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    5508 results match your criteria Actas Urologicas Espanolas[Journal]

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    Diagnosis and treatment of male patients with lower urinary tract symptoms in Spain - The MERCURY Study. Do urologists follow the recommendations of the European guidelines?
    Actas Urol Esp 2018 Feb 7. Epub 2018 Feb 7.
    Health Economics and Outcomes Research, IQVIA, Barcelona, España.
    Objectives: To explore the management of lower urinary tract symptoms(LUTS) in men in Spain and assess the compliance with recommendationsestablished in the European Association of Urology (EAU) guidelines.

    Material And Methods: MERCURY was an epidemiological and cross-sectionalstudy which involved 227 Urology Units across Spain assessing adult malepatients with mixed LUTS and persisting storage symptoms.Sociodemographic, clinical and resource use data for the 6 months priorto study inclusion were collected. Read More

    Outpatient Holmium laser fulguration: A safe procedure for treatment of recurrence of nonmuscle invasive bladder cancer.
    Actas Urol Esp 2018 Feb 5. Epub 2018 Feb 5.
    Servicio de Urología, Hospital General Universitario J. M. Morales Meseguer, Murcia, España.
    Background And Objective: Nonmuscle invasive bladder cancer has a high recurrence rate and a low progression rate. The aim of this study was to assess the effectiveness, safety and feasibility of Holmium laser fulguration in an outpatient regimen for selected tumours.

    Material And Method: A prospective, longitudinal cohort study was conducted between January 2009 and December 2016. Read More

    National recommendations document on the follow-up of patients with renal cell carcinoma.
    Actas Urol Esp 2018 Feb 2. Epub 2018 Feb 2.
    Unidad de Gestión Clínica de Urología, Hospital Universitario Virgen de las Nieves, Granada, España. Electronic address:
    Objectives: This document was developed to establish directives for the follow-up of patients with renal cell carcinoma (RCC) based on the best available scientific evidence and on expert opinions, which can help urologists in the decision-making process and standardise the criteria at the national level.

    Material And Methods: The methodology is based on the RAND/UCLA method. A panel of 9 experts on RCC participated in designing a thematic index, identifying and reading the available evidence, formulating recommendations and drafting the content. Read More

    Factors involved in the late failure of endoscopic treatment of vesicoureteral reflux.
    Actas Urol Esp 2018 Jan 31. Epub 2018 Jan 31.
    Sección de Urología, Servicio de Cirugía Pediátrica, Hospital Universitario 12 de Octubre, Madrid, España.
    Introduction: The short-term results of endoscopic treatment of vesicoureteral reflux (VUR) are excellent. Over time, however, a number of patients have been identified for whom VUR reappeared after being resolved with this technique. The aim of this study was to analyse the factors related to this event. Read More

    Our experience in the management of prostate cancer in renal transplant recipients.
    Actas Urol Esp 2018 Jan 26. Epub 2018 Jan 26.
    Department of Urology and Renal Transplantation, Bellvitge University Hospital, IDIBELL, Barcelona, España.
    Introduction And Objectives: The management of Prostate cancer (PCa) in renal transplant recipients (RTR) is challenging and remain controversial. Currently there is no consensus about this condition. The aim of the study was to analyse our experience in the diagnosis and management of PCa in RTR. Read More

    Functional outcomes after prostatic cryosurgery.
    Actas Urol Esp 2018 Jan 20. Epub 2018 Jan 20.
    Unidad de Uro-Oncología, Servicio de Urología, Hospital Clínic, Universitat de Barcelona, Barcelona, España.
    Objective: To assess the functional effects of prostatic cryosurgery on micturition.

    Material And Methods: Prospective study of men who underwent cryosurgery (CS) for prostate cancer between 2013 - 2015. Low urinary tract symptoms (LUTS) and quality of life (QoL) were assessed 1 month before surgery using IPSS questionnaire, a three-day voiding diary (3DVD) and uroflowmetry with ultrasound-measured postvoid residual volume. Read More

    Current status of tissue engineering applied to bladder reconstruction in humans.
    Actas Urol Esp 2018 Jan 11. Epub 2018 Jan 11.
    Servicio de Urología, Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España.
    Context And Objective: Bladder reconstruction is performed to replace or expand the bladder. The intestine is used in standard clinical practice for tissue in this procedure. The complications of bladder reconstruction range from those of intestinal resection to those resulting from the continuous contact of urine with tissue not prepared for this contact. Read More

