5,694 results match your criteria Actas Urologicas Espanolas[Journal]


COVID-19 Pandemic: Impact and rapid reaction of Urology.

Actas Urol Esp 2020 Apr 24. Epub 2020 Apr 24.

Servicio de Urología, Hospital Universitario Ramón y Cajal. Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, España.

The COVID-19 pandemic caused by the SARS-CoV-2 virus has caused tens of thousands of deaths in Spain and has managed to breakdown the healthcare system hospitals in the Community of Madrid, largely due to its tendency to cause severe pneumonia, requiring ventilatory support. This fact has caused our center to collapse, with 130% of its beds occupied by COVID-19 patients, thus causing the absolute cessation of activity of the urology service, the practical disappearance of resident training programs, and the incorporation of a good part of the urology staff into the group of medical personnel attending these patients. In order to recover from this extraordinary level of suspended activity, we will be obliged to prioritize pathologies based on purely clinical criteria, for which tables including the relevance of each pathology within each area of urology are being proposed. Read More

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http://dx.doi.org/10.1016/j.acuro.2020.04.006DOI Listing

A simple novel training model for teaching suprapubic catheter (SPC) exchange.

Actas Urol Esp 2020 May 21. Epub 2020 May 21.

Leeds Teaching Hospitals, Leeds, Reino Unido. Electronic address:

Objectives: To develop a suprapubic catheter (SPC) training model as no specific realistic training model exists to replicate SPC exchange where a catheter tract is present.

Materials And Methods: We describe a novel, anatomically realistic, animal simulator model for use in SPC training, which was trialed at a national urology simulation boot camp by new urology trainees and validated by expert urologists. A scale reproduction of an abdominal wall was created using a porcine abdominal wall. Read More

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http://dx.doi.org/10.1016/j.acuro.2020.01.011DOI Listing

Testosterone deficiency syndrome: Diagnosis and treatment.

Actas Urol Esp 2020 May 15. Epub 2020 May 15.

Servicio de Urología, Hospital Clínic de Barcelona, Barcelona, España.

The testosterone deficiency syndrome (TDS) is a very common clinical and biochemical condition that affects approximately 2-5% men over the age of 40. From a clinical point of view, it is usually associated with decreased sexual desire and activity, erectile dysfunction, low energy and mood swings, along with T<8-12 nmol/l levels. Questionnaires are not useful in screening but may be useful for diagnosis and follow-up. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.10.009DOI Listing

Three-piece inflatable penile prosthesis: Ectopic reservoir placement.

Actas Urol Esp 2020 May 15. Epub 2020 May 15.

Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España.

Introduction: The complications associated to the placement of the reservoir are infrequent but potentially serious. Therefore, technical alternatives have been developed for the performance of the procedure in different locations (ectopic). The aim of this review is to revise the evidence available on the different options for the ectopic placement of the reservoir. Read More

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http://dx.doi.org/10.1016/j.acuro.2020.04.004DOI Listing

Analysis of preoperative and postoperative expectations of penile implant candidates.

Actas Urol Esp 2020 Apr 27. Epub 2020 Apr 27.

Unidad de Andrología y Urología Reconstructiva, Servicio de Urología, Hospital Universitario Ramón y Cajal, Instituto de Investigación Sanitaria IRYCIS, Madrid, España.

Penile prosthesis implantation is a good option for the treatment of refractory erectile dysfunction. However, the patient's expectations, among other factors, condition his satisfaction after surgery. This review article aims to present the scientific evidence available concerning patient satisfaction with penile prosthesis surgery. Read More

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http://dx.doi.org/10.1016/j.acuro.2020.01.007DOI Listing

Organization of the operating room and specific instruments for the implant of penile prosthesis.

Actas Urol Esp 2020 Apr 25. Epub 2020 Apr 25.

Centro de Urología, Andrología y Medicina Sexual, Instituto Médico Rosselló, Palma de Mallorca, España.

After more than 1600 penile implant surgeries, we can affirm the need for a procedure protocol of the steps prior to this type of surgery, and the importance of carefully control the preparation for the surgical act. The instruments that must be available for surgery include elements that have been specifically designed for this type of intervention, such as the Cavernotomo dilators (Rossello®) or the Furlow. These are essential for penile implant surgeries in the usual practice, especially in complex cases or when complications arise. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.10.014DOI Listing

Complex Peyronie's disease cases: surgery with or without penile prosthesis placement.

