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S Stagni

Publications and source records attributed to S Stagni.

15 recordsLinked to original sources
PubMed2001

[Continence problems after radical prostatectomy: role of rehabilitation of the pelvic floor].

Continence mechanisms can be compromised after radical prostatectomy. Relatively low percentages of urinary incontinence are reported (2-15%). Perineal floor physiotherapy is considered an actual method of treatment of urinary incontinence in females. It is based on pelvic floor muscles exercises, biofeedback and functional electrical stimulation. The aim of physiotherapy is to improve pelvic floor muscles proprioception, to increase tone of levator ani and to favour automatization of these muscles in daily life. The reports in Literature on perineal floor physiotherapy in treating incontinence after radical prostatectomy are scarce. In this paper we present our experience about 9 patients with incontinence post radical prostatectomy (out of 74 patients operated on at our Institution). We obtained an improvement or a complete cure in 78% of the treated patients. We believed that pelvic floor physiotherapy can be considered a good and safe method of treatment of incontinence after radical prostatectomy, at least in less serious cases.

Aged↗
PubMed1998

[Extracorporeal SWL in the treatment of reno-ureteral calculosis in day hospital].

Eighteen years after the first clinical shock wave lithotripsy (SWL), no doubt remains as to its therapeutic efficacy in ureterorenal lithiasis. The advent of lithotriptors with a large shock wave energy range and integration of both ultrasound and radiologic imaging equipment at the shock wave source has meant that outpatients treatment of urolithiasis is now feasible in a good proportion of cases. In our lithotripsy center, from January 1995 to August 1996, 208 out of 310 patients who underwent SWL treatment for renal and ureteral stones, were outpatients. Pretreatment manoeuvres were performed in 10.6% of the patients. No major complications occurred during the treatment. Only three patients (1.4%) were admitted to hospital because of fever, colics or perirenal haematoma in the first two days after SWL therapy. The stone free rate was 67 and 84% respectively one and three months after treatment. In our experience, the possibility of performing SWL treatments without anesthesia and even analgosedation, the absence of complications and the high success rate, make outpatient treatment of urolithiasis safe and suitable in a large number of patients.

Adult↗
PubMed1996

[Therapeutic alternatives in the treatment of class T1N0 squamous cell carcinoma of the penis: indications and limitations].

At INT of Milan between 1964 and 1990, 204 consecutive native patients suffering from penile cancer have been treated. 101 (59%) patients out of 171 with invasive cancer (23 affected with Tis were excluded) have been classified T1N0M0. 74 patients have been treated with penis conserving methods, such as circumcision, radiotherapy, laser excision and primary chemotherapy + conserving surgery. Overall local failure and/or nodal relapses occurred in 27% (20/74). Relapses are significantly related with grading but there isn't any relationship with macroscopical aspect or size of the tumor. The conservative treatment had been possible in 80% of patients. In our experience T1N0 clinical stage conservative therapy does not worsen the prognosis.

Adult↗
PubMed1994

[Current diagnostic-therapeutic trends in treatment of pediatric appendicitis].

Acute appendicitis is the first cause of emergency surgery in children. Actually, emergency abdominal sonography has evolved in differential diagnosis of acute appendicitis in children to differentiate it from other causes of acute abdomen as mesenteric lymphoadenitis, acute right pyelonephritis, acute diverticulitis in Meckel's diverticulum, intestinal intussusception, regional enterits, primary peritonitis, anaphylactoid purpura of Henoch-Schonlein. The aim of this study is the evaluation of the usefulness of abdominal sonography in diagnosing acute appendicitis in our current series of pediatric patients. We have operated 102 patients afflicted by appendicitis admitted to the pediatric department of Ospedale San Raffaele, Milano in a period of 5 years and operated on for appendectomy. In the last 2 years 36 patients were evaluated with abdominal sonography. This diagnostic tool showed in 34 (94.4%) a liquid effusion, sometimes thick of the right iliac fossa. In 2 patients the appendix had thickened layers, was edematous and the lumen was clearly filled with debris. Abdominal sonography has given a clear cut picture of the acute inflammatory process of the appendix. None of these patients has suffered from septic or obstructive complications. Mean duration of hospital stay was 6.35 days (3-15 days). Differential diagnosis of acute appendicitis can be extremely variable, from simple, paradigmatic situations to the most intriguing ones. This concept is well emphasized by William Silen when he says that "differential diagnosis of acute appendicits is an encyclopedic compendium of every abdominal disease that causes pain" in the 11th edition of Harrison's Principles of Internal Medicine.(ABSTRACT TRUNCATED AT 250 WORDS)

Abdomen↗
PubMed1993

[Liver transplant in children: comments and legislative proposal].

Having examined the literature on this subject, the authors raise the problem of segmentary liver transplant from a liver donor to a pediatric patient. They evaluate the current Italian legislation regarding the donation of organs and on the basis of foreign experience they draft a possible amendment to the law currently in force.