    Rectal culture-directed antibiotic prophylaxis before transrectal prostate biopsy: Reduced infectious complications and healthcare costs.
    Actas Urol Esp 2018 Jan 10. Epub 2018 Jan 10.
    Servicio de Urología, Hospital Universitario de Cabueñes, Gijón, España.
    Background: Transrectal ultrasound-guided prostate biopsy (TUPB) is associated with infectious complications (ICs), which are related to a greater prevalence of ciprofloxacin-resistant bacteria (CRB) in rectal flora. We examined the ICs that occurred in 2 groups: A guided antibiotic prophylaxis (GP) group and an empiric prophylaxis (EP) group. We assessed the financial impact of GP. Read More

    Safety and efficacy of various strains of bacille Calmette-Guérin in the treatment of bladder tumours in standard clinical practice.
    Actas Urol Esp 2017 Dec 30. Epub 2017 Dec 30.
    Servicio de Urología, Hospital Universitario 12 de Octubre, Madrid, España.
    Background: The natural progression of bladder tumours (nonmuscle-invasive bladder cancer [NMIBC]) is recurrence with a high rate of progression. Bacille Calmette-Guérin (BCG) has been shown effective in reducing these rates, but there are few comparative studies between strains.

    Material And Methods: An observational, prospective and multicentre registry studied 433 patients with a 12-month follow-up visit from 961 registered patients, assessing disease-free survival (DFS), progression-free survival (PFS) cancer-specific survival (CSS) and adverse effects. Read More

    Patient satisfaction with correction of congenital penile curvature.
    Actas Urol Esp 2017 Dec 29. Epub 2017 Dec 29.
    Sección de Andrología, Servicio de Urología, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.
    Background: Congenital penile curvature is a relatively rare disease, resulting from a deviation of the penis from the body's straight axis when erect. The prevalence is difficult to determine. Although it has been suggested that the condition could affect up to 10% of the male population, most of these deviations are minor, with no clinical or psychological importance, which leads to its underdiagnosis. Read More

    The role of cognitive training in endourology: a randomised controlled trial.
    Actas Urol Esp 2017 Dec 29. Epub 2017 Dec 29.
    MRC Centre for Transplantation, King's College London, Londres, Reino Unido; Department of Urology, Guy's and St. Thomas' NHS Foundation Trust, Londres, Reino Unido. Electronic address:
    Introduction: Cognitive training is an important training modality which allows the user to rehearse a procedure without physically carrying it out. This has led to recent interests to incorporate cognitive training within surgical education but research is currently limited. The use of cognitive training in surgery is not clear-cut and so this study aimed to determine whether, relative to a control condition, the use of cognitive training improves technical surgical skills on a ureteroscopy simulator, and if so whether one cognitive training method is superior. Read More

    Actual incidence of prostate cancer in healthcare areas of the autonomous community of Castilla-Leon during 2014. CAPCYL registry data.
    Actas Urol Esp 2017 Dec 29. Epub 2017 Dec 29.
    Complejo Asistencial Universitario de Salamanca y Grupo de Investigaciones Traslacionales en Urología IBSAL-GITUR, Salamanca, España.
    Objective: To determine the actual incidence of prostate cancer (PC) in the healthcare areas of Castilla-Leon in 2014.

    Material And Methods: A multicentre study was conducted with the participation of 7 of the 9 healthcare areas of Castilla-Leon. We collected retrospective data that included 87. Read More

    Super-mini percutaneous nephrolithotomy for renal stone less than 25mm in pediatric patients: Could it be an alternative to shockwave lithotripsy?
    Actas Urol Esp 2017 Dec 19. Epub 2017 Dec 19.
    Department of Urology, Guangdong Key Laboratory of Urology, Minimally Invasive Surgery Center, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
    Aim: To evaluate the efficacy of 2 different techniques: shock wave lithotripsy (SWL) vs. super-mini percutaneous nephrolithotomy (SMP), in terms of success as well as complication rates in pediatric renal stones sizing<25mm.

    Patients And Methods: A total of 219 children (aging between 1-17 years) undergoing 2 different treatment modalities (SWL vs. Read More

    Efficacy of hypopressive abdominal gymnastics in rehabilitating the pelvic floor of women: A systematic review.
    Actas Urol Esp 2017 Dec 13. Epub 2017 Dec 13.
    Escuela Universitaria de Enfermería, Universidad de La Rioja, Logroño, España. Electronic address:
    Background: Hypopressive abdominal gymnastics has been proposed as a new paradigm in rehabilitating the pelvic floor. Its claims contraindicate the recommendation for pelvic floor muscle training during the postpartum period.

