5,594 results match your criteria Actas Urologicas Espanolas[Journal]


Research of the impact of urinary infection teaching methods on the learning process.

Actas Urol Esp 2019 Apr 10. Epub 2019 Apr 10.

Servicio de Urología, Hospital Nacional de Parapléjicos de Toledo, Toledo, España.

Introduction: The classical teaching methodology was based on passive transmission-based learning. The model has changed towards an orientation based on student-centred learning.

Objective: The objective of the study has been to evaluate the students' perception when learning about urinary tract infections, and their perspective about the teaching imparted on this pathology in the various subjects that include ITU in their syllabus. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02104806193000
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http://dx.doi.org/10.1016/j.acuro.2018.11.001DOI Listing
April 2019
1 Read

Salvage lymph node dissection in patients with prostate cancer treated with radical prostatectomy or radiotherapy and positive choline positron emission tomography (PET/CT) scan.

Actas Urol Esp 2019 Apr 8. Epub 2019 Apr 8.

Servicio de Urología, MD Anderson Cancer Center-Madrid, Madrid, España.

Introduction And Objectives: Nodal prostate cancer recurrence is a challenging scenario. Current guidelines recommend the use of androgen deprivation therapy, tailored treatment or clinical trials. We studied the impact of Salvage lymph node dissection in selected patients. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.07.004DOI Listing
April 2019
1 Read

Long-term results of genital prolapse surgery with polypropylene mesh.

Actas Urol Esp 2019 Apr 4. Epub 2019 Apr 4.

Servicio de Ginecología y Obstetricia, Hospital Comarcal Valdeorras, O Barco, Ourense, España.

Introduction And Objective: The risk of intervention due to urogenital prolapse in a woman's life is 11.1%. Recurrences after classic surgery reach up to 38%. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.12.002DOI Listing
April 2019
1 Read

Endourological application of polydimetilsiloxane in patients with symptomatic vesicoureteral reflux in the kidney graft.

Actas Urol Esp 2019 Mar 29. Epub 2019 Mar 29.

Departamento de Urología, Unidad Médica de Alta Especialidad, Hospital de Especialidades 14, Centro Médico Nacional Adolfo Ruiz Cortines, Instituto Mexicano del Seguro Social, Veracruz, México.

Objective: To identify the results of polydimethylsiloxane application in the endourological management of symptomatic vesicoureteral reflux to the kidney graft and to determine the factors associated with persistent symptoms and with vesicoureteral reflux.

Material And Methods: We included 23 patients diagnosed with symptomatic VUR in kidney graft, evaluated from January 2010 to August 2018 in the High Specialty Medical Unit # 14 in Veracruz. These patients received endourological application of polydimethylsiloxane. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.01.004DOI Listing
March 2019
1 Read

Post-surgical complications in patients with bladder cancer treated with cystectomy: Differences between open and laparoscopic approach.

Actas Urol Esp 2019 Mar 29. Epub 2019 Mar 29.

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

Introduction: Minimally invasive surgery regarding cystectomy has not had the same development as other urological surgeries. This could be due to the lack of published studies defining the advantages of this approach versus open surgery.

Objectives: The main objective of this study is to establish the role of minimally invasive surgery, laparoscopic radical cystectomy, versus open surgery by analyzing their perioperative complications. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.12.001DOI Listing

Retrograde intrarenal surgery for stone disease under spinal anaesthesia, a minimally invasive technique. A retrospective analysis of 1,467 cases.

Actas Urol Esp 2019 Mar 29. Epub 2019 Mar 29.

Karabuk University School of Medicine, Department of Urology, Karabuk, Turquía.

Introduction And Objectives: The aim of the present study was to compare RIRS procedures applied under general anaesthesia (GA) and spinal anaesthesia (SA) regarding success and complication rates.

Materials And Methods: A retrospective evaluation was conducted with the data obtained from patients treated with RIRS under SA and GA at 2centres from October 2014 until January 2018. The SA and GA groups were evaluated according to the parameters of stone-free and complication rates, postoperative pain control and length of in-hospital stay. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.11.003DOI Listing
March 2019
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Immediate versus delayed prostatectomy and the fate of patients who progress to a higher risk disease on active surveillance.