Actas Urol Esp 2020 Apr 14. Epub 2020 Apr 14.

Lyx Instituto de Urología, Universidad Francisco de Victoria, Madrid, España; Servicio de Urología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, España. Electronic address:

Introduction And Objective: Surgery is the treatment of choice for patients with Peyronie's disease presenting difficulty in penetration or erectile dysfunction without adequate response to therapy. Several techniques have been described, and urologists must be aware of their possible complications and sequelae in order to offer the patient the best possible alternative.

Patients And Methods: Three complex cases of patients with Peyronie's disease are presented. Read More

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http://dx.doi.org/10.1016/j.acuro.2020.01.008DOI Listing

Empiric therapy for idiopathic oligoasthenoteratozoospermia.

Actas Urol Esp 2020 Apr 10. Epub 2020 Apr 10.

Unidad de Andrología y Cirugía Reconstructiva Urogenital, Servicio de Urología, Hospital Universitario Puerta del Mar, Cádiz, España.

Male infertility accounts for 50% of the causes of infertile couples, being more than 30% of unknown etiology. In these cases, empiric treatment can be an option prior to the application of assisted reproduction techniques. Empiric treatment can be categorized as hormonal, such as gonadotropins, antiestrogens and aromatase inhibitors, and antioxidant, with vitamins, trace elements and carnitine, among others. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.10.007DOI Listing

Enlargement of length and girth associated with implantation of penile prostheses.

Authors:
P H Egydio

Actas Urol Esp 2020 Apr 9. Epub 2020 Apr 9.

Egydio Medical Center, Sao Paulo, Brasil. Electronic address:

Introduction: Reduction in penile size is due to numerous conditions including Peyronie's disease, previous penile surgeries, diabetes, trauma, erectile dysfunction, pelvic surgery, and aging. Elasticity of the tunica albuginea is adversely affected by any of the above. Fibrosis then triggers progressive erectile dysfunction OBJECTIVES: When a penile prosthesis is indicated, it is important to determine whether the penis has already diminished in size prior to insertion of the implant. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.10.015DOI Listing

Surgical implant options in patients with penile fibrosis due to infection or previous explants.

Actas Urol Esp 2020 Apr 7. Epub 2020 Apr 7.

Sección de Andrología y Cirugía Reconstructiva Uretro-Genital, Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España.

Penile fibrosis due to previous penile infection and/or prosthesis explants entails situations of high surgical complexity. In these cases, reimplantation should follow an alternative scheme, aimed at minimizing perioperative and postoperative complications, as well as achieving maximum efficiency of the procedure and greater postoperative satisfaction of the patient and his partner. This article reviews the main surgical alternatives for these cases. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.10.001DOI Listing

Analysis of the nuclear expression of pSer727-STAT3 as a prognostic factor in patients with clear cell renal carcinoma.

Actas Urol Esp 2020 May 1;44(4):245-250. Epub 2020 Apr 1.

Servicio de Urología, Hospital Vall d'Hebron, Barcelona, España; Universitat Autònoma de Barcelona, Barcelona, España.

Introduction: Currently, clear cell renal carcinoma (CCRCC) has no prognostic markers. STAT3 protein (Signal Transducer and Activator of Transcription 3) is involved in the carcinogenesis of CCRCC. Its activation is produced by phosphorylation of the serine 727 residue, translocating to the nucleus where it is involved in carcinogenesis and tumor progression. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.11.006DOI Listing

The value of andrology medical-surgical training programs for Urology residents.

Authors:
N Cruz Navarro

Actas Urol Esp 2020 Mar 31. Epub 2020 Mar 31.

ANDROMEDI, Centro de Andrología y Medicina Sexual, Sevilla, España. Electronic address:

Nowadays, sub-specialty expertise in andrology is required within the Urology training program. These practices -during the MIR (Medical Intern Residency) program and once the specialty studies are over- should be performed under supervision and have a multidisciplinary nature. In fact, the urologist's andrology training program does not finish with his residency period. Read More

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http://dx.doi.org/10.1016/j.acuro.2020.01.006DOI Listing

Impact of radical nephrectomy on kidney function and prognostic factors for adverse cardiovascular events.

