Lazic Rados DjinovicRados Djinovic Belgrade, Yugoslavia More articles by this author , Sasa TomovicSasa Tomovic Belgrade, Yugoslavia More articles by this author , Salvatore SansaloneSalvatore Sansalone Rome, Italy More articles by this author , Marko MilosavljevicMarko Milosavljevic Belgrade, Yugoslavia More articles by this author , Vladislav PesicVladislav Pesic Belgrade, Yugoslavia More articles by this author , Nikola StanojevicNikola Stanojevic Belgrade, Yugoslavia More articles by this author , and Miodrag LazicMiodrag Lazic Belgrade, Yugoslavia More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.166AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES We present total phalloplasty in children and adults using latissimus dorsi free flap for creation of large neophallus that allow easy performance of urethroplasty and prosthesis implantation. METHODS In the period from April 1999 to January 2010 total phalloplasty is performed in 92 patients aged between 10 and 46 yr (mean 34 yr). Indications were: congenital anomalies (9), iatrogenic injury (7) or accidental (6) trauma and transsexualism (71 patients). The flap is harvested on subscapular artery, vein and thoracodorsal nerve. Neophallus is created on site, transferred to the pubic region and anastomozed with femoral artery, saphenous vein and ilioinguinal nerve. Two-stage urethroplasty is performed in 77 patients using only buccal mucosa alone (12) or combined with split thickness skin graft (65). Donor site was closed directly in 23 patients, while in the remaining 4 split thickness skin graft was used. Inflatable prsthesis was implanted in 31 and semi-rigid in 43 pts. RESULTS Follow-up was 9 months to 11 years. Penile size varied from 13 to 19 cm in length and from 12 to 15 cm in circumference. Total flap necrosis occurred in 2 and partial in 3 patients. The donor site healed good in 34 pts, acceptably in 53, while in the remaining 12 mild to moderate moderate scarring occured. Two urethral dehiscences, 11 uretrocutaneous fistulas and 13 urethral stenosis developed that were successfully treated surgically. Function of implanted penile prostheses is satisfactory. CONCLUSIONS Musculocutaneous latissimus dorsi flap provides excellent neophallus size, good aesthetic appearance, easy implantation of penile prosthesis and urethroplasty. It can be also used successfully in pediatric population. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e43 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Rados Djinovic Belgrade, Yugoslavia More articles by this author Sasa Tomovic Belgrade, Yugoslavia More articles by this author Salvatore Sansalone Rome, Italy More articles by this author Marko Milosavljevic Belgrade, Yugoslavia More articles by this author Vladislav Pesic Belgrade, Yugoslavia More articles by this author Nikola Stanojevic Belgrade, Yugoslavia More articles by this author Miodrag Lazic Belgrade, Yugoslavia More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

Phalloplasty

10.1016/j.juro.2011.02.166

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102 TOTAL PENILE SIZE AND SHAPE RESTORATION IN DIFFERENT DEFORMITIES CAUSED BY IPP IN 98 PATIENTS

The Journal of Urology (2011)

Rados Djinovic Saša Tomovic Salvatore Sansalone Marko Milosavljevic V. Pešić

You have accessJournal of UrologyTrauma/Reconstruction: Trauma & Reconstructive Surgery1 Apr 2011102 TOTAL PENILE SIZE AND SHAPE RESTORATION IN DIFFERENT DEFORMITIES CAUSED BY IPP IN 98 PATIENTS Rados Djinovic, Sasa Tomovic, Salvatore Sansalone, Marko Milosavljevic, Vladislav Pesic, Nikola Stanojevic, and Miodrag Lazic Rados DjinovicRados Djinovic Belgrade, Yugoslavia More articles by this author , Sasa TomovicSasa Tomovic Belgrade, Yugoslavia More articles by this author , Salvatore SansaloneSalvatore Sansalone Rome, Italy More articles by this author , Marko MilosavljevicMarko Milosavljevic Belgrade, Yugoslavia More articles by this author , Vladislav PesicVladislav Pesic Belgrade, Yugoslavia More articles by this author , Nikola StanojevicNikola Stanojevic Belgrade, Yugoslavia More articles by this author , and Miodrag LazicMiodrag Lazic Belgrade, Yugoslavia More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.167AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To report the results of penile re-sculpturing of different deformities caused by M. Peyronie: restoration of penile length, girth and shape with or without penile prosthesis implantation. METHODS In the period between February 2007 and March 2009, we performed grafting surgery for M. Peyronie in 98 patients aged between 24 and 72 years (mean 52 years). Penile deformities were diferent: dorsal curvature in 54 (54%), lateral in 7 (7%), ventral in 11 (11%), and combined curvature in 21 (22%); corporal narrowing in 24 (27%). All patients presented penile shortening combined with other deformities, but 4 (4%) patients had only penile shortening. Isolated diffuse corporal narrowing was in two (2%) patients, without any other deformities. Severity of curvature ranges from 60 to 90 degrees, mean 72. Thirty one (31%) patients had associated ED. Surgical options for severe Peyronie's disease were: single grafting 23pts (25%), complex grafting including circular tunical incision, 31 pts (34%), and in patients with ED the same procedures combined with penile prosthesis implantation (37pts, 41%). Surgical correction was based on measurement of the tunical defect and precise graft size and shape calculation. Penile straightening and lengthening was achieved by equalizing of shortened penile side/s with the longest one (convex) and grafting. Penile width is reestablished with additional longitudinal incision/s and grafting; graft width is determined by measurement of difference in circumference between normal and narrowed part of the corpora. As grafting material, we used solely Intexen LP (AMS). RESULTS The mean follow−up was 27 months (16−41). Mean penile length gain without prosthesis was 2.8cm (1.5−4.2) and with prosthesis 3.2cm (2–4.5cm). Insuficient straightening was in 5 patients (>15 degree) where NVB was limiting factor. Twenty four patients reported hypoesthesia and reduced orgasmic sensitivity that recovered spontaneously after 3–6 months. De-novo ED occurred in 6 pts and progression of disease in 4 patients. Infection occurred only in one patient with penile prosthesis implantation. Overall patients' satisfaction was 95%. CONCLUSIONS Complete tunical reconstruction in IPP can be performed as a safe procedure by transversal, longitudinal and circular grafting with or without simultaneous penile prosthesis implantation. Maximum penile length, girth and shape restoration can be achieved using geometrical calculation, regardless of type of deformity. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e43-e44 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Rados Djinovic Belgrade, Yugoslavia More articles by this author Sasa Tomovic Belgrade, Yugoslavia More articles by this author Salvatore Sansalone Rome, Italy More articles by this author Marko Milosavljevic Belgrade, Yugoslavia More articles by this author Vladislav Pesic Belgrade, Yugoslavia More articles by this author Nikola Stanojevic Belgrade, Yugoslavia More articles by this author Miodrag Lazic Belgrade, Yugoslavia More articles by this author Expand All Advertisement Advertisement Loading ...

Penile curvature

10.1016/j.juro.2011.02.167

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1071 Total phalloplasty using latissimus doors flap – experience in 233 patients

European Urology Supplements (2015)

Rados Djinovic N. Stanojevic V. Pešić Milena Mitrović A Ruffo

Phalloplasty

Doors

10.1016/s1569-9056(15)61059-4

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