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P La Rosa

Publications and source records attributed to P La Rosa.

14 recordsLinked to original sources
PubMed2006

One step endourologic management of severely encrusted stent in solitary kidney with renal impairment. A case report.

Removing a severely encrusted stent, without an initial preventive descaling of the calcification that envelopes it, can lead to serious complications such as the breaking up of the stent, lesions and ureteral avulsion. We report a case regarding an entirely endourological treatment of an encrusted stent in a single kidney patient with renal insufficiency. The time the stent had been in place was 6 months. The patient underwent bladder lithotripsy of the distal tip of the encrusted stent, ureterolithotripsy to free the intraureteral tract of any incrustation and percutaneous nephrolithotomy to deal with the stone burden around the proximal tip. The stent, once free from fragments, was removed, via anterograde, without causing any friction in the excretory tract. The anesthesia time was 3.5 h. The postoperative period was normal without any septic complications or bleeding. We observed a slight worsening of the creatininemia which, after 3 days, could be compared with the preoperative blood levels. Ten days after the operation, renal function returned to normal. Even for patients with just one kidney and renal insufficiency the endourological management of encrusted stents does not lead to a high morbidity and is quite feasible as a one step operation.

Aged↗
PubMed2005

Incidence of prostate cancer in Sicily: results of a multicenter case-findings protocol.

OBJECTIVE: To establish the incidence of prostate cancer (PCa) in Sicily in patients who entered an early detection protocol. METHODS: From February 2002 to February 2004, 16,298 subjects aged 40-75 entered the protocol. Patients with suspicious DRE, PSA>10 ng/ml, PSA<or=2.5 ng/ml, from 2.6 to 4 ng/ml or from 4.1 to 10 ng/ml with F/T PSA of <or=15%, <or=20% and <or=25% respectively underwent needle biopsy according to an extensive protocol. RESULTS: 3266 patients were eligible for biopsy; PSA was <or=4 in 12.7% and <or=10 ng/ml in 63.9% of patients. A PCa was found in 1171 cases (36.9%) with a relationship between PCa incidence and PSA and age respectively (chi2-test, p<0.0001); 51.8% of patients with PCa had a PSA<10 and 8.8% a PSA<4 ng/ml; 49% were clinically staged as T1c. The estimated odds ratios for each age group showed increased risk for PCa in the fourth decade with PSA between 2.6 and 4 ng/ml (12.5 times higher) and in the fifth decade with PSA between 4.1 and 10 ng/ml (6.2 times higher). CONCLUSIONS: Age and serum PSA levels are the major risk factors for PCa. On their basis it is possible to modulate the most suitable timing for early diagnosis in individual patients.

Adult↗
PubMed1996

[A statistical epidemiological study of cranio-maxillofacial trauma in the Friuli Venezia Giulia region].

Data corresponding to 17,247 subjects, admitted in Hospital of Friuli Venezia Giulia region, were analyzed in the period between 1984/2/28 and 1993/2/27. All data were selected for for diagnosis, sex, aetiology, age, diagnosis's priority, days of stay in Hospital and locality where the patients live. The results showed 69.31% of the patients were male (range 0-80 years) of 15-19 years (2,605 cases corresponding to 15.1%) and 20-24 years (2,448 patients, 14.2%). More frequently the traumatic pathology was related to injuries of the facial bones (72.22%) and of these 62.13% were fractures of the nasal bones. The major incidence of injuries was caused from unspecified nature's incidents (47.5%), followed by road accidents (31.2%), violence, work accidents and others. The evaluation of single years showed a decrease of traumas from 2,019 cases (1984-85) to 1,759 cases (1992-93), probably caused by traffic regulations. Variables and incidence of cranial-maxillofacial traumas were also examined.

Adolescent↗
PubMedDate not supplied

[Sedation in ambulatory minor oral surgery: sublingual triazolam].

In a random trial on 40 patients undergoing extraction of the third lower molar 0.125 mg of triazolam were administered sublingually to 20 patients and placebo (lactulose solution 66.7%) to 20 patients. The sedative and amnesic effect rapidly appeared after triazolam while the anxiolytic effect was less pronounced. The recovery of psychomotor functions measured by standard psychomotor tests occurred rapidly and all patients were discharged after about 120 min from the end of the surgery. The judgment of the surgeon was positive as far as the anxiolytic and relaxing effects of triazolam was concerned. The patients treated with triazolam moreover appreciated the sedation induced by the drug. No cardiocirculatory complication was observed and the patients showed a considerable stability from the circulatory stand point. The results show that triazolam may represent a safe alternative to the use of other anxiolytic and sedative drugs in the minor surgery of the oral cavity.

Administration, Sublingual↗