Quando è indicata una biopsia prostatica?

Quando esiste un sospetto di tumore alla prostata, la diagnosi di certezza può avvenire solo attraverso l'esecuzione di una biopsia prostatica. L'indicazione a eseguire una biopsia prostatica dipende da numerosi fattori. I fattori predittivi più importanti sono il valore di PSA nel sangue, la familiarità per neoplasia prostatica e l'esplorazione rettale. Tuttavia per valutare correttamente il rischio individuale di tumore prostatico è necessario integrare queste informazioni con altre caratteristiche cliniche, quali l’età, il volume della prostata, la presenza di neoplasia prostatica intraepiteliale ad alto grado (HGPIN) o di proliferazione microacinare atipica (ASAP) in precedenti biopsie prostatiche.

Biopsia della prostata
Possibili schemi di campionamento prostatico

 

In cosa consiste la biopsia prostatica?

La biopsia prostatica può essere eseguita su guida ecografica o su guida Risonanza Magnetica (biopsia RM fusion). Introducendo una sonda ad ultrasuoni attraverso il retto, si ottengono immagini accurate della ghiandola prostatica che possono indirizzare la biopsia verso quelle aree dove è potenzialmente presente un tumore prostatico. Il numero e la localizzazione dei prelievi è un aspetto fondamentale che l'urologo deve ponderare per poter raggiungere la massima accuratezza possibile. Negli ultimi anni sono stati sviluppati numerosi modelli predittivi statistici che, in base alle caratteristiche del paziente, suggeriscono la tipologia di schema bioptico da adottarsi. Dopo l’applicazione di un'anestesia locale, si eseguono prelievi bioptici del parenchima prostatico.

 

In preparazione alla procedura, il paziente deve richiedere alla struttura nella quale intende eseguire la manovra il documento che contiene le procedure di preparazione alla biopsia prostatica. Generalmente, tale preparazione richiede l'esecuzione di esami ematochimici di controllo (emocromo con formula, PT e PTT), un'urinocoltura, l'esecuzione di un clistere evacuativo e l'assunzione di una profilassi antibiotica.

Nel caso il paziente avesse:

-allergie a farmaci o sostanze

-terapie antiaggreganti piastriniche - e.g. cardioaspirina o cardirene - o terapie anticoagulanti - e.g. T.A.O.- in corso

-pregressi o recenti episodi di prostatite acuta o assunzioni prolungate di antibiotici

-alterazioni degli esami di preparazione alla biopsia

occorre prendere contatto con il medico che eseguirà la biopsia

 

Al momento della biopsia prostatica, il paziente deve fornire all'urologo le seguenti informazioni, fondamentali per la corretta indicazione ed esecuzione della manovra:

-valori di PSA o altri marcatori tumorali eseguiti

-familiarità per neoplasia prostatica

-esami ematochimici di preparazione nella norma (vedi sopra)

-allergie a farmaci o sostanze

-terapie domiciliari croniche (in particolare terapie antiaggreganti piastriniche - e.g. cardioaspirina o cardirene - o terapie anticoagulanti - e.g. T.A.O.)

-interventi chirurgici pregressi

-pregresse o recenti episodi di prostatite acuta o assunzioni prolungate di antibiotici negli anni precedenti

 

Queste informazioni permetteranno all'urologo di eseguire la procedura con la massima accuratezza diagnostica e limitando per quanto possibile la possibilità di complicazioni. Infatti, nonostante la mini-invasività della procedura, la biopsia prostatica può comportare la comparsa di:

-dolore (solitamente limitato alla durata della manovra)

-disuria - cioè sintomatologia irritativa nel mingere (frequente, per circa due settimane dalla manovra)

-lieve ematuria (frequente, per circa due settimane dalla manovra)

-lieve rettorragia (frequente, per circa due settimane dalla manovra)

-ritenzione urinaria acuta con necessità di cateterizzazione (rara, <10% delle manovre)

-febbre con o senza ospedalizzazione (rara, <10% delle manovre)

