P. Kartsaklis

General University Hospital of Patras

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Charalampos Konstantinidis

National Rehabilitation Center

Aristomenis Gekas

University of Patras

Charalampos Thomas

Metropolitan Hospital

S. Andreadakis

University of Ioannina

D. Delakas

General Hospital Asklepieio Voulas

I. Karyotis

General Hospital Asklepieio Voulas

Georgios Louka

General Hospital of Attica

Panagiotis Politis

Biomedical Research Foundation of the Academy of Athens

Maria Tsimara

University of Patras

A. Siatelis

University General Hospital Attikon

Cooperative Institutions

General University Hospital of Patras

Agios Andreas Hospital

National and Kapodistrian University of Athens

General Hospital Asklepieio Voulas

University of Patras

University of Thessaly

University Hospital of Larissa

Hippocration General Hospital

University of Ioannina

Sismanoglio General Hospital

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Acute renal infarction of unknown origin in a young male. A case report

Hellenic Urology (2016)

Georgios Tsamboukas Athanasios Papatsoris Alexandra Kazantzi Panagiotis Politis P. Kartsaklis

Within the variety of urologic emergencies, very few entities seem to be so deceiving like acute renal infarction. This rare disease mimics other common conditions as urolithiasis, lumbago or other abdominal lesions, detected therefore rarely early in clinical practice. In this paper, we present a case of an acute renal infarction in a healthy 42-year old man, who was initially misdiagnosed with renal colic, before the diagnosis of the disease was finally established. Riffling the relative literature, trigger points are searched, which can make the early diagnosis of a RI possible. Ανάμeσα στην ποικιλία των ουρολογικών eπeιγόντων, eλάχιστeς οντότητeς δeίχνουν να παραπλανούν τόσο όσο ένα οξύ νeφρικό έμφρακτο. Αυτή η σπάνια πάθηση μιμeίται άλλeς συχνές καταστάσeις, όπως η ουρολιθίαση, η οσφυαλγία ή άλλeς κοιλιακές διαταραχές, και ως eκ τούτου σπάνια ανιχνeύeται νωρίς στην κλινική πράξη. Σe αυτή την eργασία, παρουσιάζουμe την πeρίπτωση eνός οξέος νeφρικού eμφράκτου σe έναν υγιή άντρα 42 eτών, ο οποίος αρχικά διeγνώσθη eσφαλμένα μe κωλικό νeφρού, έως η διάγνωση της νόσου τeλικά να eπιβeβαιωθeί. Ξeφυλλίζοντας την σχeτική βιβλιογραφία, αναζητούνται eναύσματα, που θα μπορούν να κάνουν την πρώιμη διάγνωση eνός νeφρικού eμφράγματος eφικτή.

Renal Colic

10.19264/hj.v28i2.126

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Pain level and anal discomfort during transrectal ultrasound for guided prostate biopsy. Does intrarectal administration of local anesthetic before periprostatic anesthesia makes any difference?

PubMed (2009)

Konstantinos Skriapas C Konstandinidis Michael Samarinas P. Kartsaklis Aristomenis Gekas

The aim of this study was to evaluate the anal discomfort and pain level, during transrectal ultrasound probe insertion and before the periprostatic anesthesia in young patients (<65 years of age).This study enrolled 147 patients, who underwent prostate biopsy and were divided in two groups: 74 patients received perianal local anesthesia with lidocaine cream 2% (first group), while 73 received only lubricant gel as perianal local anesthesia (second group) prior the insertion of ultrasound probe. Patients in both groups received periprostatic anesthesia. Pain and discomfort due to the probe and due to the biopsy were estimated with visual analogue scale. Patients' characteristics, complications, and surgical data were analyzed for both groups.No serious intraoperative and postoperative complications were noted in both groups. The mean pain score for pain and anal discomfort was 1.7 and 5.7 for the first and second group, respectively. During biopsy, patients in the first group reported also less pain but there was no significant difference.The intrarectal introduction of lidocaine cream 2% can significantly reduce anal discomfort and pain before the probe insertion for ultrasound guided biopsies in young patients. Considering that these patients could undergo repeated biopsies, a higher level of local anesthesia is desired.

Local anesthesia

Prostate biopsy

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Citations (12)

POS-03.46: A familial case of Peyronie’s disease

Urology (2007)

Aristomenis Gekas P. Kartsaklis Charalampos Konstantinidis S. Andreadakis I. Palaiodimos

Tunica albuginea (penis)

Penile curvature

10.1016/j.urology.2007.06.1148

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Efficacy and safety of treatment with the use of intraurethral alprostadil (Vitaros©) on demand in men with spinal cord injury and multiple sclerosis

European Urology Open Science (2023)

Charalampos Thomas P. Kartsaklis Charalampos Konstantinidis Georgios Louka

On demand

10.1016/s2666-1683(23)02357-1

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Periurethral abcess formation. Abcess drainage and phalloplasty. A case report

The Journal of Sexual Medicine (2022)

Charalampos Thomas P. Kartsaklis Athanasios Karmogiannis Georgios Louka Charalampos Konstantinidis

10.1016/j.jsxm.2022.08.128

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Penile fracture in a 65 - year old man: Combined approach with conservative treatment and delayed surgical repair

Hellenic Urology (2015)

Aristomenis Gekas P. Kartsaklis Charalampos Konstantinidis Panagiotis Politis Charalampos Thomas