    Objective: To determine whether hypopressive abdominal gymnastics is more effective than pelvic floor muscle training or other alternative conservative treatments for rehabilitating the pelvic floor. Read More

    Is the adjustable transobturator system ATOMS® useful for the treatment of male urinary incontinence in low to medium volume urological centers?
    Actas Urol Esp 2017 Nov 21. Epub 2017 Nov 21.
    Urology Department, Centro Hospitalar São João, Porto, Portugal; Faculdade de Medicina, Universidade do Porto, Porto, Portugal; i3S Institute for Innovation and Health Research, Porto, Portugal.
    Introduction: Urinary incontinence (UI) is a complication of radical prostatectomy (RP) and transurethral resection of the prostate (TURP). The gold-standard treatment is the artificial urinary sphincter, however, new treatments have been investigated.

    Objective: To examine the outcome of an adjustable transobturator male system (ATOMS) in men with UI after prostatic surgery in a low to medium volume continence center. Read More

    Clinical usefulness of random biopsies in diagnosis and treatment of non-muscle invasive bladder cancer: Systematic review and meta-analysis.
    Actas Urol Esp 2017 Nov 20. Epub 2017 Nov 20.
    Unidad de Uro-Oncología, Servicio de Urología, Fundació Puigvert, Universitat Autònoma de Barcelona, Barcelona, España. Electronic address:
    Introduction And Objective: This systematic review of the literature has been focused on determining the clinical usefulness of random bladder biopsies (RB) in the diagnosis of carcinoma in situ. A meta-analysis was performed to establish the clinic and pathological factors associated to positive biopsies.

    Evidence Acquisition: A systematic review was performed using Pubmed/Medline database according to the PRISMA guidelines. Read More

    Cumulative incidence and predictive factors of radiation cystitis in patients with localized prostate cancer.
    Actas Urol Esp 2017 Nov 20. Epub 2017 Nov 20.
    Faculty of Medicine of Porto University, Centro Hospitalar São João, Porto, Portugal; Department of Urology, Centro Hospitalar São João, Porto, Portugal; i3S, Instituto de Investigação e Inovação em Saúde, Porto University, Porto, Portugal.
    Purpose: To determine the cumulative incidence of overall and severe radiation cystitis in a high volume cohort of patients and to investigate its potential predictive factors.

    Methods: We have performed a retrospective analysis of clinical data from patients diagnosed with localized prostate cancer and treated with radiotherapy at our institution (June 2005-January 2013), and quantified the cumulative incidence of radiation cystitis. Cox regression analysis and Kaplan-Meier curves were computed to evaluate the determinants of radiation cystitis. Read More

    Laparoscopic partial nephrectomy: Comparative study of the transperitoneal pathway and the retroperitoneal pathway.
    Actas Urol Esp 2017 Nov 20. Epub 2017 Nov 20.
    Servicio de Urología, Hospital Universitari Parc Taulí, Universitat Autònoma, Sabadell, Barcelona, España.
    Introduction: Laparoscopic partial nephrectomy is the recommended treatment for tumours smaller than 4cm in cases where it is feasible. Depending on the location of the tumour, the transabdominal or direct retroperitoneal pathway may be considered.

    Objective: To compare the transperitoneal (TPPN) and direct retroperitoneal (RPPN) partial nephrectomies performed between 2007 and 2016. Read More

    Infections by carbapenemase-producing enterobacteriaceae in a department of urology. A new challenge.
    Actas Urol Esp 2017 Nov 17. Epub 2017 Nov 17.
    Servicio de Urología, Hospital Universitario 12 de Octubre, Madrid, España.
    Objectives: To analyse infections by carbapenemase-producing enterobacteriaceae (CPE) and describe the characteristics and potential risk factors associated with patients of a department of urology.

    Material And Methods: Observational and retrospective study. The inclusion criterion was hospitalisation in our department of Urology between August 2013 and December 2016. Read More

    Long-term follow-up of the AdVance/AdVanceXPsling. What are the surgeons' impressions? What are the patients'?
    Actas Urol Esp 2017 Nov 10. Epub 2017 Nov 10.
    Servicio de Urología, Hospital Universitario Morales Meseguer, Murcia, España.
    Objectives: To analyse the safety, efficacy and quality of life of patients with male stress urinary incontinence after radical prostatectomy treated with the AdVanceand AdvanceXPslings.