Actas Urol Esp 2019 Mar 27. Epub 2019 Mar 27.

Department of Urology, Institut Montsouris, Université Paris-Descartes, París, Francia.

Introduction: Oncological outcomes of radical prostatectomy (RP) in patients progressing on active surveillance (AS) are debated. We compared outcomes of AS eligible patients undergoing RP immediately after diagnosis with those doing so after delay or disease progression on AS.

Methods: Between 2000 and 2014, 961 patients were AS eligible as per EAU criteria. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.04.005DOI Listing

Influence of laparoscopic access in cancer-specific mortality of patients with pTa-2pN0R0 bladder cancer treated with radical cistectomy.

Actas Urol Esp 2019 Mar 22. Epub 2019 Mar 22.

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

Introduction And Objective: Minimally invasive surgery represents an attractive surgical approach in radical cystectomy. However, its effect on the oncological results is still controversial due to the lack of definite analyses. The objective of this study is to evaluate the effect of the laparoscopic approach on cancer-specific mortality. Read More

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http://dx.doi.org/10.1016/j.acuro.2019.01.001DOI Listing

Oncological control in high-risk prostate cancer after radical prostatectomy and salvage radiotherapy compared to radiotherapy plus primary hormone therapy.

Actas Urol Esp 2019 Mar 13. Epub 2019 Mar 13.

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

Introduction: In patients with high-risk localized prostate cancer (HRPCa), multimodal treatment plays a fundamental role.

Objective: To compare relapse-free survival (RFS) in patients with HRPCa, treated primarily with radiotherapy (RT)+hormone therapy (HT) versus radical prostatectomy (RP) and salvage RT (sRT)±HT when biochemical recurrence (BCR) appears.

Material And Methods: Retrospective analysis of 226 patients with HRPCa (1996-2008), treated primarily with RT+HT (n=137) or RP (n=89). Read More

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http://dx.doi.org/10.1016/j.acuro.2018.07.007DOI Listing
March 2019
1 Read

Clinical and urodynamic impact of detrusor overactivity in women with overactive bladder.

Actas Urol Esp 2019 Mar 9. Epub 2019 Mar 9.

Departamento Médico, Astellas Pharma, España.

Objective: To evaluate the clinical and urodynamic differences (associated with the presence or absence of detrusor overactivity [DO]) in women with overactive bladder (OAB) referred to Functional Urology and Urodynamic Units in Spain.

Material And Methods: Observational, cross-sectional, multicenter and prospective study conducted in Spain in women with clinical diagnosis of OAB, who had been referred to urodynamic study (UDS) of which centralized reading was performed. Patients completed the 3-day voiding diary (DM3d) with the PPIUS scale (Patient Perception of Intensity of Urgency Scale), the B-SAQ (Bladder Self-Assessment Questionnaire) and the OABq-SF (Overactive Bladder Questionnaire Short Form). Read More

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http://dx.doi.org/10.1016/j.acuro.2018.07.008DOI Listing
March 2019
4 Reads

Oncological outcomes and pathological characteristics of cT1 upstaging to pT3a renal cell carcinoma compared with de novo pT3a tumors.

Actas Urol Esp 2019 Mar 8. Epub 2019 Mar 8.

Department of Urology, Institut Montsouris, Université Paris-Descartes, París, Francia.

Introduction: The significance of upstaging of cT1 renal tumors to pT3a is not clear. We evaluate the incidence of upstaging, identify predictors and analyze oncological outcomes of these patients versus those who did not upstage. We also compared the oncological outcomes of cT1 upstaging to pT3a with de novo pT3a renal tumors. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.03.008DOI Listing
March 2019
1 Read

Current status of young urologists and residents' activity and academic training in Spain. National survey results.

Actas Urol Esp 2019 Mar 4. Epub 2019 Mar 4.

Grupo de Residentes y Jóvenes Urólogos de la Asociación Española de Urología; Servicio de Urología, Hospital Universitario La Paz, Madrid, España; Young Academic Urologist Urotechnology group (YAU-ESUT).

