Background: Peyronie’s disease (PD) represents a challenging urological disease, due to not optimal post-operative surgical outcomes. We aim to evaluate if vacuum erection devices (VED) treatment before pe-nile curvature surgery is able to improve the post-operative surgical outcomes. Methods: All enrolled patients were assigned to the following groups: a) treatment group, VED treatment (3 times per week) starting 3 months before surgery and (3 times per week) one months after surgery and b) control group, VED treatment (3 times per week) one months after surgery. Follow-up urologic visits were scheduled at 3 and 6 months after surgery and the two groups were compared. Results: Thirty-eight patients have been enrolled (median age 67 years, 57-74, IQR), 20 in the treatment group and 18 in the control group. At the follow-up visits, the two groups are different in terms of IIEF-5 (26 vs 24; p=0.02), ‘yes’ to SEP2 and 3 (85% vs 55%; p<0.001, 85% vs 50%; p<0.001, respectively) and PDQ (-16 vs -11; p=0.03). Complete correction of penile curvature was achieved in 36 patients (94.7%). In the treatment group, no hourglass deformity has been reported, while in the control group 1 patient reported a mild hourglass deformity. In the treatment group, we obtained a longer total penile length (median +1.5 cm). The overall satisfaction rate was 98% in the treatment group and 96% in the control group. Conclusions: The VED treatment before penile curvature surgery in patients affected by PD is able to improve the post-operative surgery.

Reducing the construction time for large logistics buildings can result in reduced construction management costs and economic gains from early operation. A large logistic building with a heavy load and long spans was constructed as a precast concrete (PC) structure, which requires the use of a sizable crane to lift heavy PC members. A basic analytical approach is employed to resolve potential errors in the planning of PC member erection and to build a systematic erection plan. Calculation techniques for the trajectory distance, which use the crane location, are applied to select an erection plan that minimizes crane work. A crane trajectory distance calculation algorithm for sustainable PC member erection in large logistic buildings with heavy loads and long spans has been developed. The developed model aids in creating simulation and optimization models to ensure minimal usage of cranes in the future and determining cost, construction time, CO2 emissions, and energy use for each erection plan.

Stochastic modelling of geometrically imperfect steel frame structures requires inputs of statistical values of the imperfection parameters, in some cases also with suitably selected mutual correlations between these input parameters. The paper presents a verification study of two stochastic methods to directly model the initial global geometrical imperfections of the steel frame structures. The stochastic input values of geometrical imperfections are derived from the tolerance criteria of the corresponding European Standard. Two advanced stochastic methods have been developed, referred as #RSS (random story sway) and #RSP (random story position). These methods are verified using random sampling simulations. This study provides useful provisions for the advanced numerical analyses of multi-story steel frames of various geometries. The proposed methods are verified for equidistant story heights and for structures of up to 24 stories, hence might be used for the most types of the standard steel frame structures.