Leandro Capiel
Hospital Italiano de Buenos Aires
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Archivos españoles de urología | 2008
Patricio García Marchiñena; Leandro Capiel; Diego Juarez; Juan Liyo; Carlos Giudice; Guillermo Gueglio; Oscar Damia
Resumen es: Objetivo: La fractura de pene es una lesion que responde habitualmente a un traumatismo cerrado que ocurre con el pene en ereccion. Cerca del 20-30% de l...
Urology | 2018
J.C. Angulo; Sanjay Kulkarni; Joshi Pankaj; Dmitriy Nikolavsky; Pedro Suárez; Javier Belinky; Ramon Virasoro; Jessica DeLong; Francisco Martins; Nicolaas Lumen; Carlos Giudice; Oscar A. Suárez; Nicolás Menéndez; Leandro Capiel; Damian López-Alvarado; Erick A. Ramirez; Krishnan Venkatesan; Maha M. Husainat; Cristina Esquinas; I. Arance; R. Gómez; Richard A. Santucci
OBJECTIVE To evaluate the outcomes and factors affecting success of urethroplasty in patients with stricture recurrence after Urolume urethral stent. MATERIAL AND METHODS This is a retrospective international multicenter study on patients treated with urethral reconstruction after Urolume stent. Stricture and stent length, time between urethral stent insertion and urethroplasty, age, mode of stent retrieval, type of urethroplasty, complications and baseline, and posturethroplasty voiding parameters were analyzed. Successful outcome was defined as standard voiding, without need of any postoperative adjunctive procedure. RESULTS Sixty-three patients were included. Stent was removed at urethroplasty in 61 patients. Reconstruction technique was excision and primary anastomosis in 14 (22.2%), dorsal onlay buccal mucosa graft (BMG) in 9 (14.3%), ventral onlay BMG in 6 (9.5%), dorsolateral onlay BMG in 9 (14.3%), ventral onlay plus dorsal inlay BMG in 3 (4.8%), augmented anastomosis in 5 (7.9%), pedicled flap urethroplasty in 6 (9.5%), 2-stage procedure in 4 (6.4%), and perineal urethrostomy in 7(11.1%). Success rate was 81% at a mean 59.7 ± 63.4 months. Dilatation or internal urethrotomy was performed in 10 (15.9%) and redo-urethroplasty in 5 (7.9%). Total International Prostate Symptom Score, quality of life, urine maximum flow, and postvoid residual significantly improved (P <.0001). Complications occurred in 8 (12.7%), all Clavien-Dindo ≤2. Disease-free survival rate after reconstruction was 88.1%, 79.5%, and 76.7% at 1, 3, and 5 years, respectively. Explant of individual strands followed by onlay BMG is the most common approach and was significantly advantageous over the other techniques (P = .018). CONCLUSION Urethroplasty in patients with Urolume urethral stents is a viable option of reconstruction with a high success rate and very acceptable complication rate. Numerous techniques are viable; however, urethral preservation, tine-by-tine stent extraction, and use of BMG augmentation produced significantly better outcomes.
World Journal of Urology | 2017
Jessica DeLong; Kurt A. McCammon; Leandro Capiel; Augustín Rovegno; Jeremy Tonkin; Gerald H. Jordan; Ramon Virasoro
PurposeTo present our technique and outcomes for perineal urethrostomy augmented with a dorsal onlay buccal mucosa graft (BMG). Results from initial series and collaboration from an international center are included.MethodsA retrospective chart review of all adult patients who underwent urethral reconstruction with perineal urethrostomy utilizing a buccal mucosal graft between January 1, 2002 and January 1, 2013 was performed. All surgeries were performed by three surgeons using the same technique (GHJ, KAM, and RV). Success was defined as no need for additional treatment following definitive surgery.ResultsA total of 44 patients met inclusion criteria. Mean patient age was 60 (range 44–81) years. All strictures were pananterior. Etiologies included unknown in 16 (36%), failed hypospadias repair in six (14%), lichen sclerosus in ten (23%), iatrogenic in seven (16%), Fournier’s in three (7%), urethral cancer in one (2%) and penile cancer in one (2%). Mean follow-up was 45 (range 6–136) months. Overall success was 80%. Nine patients recurred, of which four had a successful revision, two are awaiting potential revision, and three are being managed with periodic dilations.ConclusionsBMG perineal urethrostomy is a valid alternative for complex urethral strictures due to lichen sclerosus, previous failed reconstructions or hypospadias cripples. Midterm results are encouraging for this novel technique.
World Journal of Urology | 2015
Ramon Virasoro; Jack M. Zuckerman; Kurt A. McCammon; Jessica DeLong; Jeremy Tonkin; Leandro Capiel; Agustín Roberto Rovegno; Gabriel Favre; Carlos Roberto Giúdice; Ehab Eltahawy; Uri Gur; Gerald H. Jordan
The Journal of Urology | 2018
J.C. Angulo; Ramon Virasoro; Jessica DeLong; Sanjay Kulkarni; Joshi Pankaj; Francisco Martins; Reynaldo Gomez; Carlos Giudice; Nicolaas Lumen; I. Arance; Cristina Esquinas; Pedro Suárez; Leandro Capiel; Oscar A. Suarez; Nicolás Menéndez; Javier Belinky; Maha Husainat; Richard A. Santucci
Revista Argentina de Urología | 2016
Ramon Virasoro; Leandro Capiel
Revista Argentina de Urología | 2016
Alejandro J. Puga; Luciano Haiquel; Juan I. Brignone; Leandro Capiel; Agustín Roberto Rovegno
Archivos españoles de urología | 2015
Virasoro R; Storme Oa; Leandro Capiel; Ghisini Da; Rovegno A
The Journal of Urology | 2013
Ramon Virasoro; Mary James; Kurt A. McCammon; Gerald H. Jordan; Leandro Capiel; Agustín Roberto Rovegno; Gabriel Favre; Carlos Giudice; Ehab Eltahawy; Uri Gur
The Journal of Urology | 2013
Ramon Virasoro; Mary James; Erik Grossgold; Kurt A. McCammon; Gerald H. Jordan; Leandro Capiel; Agustín Roberto Rovegno