Actas Urol Esp 2020 May 30;44(4):239-244. Epub 2020 Mar 30.

Departamento de Anatomía, Facultad de Medicina, Universidad de Cantabria, Santander, Cantabria, España.

Introduction And Objectives: To analyze the evolution of kidney function after radical nephrectomy and to evaluate risk factors for adverse cardiovascular events during a long follow-up.

Material And Methods: Retrospective study of patients submitted to radical nephrectomy due to renal cancer from January of 1996 to January of 2016. We evaluated their renal function after nephrectomy and during follow-up. Read More

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http://dx.doi.org/10.1016/j.acuro.2020.02.003DOI Listing

Diagnosis and hormonal treatment of male infertility.

Actas Urol Esp 2020 Mar 30. Epub 2020 Mar 30.

Universidad CES, Medellín, Colombia. Electronic address:

Male infertility is a frequently observed medical condition that is related to the functioning of extremely complex organs such as the pituitary gland and the gonads. The diagnosis and proper management of infertile men is challenging for modern medicine, given the high expectations and demands of current patients, mainly due to the economic and emotional expenses aroused by this "relationship issue". In many cases, patients should receive therapies aimed at improving the functioning of that complex hormonal axis, instead of treating their underlying problem; thus, seeking to optimize the production of gametes with better conditions and improve fertilization rates without requiring assisted procedures. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.10.013DOI Listing

Effect of varicocelectomy on fertility. Indications, techniques and results.

Authors:
M Caradonti

Actas Urol Esp 2020 Mar 26. Epub 2020 Mar 26.

Hospital Donación Francisco Santojanni, Ciudad Autónoma de Buenos Aires, Argentina. Electronic address:

We define varicocele as the dilation of the veins that make up the pampiniform plexus, which is made up of three branches, the internal spermatic, deferential and external spermatic. The World Health Organization (WHO) has determined that varicocele is an important cause of male infertility. This has been acknowledged by several studies that have shown this cause-effect relationship. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.10.006DOI Listing

WITHDRAWN: Rhabdomyolysis after robotic partial nephrectomy. Case series and review of associated factors.

Actas Urol Esp 2020 Mar 21. Epub 2020 Mar 21.

Departamento de Urología, Clínica INDISA, Santiago, Chile; Facultad de Medicina, Universidad Andrés Bello, Santiago, Chile.

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http://dx.doi.org/10.1016/j.acuro.2020.01.001DOI Listing

Clinical guidelines on erectile dysfunction surgery: EAU-AUA perspectives.

Actas Urol Esp 2020 Mar 12. Epub 2020 Mar 12.

Unidad de Andrología y Urología Reconstructiva, Unidad de Salud Integral del Varón, Servicio de Urología, Hospital Universitario 12 de Octubre, Instituto de Investigación Hospital 12 de Octubre (i+12), Universidad Complutense de Madrid, Madrid, España; Servicio de Urología, Hospitales HM Montepríncipe y Puerta del Sur, Madrid, España. Electronic address:

Introduction: The implantation of a penile prosthesis is considered a third-line treatment and is indicated in patients who do not respond adequately to pharmacotherapy or require definitive treatment. Currently, the most used devices are 3-component penile prostheses, which presently account for more than 90% of the implants used.

Material And Methods: We reviewed the evidence and the recommendations of the clinical practice guidelines regarding surgery in patients with erectile dysfunction. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.10.008DOI Listing

Nephrogenic adenoma of the bladder. A simulator of urothelial bladder neoplasia.

Actas Urol Esp 2020 May 9;44(4):258-259. Epub 2020 Mar 9.

Servicio de Anatomía Patológica, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España. Electronic address:

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http://dx.doi.org/10.1016/j.acuro.2020.01.002DOI Listing

The role of clean intermittent catheterization in the treatment for detrusor underactivity.

Actas Urol Esp 2020 May 6;44(4):233-238. Epub 2020 Mar 6.

Servicio de Urología, Hospital Clínico San Carlos, Madrid, España.

Objective: To study the influence of clean intermittent catheterization (CIC) on the lower urinary tract function in patients with urinary retention (UR) due to detrusor underactivity (DU).