-macroematuria, uretrorragia o rettorragia che richiedono ospedalizzazione e manovre addizionali (rara, <5% delle manovre)

-urosepsi, cioe' una grave infezione generalizzata (rara, <3% delle manovre)



Di seguito sono riportati alcuni degli articoli scientifici pubblicati dal dr. Capitanio nell'ambito del tumore della prostatica (Fonte: Pubmed-Scopus Febbraio 2023):

 

1: CAPITANIO U, Pfister D, Emberton M. Repeat Prostate Biopsy: Rationale,

Indications, and Strategies. Eur Urol Focus. 2015 Sep;1(2):127-136. doi:

10.1016/j.euf.2015.05.002. Epub 2015 Jun 6. PMID: 28723423.

 

2: Scattoni V, Russo A, Di Trapani E, CAPITANIO U, La Croce G, Montorsi F.

Repeated biopsy in the detection of prostate cancer: when and how many cores.

Arch Ital Urol Androl. 2014 Dec 30;86(4):311-3. doi: 10.4081/aiua.2014.4.311.

PMID: 25641460.

 

3: Stabile A, Muttin F, Zamboni S, Moschini M, Gandaglia G, Fossati N,

Dell'Oglio P, CAPITANIO U, Cucchiara V, Mazzone E, Bravi CA, Mirone V, Montorsi

F, Briganti A. Therapeutic approaches for lymph node involvement in prostate,

bladder and kidney cancer. Expert Rev Anticancer Ther. 2019 Sep;19(9):739-755.

doi: 10.1080/14737140.2019.1659135. Epub 2019 Aug 30. PMID: 31469021.

 

4: Scattoni V, Maccagnano C, CAPITANIO U, Gallina A, Briganti A, Montorsi F.

Random biopsy: when, how many and where to take the cores? World J Urol. 2014

Aug;32(4):859-69. doi: 10.1007/s00345-014-1335-0. Epub 2014 Jun 8. PMID:

24908067.

 

5: CAPITANIO U. Contemporary management of patients with T1a and T1b prostate

cancer. Curr Opin Urol. 2011 May;21(3):252-6. doi: 10.1097/MOU.0b013e328344e4ad.

PMID: 21358335.

 

6: CAPITANIO U, Cheng L, Lopez-Beltran A, Scarpelli M, Freschi M, Montorsi F,

Montironi R. The importance of interaction between urologists and pathologists

in incidental prostate cancer management. Eur Urol. 2011 Jul;60(1):75-7. doi:

10.1016/j.eururo.2011.03.012. Epub 2011 Mar 16. Erratum in: Eur Urol. 2012

Aug;62(2):e47. PMID: 21444149.

 

7: Villa L, Capogrosso P, CAPITANIO U, Martini A, Briganti A, Salonia A,

Montorsi F. Silodosin: An Update on Efficacy, Safety and Clinical Indications in

Urology. Adv Ther. 2019 Jan;36(1):1-18. doi: 10.1007/s12325-018-0854-2. Epub

2018 Dec 6. PMID: 30523608.

 

8: Karakiewicz PI, CAPITANIO U, Shariat S. Editorial comment on: Prostate growth

and prevalence of prostate diseases in early onset spinal cord injuries. Eur

Urol. 2009 Jul;56(1):149-50. doi: 10.1016/j.eururo.2008.01.090. Epub 2008 Feb 8.

PMID: 18280634.

 

9: Dell'oglio P, Valiquette AS, Leyh-Bannurah SR, Tian Z, Trudeau V, Larcher A,

Shariat SF, CAPITANIO U, Briganti A, Graefen M, Montorsi F, Karakiewicz PI.

Treatment trends and Medicare reimbursements for localized prostate cancer in

elderly patients. Can Urol Assoc J. 2018 Jul;12(7):E338-E344. doi:

10.5489/cuaj.4865. Epub 2018 Mar 19. PMID: 29603911; PMCID: PMC6118049.

