Mario Falsaperla

Prof. Dr. Mario Falsaperla

Chairman Department of Urology, ARNAS (Healtcare Conpany of National Relief and High Specialization) Garibaldi of Catania, 95123 Catania, Italy

Research Focus & Metrics

Academic Career Length

23Years (2004-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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22 October 2004 in Urological Research
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Journal Article
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Giuseppe MorgiaGiuseppe Morgia
Giuseppe Morgia
MFMario Falsaperla
Mario Falsaperla
GMGrazia Malaponte
Grazia Malaponte
MMMassimo Madonia
Massimo Madonia
MIManuela Indelicato
Manuela Indelicato
MMMaria Clorinda Mazzarino
Maria Clorinda Mazzarino

1 April 2005 in European Urology
Verified
Journal Article
Closed access
MFMario Falsaperla
Mario Falsaperla
Giuseppe MorgiaGiuseppe Morgia
Giuseppe Morgia
ATALFREDO TARTARONE
ALFREDO TARTARONE
RARaffaele Ardito
Raffaele Ardito
GRGiampiero Romano
Giampiero Romano

12 March 2025 in Journal of Clinical Medicine
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Journal Article
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BRBernardo Rocco
Bernardo Rocco
Alessandro AntonelliAlessandro Antonelli
Alessandro Antonelli
MSMaria Chiara Sighinolfi
Maria Chiara Sighinolfi
EMEnrico De Marzo
Enrico De Marzo
SASimone Tobia Assumma
Simone Tobia Assumma
MFMario Falsaperla
Mario Falsaperla
Introduction: Laparoscopic and robotic bladder diverticulectomy is a successful option to correct bladder diverticula (BD). Nevertheless, the identification of BD could be a tricky step, due to the presence of pneumoperitoneum compressing the bladder. This occurrence could be particularly evident for the posterior or postero-lateral location of BDs. We present a novel technique to overcome this concern based on a rigid guidewire previously endoscopically placed and coiled inside BD, to ensure it expands and remains stable during the dissection. The technique was used in cases of diverticulectomy concomitant to other prostatic procedures. Methods: This is a multicentric series of laparoscopic and robotic diverticulectomy performed with this original technique in 34 patients. The procedure was concomitant to other prostatic intervention in most of the cases: TURP or bladder neck incision (16); radical prostatectomy (three); Millin adenomectomy (four cases). Surgical procedure: The first step of the procedure endoscopic, consisting of the retrograde insertion of a stiff guidewire inside the BD via cystoscopy; the guidewire is pushed in until it coils inside the diverticulum, and then enlarged to make it visible transperitoneally. The guidewire stretches the diverticulum and guides the dissection up to identify its neck. The primary endpoint is to address the feasibility of the technique by considering the operative time (OT, min) and the complication rate. Results: The median size of the BDs was 5.1 cm. The location of the BD was postero-lateral or posterior in all except one case. Bladder diverticulectomy was laparoscopically performed in 25 and robotically assisted in nine cases. Median OT was 179 min (DS 42). The post-operative course was uneventful for all except two patients with symptomatic urinary tract infections. Conclusions: The use of a stiff guidewire coiling and expanding the BD is a simple and useful trick to aid BD’s identification and dissection; it aids diverticulectomy and is also concomitant to other prostatic procedures.