Material And Methods: A longitudinal study was carried out on 49 patients (28 men, 21 women) of mean age 55years, who underwent CIC for UR secondary to DU. The mean CIC frequency was 3. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.11.002DOI Listing

Analysis of satisfaction and surgical outcomes of a major ambulatory surgery program for penile implant.

Actas Urol Esp 2020 Mar 6. Epub 2020 Mar 6.

Departamento de Urología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.

Introduction And Objective: Penile prosthesis (PP) surgery is performed in many institutions as an inpatient procedure. We have recently initiated a major ambulatory surgery (MAS) program, thus reducing the hospital stay. The objective of this study was to assess the feasibility, complications and satisfaction of the implantation of outpatient surgery PP program in our hospital. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.09.004DOI Listing

Comparison between laparoscopic and open prostatectomy: Postoperative urinary continence analysis.

Actas Urol Esp 2020 Mar 6. Epub 2020 Mar 6.

Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España.

Introduction: There are very few articles comparing open radical prostatectomy (ORP) vs. laparoscopic radical prostatectomy (LRP) and their functional results or urinary continence (UC), which is one of the most important objectives to pursue after oncological results.

Objectives: To compare postoperative UC in patients with localized prostatic adenocarcinoma treated with OPR or LRP. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.10.002DOI Listing

Oncologic outcomes in 408 consecutive patient cohort treated with da Vinci robot-assisted radical prostatectomy.

Actas Urol Esp 2020 Apr 6;44(3):179-186. Epub 2020 Mar 6.

Unidad de Apoyo a la Investigación, Servicio de Medicina Preventiva, Instituto de Investigación Sanitaria, Hospital Clínico San Carlos; Facultad de Medicina, Universidad Complutense, Madrid, España.

The objective of this study is to evaluate the general characteristics and oncological results in a cohort of 408 cases submitted to da Vinci Standard 4-armed robot-assisted radical prostatectomy (RARP), performed between October 2006 and February 2015 at Clínico San Carlos hospital. Statistical analysis was performed with the SPSS 20.0 program. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.11.001DOI Listing

Results of the spanish section of the European Randomized Study of Screening for Prostate Cancer (ERSPC). Update after 21 years of follow-up.

Actas Urol Esp 2020 Mar 5. Epub 2020 Mar 5.

European Randomized Study of Screening for Prostate Cancer, Rama española.

Introduction And Objective: The objective of the European Randomized Study of Screening for Prostate Cancer (ERSPC) is to assess whether prostate cancer (PCa) screening leads to an improvement of cancer-specific survival. This multicenter study (eight European countries) has recruited more than 180,000 asymptomatic men. After a follow-up period of 16 years, it has been shown that PSA screening reduces PCa mortality by 20%, and that it does not affect all-cause mortality. Read More

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http://dx.doi.org/10.1016/j.acuro.2020.01.005DOI Listing

Comparison of computed tomography and magnetic resonance imaging in the assessment of complex renal cysts by using the Bosniak classification.

Actas Urol Esp 2020 May 5;44(4):207-214. Epub 2020 Mar 5.

Departamento de Urología, Hospital Bakirkoy Doctor Sadi Konuk de Enseñanza e Investigación, Universidad de Ciencias de la Salud, Estanbul, Turquía.

Introduction And Objectives: The Bosniak classification of cystic renal lesions was first published in 1986 based on computed tomography (CT). In the present study, we aimed to investigate the effect of magnetic resonance imaging (MRI) on Bosniak category compared with CT, and to determine how this effect changed the treatment modality in the evaluation of complex renal cysts.

Material And Methods: Data of 144 patients were collected retrospectively. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.11.007DOI Listing

Surgical treatment for male infertility.

Actas Urol Esp 2020 Mar 5. Epub 2020 Mar 5.

Urólogo-Andrólogo, Profesor Universidad CES, Medellín, Colombia. Electronic address:

Given the nature of the multiple causes of male infertility, some of them are «reversible» and can be managed with a surgical procedure to recover, in some cases, the fertilizing capacity of the male reproductive tract. With appropriate use of diagnostic tools and clinical judgement, the physician can identify the ideal candidates for these procedures. Together with the expertise and experience of the surgeon, these treatments can manage to resolve the barrier, and men may become fertile again. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.10.012DOI Listing

Quality of life and treatment persistence evaluation in Spanish patients treated with mirabegron. Results of the BELIEVE study.

