Oncology and surgical practice are becoming more integrated, as surgeons are often responsible for initially diagnosing and managing solid tumors. A thorough understanding of cancer epidemiology, etiology, staging, and natural history is required to determine the optimal surgical therapy for each patient. Tumor cells acquire several characteristics before becoming fully malignant, including establishing independence from normal growth controls, achieving immortality and angiogenesis, and developing the abilities to invade other tissues and disseminate throughout the body. Both genetic and environmental factors contribute to cancer development in complex ways. A combination of inherited predispositions and exposures to carcinogenic chemicals, viruses, radiation, and other external factors drive the transformation of normal cells into malignant tumors.
The document discusses oncology and cancer epidemiology, etiology, biology, pathology, diagnosis, staging, and treatment. It provides statistics on common cancer types and mortality rates by sex. Cancer results from uncontrolled cell growth and can spread locally or metastasize. Diagnosis involves clinical exams, imaging, biopsies and laboratory tests. Staging classifies cancer extent and guides treatment which may include surgery, radiation, chemotherapy, or a combination. The goal is cure for localized cancer or symptom control and quality life for advanced cancer.
This document discusses modern lifestyle trends and their impact on infertility. It notes that delaying childbearing and fertility treatment, smoking, obesity, stress, and certain environmental toxins can negatively influence fertility. Certain foods (like lentils, garlic, honey), a Mediterranean diet, olive oil, and vitamins may help fertility. The document provides recommendations around lifestyle changes like not delaying childbearing or IVF past age 38, limiting but not eliminating caffeine and alcohol, and quitting smoking to improve fertility outcomes. It emphasizes the importance of lifestyle choices in both reducing infertility and improving the success of fertility treatments.
Oncology and surgical practice are becoming more integrated, as surgeons are often responsible for initially diagnosing and managing solid tumors. A thorough understanding of cancer epidemiology, etiology, staging, and natural history is required to determine the optimal surgical therapy for each patient. Tumor cells acquire several characteristics before becoming fully malignant, including establishing independence from normal growth controls, achieving immortality and angiogenesis, and developing the abilities to invade other tissues and disseminate throughout the body. Both genetic and environmental factors contribute to cancer development in complex ways. A combination of inherited predispositions and exposures to carcinogenic chemicals, viruses, radiation, and other external factors drive the transformation of normal cells into malignant tumors.
The document discusses oncology and cancer epidemiology, etiology, biology, pathology, diagnosis, staging, and treatment. It provides statistics on common cancer types and mortality rates by sex. Cancer results from uncontrolled cell growth and can spread locally or metastasize. Diagnosis involves clinical exams, imaging, biopsies and laboratory tests. Staging classifies cancer extent and guides treatment which may include surgery, radiation, chemotherapy, or a combination. The goal is cure for localized cancer or symptom control and quality life for advanced cancer.
This document discusses modern lifestyle trends and their impact on infertility. It notes that delaying childbearing and fertility treatment, smoking, obesity, stress, and certain environmental toxins can negatively influence fertility. Certain foods (like lentils, garlic, honey), a Mediterranean diet, olive oil, and vitamins may help fertility. The document provides recommendations around lifestyle changes like not delaying childbearing or IVF past age 38, limiting but not eliminating caffeine and alcohol, and quitting smoking to improve fertility outcomes. It emphasizes the importance of lifestyle choices in both reducing infertility and improving the success of fertility treatments.
The document discusses lifestyle factors that can impact fertility, including delaying childbearing, smoking, obesity, stress, and diet. It provides recommendations for improving fertility by not delaying treatment, quitting smoking, losing weight if obese, limiting stress, and eating a healthy diet. The document also discusses vitamins and foods that can support fertility, like lentils, garlic, honey, olive oil, and a Mediterranean-style diet.
Modern lifestyles can negatively impact fertility through factors like delayed childbearing, smoking, obesity, stress, and diet/nutrition. The document recommends several practical steps people can take to support fertility, such as not delaying childbearing past age 38, quitting smoking, losing weight if overweight, limiting caffeine/alcohol, addressing psychological stress, and following a healthy Mediterranean-style diet. The key message is that lifestyle choices have consequences for fertility and people should be aware that small adjustments could make a meaningful difference in their chances of conceiving.
The document discusses lifestyle factors that can impact fertility, including delaying childbearing, smoking, obesity, stress, and diet. It provides recommendations for improving fertility by not delaying treatment, quitting smoking, losing weight if obese, limiting stress, and eating a healthy diet. The document also discusses vitamins and foods that can support fertility, like lentils, garlic, honey, olive oil, and a Mediterranean-style diet.