 

10: Scattoni V, Lazzeri M, Lughezzani G, De Luca S, Passera R, Bollito E,

Randone D, Abdollah F, CAPITANIO U, Larcher A, Lista G, Gadda GM, Bini V,

Montorsi F, Guazzoni G. Head-to-head comparison of prostate health index and

urinary PCA3 for predicting cancer at initial or repeat biopsy. J Urol. 2013

Aug;190(2):496-501. doi: 10.1016/j.juro.2013.02.3184. Epub 2013 Mar 1. PMID:

23466239.

 

11: Salonia A, Abdollah F, CAPITANIO U, Suardi N, Gallina A, Castagna G,

Clementi MC, Briganti A, Rigatti P, Montorsi F. Circulating sex steroids and

prostate cancer: introducing the time-dependency theory. World J Urol. 2013

Apr;31(2):267-73. doi: 10.1007/s00345-012-1009-8. Epub 2013 Jan 3. PMID:

23283410.

 

12: CAPITANIO U, Perrotte P, Hutterer GC, Suardi N, Jeldres C, Shariat SF,

Duclos A, Arjane P, Montorsi F, Karakiewicz PI. Effect of body mass index on

prostate-specific antigen and percentage free prostate-specific antigen: results

from a prostate cancer screening cohort of 1490 men. Int J Urol. 2009

Jan;16(1):91-5. doi: 10.1111/j.1442-2042.2008.02192.x. Epub 2008 Nov 27. PMID:

19054167.

 

13: CAPITANIO U, Autorino R, Bandini M, Briganti A, Cheng L, Cooperberg MR, Dehò

F, Gallina A, Klotz L, Lane B, Montironi R, Salonia A, Stief C, Tombal B,

Montorsi F. Incidental Prostate Cancer (cT1a-cT1b) Is a Relevant Clinical and

Research Entity and Should Be Fully Discussed in the International Prostate

Cancer Guidelines. Eur Urol Oncol. 2021 Apr 1:S2588-9311(21)00049-3. doi:

10.1016/j.euo.2021.03.005. Epub ahead of print. PMID: 33814342.

 

14: Salonia A, Abdollah F, CAPITANIO U, Suardi N, Briganti A, Gallina A, Colombo

R, Ferrari M, Castagna G, Rigatti P, Montorsi F. Serum sex steroids depict a

nonlinear u-shaped association with high-risk prostate cancer at radical

prostatectomy. Clin Cancer Res. 2012 Jul 1;18(13):3648-57. doi:

10.1158/1078-0432.CCR-11-2799. Epub 2012 May 15. PMID: 22589393.

 

15: CAPITANIO U, Briganti A, Gallina A, Suardi N, Karakiewicz PI, Montorsi F,

Scattoni V. Predictive models before and after radical prostatectomy. Prostate.

2010 Sep 1;70(12):1371-8. doi: 10.1002/pros.21159. PMID: 20623635.

 

16: CAPITANIO U, Autorino R, Bandini M, Briganti A, Cheng L, Cooperberg MR, Dehò

F, Gallina A, Klotz L, Lane BR, Montironi R, Salonia A, Stief C, Tombal B,

Montorsi F. Reply to Nicolas Mottet, Olivier Rouviere, and Theodorus H. van der

Kwast. Incidental Prostate Cancer: A Real Need for Expansion in Guidelines? Eur

Urol Oncol. In press: Incidental Prostate Cancer: An Example of How Important

Guidelines Are, Especially When Evidence Is Limited. Eur Urol Oncol. 2022

Apr;5(2):261-262. doi: 10.1016/j.euo.2021.05.004. Epub 2021 Jun 1. PMID:

34083164.

 

17: Maccagnano C, Gallina A, Roscigno M, Raber M, CAPITANIO U, Saccà A,

Pellucchi F, Suardi N, Abdollah F, Montorsi F, Rigatti P, Scattoni V. Prostate

saturation biopsy following a first negative biopsy: state of the art. Urol Int.

2012;89(2):126-35. doi: 10.1159/000339521. Epub 2012 Jul 19. PMID: 22814003.