Actas Urol Esp 2020 May 4;44(4):224-232. Epub 2020 Mar 4.

Departamento Médico, Astellas Pharma S.A., Madrid, España.

Introduction And Objective: The BELIEVE study is a European, non-interventional study which includes patients with overactive bladder who were prescribed mirabegron as part of routine clinical practice. Data from the Spanish subpopulation has been obtained for the present study, aiming to analyze health-related quality-of-life (HRQoL) and treatment persistence of these patients.

Materials And Methods: Data from 11 Spanish hospitals of the BELIEVE study were analyzed. Read More

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http://dx.doi.org/10.1016/j.acuro.2020.01.003DOI Listing

Medical malpractice liability and its consequences.

Actas Urol Esp 2020 May 4;44(4):251-257. Epub 2020 Mar 4.

Cátedra de Responsabilidad Profesional Médica y Medicina Legal, Universidad Autónoma de Barcelona (UAB), Barcelona, España; Servicio de Responsabilidad Profesional, Colegio oficial de Médicos de Barcelona, Barcelona, España; Unidad de Medicina Legal y Toxicología, Departamento de Salud Pública, Facultad de Medicina, Universidad de Barcelona, Barcelona, España.

Introduction: Urology is a specialty of medium risk of claim. Receiving a claim for medical professional liability is a stressful experience with significant repercussions. The objective of this study was to assess the impact of these claims on Spanish urologists. Read More

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http://dx.doi.org/10.1016/j.acuro.2020.01.004DOI Listing

Complications of transrectal prostate biopsy in our context. International multicenter study of 3350 patients.

Actas Urol Esp 2020 Apr 29;44(3):196-204. Epub 2020 Feb 29.

Hospital Arnau de Vilanova, Valencia, España.

Introduction: Prostate cancer is the most common visceral neoplasm in men and the second one in the United States with the highest mortality behind lung cancer and ahead of colorectal cancer. While prostate cancer mortality rates have been reduced in the United States, Austria, United Kingdom and France, 5-year survival rates have been incremented in Sweden, probably due to a higher diagnostic activity and non-lethal tumor detection. TRPB usually has low rates of serious complications, with a not negligible number of minor complications. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.11.004DOI Listing

Infrapubic surgical approach for penile prosthesis surgery: Indications and technique.

Actas Urol Esp 2020 Feb 27. Epub 2020 Feb 27.

Departamento de Urología, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España. Electronic address:

Context: Penile prosthesis surgery is currently the most effective treatment for erectile dysfunction when medical treatment is ineffective or contraindicated. Among the surgical approaches described in the literature, the scrotal, infrapubic and subcoronal are the most common in the daily clinical practice.

Objectives: The main objectives were to describe the infrapubic surgical technique evaluating its indications and complications, as well as comparing its advantages and disadvantages with the penoscrotal approach. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.10.010DOI Listing
February 2020

Androgen deprivation therapy in patients with localized disease: Comparison with curative intent treatments and time to castration resistance. Results of the Spanish Prostate Cancer Registry.

Actas Urol Esp 2020 Apr 26;44(3):156-163. Epub 2020 Feb 26.

Departamento de Urología, Hospital Universitario 12 de Octubre, Madrid, España.

Background: The effect of primary androgen deprivation therapy (ADT) in patients with localized prostate cancer (PCa) has not been well documented. The objective of the present study was to analyze the outcome of tumors treated with ADT as primary therapy in the Spanish Prostate Cancer Registry (19.4% of the series). Read More

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http://dx.doi.org/10.1016/j.acuro.2019.06.006DOI Listing

Current use and abuse of anabolic steroids.

Authors:
L Reyes-Vallejo

Actas Urol Esp 2020 Feb 26. Epub 2020 Feb 26.

Hospital Médica Sur, Ciudad de México, México. Electronic address:

Common abuse of anabolic androgenic steroids (AAS) is no longer confined to high performance athletes, as it has spread among the general population. Epidemiological data about the abuse of these substances show that it is a common practice in young populations. Its use is based on the desire to increase muscle mass and strength, as well as improving physical performance. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.10.011DOI Listing
February 2020

Update of the Andalusian Association of Urology protocol for the management of metastatic castration-resistant prostate cancer.