Objective: To study the current status of the activity and academic training of residents and young urologists in Spain.

Material And Methods: From the working group of residents and young urologists of the Spanish Association of Urology (AEU), an anonymous survey of 32 questions was designed. Its aim was to evaluate the academic activity of residents, defined by: number of communications to congresses, publications in national and international journals, clinical rotations within Spain and abroad, master's degree, Doctorate (PhD), applications to the European Board of Urology exam and language competences. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.11.002DOI Listing
March 2019
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Metastases-free survival rate in non-metastatic castration-resistant prostate cancer: Now living on its own!

Authors:
A Juárez-Soto

Actas Urol Esp 2019 Mar 4. Epub 2019 Mar 4.

Coordinador Nacional del Grupo de Urología Oncológica de la Asociación Española de Urología; Servicio de Urología, Hospital Universitario de Jerez de la Frontera, Jerez de la Frontera, Cádiz, España. Electronic address:

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http://dx.doi.org/10.1016/j.acuro.2019.01.002DOI Listing

Comparison of classical transrectal prostate biopsy versus cognitive registration in rebiopsy.

Actas Urol Esp 2019 Mar 1. Epub 2019 Mar 1.

Servicio de Urología, Hospital General Universitario Gregorio Marañón. Facultad de Medicina, Universidad Complutense (UCM), Madrid, España.

Introduction: The aim of this study is to compare performance of two biopsy approaches in patients with at least one previous negative prostate biopsy (PB): classical transrectal biopsy (ClTB) versus cognitive registration biopsy (COG-TB).

Material And Methods: A retrospective study of 205 patients with at least one negative PB. 144 (70. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.06.010DOI Listing
March 2019
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Usefulness of the classification of urinary dysfunction for the prognosis of the first endoscopic treatment of vesicoureteral reflux in children over the age of 3.

Actas Urol Esp 2019 Mar 1. Epub 2019 Mar 1.

Sección de Urología Infantil, Servicio de Urología, Hospital Universitari i Politècnic La Fe, Valencia, España.

Objectives: To assess the diagnostic performance of urinary dysfunction patterns associated with vesicoureteral reflux (VUR) in children over the age of 3 according to the result of the first endoscopic treatment (ENDT1), grouped into a classification designed by our group (CMD.URI-La Fe). Comparison with other current classifications such as that of Van Batavia et al. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.06.005DOI Listing
March 2019
2 Reads

Analysis of referrals after a synergic work between Primary Care and Urology. Impact of joint protocol implementation and a continuing education program in our healthcare area.

Actas Urol Esp 2019 Feb 26. Epub 2019 Feb 26.

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

Objective: To analyse the evolution and adequacy of referrals from Primary Care to Urology, after the implementation of referral protocols on the most frequent urological diseases and the establishment of a continuing education program.

Material And Methods: A Primary Care-Urology work group was created in 2011. Initially, performance and clinical practice protocols in prostatic pathology (BPH and PSA) were established. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02104806193000
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http://dx.doi.org/10.1016/j.acuro.2018.10.001DOI Listing
February 2019
4 Reads

Current status of radiological protection in endourological procedures in Spain.

Actas Urol Esp 2019 Feb 25. Epub 2019 Feb 25.

Servicio de Urología, Hospital Universitario Puerta del Mar, Cádiz, España.

Objective: To discover the extent of training in radiological protection (RP) of Spanish urologists who perform endourological procedures, and to analyse the use of on ionising radiation control and protection measures.

Material And Methods: A survey conducted through the Plataforma de Investigación de Estudios Multicéntricos (PIEM) (Multicentre Study Research Platform) on the 1,894 associates of the Spanish Association of Urology, between April and October 2015. The questionnaire comprised 21 questions on endourological activity undertaken, RP training, and the use of protective measures, and personal dosimetry. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.04.006DOI Listing
February 2019

Life quality evaluation in patients with bladder cancer: A systematic review.

Actas Urol Esp 2019 Jan 30. Epub 2019 Jan 30.