 

18: Boehm K, Dell'Oglio P, Tian Z, CAPITANIO U, Chun FKH, Tilki D, Haferkamp A,

Saad F, Montorsi F, Graefen M, Karakiewicz PI. Comorbidity and age cannot

explain variation in life expectancy associated with treatment of non-metastatic

prostate cancer. World J Urol. 2017 Jul;35(7):1031-1036. doi:

10.1007/s00345-016-1963-7. Epub 2016 Oct 28. PMID: 27796538.

 

19: Spahn M, Briganti A, CAPITANIO U, Kneitz B, Gontero P, Karnes JR, Schubert

M, Montorsi F, Scholz CJ, Bader P, van Poppel H, Joniau S; European Multicenter

Prostate Cancer Clinical and Translational Research Group. Outcome predictors of

radical prostatectomy followed by adjuvant androgen deprivation in patients with

clinical high risk prostate cancer and pT3 surgical margin positive disease. J

Urol. 2012 Jul;188(1):84-90. doi: 10.1016/j.juro.2012.02.2572. Epub 2012 May 12.

PMID: 22578727.

 

20: Jeldres C, Isbarn H, CAPITANIO U, Zini L, Bhojani N, Shariat SF, Cloutier V,

Lattouf JB, Duclos A, Jolivet-Tremblay M, Valiquette L, Saad F, Graefen M,

Montorsi F, Perrotte P, Karakiewicz PI. Development and external validation of a

highly accurate nomogram for the prediction of perioperative mortality after

transurethral resection of the prostate for benign prostatic hyperplasia. J

Urol. 2009 Aug;182(2):626-32. doi: 10.1016/j.juro.2009.04.008. Epub 2009 Jun 17.

PMID: 19535100.

 

21: CAPITANIO U, Scattoni V, Freschi M, Briganti A, Salonia A, Gallina A,

Colombo R, Karakiewicz PI, Rigatti P, Montorsi F. Radical prostatectomy for

incidental (stage T1a-T1b) prostate cancer: analysis of predictors for residual

disease and biochemical recurrence. Eur Urol. 2008 Jul;54(1):118-25. doi:

10.1016/j.eururo.2008.02.018. Epub 2008 Feb 26. PMID: 18314255.

 

22: Dell'Oglio P, Bishr M, Boehm K, Trudeau V, Larcher A, Tian Z, Sosa J,

Moschini M, Saad F, CAPITANIO U, Briganti A, Graefen M, Montorsi F, Karakiewicz

PI. Survival Outcomes in Octogenarian and Nonagenarian Patients Treated with

First-line Androgen Deprivation Therapy for Organ-confined Prostate Cancer. Eur

Urol Focus. 2018 Dec;4(6):834-841. doi: 10.1016/j.euf.2017.01.017. Epub 2017 Feb

11. PMID: 28753853.

 

23: Castiglione F, Benigni F, Briganti A, Salonia A, Villa L, Nini A, Di Trapani

E, CAPITANIO U, Hedlund P, Montorsi F. Naftopidil for the treatment of benign

prostate hyperplasia: a systematic review. Curr Med Res Opin. 2014

Apr;30(4):719-32. doi: 10.1185/03007995.2013.861813. Epub 2013 Dec 18. PMID:

24188134.

 

24: Briganti A, CAPITANIO U, Chun FK, Karakiewicz PI, Salonia A, Bianchi M,

Cestari A, Guazzoni G, Rigatti P, Montorsi F. Prediction of sexual function

after radical prostatectomy. Cancer. 2009 Jul 1;115(13 Suppl):3150-9. doi:

10.1002/cncr.24349. PMID: 19544544.

 

25: Briganti A, Karnes RJ, Da Pozzo LF, Cozzarini C, CAPITANIO U, Gallina A,

Suardi N, Bianchi M, Tutolo M, Salonia A, Di Muzio N, Rigatti P, Montorsi F,

Blute M. Combination of adjuvant hormonal and radiation therapy significantly

prolongs survival of patients with pT2-4 pN+ prostate cancer: results of a

matched analysis. Eur Urol. 2011 May;59(5):832-40. doi:

10.1016/j.eururo.2011.02.024. Epub 2011 Feb 22. PMID: 21354694.