Actas Urol Esp 2020 Apr 17;44(3):125-130. Epub 2020 Feb 17.

Servicio de Urología, Hospital Reina Sofía, Córdoba, España. Electronic address:

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http://dx.doi.org/10.1016/j.acuro.2019.09.001DOI Listing

The relationship between inguinal hernia and minimally-invasive surgery for prostate cancer: A systematic review of the literature.

Actas Urol Esp 2020 Apr 10;44(3):131-138. Epub 2020 Feb 10.

Departamento de Urología, Fundación IVO, Valencia, España. Electronic address:

Objective: We aimed to perform a systematic review about the relationship between inguinal hernia and surgery for prostate cancer.

Background: Diagnosis of abdominal wall defects and prostate cancer may be either synchronous or metachronous. The convenience and safety of combined prostatectomy and hernioplasty, the incidence of hernias after prostatectomy and the feasibility of prostatectomy in patients with previous laparoscopic hernioplasty are still debated. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.10.005DOI Listing

Regarding androgen deprivation therapy, we must use the correct Spanish translation for deprivation, privación; not the anglicism deprivación.

Actas Urol Esp 2020 Apr 6;44(3):205-206. Epub 2020 Feb 6.

Servicio de Urología, Hospital Universitari Parc Taulí, Sabadell, Barcelona, España.

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http://dx.doi.org/10.1016/j.acuro.2019.11.005DOI Listing

Mortality prediction model for patients with bladder urothelial tumor after radical cystectomy.

Actas Urol Esp 2020 May 5;44(4):215-223. Epub 2020 Feb 5.

Servicio de Urología, Hospital Universitario Gregorio Marañón, Madrid, España.

Objective: Based on preoperative clinical and postoperative pathological variables, we aim to build a prediction model of cancer specific mortality (CSM) at 1, 3, and 5 years for patients with bladder transitional cell carcinoma treated with RC.

Material And Methods: Retrospective analysis of 517 patients with diagnosis of cell carcinoma treated by RC (1986-2009). Demographic, clinical, surgical and pathological variables were collected, as well as complications and evolution after RC. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.08.006DOI Listing

Role of the neutrophil/lymphocyte ratio in patients with metastatic castration-resistant prostate cancer treated first-line with abiraterone.

Actas Urol Esp 2020 Apr 5;44(3):164-171. Epub 2020 Feb 5.

Servicio de Urología, Complejo Hospitalario de Jaén, Jaén, España.

Introduction: In patients with prostate cancer, high NLR seems to be associated with worse survival. Abiraterone acetate (AA) is a new generation hormonal treatment that has shown to increase PFS and OS in mCRPC.

Material And Methods: Retrospective analysis of patients treated with AA in our center (December 2012-September 2018). Read More

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http://dx.doi.org/10.1016/j.acuro.2019.11.003DOI Listing

Whole and hemi-gland cryoablation for primary localized prostate cancer: Short and medium-term oncological and functional outcomes.

Actas Urol Esp 2020 Apr 5;44(3):172-178. Epub 2020 Feb 5.

Departamento de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, España.

Introduction: To compare oncological, functional and post-operative outcomes of hemi (HC) vs. whole gland (WGC) cryoablation as first line treatment of localized prostate cancer.

Material And Method: Sixty-six consecutive patients undertaking whole-gland cryoablation (WGC=40) or hemi-cryoablation (HC=26) in a tertiary referral centre between 2010 and 2018 were included. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.10.003DOI Listing

Management of male anterior urethral strictures in adults. Results from a national survey among urologists in Spain.

Actas Urol Esp 2020 03 28;44(2):71-77. Epub 2020 Jan 28.

Servicio de Urología, Hospital Universitario La Paz, Madrid, España.

Introduction And Objective: Assessment of urethral stricture (US) management seems important to evaluate the quality of attention and plan educational interventions. We aim to investigate the practice patterns on diagnostic and therapeutic approaches to adult male anterior US among urologists in Spain.

Materials And Methods: 23-question on-line survey conducted among all members of AEU (Spanish Urological Association). Read More

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http://dx.doi.org/10.1016/j.acuro.2019.06.005DOI Listing

The endless evolution of laparoscopic approach.

