Publications by authors named "Samuele Molteni"
Objective: To evaluate the impact on erectile and ejaculatory function following transrectal ultrasound-guided biopsies of the prostate (TRUS-Bx) in sexually active men.
Methods: Monocentric prospective study from May 2021 to January 2022 of consecutive patients with suspected prostate cancer [elevated prostate specific antigen (PSA) level and/or abnormal digital rectal examination] undergoing TRUS-Bx. The 15-item version of the International Index of Erectile Function (IIEF-15), Premature Ejaculation Diagnostic Tool (PDET) and short form of Male Sexual Health Questionnaire (MSHQ-EjD Short Form) were assessed before, one and three months after TRUS-Bx.
Article Synopsis
- Bladder cancer has a high recurrence rate and costs, making diagnosis and staging crucial, with guidelines suggesting a second transurethral resection (reTURB) to check for residual tumors.
- The study compared the effectiveness of hexaminolevulinate Photodynamic Diagnostics (PDD) during the first TURB in reducing residual tumors by analyzing two patient groups: those receiving standard and PDD-guided procedures.
- Results showed a significant reduction in residual tumors in the PDD-first group (12.5% vs. 71.4%), but despite this, a second resection is still recommended because residual tumors were still present in nearly half of the cases.