 

26: Briganti A, CAPITANIO U, Chun FK, Gallina A, Suardi N, Salonia A, Da Pozzo

LF, Colombo R, Di Girolamo V, Bertini R, Guazzoni G, Karakiewicz PI, Montorsi F,

Rigatti P. Impact of surgical volume on the rate of lymph node metastases in

patients undergoing radical prostatectomy and extended pelvic lymph node

dissection for clinically localized prostate cancer. Eur Urol. 2008

Oct;54(4):794-802. doi: 10.1016/j.eururo.2008.05.018. Epub 2008 May 21. PMID:

18514383.

 

27: Ferrari M, CAPITANIO U, Rizzo N, Freschi M, Montorsi F, Rigatti P. Onset of

hydronephrosis and lower urinary tract symptoms in a previously healthy young

man: Phyllodes tumour of the prostate as a potential diagnosis. Can Urol Assoc

J. 2014 Jul;8(7-8):E561-3. doi: 10.5489/cuaj.1984. PMID: 25210565; PMCID:

PMC4137027.

 

28: CAPITANIO U, Suardi N, Briganti A, Gallina A, Abdollah F, Lughezzani G,

Salonia A, Freschi M, Montorsi F. Influence of obesity on tumour volume in

patients with prostate cancer. BJU Int. 2012 Mar;109(5):678-84. doi:

10.1111/j.1464-410X.2011.10453.x. Epub 2011 Jul 20. PMID: 21777363.

 

29: CAPITANIO U, Salonia A, Briganti A, Montorsi F. Silodosin in the management

of lower urinary tract symptoms as a result of benign prostatic hyperplasia: who

are the best candidates. Int J Clin Pract. 2013 Jun;67(6):544-51. doi:

10.1111/ijcp.12135. Epub 2013 Feb 15. PMID: 23409749.

 

30: Rosiello G, Pecoraro A, Deuker M, Stolzenbach LF, Martin T, Tian Z, Larcher

A, CAPITANIO U, Montorsi F, Shariat SF, Kapoor A, Saad F, Briganti A,

Karakiewicz PI. The impact of sex and age on distribution of metastases in

patients with renal cell carcinoma. Int J Clin Oncol. 2021 May;26(5):962-970.

doi: 10.1007/s10147-021-01874-3. Epub 2021 Jan 30. PMID: 33515351.

 

31: Sharma G, Shah M, Ahluwalia P, Dasgupta P, Challacombe BJ, Bhandari M,

Ahlawat R, Rawal S, Buffi NM, Sivaraman A, Porter JR, Rogers C, Mottrie A, Abaza

R, Rha KH, Moon D, Yuvaraja TB, Parekh DJ, CAPITANIO U, Maes KK, Porpiglia F,

Turkeri L, Gautam G. Off-clamp Versus On-clamp Robot-assisted Partial

Nephrectomy: A Propensity-matched Analysis. Eur Urol Oncol. 2023 May

14:S2588-9311(23)00081-0. doi: 10.1016/j.euo.2023.04.005. Epub ahead of print.

PMID: 37193626.

 

32: Pozzi E, Ventimiglia E, Fallara G, Capogrosso P, Belladelli F, Candela L,

Raffo M, Costa A, Cignoli D, Corsini C, Cazzaniga W, Boeri L, Matloob R,

CAPITANIO U, Montorsi F, Salonia A. Haemospermia in the Real- Life Setting: A

New High-Risk Stratification. Urology. 2023 Jan;171:146-151. doi:

10.1016/j.urology.2022.09.018. Epub 2022 Oct 12. PMID: 36241064.

