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Actas Urol Esp 2021 Apr 26. Epub 2021 Apr 26.

Departamento de Urología, Instituto Valenciano de Oncología, Valencia, España. Electronic address:

Introduction And Objectives: A not negligible percentage of patients included in active surveillance (AS) for low and very low risk prostate cancer (PCa) are reclassified in the confirmatory biopsy or have disease progression during follow-up. Our aim is to evaluate the role of PCA3 and SelectMDx, in an individual and combined way, in the prediction of pathological progression (PP) in a standard AS program.

Materials And Methods: Prospective and observational study comprised of 86 patients enrolled in an AS program from 2009 to 2019, with results for PCA3 and SelectMDx previous to PCa diagnosis or during their confirmatory period. Read More

Actas Urol Esp 2021 Mar 19. Epub 2021 Mar 19.

Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España; Departamento de Cirugía, Universidad Complutense de Madrid, Madrid, España.

Introduction: Infection of the artery at or around the anastomotic site is an ominous complication commonly presenting as a leak and/or local dissolution of the arterial wall.

Material And Methods: Narrative review based on relevant PubMed, EMBASE, and Scielo indexed English or Spanish-written articles for the period January 2000-December 2019. A pooled analysis regarding etiology was performed. Read More

Actas Urol Esp 2021 Mar 17. Epub 2021 Mar 17.

Academic Urology Unit, University of Sheffield, Sheffield, Reino Unido. Electronic address:

Objective: To compare sites of metastasis for the laparoscopic (LRC) and open (ORC) approaches in a cohort of patients at a district general hospital. Morbidity and mortality for the two approaches are assessed using secondary outcomes of length of stay and complication rate. Metastasis rate and site are compared. Read More

Actas Urol Esp 2021 Mar 17. Epub 2021 Mar 17.

Grupo Genética Humana, Facultad de Medicina, Universidad de La Sabana, Chía, Colombia; Instituto de Genética Humana, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia.

Introduction: The presence of stones in the urinary tract is a condition that has accompanied humans since ancient times. In colonial times, this condition was known as "stone pain" and its non-surgical management was based on the use of medicines derived from plants, animals and minerals.

Objective: To contextualize a medical prescription used to modulate stone pain in the 18th century in the New Kingdom of Granada. Read More

Actas Urol Esp 2021 Mar 9. Epub 2021 Mar 9.

Servicio Urología, Hospital del Mar, Barcelona, España.

Introduction And Objective: Most prostate cancers are classified as acinar adenocarcinoma. Intraductal carcinoma of the prostate (IDC-P) is a distinct histologic entity that is believed to represent retrograde spread of invasive acinar adenocarcinoma into prostatic ducts and acini. We have analyzed the impact of IDC-P in hormonal naïve and castration resistant metastatic prostate cancer patients. Read More

Actas Urol Esp 2021 Mar 5. Epub 2021 Mar 5.

Servicio de Urología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España.

Actas Urol Esp 2021 Mar 5. Epub 2021 Mar 5.

Department of Oncologic, Minimally-Invasive Urology and Andrology, Careggi Hospital, University of Florence, Florencia, Italia.

Introduction And Objectives: An increasing number of urogenital schistosomiasis (UGS) is being diagnosed in Europe following the unprecedented migratory flux from Sub-Saharan Africa (SSA). This phenomenon represent a challenge for urologists working in a non-endemic area. The aim of this study is to describe the urological management and the surgical procedures of patients with UGS in a tertiary referral centre. Read More

Actas Urol Esp 2021 Mar 3. Epub 2021 Mar 3.

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

Introduction: Pelvic kidney is a rare congenital anomaly. The ectopic kidney is more susceptible to developing lithiasis. The management of this type of lithiasis is a challenge. Read More

Actas Urol Esp 2021 Feb 24. Epub 2021 Feb 24.

Prof., MD, Erciyes University, Kayseri, Turquía. Electronic address:

Objective: To investigate the diagnostic efficiency of systemic immune response (SII) in prostate cancer (PCa) in patients with PSA<10ng/ml undergoing fusion prostate biopsy.

Methods: The prospective study included patients who were planned for fusion prostate biopsy and had PSA<10ng/ml and a PI-RADS≥3. All the patients underwent 12-core standard transrectal prostate biopsy followed targeted biopsy (combined biopsy). Read More

Actas Urol Esp 2021 Feb 23. Epub 2021 Feb 23.

Unidad de imagen molecular. CIMES-FGUMA, Málaga, España.

Objective: To assess the clinical usefulness of Ga-PSMA PET/CT studies in patients with occult biochemical recurrence of prostate carcinoma, with negative or inconclusive radiologic and 18F-Choline PET/CT imaging studies.

Material And Methods: Retrospective observational and diagnostic accuracy. The first 14 patients with a history of prostate carcinoma, treated with curative intent and presenting suspicion of biochemical recurrence with low PSA values (< 3 ng/ml) were selected. Read More

Actas Urol Esp 2021 Feb 23. Epub 2021 Feb 23.