Modern lifestyles can negatively impact fertility through factors like delayed childbearing, smoking, obesity, stress, and diet/nutrition. The document recommends several practical steps people can take to support fertility, such as not delaying childbearing past age 38, quitting smoking, losing weight if overweight, limiting caffeine/alcohol, addressing psychological stress, and following a healthy Mediterranean-style diet. The key message is that lifestyle choices have consequences for fertility and people should be aware that small adjustments could make a meaningful difference in their chances of conceiving.
18. La prima volta che mi sono
spogliato davanti ad una
donna lei mi ha detto: “cos’è
una caccia al tesoro?”
Dario Vergassola
19.
20. LA CHIRURGIA DI INGRANDIMENTO DEL PENE
Morfologia del pene
FLACCIDITA’ EREZIONE
o Fasce o Albuginea
o Cute prepuzio
21. LA CHIRURGIA DI INGRANDIMENTO DEL PENE
TECNICHE PERICAVERNOSE CHIRURGIA DELL’ALBUGINEA
Innesto tessuto
Innesto tessuto
Aumento diametro in flaccidità Aumento diametro in erezione
Dubbi risultati funzionali Reale falloplastica allargamento
DISMORFOFOBIA IPOPLASIA PENIENA
22. LA CHIRURGIA DI INGRANDIMENTO DEL PENE
TECNICHE PERICAVERNOSE
INIEZIONI DI TESSUTO ADIPOSO (lipofilling)
GRAFT DI TESSUTO ADIPOSO
FLAPS ADIPOSI VASCOLARIZZATI
GRAFT AUTOLOGHI (DERMA)
GRAFT SINTETICI (MATRICI DERMICHE)
SCAFFOLD PERICAVERNOSO
23. LA CHIRURGIA DI INGRANDIMENTO DEL PENE
TECNICHE PERICAVERNOSE
SCARSI RISULTATI COSMETICI
LIPOFILLING PERICAVERNOSO
GRAFT SPESSO ED IMPERMEABILE
DIFFICOLTOSO ATTECCHIMENTO
RISCHIO DI LISI E RIASSORBIMENTO MACROFAGICO
RETRAZIONE TISSUTALE –EDEMA
24. LA CHIRURGIA DI INGRANDIMENTO DEL PENE
TECNICHE PERICAVERNOSE
MIGLIORI RISULTATI COSMETICI
FLAP ADIPOSO VASCOLARIZZATO
ALTO RISCHIO DI NECROSI TISSUTALE
25. LA CHIRURGIA DI INGRANDIMENTO DEL PENE
TECNICHE PERICAVERNOSE
GRAFT DERMICO O SINTETICO PERICAVERNOSO
BUONI RISULTATI COSMETICI
BASSO RISCHIO NECROSI TISSUTALE E RETRAZIONE TISSUTALE
26. LA CHIRURGIA DI INGRANDIMENTO DEL PENE
TECNICHE PERICAVERNOSE
BUONI RISULTATI COSMETICI
SCAFFOLD
27. LA CHIRURGIA DI INGRANDIMENTO DEL PENE
TECNICHE PERICAVERNOSE
ALTRE OPZIONI : IMPIANTO DI PROTESI PERICAVERNOSE
Rischio di
Protesi estrusione
28. LA CHIRURGIA DI INGRANDIMENTO DEL PENE
CHIRURGIA DELL’ALBUGINEA
PZ CON BUONA FUNZIONE ERETTILE
Incisioni bilaterali ai lati albuginea
(risparmio t.erettile)
29. LA CHIRURGIA DI INGRANDIMENTO DEL PENE
CHIRURGIA DELL’ALBUGINEA
Innesto di vena safena
30. LA CHIRURGIA DI INGRANDIMENTO DEL PENE
CHIRURGIA DELL’ALBUGINEA
Innesto di alloderm
31. LA CHIRURGIA DI INGRANDIMENTO DEL PENE
CHIRURGIA DELL’ALBUGINEA
PZ CON DISFUNZIONE ERETTILE
33. IN TEMA DI DIMENSIONI…
• neonato 3.1 – 3.5 cm.
• 10 anni 4.7 – 5.1 cm.
• 11 – 16 anni 6 – 13 cm.
18 anni: flaccidità 8-9 cm.
erezione 14 – 16 cm.
Micropene o Microfallo: 5 – 8 cm. in erezione
34. LA CHIRURGIA DI ALLUNGAMENTO DEL PENE
LA LIPECTOMIA INFRAPUBICA-SEZIONE LIGAMENTO SOSPENSORE
aumentare la distanza tra area pubica e apice del glande (2-3 cm max)
35. LA CHIRURGIA DI ALLUNGAMENTO DEL PENE
LA LIPECTOMIA INFRAPUBICA-SEZIONE LIGAMENTO SOSPENSORE
Inserimento di materiale sintetico infrapubico