 

33: Briganti A, Passoni N, Ferrari M, CAPITANIO U, Suardi N, Gallina A, Da Pozzo

LF, Picchio M, Di Girolamo V, Salonia A, Gianolli L, Messa C, Rigatti P,

Montorsi F. When to perform bone scan in patients with newly diagnosed prostate

cancer: external validation of the currently available guidelines and proposal

of a novel risk stratification tool. Eur Urol. 2010 Apr;57(4):551-8. doi:

10.1016/j.eururo.2009.12.023. Epub 2009 Dec 18. PMID: 20034730.

 

34: Campi R, Amparore D, CAPITANIO U, Checcucci E, Salonia A, Fiori C, Minervini

A, Briganti A, Carini M, Montorsi F, Serni S, Porpiglia F. Assessing the Burden

of Nondeferrable Major Uro-oncologic Surgery to Guide Prioritisation Strategies

During the COVID-19 Pandemic: Insights from Three Italian High-volume Referral

Centres. Eur Urol. 2020 Jul;78(1):11-15. doi: 10.1016/j.eururo.2020.03.054. Epub

2020 Apr 11. PMID: 32307215; PMCID: PMC7151319.

 

35: CAPITANIO U, Suardi N. Prostate cancer in 2010: GSU: misclassification or

biological progression? Nat Rev Urol. 2011 Feb;8(2):65-6. doi:

10.1038/nrurol.2010.247. PMID: 21304540.

 

36: CAPITANIO U, Cheng L, Lopez-Beltran A, Scarpelli M, Freschi M, Montorsi F,

Montironi R. Corrigendum to "The Importance of Interaction Between Urologists

and Pathologists in Incidental Prostate Cancer Management" [Eur Eurol

2011;60;75-7]. Eur Urol. 2012 Aug;62(2):e47. doi: 10.1016/j.eururo.2012.05.001.

Epub 2012 May 8. PMID: 27989299.

 

37: Bhojani N, Perrotte P, Hutterer G, Suardi N, Jeldres C, Shariat SF,

CAPITANIO U, Arjane P, Widmer H, Benard F, Peloquin F, Montorsi F, Karakiewicz

P. Body mass index and its association with genitourinary disorders in men

undergoing prostate cancer screening. J Sex Med. 2008 Sep;5(9):2141-51. doi:

10.1111/j.1743-6109.2008.00811.x. Epub 2008 Mar 19. PMID: 18355173.

 

38: Leyh-Bannurah SR, Zaffuto E, Dell'Oglio P, Tian Z, Moschini M, CAPITANIO U,

Briganti A, Montorsi F, Fisch M, Chun F, Kachanov M, Budäus L, Graefen M, Huland

H, Karakiewicz PI. Prediction of Complications in Radical Prostatectomy Prostate

Cancer Patients: Simulated Annealing versus Co-Morbidity Indexes. Urol Int.

2019;102(1):51-59. doi: 10.1159/000495071. Epub 2018 Nov 27. PMID: 30481764.

 

39: Sorce G, Hoeh B, Hohenhorst L, Panunzio A, Tappero S, Tian Z, Larcher A,

CAPITANIO U, Tilki D, Terrone C, Chun FKH, Antonelli A, Saad F, Shariat SF,

Montorsi F, Briganti A, Karakiewicz PI. Other-cause mortality and access to care

in metastatic renal cell carcinoma according to race/ethnicity. Urol Oncol. 2022

Nov;40(11):493.e9-493.e16. doi: 10.1016/j.urolonc.2022.06.022. Epub 2022 Jul 27.

PMID: 35907705.

 

40: Jeldres C, Suardi N, Perrotte P, CAPITANIO U, Walz J, Hutterer GC, Saad F,

Valiquette L, Graefen M, Widmer H, Karakiewicz PI. Survival after radical

prostatectomy and radiotherapy for prostate cancer: a population-based study.

Can Urol Assoc J. 2009 Feb;3(1):13-21. PMID: 19293970; PMCID: PMC2645889.