    Patients And Method: The study included 92 patients with stress urinary incontinence after radical prostatectomy treated with the AdVanceand AdVanceXPsling between May 2008 and December 2015. A perineal repositioning test was performed in all cases with sphincter coaptation of≥1. Read More

    Apoptotic effect as biomarker of disease, severity and follow-up in interstitial cystitis.
    Actas Urol Esp 2017 Nov 10. Epub 2017 Nov 10.
    Departamento de Urología, Hospital Universitario La Fe, Valencia, España.
    Objective: To determine whether the apoptotic effect test could serve as a biomarker of severity in bladder pain syndrome/interstitial cystitis.

    Material And Methods: A prospective study was conducted between January 2010 and January 2015, which included 57 patients diagnosed with interstitial cystitis and 49 diagnosed with chronic pelvic pain of gynaecological origin. The urine was exposed to cell cultures, and the urine's capacity for inducing apoptosis in the cultures was analysed. Read More

    Treatment options and predictive factors for recurrence and cancer-specific mortality in bladder cancer after renal transplantation: A multi-institutional analysis.
    Actas Urol Esp 2017 Dec 8;41(10):639-645. Epub 2017 Nov 8.
    Servicio de Urología, Fundació Puigvert, Barcelona, España.
    Objectives: Bladder cancer (BC) in the transplanted population can represent a challenge owing to the immunosuppressed state of patients and the higher rate of comorbidities. The objective was to analyze the treatment of BC after renal transplant (RT), focusing on the mode of presentation, diagnosis, treatment options and predictive factors for recurrence.

    Material And Methods: We conducted an observational prospective study with a retrospective analysis of 88 patients with BC after RT at 10 European centers. Read More

    Office stent placement under local anesthesia is a safe and efficient procedure for the management of multiple ureteral disorders.
    Actas Urol Esp 2017 Oct 26. Epub 2017 Oct 26.
    Departamento de Urología, Hospital Clinic, Universidad de Barcelona, Barcelona, España.
    Objective: To assess the outcomes of ureteral stent placement under local anesthesia for the management of multiple ureteral disorders.

    Methods: Retrospective study of 45 consecutive ureteral stents placed under local anesthesia from January 2015 to July 2016. Inclusion criteria were hemodynamically stable patients with urinary obstruction, urinary fistula or for prophylactic ureteral localization during surgery. Read More

    Impact of overactive bladder symptoms on work activity: The ACTIVHA study.
    Actas Urol Esp 2017 Nov 2. Epub 2017 Nov 2.
    Real World Insights, QuintilesIMS, Barcelona, España.
    Objectives: To analyse the impact of overactive bladder (OAB) symptoms on the work activity of patients in Spain.

    Method: An observational, multicentre cross-sectional study was conducted with 149 urologists and 131 gynaecologists of Spain and included patients diagnosed with OAB, according to clinical judgment, who were of working age (18-65 years). We collected sociodemographic, clinical and work activity data. Read More

    The digital environment in men's sexual disorders: A systematic review.
    Actas Urol Esp 2017 Nov 1. Epub 2017 Nov 1.
    Departmento de Urología, Hospital Clínic de Barcelona, Barcelona, España.
    Context: The revolution of digital technologies constitutes a new setting for the patient-physician relationship and provides patients with a scenario of privacy and universal access to a vast amount of information. However, there is little information on how digital resources are used and what their advantages and disadvantages are.

    Objectives: To explore the scope of the scientific research on the use of digital technology related to men's sexual disorders and to analyze the primary sources of digital information related to this field. Read More

    Cognitive function in patients on androgen suppression: A prospective, multicentric study.
    Actas Urol Esp 2017 Oct 25. Epub 2017 Oct 25.
    Hospital Universitario Sant Joan d'Alacant, Alicante, España.
    Objective: To assess the effect of androgen deprivation therapy (ADT) on cognitive performance (CP) in patients with prostate cancer (PCa) after 6 months of treatment with luteinizing hormone-releasing hormone (LHRH) analogues.