Child↗
PubMed1992

[Conservative elective surgery in kidney neoplasms].

After the good results of "necessary" conservative surgery in the treatment of kidney neoplasms (bilateral neoplasms, congenital, acquired or functional solitary kidney), conservative surgery itself has been employed as elective treatment in selected cases presenting without the overmentioned problems. The authors report two cases of elective conservative surgery in kidney neoplasm with good results after 18 and 24 months.

Aged↗
PubMed1991

[Preliminary clinico-urodynamic study of diabetic uropathy of the bladder].

Twenty-eight diabetic patients of type one have been evaluated in a preliminary study starting from the conclusions of a previous work of the Authors, where the existence of four types of autonomic bladder neuropathies was demonstrated, in opposition to the classic theory of diabetic cistopathy. The examined cases confirm on the basis of clinical trials (HBA1C, cardiovascular autonomic neuropathy tests) and urodynamic tests (urofluxometric test, cistomanometric test, urethral pressure profile) the pleiomorphism of this syndrome and its relations with diabetic disease. On the total amount of the examined cases, 16 patients (57%) showed high values of HBA1C and 17 (60.7%) positive tests for autonomic neuropathy. Distribution of different types of cistopathy confirmed furthermore, beside the higher incidence of the sensitive form (14 pts.), an important percentage of sensitive motory types (4 pts.) and hyperreflexic ones (3 pts.). On the basis of the reported data, a correct and precocious differential diagnostics is recommended in order to face in a better way the serious consequences which may tardily affect the urinary apparatus.

Adult↗
PubMed1990

[Anatomical and surgical considerations on the internal spermatic venous system].

The surgical anatomy of the spermatic venous system is described. Thereafter an experimental evaluation performed on cadavers by the vascular mould technique using plastic materials is reported. The resulting data point out the complex variability of the spermatic venous circulation, stressing the value of preoperative phlebography in the surgical approach to varicocele.

Humans↗
PubMed1981

[Serotonin and monoamineoxidase activity in platelets of children].

We examined 5-HT concentration and monoamine oxidase activity in the platelets. We observed 55 children, 30 healthy and 25 with neuropathological situations. No significant difference exists between two groups. MAO activity is not dependent from 5-HT concentration. As the enzyme seems to exist in multiple forms, the type B would be present in the platelets. This form presents less affinity for serotonin. If MAO do not act on platelets 5-HT levels, another mechanism might be to regulate 5-HT concentration in the platelets.

Blood Platelets↗
PubMed1981

[Platelet monoamine oxidase activity in some neurological diseases of childhood].

In this work, we examined platelet MAO activity in 25 children with various neurological disorders and compared them with 30 control subjects. We found that platelet MAO activity changed in children with headache and very little in children with epilepsy and mental retardation. It is very difficult to interpret these results; therefore further works are needed to clarify platelet enzymatic activities.

Adolescent↗
PubMed1981

[Serotonin distribution between plasma and platelets in clinically healthy children].

Serotonin distribution between plasma and platelets was examined in 34 clinically healthy children. We measured 5-HT with spectrofluorometric method. We obtained no correlation between plasma and platelets 5-HT. Serotonin is more concentrated in platelets than in plasma. In fact, platelets uptake 5-HT even at low plasma concentration, by an active transport mechanism and store it in granular substructures. 5-HT uptake occurs in similar way both in platelets and in 5-HT neurons. MOreover, the 5-HT receptors react to 5-HT agonist or antagonist drugs as the receptors of some SNC areas (not those with dense 5-HT innervation). Therefore, platelets might be used as indication for 5-HT neurons activity in those SNC regions whose receptors react to drugs as platelets receptors.

Blood Platelets↗
PubMed1980

[Plasma dopamine beta-hydroxylase activity in clinically healthy children].

Dopamine-beta-Hydroxylase is the enzyme that catalyzes the conversion of dopamine to norepinephrine. Plasma D beta H activity was measured with spectrophotometric method in 60 healthy children of various age groups. Plasma D beta H activity is influenced by age: the means reveal a progressive rise in activity with each successive age group. Also, a great individual variation was found. Therefore, measurement of D beta H activity is not a good indication of the activity of the simpathetic nervous system, except in special pathological conditions. Moreover, the wide range of activities among normal human subjects might indicate important factors in determining the plasma D beta H level. The possibility of a genetic control must be considered.

Aging↗
PubMed1980

[Relation among plasma dopamine beta-hydroxylase, monoamine oxidase and Cu++].

Dopamine-beta-Hydroxylase and Monoamineoxidase are two plasmatic enzymes whose activity is Cu++ dependent. D beta H and Mao activity and Cu++ concentration has been dosed in plasma of 30 different aged subjects, using spectrophotometric methods. The obtained results show the presence of a direct correlation between MAO and Cu++, and an inverse correlation between D beta H and Cu++.

Adolescent↗