 

41: Rosiello G, Palumbo C, Deuker M, Stolzenbach LF, Martin T, Tian Z, Larcher

A, CAPITANIO U, Montorsi F, Shariat SF, Kapoor A, Saad F, Briganti A,

Karakiewicz PI. Partial nephrectomy in frail patients: Benefits of robot-

assisted surgery. Surg Oncol. 2021 Sep;38:101588. doi:

10.1016/j.suronc.2021.101588. Epub 2021 Apr 22. PMID: 33945961.

 

42: Abdollah F, Suardi N, CAPITANIO U, Gallina A, Sun M, Villa L, Scattoni V,

Bianchi M, Tutolo M, Fossati N, Karakiewicz P, Rigatti P, Montorsi F, Briganti

A. Spatial distribution of positive cores improves the selection of patients

with low-risk prostate cancer as candidates for active surveillance. BJU Int.

2013 Aug;112(4):E234-42. doi: 10.1111/bju.12152. Epub 2013 Jun 7. PMID:

23746297.

 

43: Villa L, CAPITANIO U, Briganti A, Abdollah F, Suardi N, Salonia A, Gallina

A, Freschi M, Russo A, Castiglione F, Bianchi M, Rigatti P, Montorsi F, Scattoni

V. The number of cores taken in patients diagnosed with a single microfocus at

initial biopsy is a major predictor of insignificant prostate cancer. J Urol.

2013 Mar;189(3):854-9. doi: 10.1016/j.juro.2012.09.100. Epub 2012 Sep 25. PMID:

23022004.

 

44: Dell'Oglio P, Suardi N, Boorjian SA, Fossati N, Gandaglia G, Tian Z,

Moschini M, CAPITANIO U, Karakiewicz PI, Montorsi F, Karnes RJ, Briganti A.

Predicting survival of men with recurrent prostate cancer after radical

prostatectomy. Eur J Cancer. 2016 Feb;54:27-34. doi: 10.1016/j.ejca.2015.11.004.

Epub 2015 Dec 19. PMID: 26707594.

 

45: Lughezzani G, Gallina A, Larcher A, Briganti A, CAPITANIO U, Suardi N, Lista

G, Abrate A, Sangalli MN, Buffi N, Cestari A, Guazzoni G, Rigatti P, Montorsi F.

Radical prostatectomy represents an effective treatment in patients with

specimen-confined high pathological Gleason score prostate cancer. BJU Int. 2013

May;111(5):723-30. doi: 10.1111/j.1464-410X.2012.11114.x. Epub 2012 Apr 4. PMID:

22487441.

 

46: Nocera L, Collà Ruvolo C, Stolzenbach LF, Wenzel M, Tian Z, Larcher A,

CAPITANIO U, Mirone V, Tilki D, Chun FKH, Kapoor A, Shariat SF, Saad F, Montorsi

F, Briganti A, Karakiewicz PI. Tumor Stage and Substage Predict Cancer-specific

Mortality After Nephrectomy for Nonmetastatic Renal Cancer: Histological

Subtype-specific Validation. Eur Urol Focus. 2022 Jan;8(1):182-190. doi:

10.1016/j.euf.2021.02.009. Epub 2021 Feb 27. PMID: 33653677.

 

47: Scattoni V, Raber M, CAPITANIO U, Abdollah F, Roscigno M, Angiolilli D,

Maccagnano C, Gallina A, Saccà A, Freschi M, Doglioni C, Rigatti P, Montorsi F.

The optimal rebiopsy prostatic scheme depends on patient clinical

characteristics: results of a recursive partitioning analysis based on a 24-core

systematic scheme. Eur Urol. 2011 Oct;60(4):834-41. doi:

10.1016/j.eururo.2011.07.036. Epub 2011 Jul 30. PMID: 21820797.

 

48: Gandaglia G, Suardi N, Gallina A, CAPITANIO U, Abdollah F, Salonia A, Nava

L, Colombo R, Guazzoni G, Rigatti P, Montorsi F, Briganti A. Preoperative

erectile function represents a significant predictor of postoperative urinary

continence recovery in patients treated with bilateral nerve sparing radical

prostatectomy. J Urol. 2012 Feb;187(2):569-74. doi: 10.1016/j.juro.2011.10.034.