Actas Urol Esp 2020 03 6;44(2):59-61. Epub 2020 Jan 6.

Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España. Electronic address:

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http://dx.doi.org/10.1016/j.acuro.2019.12.001DOI Listing

Comparative analysis of the expression of metalloproteases (MMP-2, MMP-9, MMP-11 and MMP-13) and the tissue inhibitor of metalloprotease 3 (TIMP-3) between previous negative biopsies and radical prostatectomies.

Actas Urol Esp 2020 03 30;44(2):78-85. Epub 2019 Dec 30.

Servicio de Urología, Hospital Universitario Central de Asturias, Oviedo, España.

Metalloproteases (MMPs) and tissue inhibitor of metalloprotease-3 (TIMP-3) have been associated to the risk of having cancer and tumor aggressiveness. When facing the difficulties of prostate cancer diagnosis, the expression of MMPs and TIMP-3 in negative biopsies could be helpful to evaluate a diagnostic suspicion. Our objective is to carry out a comparative study of the expression of MMPs and TIMP-3 in previous negative biopsies and radical prostatectomies (RP). Read More

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http://dx.doi.org/10.1016/j.acuro.2019.10.004DOI Listing

The role of human papilloma virus test in men: First exhaustive review of literature.

Actas Urol Esp 2020 03 23;44(2):86-93. Epub 2019 Dec 23.

Departamento de Urología, Fundació Puigvert, Universitat Autònoma de Barcelona, Barcelona, España.

Human papilloma virus (HPV) infection is the most common sexually transmitted infection worldwide. There is a high detection rate in sexually active young people but the risk, in males, persists over years. Currently, the American Center for Disease Control and Prevention does not recommend the evaluation of men for HPV and, the extant bibliography, backs up this stance for several reasons. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.08.010DOI Listing

Magnetic resonance as imaging diagnostic tool in prostate cancer: New evidences-The EAU Section of Uro-Technology position.

Actas Urol Esp 2020 Apr 19;44(3):148-155. Epub 2019 Dec 19.

Departamento de Urologia, Instituto Mutualista Montsouris, Paris, Francia.

Prostate cancer (PCa) is the second leading cause of cancer-related mortality and the most frequently diagnosed male malignant disease among men. The manifestation of PCa ranges from indolent to highly aggressive disease and due to this high variation in PCa progression, the diagnosis and subsequent treatment planning can be challenging. The current diagnostic approach with PSA testing and digital rectal examination followed by transrectal ultrasound biopsies lack in both sensitivity and specificity in PCa detection and offers limited information about the aggressiveness and stage of the cancer. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.08.003DOI Listing

Effect of adjuvant chemotherapy in locally advanced urothelial carcinoma of the bladder treated with cystectomy.

Actas Urol Esp 2020 03 20;44(2):94-102. Epub 2019 Dec 20.

Servicio de Urología, Hospital Universitario Gregorio Marañón, Madrid, España.

Introduction: Currently, the role of adjuvant chemotherapy (ADJ) in muscle invasive bladder tumor remains controversial.

Objective: To evaluate the effect of ADJ on cancer specific survival of muscle invasive bladder tumor after radical cystectomy (RC).

Material And Methods: Retrospective analysis of 292 patients diagnosed with urothelial bladder tumor pT3-4pN0 / + cM0 stage, treated with RC between 1986-2009. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.08.009DOI Listing

Multiquadrant Combined Robotic Radical Prostatectomy And Left Partial Nephrectomy: A Combined procedure by A Single Approach.

Actas Urol Esp 2020 03 18;44(2):119-124. Epub 2019 Dec 18.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, EE. UU.. Electronic address:

Introduction: To present the first case of a concomitant robotic radical prostatectomy and a left robotic partial nephrectomy performed by a single-port approach using the SP® da Vinci surgical system (Intuitive Surgical, Sunnyvale CA, EE.UU.). Read More

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http://dx.doi.org/10.1016/j.acuro.2019.06.004DOI Listing

The impact of time from biopsy to radical prostatectomy on Gleason score undergrading and other related factors.

Actas Urol Esp 2020 Apr 13;44(3):187-195. Epub 2019 Dec 13.

Servicio de Urología, Complejo Hospitalario Universitario de Salamanca, Salamanca, España.

