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001-es BibID:BIBFORM100371
035-os BibID:(WOS)000809126400034 (Scopus)85131770871
Első szerző:Murányi Mihály (urológus)
Cím:A New Modified Bipedicle Scrotal Skin Flap Technique for the Reconstruction of Penile Skin in Patients with Paraffin-Induced Sclerosing Lipogranuloma of the Penis / Murányi Mihály, Varga Dániel, Kiss Zoltán, Flaskó Tibor
Dátum:2022
ISSN:0022-5347
Megjegyzések:Purpose: We introduce a new modified penile skin reconstruction technique to treat paraffin-induced sclerosing lipogranuloma of the penis. Materials and Methods: From 2017 to 2020, 49 patients underwent the procedure. Complete removal of the lipogranuloma-involved penile skin was performed. A subcutaneous tunnel was then created between a horizontal scrotal incision and a proximal penile circumferential incision. The denuded penis was pulled through the tunnel, and a subcoronal and longitudinal dorsal penile suture line was made. An inverted V-shaped incision was made on the scrotum on the ventral side of the penis, followed by longitudinal closure. Outcomes and complications of the procedure were retrospectively studied. The long-term effect of surgery on sexual function and overall satisfaction was measured using a patient-reported questionnaire, which was completed by 30 patients. Results: The overall complication rate was 26.5%. Clavien-Dindo grade 1, 2, 3a, 3b, 4, and 5 complications occurred in the postoperative period 5, 0, 8, 1, 0, and 0 times, respectively, in 13 patients. Surgery was successful in 27 (90%) patients,according to the patient-reported questionnaire. Erectile dysfunction, pain/tension during erection, premature ejaculation, and penile lymphoedema were observed in 2, 3, 1, and 1 patients, respectively. All patients reported sexual intercourse ability. Conclusions: The type of penile skin reconstruction after the removal of sclerosing lipogranuloma of the penis is controversial. The reconstruction technique presented herein is an effective single-stage treatment option with a high success rate in patients with sclerosing lipogranuloma of the penis with intact scrotal skin.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Journal Of Urology. - 208 : 1 (2022), p. 171-178. -
További szerzők:Varga Dániel (1990-) (általános orvos) Kiss Zoltán (1985-) (urológus) Flaskó Tibor (1960-) (urológus)
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001-es BibID:BIBFORM061300
Első szerző:Murányi Mihály (urológus)
Cím:Oncological results after pT0 prostate cancer / Murányi M., Varga D., Kiss Z., Benyó M., Flaskó T.
Dátum:2015
ISSN:1569-9056
Megjegyzések:INTRODUCTION AND OBJECTIVES. Diagnosis of prostate cancer at an early stage generates a great frequency of low-volume disease or lack of tumour in radical prostatectomy specimens. The aim of this study was to analyze oncological results of patients classified as pT0 stadium after radical prostatectomy.MATERIAL AND METHODS. 1134 patients were evaluated undergoing radical prostatectomy (490 perineal, 75 retropubic and 569 laparoscopic approach). Patient was staged as pT0 in case when there was no evidence of prostate cancer in the specimen. Patients were divided into two groups: patients being administered neoadjuvant hormonal treatment (227) or not (907). Biochemical relapse was defined by two consecutive PSA level over 0.2 ng/mL, clinical relapse was defined by local recurrence or metastasis proved by imaging examinations.RESULTS. Overall 32/1134 (2.8%) patients were staged as pT0, 21/227 (9.3%) from the hormonally treated group and 11/907 (1.2%) from the non-hormonally treated group. After an average of 38.7-month follow-up period two PSA-only relapse and one clinical relapse (pelvic MR proved local recurrence six years after surgery) was observed in the hormonally treated group. No recurrence occurred in non-hormonally treated group.CONCLUSION. Biochemical and clinical relapse despite vanishing prostate cancer phenomenon in hormonally treated group indicates, that these cases should be considered not to be true pT0. Histological changes caused by hormonal treatment presumably obscured the tumour. However prognosis of pT0 patients without neoadjuvant hormonal treatment is excellent.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idézhető absztrakt
Megjelenés:European Urology Supplements. - 14 : 6 (2015), p. e1293. -
További szerzők:Varga Dániel (1990-) (általános orvos) Kiss Zoltán (1985-) (urológus) Benyó Mátyás (1982-) (urológus) Flaskó Tibor (1960-) (urológus)
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DOI
Intézményi repozitóriumban (DEA) tárolt változat
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