DOCTOR DAVIDE BARLETTA, SPECIALIST in ANDROLOGICAL SURGERY.
Dr. Davide Barletta holds a degree in Medicine and Surgery from the University of Pavia and is duly registered in the Register of Doctors of Lecce.
He holds a specialization inUrology, at the same University, working in the Urology department of the San Matteo Polyclinic in Pavia. Expert in clinical andrology and male infertility, he has participated in numerous uro-andrological courses and congresses also as a speaker. Ordinary member of the SIA (Italian Society of Andrology) of Rome. Subsequently he participates and passes the professional training course in surgical andrology sponsored by SICGEM (Italian Society of Male Genital Surgery) in Rome.
As of today it ismedical director at the urology department of the San Matteo polyclinic in Paviaand practices as an expert in clinical and surgical andrology, male infertility and ultrasound of the entire urinary tract and andrological ultrasound at ourVilla Letizia Clinic. Expert in the diagnosis and treatment of Peyronie's disease or induratio penis plastic IPP. Among the most commonly used therapies is the intraplate infiltration of the penile collagenase from clostridium histoliticum XIAPEX.
His way of presenting himself with maximum availability, with the clarity and patience that have always distinguished him, to evaluate the most suitable solution for different needs, very often pushes the patient to establish a relationship of trust with him that goes beyond of the classic doctor-patient relationship.
Fields of major andrological interest
• Erectile deficiency
• Induratio penis plastic
• Penile dysmorphisms
• Male infertility
• Premature ejaculation
• Sexually transmitted diseases
• Andropause
• Decreased libido and hypogonadism
• Phimosis
• Varicocele
• Hydrocele.
Fields of major urological interest
• BPH
• Urinary incontinence
• Urinary stones
• Urinary tract infections
• Urological oncology (kidney-bladder-prostate-testis).
SURGERY AND AESTHETIC MEDICINE OF THE MALE GENITAL.
The doctor is also an expert in cosmetic surgery of the male genitalia.
Among the most requested interventions certainly the enlargement of the penis and the glans through fillers with hyaluronic acid in patients with a small penis and glans.
These outpatient procedures do not require hospitalization, are performed under local anesthesia and have optimal results in terms of efficacy and safety.
PEYRONIE'S DISEASE: NOT ONLY SCALPEL.
With timely drug therapy, surgery can be avoided.
Peyronie's disease or Induratio Penis Plastica (Ipp) is an alteration that affects the cavernous bodies of the penis and causes a progressive change of their natural lining. "Ipp, unfortunately, is no longer rare in andrology", says Dr. Davide Barletta, who attended the course in Clinical Andrology sponsored by the Italian Society of Andrology and obtained the II level Master's Degree in Male Genital Surgery promoted by the Society of Male Genital Surgery.
“The disease – he continues – is caused by an inflammatory process of the tunica albuginea of the penis which leads, over time, to the formation of a penile plaque, which in turn determines penile recurvatum and erectile dysfunction. If no action is taken, there is a high possibility that the symptoms related to PPIs will worsen, leading the patient to the impossibility of having sexual intercourse, both due to excessive curvature of the penis and acute pain".
Peyronie's disease is an andrological pathology treated mainly with surgery, "but if diagnosed in the non-advanced stage, medical therapy alone, through specific drugs, can significantly improve the symptoms", specifies the doctor. "Although drug therapy does not lead to total recovery, it can save many patients from surgery which, as such, can still have a certain number of complications".
In the last two years a new type of treatment for penile recurvatum caused by induratio penis plastic has taken hold with a high success rate: the intraplate use of clostridium histolyticum collagenase (Xiapex), whose function is to dissolve the plaque, improving penile deformity and improving blood flow.
One of the advantages of using collagenase from clostridium histolyticum (xiapex) is the possibility that this method can be performed on an outpatient basis under local anesthesia and is currently the only valid alternative to surgery.