Servicio de Urología, Hospital Clínico San Carlos, Madrid, España. Electronic address:

Actas Urol Esp 2021 Feb 23. Epub 2021 Feb 23.

Departamento de Urología, Fundación Instituto Valenciano de Oncología, Valencia, España.

Objective: Determine whether our institution's active surveillance (AS) protocol is a suitable strategy to minimise prostate cancer overtreatment.

Material And Methods: Retrospective analysis of 516 patients on AS after prostate cancer diagnosis. Population divided into «per-protocol» vs «induced» AS depending on fulfilment of protocol's inclusion criteria. Read More

Actas Urol Esp 2021 Feb 23. Epub 2021 Feb 23.

Unidad de Uro-Oncología, Servicio Urología, Hospital Universitario Puerta del Mar, INIBICA (Instituto de Investigación e Innovación Biomédica), Cádiz, España.

Introduction: Renal angiomyolipoma is a frequent manifestation of Tuberous Sclerosis Complex (TSC), for which everolimus therapy has been recently established as a novel non-invasive therapeutic option. As there are limited real life and long-term data, the analysis of our experience provides added value in terms of safety and efficacy.

Material And Methods: Descriptive analysis of our experience in patients with giant bilateral renal angiomyolipomas, in the context of TSC, treated with 10 mg oral everolimus daily, during a median of 71. Read More

Actas Urol Esp 2021 04 23;45(3):232-238. Epub 2021 Feb 23.

Servicio de Urología. Hospital Universitario y Politécnico de La Fe, Valencia, España.

Objective: To measure the tolerance of urodynamic testing (UDT) in the pediatric patient by means of the Visual Analog Scale (VAS). To analyze which clinical and UDT-related variables influence pain perception.

Material And Methods: Cross-sectional study of 139 pediatric patients undergoing UDT (December 2013 - May 2018). Read More

Actas Urol Esp 2021 Feb 20. Epub 2021 Feb 20.

Servicio de Urología, Consorcio Hospital General Universitario de Valencia, Valencia, España.

Introduction: Rectal injury is a rare complication after extraperitoneal laparoscopic radical prostatectomy. The development of rectourethral fistulas (URF) from rectal injuries is one of the most feared and of more complex resolution in urology.

Material And Methods: Between 2013 and 2020 we have operated on a total of 5 patients with URF after extraperitoneal endoscopic radical prostatectomy through a perineal access using the interposition of biological material. Read More

Actas Urol Esp 2021 Feb 20. Epub 2021 Feb 20.

Department of Urology, Landesklinikum Korneuburg-Teaching Hospital, Korneuburg, Austria.

Introduction: The authors describe the technique of orthotopic bladder replacement with an ileocecal pouch and unaltered appendix used as an orthotopic urethral substitute. Additional procedures with regard to the bothersome voiding symptoms will be described.

Material And Methods: In a small cohort of 5 patients with muscle invasive bladder cancer with tumor involvement of the bladder neck or proximal urethra (2 males/3 females) we performed the following reconstruction. Read More

Actas Urol Esp 2021 Feb 20. Epub 2021 Feb 20.

Servicio de Oncología Médica, Hospital Universitario y Politécnico La Fe, Valencia, España. Electronic address:

Actas Urol Esp 2021 Feb 18. Epub 2021 Feb 18.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, Estados Unidos.

Background: The novel da Vinci Single-Port (SP) robotic platform received the US FDA approval in 2018. The device, specifically conceived for single-site approach, is pushing through the limits of minimally invasive surgery. We sought to provide a comprehensive overview of the current status of the clinical experiences accomplished by the da Vinci SP in urology, and to discuss future perspectives. Read More

Actas Urol Esp 2021 Feb 17. Epub 2021 Feb 17.

Servicio de Urología, Consorcio Hospital General Universitario de Valencia, Valencia, España.

Introduction: The placement of a ureteral stent is one of the most widely performed procedures in urology. It can have a negative impact on the patients' quality of life, requiring a cystoscopy for its removal. The objective of this study is to evaluate the symptoms and impact on quality of life derived from the use of a magnetic double-J stent (Black Star ®) and compare them to those presented in patients with a traditional double-J stent (OptiMed®). Read More

Actas Urol Esp 2021 Feb 17. Epub 2021 Feb 17.

Servicio de Urología, Hospital Universitario Río Hortega, Valladolid, España.

Objective: Cross-sectional descriptive observational study of incidence and association, to determine whether the higher incidence of prostate cancer in Castilla y León (with respect to the national rate) could be due to modifiable factors.

Location: University Hospital Río Hortega.

Participants: New prostate cancer diagnoses. Read More

Actas Urol Esp 2021 Feb 15. Epub 2021 Feb 15.

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

Introduction: Live surgery has become an excellent tool for medical training. Despite this, there is controversy about the safety of the patients involved.

