RUBENS PARK
Projetos de Pesquisa
Unidades Organizacionais
LIM/55 - Laboratório de Urologia, Hospital das Clínicas, Faculdade de Medicina
9 resultados
Resultados de Busca
Agora exibindo 1 - 9 de 9
- The accuracy of multiparametric magnetic resonance imaging (mpMRI) using PI-RADS v2 in disease upgrading on re-biopsy among patients with low-risk prostate cancer (PCa) on active surveillance (AS): A Brazilian perspective.(2017) VIANA, Pablio C. C.; HORVAT, Natally; GUGLIELMETTI, Giuliano; COELHO, Rafael; NAHAS, William Carlos; PARK, Rubens; BEZERRA, Regis; BASTOS, Diogo Assed; RODRIGUES, Thiana; VARGAS, Hebert Alberto
conferenceObject THE ACCURACY AND VALIDATION OF MULTIPARAMETRIC MAGNETIC RESONANCE IMAGING (MPMRI) USING PI-RADS V2 IN DISEASE UPGRADING ON RE-BIOPSY AMONG PATIENTS WITH LOW-RISK PROSTATE CANCER ON ACTIVE SURVEILLANCE (AS) - A BRAZILIAN PERSPECTIVE.(2017) VIANA, Publio; HORVAT, Natally; PESSOA, Rodrigo; RODRIGUES, Thiana; GUGLIELMETTI, Giuliano; COELHO, Rafael; PARK, Rubens; VARGAS, Herbert Alberto; NAHAS, WillianconferenceObject URETEROILEAL BYPASS: A NEW ROBOTIC TECHNIC TO TREAT URETEROENTERERIC STRICTURES IN URINARY DIVERSION(2017) PADOVANI, Guilherme; PARK, Rubens; MELLO, Marcos; COELHO, Rafael; BORGES, Leonardo; NESSRALAH, Adriano; SROUGI, Miguel; NAHAS, WilliamconferenceObject EVALUATION OF REPRODUCTIVE SYSTEM ANATOMY AND GONADAL FUNCTION IN PATIENTS WITH PRUNE-BELLY SYNDROME(2015) COCUZZA, M.; TISEO, B. C.; PARK, R.; PADOVANI, G. P.; BARONI, R. H.; TAVARES, A.; DENES, F. T.; SROUGI, M.- Abdominoplasty in Prune Belly Syndrome(2015) DENES, F. T.; PARK, R.; LOPES, R. I.; MOSCARDI, P. R. M.; SROUGI, M.Introduction Many patients with Prune Belly Syndrome (PBS) require abdominoplasty alone or in combination with correction of any urogenital abnormalities. This video presents a simplified technique with which to treat the abdominal flaccidity in PBS. Methods A longitudinal xypho-pubic fusiform figure is drawn on the abdomen, based on the area of skin and subcutaneous tissue to be removed. This is performed with preservation of the musculo-fascial layer and the umbilicus. A lateral elliptical single xypho-pubic line is drawn in the most lax side of the fascia, which is incised along this line. After urinary tract reconstruction and orchidopexy, closure is initiated by suturing the medial edge of the wider fascial flap laterally to the peritoneal side of the contralateral flap. Next, the now outer fascial flap is laid over the inner flap, and a buttonhole is made to expose the umbilicus. The subcutaneous tissue of the inner flap is laterally undermined to gain extra distance for the suture of the outer flap over the inner flap. The subcutaneous tissue and skin are sutured in the midline, incorporating the umbilicus. Results In a 30-year period, 43 PBS patients underwent this procedure with good cosmetic and long-term functional results. Conclusion This abdominoplasty technique is simple and presents good functional and cosmetic results in PBS patients.
conferenceObject RENAL CANCER WITH VENOUS THROMBUS - HOW DIFFERENT RENAL VEIN AND INFERIOR VENA CAVA INVOLVEMENT REALLY ARE?(2016) FREDDI, Rodrigo; PARK, Rubens; CORDEIRO, Mauricio; OLIVEIRA, Luiz; GUGLIELMETTI, Giuliano; COELHO, Rafael; ANDRAUS, Wellington; NAHAS, William- Low serum testosterone is a predictor of high-grade disease in patients with prostate cancer(2017) ALBUQUERQUE, George A. M. Lins de; GUGLIELMETTI, Giuliano B.; BARBOSA, João Arthur B. A.; PONTES JR., José; FAZOLI, Arnaldo J. C.; CORDEIRO, Maurício D.; COELHO, Rafael F.; CARVALHO, Paulo Afonso de; GALLUCCI, Fábio P.; PADOVANI, Guilherme P.; PARK, Rubens; CURY, José; NONEMACHER, Henrique; SROUGI, Miguel; NAHAS, William C.Summary Objective: To evaluate the relation between serum total testosterone (TT) and prostate cancer (PCa) grade and the effect of race and demographic characteristics on such association. Method: We analyzed 695 patients undergoing radical prostatectomy (RP), of whom 423 had serum TT collected. Patients were classified as having hypogonadism or eugonadism based on two thresholds of testosterone: threshold 1 (300 ng/dL) and threshold 2 (250 ng/dL). We evaluated the relation between TT levels and a Gleason score (GS) ≥ 7 in RP specimens. Outcomes were evaluated using univariate and multivariate analyses, accounting for race and other demographic predictors. Results: Out of 423 patients, 37.8% had hypogonadism based on the threshold 1 and 23.9% based on the threshold 2. Patients with hypogonadism, in both thresholds, had a higher chance of GS ≥ 7 (OR 1.79, p=0.02 and OR 2.08, p=0.012, respectively). In the multivariate analysis, adjusted for age, TT, body mass index (BMI) and race, low TT (p=0.023) and age (p=0.002) were found to be independent risk factors for GS ≥ 7. Among Black individuals, low serum TT was a stronger predictor of high-grade disease compared to White men (p=0.02). Conclusion: Hypogonadism is independently associated to higher GS in localized PCa. The effect of this association is significantly more pronounced among Black men and could partly explain aggressive characteristics of PCa found in this race.
- Multiparametric magnetic resonance imaging (mpMRl) and PSA density for the prediction of reclassification among patients under active surveillance.(2019) VIANA, Publio; HORVAT, Natally; PESSOA, Rodrigo Rodrigues; HORVAT, Joao; PARK, Rubens; GUGLIELMETTI, Giuliano; BASTOS, Diogo Assed; CORDEIRO, Mauricio; COELHO, Rafael; VARGAS, Hebert Alberto; NAHAS, William Carlos
- Retroperitoneoscopic pyelolithotomy: a good alternative treatment for renal pelvic calculi in children(2016) CEZARINO, Bruno Nicolino; PARK, Rubens; MOSCARDI, Paulo Renato Marcelo; LOPES, Roberto Iglesias; DENES, Francisco T.; SROUGI, Miguel