    Material And Methods: Prospective, observational, multicentre, open-label study of patients diagnosed with nonmetastatic or asymptomatic metastatic PCa scheduled to receive LHRH analogues for≥6 months. We assessed four CP domains at baseline and after 6 months of ADT: 1) Working memory: Wechsler Adult Intelligence Scale III (WAIS III) Digit Span Subtest (WAIS III-Digit); 2) Visual memory: ad hoc visual memory test; 3) Visuospatial ability: Judgement of Line Orientation (JLO) and Mental Rotation of Three-Dimensional Objects (3D-Rotation); and 4) Nonverbal analytical reasoning: WAIS III Matrix Reasoning Test (WAIS III-MRT). Read More

    Management of iatrogenic cystoscopic urethral lesion associated with sequela of cuff erosion in a patient after previous AMS 800 implantation. One-step technique with revision, without cuff explantation.
    Actas Urol Esp 2017 Oct 31. Epub 2017 Oct 31.
    Department of Urology, Teaching Hospital, Landesklinikum Korneuburg, Korneuburg, Austria.
    Introduction: Iatrogenic urethral lesion with subsequent cuff erosion during cystoscopy is a rare complication. The alternative surgical strategy with in situ urethroplasty while maintaining the open cuff left in situ will be presented.

    Materials And Methods: The authors report 3cases of iatrogenic urethral lesion with cuff erosion during cystoscopic evaluation to exclude stricture or cuff erosion due to new onset of obstructive lower urinary tract symptoms. Read More

    Testing Smart Glasses in urology: Clinical and surgical potential applications.
    Actas Urol Esp 2017 Oct 13. Epub 2017 Oct 13.
    Departamento de Urología, Hospital Clínic de Barcelona, Barcelona, España.
    Objectives: We aimed to explore the potential benefits of using smart glasses - wearable computer optical devices with touch-less command features - in the surgery room and in outpatient care settings in urology.

    Materials And Methods: Between April and November 2015, 80 urologists were invited to use Google Glass in their daily surgical and clinical practice, and to share them with other urologists. Participants rated the usefulness of smart glasses on a 10-point scale, and provided insights on their potential benefits in a telephone interview. Read More

    Role of imaging techniques in the diagnosis and follow-up of muscle-invasive bladder carcinoma.
    Actas Urol Esp 2017 Oct 10. Epub 2017 Oct 10.
    Servicio de Radiología, Hospital Universitario Central de Asturias, Oviedo, España.
    Introduction: Muscle-invasive bladder malignancies represent 20-30% of all bladder cancers. These patients require imaging tests to determine the regional and distant staging.

    Objective: To describe the role of various imaging tests in the diagnosis, staging and follow-up of muscle-invasive bladder cancer. Read More

    Laparoscopic adenomectomy: 10 years of experience.
    Actas Urol Esp 2017 Oct 7. Epub 2017 Oct 7.
    Servicio de Urología, Fundación Puigvert, Barcelona, España.
    Introduction: Lower urinary tract symptoms secondary to increased prostate volume are associated with ageing and are becoming more prevalent due to increased life expectancy. We present our experience with transperitoneal laparoscopic adenomectomy for the management of bladder outlet obstruction caused by benign prostatic enlargement.

    Materials And Methods: We performed a retrospective review of patients who underwent laparoscopic adenomectomy between 2005 and 2015. Read More

    3+4 = 6? Implications of the stratification of localised Gleason 7 prostate cancer by number and percentage of positive biopsy cores in selecting patients for active surveillance.
    Actas Urol Esp 2017 Sep 14. Epub 2017 Sep 14.
    Servicio de Urología, Hospital Universitari i Politècnic La Fe, Valencia, España.
    Objective: To determine whether the number and percentage of positive biopsy cores identify a Gleason 3+4 prostate cancer (PC) subgroup of similar biologic behaviour to Gleason 3+3.

    Material And Method: An observational post-radical prostatectomy study was conducted of a cohort of 799 patients with localised low-risk (n=582, Gleason 6, PSA <10ng/ml and cT1c-2a) and favourable intermediate PC (n=217, Gleason 3+4, PSA ≤10 ng/ml and pT2abc). The Gleason 3+4 tumours were stratified by number (≤3 vs. Read More

    Pelvic exenteration for gynecologic malignancies: Postoperative complications and oncologic outcomes.
    Actas Urol Esp 2017 Sep 11. Epub 2017 Sep 11.
    Servicio de Urología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
    Introduction And Objective: To evaluate complications, morbidity and oncologic outcomes of pelvic exenteration as treatment for gynecologic malignancies.

