Practice · Rome
Frequently Asked
Questions
Everything you need to know before your appointment, about surgery and how to book.
FAQ · Practice
Practical information
How is an appointment booked?
You can fill in the form or call the practice. The secretariat will contact the patient within 2 business days to confirm the date and time of the visit. For urgent cases, you can indicate this in the message field.
Can a small kidney stone pass on its own?
Stones < 4 mm pass spontaneously in 90% of cases within 4 weeks. Those between 4–6 mm in 50–60%. Above 6 mm, spontaneous passage is unlikely and treatment is generally indicated.
What should I bring to the first visit?
It is helpful to bring any tests already performed (ultrasound scans, reports, blood tests), the list of medications taken, and your health card. For oncological visits, also the biopsy histology report if available.
Is kidney stone surgery painful? What to expect afterwards?
Minimally invasive techniques are performed under anaesthesia. On waking, mild urethral discomfort for 24–48 hours is common. Most patients resume activities in 2–3 days.
How long does a visit last?
The visit lasts as long as needed to assess the case properly; the duration varies according to the complexity of the case.
Do kidney stones tend to recur?
The recurrence risk is 50% at 5 years without preventive measures. Stone composition analysis is essential. Diet and hydration are the cornerstones of prevention.
Can I travel with a diagnosed kidney stone?
With small asymptomatic stones, travel is generally possible after assessment. With stones > 1 cm, obstruction or recent infection, it is preferable to treat first.
Will I be incontinent after prostate surgery?
With Prof. Calarco's Bipolar Enucleation technique, 92% of patients are already continent within 24 hours. Full continence is achieved in 98% of cases within 3 months.
Does prostate surgery affect sexual life?
The bipolar technique preserves antegrade ejaculation in 61% of cases — significantly higher than standard techniques. Erectile dysfunction from surgical cause alone is rare with modern minimally invasive approaches.
Can the prostate grow back after surgery?
Enucleation removes the adenoma completely. The probability of re-intervention at 5 years is less than 2%, compared to 10–15% with traditional partial resections.
When can I return to normal activities after prostate surgery?
Most patients are discharged the same day or the following morning. Light daily activities resume in 3–5 days. Intense physical activity and sexual intercourse are possible after 3–4 weeks.
What is a clinical oncological second opinion?
If you already have a diagnosis and want an independent assessment of the proposed treatment plan, you can send your clinical documentation, which will be reviewed within 5 working days.
Does localised prostate cancer always require surgery?
No. Depending on the risk profile, active surveillance, radiotherapy or surgery may all be appropriate. The decision is discussed within the multidisciplinary team.
What does nerve-sparing technique mean?
The nerve-sparing technique preserves the neurovascular bundles responsible for erectile function during radical prostatectomy. The robotic approach allows more precise dissection than open surgery, improving functional outcomes.
Is my case suitable for robotic surgery?
Every indication is personally evaluated. Over 70% of major procedures are performed with the robot, but the choice depends on the condition, stage and patient characteristics.
What are the concrete advantages of the robot over laparoscopy?
The Da Vinci Xi offers seven degrees of freedom of movement (vs 4 for laparoscopy), 10× magnified 3D vision and automatic tremor filtering for greater precision in critical neurovascular areas.
Is robotic surgery oncologically safe?
Positive surgical margins in robotic prostatectomies are lower than in open surgery according to international literature. Oncological safety is equal to or greater than traditional approaches.
Is erectile dysfunction always treatable?
In 70–80% of cases yes, with oral medical therapy. In refractory cases, penile prosthesis implant guarantees excellent satisfaction outcomes (over 90%) for both patient and partner.
Does varicocele always cause infertility?
Not necessarily. Varicocele is present in 15% of men but causes infertility in only some. Semen analysis determines whether surgical correction is indicated.
Can erectile function be recovered after prostatectomy?
Yes, especially in younger patients (<65) with bilateral nerve-sparing technique. Erectile rehabilitation with PDE5-inhibitors begins in the early post-operative weeks. Results depend on age, pre-operative function and surgical quality.
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