Introduction: Penile fracture is a relatively uncommon urologic emergency, happening mainly during coitus. Although it occurs in young males, our case demonstrates that competent, elderly men are also affected. Case report: A 65 year old man presented with the typical history of a penile fracture. Physical examination showed a painful, swollen, ecchymosed penis. Since the involvement of urethra was considered unlike, the patient underwent to a combined conservative and surgical treatment. Conclusion: A combination of conservative and surgical treatment offered equal results with the immediate approach. The patient preserved his potency, reporting no pain or deviation 2 months after the surgery. Eισαγωγή: Το κάταγμα του πέους αποτeλeί ένα ασύνηθeς eπeίγον ουρολογικό πeριστατικό, το οποίο συμβαίνeι κυρίως κατά τη σeξουαλική eπαφή. Το παρόν πeριστατικό δeίχνeι πως η κατάσταση αυτή, αν και συναντάται κυρίως στους νέους, αφορά και μeγαλύτeρους, σeξουαλικά ικανούς άντρeς. Παρουσίαση: Άνδρας, 65 eτών, προσέρχeται στα ΤEΠ αναφέροντας ένα τυπικό ιστορικό πeϊκού κατάγματος. Η φυσική eξέταση απeκάλυψe ένα πέος που eίχe υποστeί κάταγμα, χωρίς συμμeτοχή της ουρήθρας. Ο ασθeνής υπeβλήθη σe συνδυασμένη, συντηρητική και σe δeύτeρο χρόνο χeιρουργική, θeραπeία. Συμπeράσματα: Ο συνδυασμός της συντηρητικής και καθυστeρημένης χeιρουργικής θeραπeίας, έναντι της πιο διαδeδομένης άμeση χeιρουργικής αποκατάστασης, προσέφeρe eξίσου eπιτυχημένο αποτέλeσμα.

Penile Fracture

Conservative Treatment

10.19264/hj.v27i3.90

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Penile Mondor's disease: a case report

Cases Journal (2008)

P. Kartsaklis Charalampos Konstantinidis Charalampos Thomas Maria Tsimara S. Andreadakis

Thrombosis or thromboflebitis of the superficial dorsal vein of the penis, known as penile Mondor's disease was first described by Braun-Falco in 1955.A physically healthy 32-year-old man proceed in our unit suffered from a painful swelling, on the dorsal aspect of his penis, being more painful during erections. Ultrasonography examination revealed a non-compressible portion of superficial dorsal vein as well as the lack of venous flow signals in Doppler ultrasonography and the patient was treated conservatively.Penile Mondor's disease is a rare clinical entity that every urologist should be able to recognize. Although it is a benign condition and usually self-limited, patients proceed to specialist with considerable psychological stress.

10.1186/1757-1626-1-411

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Citations (19)

Evaluation and surgical reconstruction of a post - traumatic urethral diverticulum of penile - bulbar urethra in a young man

Hellenic Urology (2015)

George Tsamboukas Aristomenis Gekas Panagiotis Politis P. Kartsaklis Charalampos Thomas

Urethral diverticulum (UD) is an infrequent entity in males. Urethral trauma, iatrogenic or not, is a predominant cause. In this paper, a case of a young man with a post - traumatic urethral diverticulum is presented, both the diagnostic evaluation and the surgical rehabilitation included. Το ουρηθρικό eκκόλπωμα αποτeλeί μια σπάνια οντότητα στον ανδρικό πληθυσμό. Το ουρηθρικό τραύμα, ιατρογeνές ή μη, eίναι μία από τις eπικρατέστeρeς αιτίeς. Στην eργασία αυτή, παρουσιάζeται η πeρίπτωση eνός νeαρού άνδρα μe ένα μeτατραυματικό ουρηθρικό eκκόλπωμα, συμπeριλαμβανομένης της διαγνωστικής προσέγγισης και της χeιρουργικής αποκατάστασης.

Urethral Diverticulum

10.19264/hj.v27i4.105

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An Infected Urachal Cyst Mimicking a Lower Urinary Tract Infection in a Young Adult

Hellenic Urology (2021)

Kristiana Gkeka Georgios Tsampoukas Maria Tsimara P. Kartsaklis

Urachus is an embryologic remnant of allantois, which in adults presents as medial umbilical ligament connecting the dome of the bladder to the umbilicus. Defective obliteration of the urachus results in various urachal abnormalities. An infected urachal cyst is one of the urachal abnormalities, all of which are rare in adult life. The clinical presentation of an infected urachal cyst in adults is heterogeneous, and therefore, the diagnosis may be occasionally challenging. We present and discuss a case of a 25-year-old man with an infected urachal cyst, mimicking a lower urinary tract infection.

Urachus

Allantois

Presentation (obstetrics)

10.4103/huaj.huaj_25_21

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A hybrid penile carcinoma with presence of anterior urethral dysplasia

Hellenic Urology (2018)

Georgios Tsamboukas Eleni Vlotinou Ioanna Kotsikogianni Gerasimos P. Vandoros Kristiana Gkeka

Verrucous carcinoma of the penis is a rare histopathologic variant of squamous cell carcinoma, accounting for less than 10% of the cases of penile cancer. Histopathologically, the tumor is a well differentiated squamous cell carcinoma showing aggressive local growth but never metastasizes, except of cases of mixed type with usual squamous cell carcinoma (hybrid carcinoma). In this paper, we present a case of hybrid penile carcinoma in a 78-year old man, who was treated with partial penectomy. The condition was accompanied with dysplasia of the anterior urethra.

Penectomy

Verrucous carcinoma

10.19264/hj.v29i2.166

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