Introduction: Gleason score biopsy undergrading (GSBU) can have an impact on the management and prognosis of patients with prostate cancer. We analyze the possible impact of time and other clinical and analytical factors in the appearance of GSBU in our series.

Patients And Method: Ambispective, multicenter study of 1955 patients with localized prostate cancer undergoing radical prostatectomy between 2005 and 2018. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.08.004DOI Listing

Liquid biopsy and prostate cancer. Current evidence applied to clinical practice.

Actas Urol Esp 2020 Apr 12;44(3):139-147. Epub 2019 Dec 12.

Departamento de Urología, Hospital Universitario Virgen de las Nieves, Instituto de Investigación Biosanitaria-IBS, Granada, España.

Context: Despite being a validated source of biomarkers, liquid biopsy has not yet succeeded in becoming part of the standard clinical practice in prostate cancer patients. Few biomarkers undergo adequate validation, prospective and independent, of their predictive and/or prognostic value, which results in a lack of the different available tests in the clinical practice.

Objective: To carry out a pragmatic synthesis of current scientific evidence on liquid biopsy for prostate cancer patients. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.08.007DOI Listing

Recurrence risk groups after nephrectomy for renal cell carcinoma.

Actas Urol Esp 2020 03 10;44(2):111-118. Epub 2019 Dec 10.

Servicio de Urología, Hospital General Universitario Gregorio Marañón. Madrid, España.

Introduction: There is no consensus on the follow-up protocol after nephrectomy for renal cell carcinoma (RCC), and the identification of recurrence risk groups (RRG) is required.

Objective: Establish recurrence risk groups (RRG).

Material And Method: A retrospective analysis of 696 patients with renal cancer submitted to surgery between 1990-2010; 568 (81. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.08.005DOI Listing
March 2020
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Health questionnaire analysis and development of satisfaction questionnaire for patients treated with extracorporeal shock wave lithotripsy (SATISLIT).

Actas Urol Esp 2020 03 10;44(2):103-110. Epub 2019 Dec 10.

Departamento de Urología, Clínica Universidad de Navarra, Pamplona, España.

Introduction: Due to the absence of specific instruments to study the psychosocial sphere of patients undergoing extracorporeal shock wave lithotripsy (SWL), the objective of this study is to develop a satisfaction questionnaire regarding the SWL treatment from a health questionnaire which was already designed and had been previously validated.

Material And Methods: The design of the satisfaction questionnaire was carried out in 5 phases, based on a previously validated health scale in patients treated with SWL (ESPTL), including a total cohort of 135 patients treated at our center who received a phone interview. Phase 1: descriptive analysis of the series and scores of the 8 items of ESPTL. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.07.003DOI Listing

The complications of the HoLEP learning curve. A systematic review.

Actas Urol Esp 2020 Jan - Feb;44(1):1-8. Epub 2019 Dec 9.

Servei d'Urologia, Hospital Universitario Germans Trias i Pujol, Barcelona, España.

Background: Holmium laser enucleation of the prostate (HoLEP) could have better outcomes with decreased complication rates if compared to traditional techniques (transurethral resection and open prostatectomy) for the surgical relief of bladder outlet obstruction. Despite this, its use has not been implemented in the urology community, probably due to the high complication rates of the HoLEP learning curve (HoLC).

Objective: To conduct a systematic review of the complication rates in HoLC and compare these with those of traditional techniques. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.08.008DOI Listing
December 2019

Urodynamic findings in Charcot-Marie-Tooth patients with lower urinary tract symptoms.

Actas Urol Esp 2020 Jan - Feb;44(1):34-40. Epub 2019 Dec 6.

Departamento de Urodinámica y Urología Funcional, Fundació Puigvert, Barcelona, España.

Introduction: Our aim was to describe the lower urinary tract symptoms (LUTS) and urodynamic findings in Charcot-Marie-Tooth (CMT) disease patients referred to our Urology Department.

Methods: Retrospective study of those patients with CMT disease diagnosed at the Neurology Department of our Tertiary Hospital and referred to our Urology Department since 2008 due to LUTS. We reviewed their clinical charts regarding the age at CMT disease diagnosis, type of CMT disease and the presence of other comorbidities which could cause LUTS. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.07.004DOI Listing
December 2019