Objective: To analyze the results of live surgeries performed in 17 consecutive retroperitoneoscopy courses organized in our center. Read More

Actas Urol Esp 2021 Feb 10. Epub 2021 Feb 10.

Cátedra de Responsabilidad Profesional Médica y Medicina Legal, Universitat Autònoma de Barcelona, Barcelona, España; Área de Praxis, Servicio de Responsabilidad Profesional, Colegio de Médicos de Barcelona, Consejo de Colegios de Médicos de Catalunya, Barcelona, España; Departamento de Salud Pública, Universidad de Barcelona, Barcelona, España.

Objective: To evaluate emergency care for testicular torsion in medical professional liability claims.

Method: Claims related to testicular torsion from 2000 to 2018 were located. The assistance provided and the association with medical professional liability were analyzed. Read More

Actas Urol Esp 2021 04 6;45(3):198-206. Epub 2021 Feb 6.

Servicio de Urología, Hospital Universitario de Jerez de la Frontera, Jerez de la Frontera, Cádiz, España.

Introduction: The aim of the study was to describe the clinical drivers that lead physicians to perform imaging tests in search of metastasis in non-metastasic castration prostate resistant cancer (nmCRPC) patients.

Methods: Observational, cross-sectional study conducted at the Departments of Urology of 38 Spanish hospitals. The study included 188 patients diagnosed with nmCRPC who underwent an imaging test for the assessment of metástasis. Read More

Actas Urol Esp 2021 04 7;45(3):207-214. Epub 2020 Nov 7.

Servicio de Urología, Instituto de Investigación Sanitaria (imas12), Hospital 12 de Octubre, Madrid, España.

Introduction: The suspension of most elective surgeries during COVID-19 pandemic caused the lengthening of urology surgical waiting lists. The objective of this study is to evaluate the impact of COVID-19 pandemic on urology surgical waiting list in a high-volume hospital.

Methods: An observational descriptive study was designed. Read More

Actas Urol Esp 2021 04 2;45(3):245-246. Epub 2021 Feb 2.

Servicio de Dermatología, Hospital Universitario Doctor Peset, Valencia, España.

Actas Urol Esp 2021 Feb 2. Epub 2021 Feb 2.

Servicio de Urología, Hospital Universitari Parc Taulí, Universitat Autònoma de Barcelona (UAB) , Sabadell, Barcelona, España.

Introduction: Although in the recent years, laparoscopy and Enhanced Recovery After Surgery (ERAS) protocols have improved postoperative recovery in radical cystectomy (RC), the clinical efficacy of their association remains unclear. Our objective is to analyze the possible benefits obtained from laparoscopic RC (LRC) and its subsequent combination with an ERAS (ERAS-LRC) protocol compared to open RC (ORC).

Material And Methods: We analyzed 187 consecutive RCs with ileal conduit performed in our center, of which 139 met the inclusion criteria: 47 ORC, 39 LRC (both with conventional protocol) and 52 ERAS-LRCs. Read More

Actas Urol Esp 2021 Feb 1. Epub 2021 Feb 1.

Servicio de Urología, Hospital Universitario Marqués de Valdecilla, Santander, España.

Introduction And Objective: The management of renal tumors ≤ 4 cm in elderly population or patients with comorbidities is a challenge, for which ablative therapies are an interesting alternative. The objective is to evaluate in our center the role of percutaneous radiofrequency in the treatment of small renal masses, the associated complications and the results obtained.

Material And Methods: Retrospective evaluation of the radiofrequency treatments carried out between April 2010 and April 2020 in our center. Read More

Actas Urol Esp 2021 04 2;45(3):220-224. Epub 2021 Feb 2.

Forth Valley Royal Hospital, Escocia, Reino Unido.

Background: Ischaemic priapism is a urological emergency with early treatment required to prevent irreversible loss of erectile function. Corporal aspiration is the first step in management. Currently, there are no satisfactory training models to develop skills in a controlled environment. Read More

Actas Urol Esp 2021 Jan 30. Epub 2021 Jan 30.

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

Objective: We analyzed the profile of patients who were candidates for neoadjuvant chemotherapy (NACT) in stage pT2-4aN0M0, the tolerability and adherence of our cisplatin-based protocol and oncological outcomes.

Material And Methods: Retrospective observational cohort study including patients diagnosed with muscle-invasive bladder carcinoma treated with NACT. Clinical, histopathological, therapeutic and evolutionary characteristics of the patients were analyzed. Read More

Actas Urol Esp 2021 04 31;45(3):215-219. Epub 2021 Jan 31.

Departamento de Urología, Hospital Clínic, Barcelona, España.

Introduction: Collagenase Clostridium histolyticum (CCH) is the only approved treatment for conservative management of Peyronie's disease (PD) that has demonstrated efficacy and safety in clinical trials. However, as the standard treatment protocol is time and resource consuming, we are introducing a new CCH treatment protocol with a more cost-effective profile. Our goal is to evaluate its efficacy and safety. Read More