Epub 2011 Dec 15. PMID: 22177170.

 

49: Dell'Oglio P, Abou-Haidar H, Leyh-Bannurah SR, Tian Z, Larcher A, Gandaglia

G, Fossati N, Shariat SF, CAPITANIO U, Briganti A, Montorsi F, Graefen M, Saad

F, Karakiewicz PI. Assessment of the Rate of Adherence to International

Guidelines for Androgen Deprivation Therapy with External-beam Radiation

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104: Abdollah F, Sun M, Suardi N, Gallina A, CAPITANIO U, Bianchi M, Tutolo M,

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105: Salonia A, Gallina A, Briganti A, Suardi N, CAPITANIO U, Abdollah F,

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106: Salonia A, Gallina A, Briganti A, Zanni G, Suardi N, CAPITANIO U, Colombo

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107: Marchioni M, Bandini M, Pompe RS, Martel T, Tian Z, Shariat SF, Kapoor A,

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108: Rosiello G, Palumbo C, Knipper S, Pecoraro A, Luzzago S, Tian Z, Larcher A,

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109: Rosiello G, Palumbo C, Knipper S, Pecoraro A, Luzzago S, St-Hilaire PA,

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111: Briganti A, Di Trapani E, Abdollah F, Gallina A, Suardi N, CAPITANIO U,

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113: Briganti A, Gallina A, Suardi N, CAPITANIO U, Tutolo M, Bianchi M, Passoni

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114: Gandaglia G, Suardi N, Gallina A, Abdollah F, CAPITANIO U, Salonia A,

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115: Zorn KC, CAPITANIO U, Jeldres C, Arjane P, Perrotte P, Shariat SF, Lee DI,

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117: Schiavina R, Gacci M, Briganti A, Imbimbo C, Simonato A, Borghesi M,

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118: Bhojani N, CAPITANIO U, Suardi N, Jeldres C, Isbarn H, Shariat SF, Graefen

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119: Porter CR, CAPITANIO U, Perrotte P, Walz J, Isbarn H, Kodama K, Gibbons RP,

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120: CAPITANIO U, Karakiewicz PI, Valiquette L, Perrotte P, Jeldres C, Briganti

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121: Gallina A, Ferrari M, Suardi N, CAPITANIO U, Abdollah F, Tutolo M, Bianchi

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122: Abdollah F, Sun M, Suardi N, Gallina A, CAPITANIO U, Bianchi M, Tutolo M,

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123: González J, Gaynor JJ, Martínez-Salamanca JI, CAPITANIO U, Tilki D,

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125: CAPITANIO U, Perrotte P, Zini L, Suardi N, Antebi E, Cloutier V, Jeldres C,

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126: Abdollah F, Briganti A, Suardi N, Gallina A, CAPITANIO U, Salonia A,

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127: CAPITANIO U, Suardi N, Montorsi F, Briganti A. Editorial Comment to Risk

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128: Montorsi F, Larcher A, CAPITANIO U. Re: Rohann J.M. Correa, Alexander V.

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130: CAPITANIO U, Ahyai S, Graefen M, Jeldres C, Shariat SF, Erbersdobler A,

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131: Gallina A, Suardi N, Montorsi F, CAPITANIO U, Jeldres C, Saad F, Graefen M,

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132: Chun FK, Haese A, Ahyai SA, Walz J, Suardi N, CAPITANIO U, Graefen M,

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133: Salonia A, Briganti A, Gallina A, Karakiewicz P, Shariat S, Freschi M,

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134: Briganti A, Tutolo M, Suardi N, Gallina A, Abdollah F, CAPITANIO U, Freschi

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135: Bhojani N, Ahyai S, Graefen M, CAPITANIO U, Suardi N, Shariat SF, Jeldres

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136: Jeldres C, Suardi N, CAPITANIO U, Montorsi F, Shariat SF, Perrotte P,

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137: CAPITANIO U, Karakiewicz PI, Jeldres C, Briganti A, Salonia A, Cestari A,

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