    Materials And Methods: Between 2008 and 2015, a total of 35 patients underwent pelvic exenteration, due to recurrence of gynecological cancer. Surgical outcomes, early and late postoperative complications, and recurrence/survival outcomes were assessed. Read More

    Minilaparoscopy in urology: Systematic review.
    Actas Urol Esp 2017 Aug 30. Epub 2017 Aug 30.
    Servicio de Urología. Hospital Universitario Puerta del Mar, Cádiz, España.
    Context: There has been a boom in recent years in urological procedures using minilaparoscopy (ML).

    Objective: To conduct a systematic review of the published evidence on ML and its current role in urology.

    Acquisition Of Evidence: We performed a search on MedLine spanning October 1983 to December 2016 according to PRISMA criteria. Read More

    Endoscopic treatment of urethrodeferential reflux in children.
    Actas Urol Esp 2017 Aug 23. Epub 2017 Aug 23.
    Departamento de Urología Pediátrica, Hospital General Universitario Gregorio Marañón, Madrid, España.
    Introduction: Urethrodeferential reflux is an underdiagnosed condition, and there is no consensus on its treatment. Our objective is to show our experience in the minimally invasive treatment of this disease using endoscopy.

    Material And Methods: We present 8 patients with recurrent suppurative orchitis due to urethrodeferential reflux treated endoscopically during the period 2008-2013. Read More

    Cryotherapy versus high-intensity focused ultrasound for treating prostate cancer: Oncological and functional results.
    Actas Urol Esp 2017 Aug 14. Epub 2017 Aug 14.
    Departamento de Urología, Hospital Ramón y Cajal, Madrid, España.
    Context And Objective: The increasingly early diagnosis of prostate cancer requires a search for therapeutic alternatives with good oncological results that in turn facilitate a good long-term quality of life. This review analyses 2 minimally invasive therapies for treating localised prostate cancer in terms of oncological and functional results, as well as the complications resulting from the therapies.

    Acquisition Of Evidence: A systematic literature review was conducted of the treatment of localised prostate cancer with 2 ablative techniques as the primary therapy: cryosurgery or cryotherapy and high intensity focused ultrasound (HIFU). Read More

    Validation of the prostate health index in a predictive model of prostate cancer.
    Actas Urol Esp 2018 Jan - Feb;42(1):25-32. Epub 2017 Aug 12.
    Departamento de Urología, Hospital Universitario Príncipe de Asturias, Alcalá de Henares (Madrid), España; Departamento de Biología de Sistemas, Facultad de Medicina, Universidad de Alcalá de Henares, Alcalá de Henares (Madrid), España.
    Objectives: To validate and analyse the clinical usefulness of a predictive model of prostate cancer that incorporates the biomarker «[-2] pro prostate-specific antigen» using the prostate health index (PHI) in decision making for performing prostate biopsies.

    Material And Methods: We isolated serum from 197 men with an indication for prostate biopsy to determine the total prostate-specific antigen (tPSA), the free PSA fraction (fPSA) and the [-2] proPSA (p2PSA). The PHI was calculated as p2PSA/fPSA×√tPSA. Read More

    Systematic review of kidney transplantation functional predictors.
    Actas Urol Esp 2017 Aug 10. Epub 2017 Aug 10.
    Servicio de Urología, Hospital de la Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, España.
    Context: Kidney transplantation from donors with expanded criteria has increased the pool of kidneys at the cost of a higher risk of short and long-term graft dysfunction. The main issue lies in determining which kidneys will offer acceptable function and survival compared with the risk represented by surgery and subsequent immunosuppression.

    Objective: The objective of our article is to review the current evidence on the tools for predicting the functionality of kidney transplantation from cadaveric donors with expanded criteria and determining the validity for their use in standard practice. Read More

    Laparoscopic partial nephrectomy with prior superselective embolisation as treatment for giant renal angiomyolipoma.
    Actas Urol Esp 2018 Jan - Feb;42(1):64-68. Epub 2017 Aug 10.
    Servicio de Urología, Hospital Universitario Infanta Elena/Hospital Universitario Fundación Jiménez Díaz, Madrid, España.
    Objective: Cases of giant renal angiomyolipoma (>9cm) are a therapeutic challenge due to their low frequency and large size. The treatment objective for patients with renal angiomyolipoma should be complete tumour extirpation, with a nephron-sparing surgical technique, without complications and using a minimally invasive approach.

    Material And Methods: We present 3 cases of giant angiomyolipoma (10 12 and 14cm) treated with a combined approach: superselective embolisation and subsequent laparoscopic partial nephrectomy, in 3 separate hospitals. Read More

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