Escuela de Medicina, Sección de Urología. Universidad del Valle, Cali, Colombia; Grupo de Investigación UROGIV, Universidad del Valle, Cali, Colombia; Profesor Escuela de Medicina, Universidad del Valle, Cali, Colombia. Electronic address:

Objective: To identify scale validation studies for life quality evaluation in patients with bladder cancer.

Methods: Bibliographic search was performed on MEDLINE® via ovid, EMBASE, CENTRAL and LILACS. Subsequently, each of the articles was evaluated, identifying eligibility criteria. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.07.006DOI Listing
January 2019

Ten-year experience with multimodal treatment for acute phase Peyronie's disease: A real life clinical report.

Actas Urol Esp 2019 Jan 28. Epub 2019 Jan 28.

Gallo Uro-Andrology Centre, Nápoles, Italia.

Objectives: To present our experience with multimodal therapy for Peyronie's disease.

Methods: Retrospective data were collected since 2008 to 2017. The following features were evaluated at baseline and after treatment: age, duration of disease, erectile function, erected penile curvature, and stretched penile length. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.08.005DOI Listing
January 2019

Clinical and basic evidence on the use of autologous platelet-rich plasma in erectile dysfunction: A detailed update.

Actas Urol Esp 2019 Apr 28;43(3):165-166. Epub 2018 Dec 28.

Department of Urology, Clínica de Urología Avanzada UROZEN, Lima, Perú; Biomedical Research Institute, Universidad Ricardo Palma, Lima, Perú.

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http://dx.doi.org/10.1016/j.acuro.2018.05.008DOI Listing
April 2019
1 Read

Comparison between percutaneous nephrolithotomy and flexible ureteroscopy for the treatment of 2 and 3cm renal lithiasis.

Actas Urol Esp 2019 Apr 7;43(3):111-117. Epub 2018 Dec 7.

Departamento de Urología, Hospital Universitario Ramón y Cajal, Madrid, España.

Context And Objectives: The first-line treatment for >2cm lithiasis is percutaneous nephrolithotomy (PNL), leaving flexible ureteroscopy (fURS) as a second option. In the present review, the stone-free rate and the complications of both techniques were evaluated in the treatment of 2-3cm stones.

Material And Methods: Systematic review of studies that compared both techniques. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.08.002DOI Listing
April 2019
1 Read

Polycystosis of the renal sinus or polycystic kidney disease Controversies, challenges and history of a shared discovery.

Actas Urol Esp 2018 Dec 6;42(10):645-648. Epub 2018 Jul 6.

Servicio de Urología, Fundación Jiménez Díaz, Universidad Autónoma de Madrid, Madrid, España.

Objective: To recall the history of the discovery of non-nephron cystic disease, detected simultaneously in 2 hospitals in Madrid, and the vicissitudes that the authors endured during the process of recognising this disease, while being ignored by the international scientific literature.

Material And Method: We analysed the authors' first publications and presentations, their correspondence relaying the difficulties in reporting the confusion with adult polycystic kidney disease (APKD) and the subsequent nosological identification of the process. We consulted with individuals who worked with the 2 authors to increase the accuracy and objectivity of the history report. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.03.007DOI Listing
December 2018
3 Reads

Incidence of surgical wound infection in renal surgery. The effect of antibiotic prophylaxis appropriateness. A prospective cohort study.

Actas Urol Esp 2018 Dec 7;42(10):639-644. Epub 2018 Jul 7.

Unidad de Medicina Preventiva, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, España; Centro de Salud Los Cármenes, Madrid, España; Departamento de Medicina Preventiva y Salud Pública, Universidad Rey Juan Carlos, Alcorcón, Madrid, España. Electronic address:

Objective: To assess compliance with the antibiotic prophylaxis protocol for patients who underwent renal surgery and its effect on the incidence of surgical wound infection.

Material And Methods: We performed a prospective cohort study and assessed the overall compliance and each aspect of the antibiotic prophylaxis (start, administration route, antibiotic of choice, duration and dosage) and reported the compliance rates. The qualitative variables were compared with the chi-squared test, and the quantitative variables were compared with Student's t-test. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.04.004DOI Listing
December 2018
2 Reads

Intraprostatic ethanol injection as an alternative therapy in patients with benign prostatic hyperplasia.

Authors:
A R Espinoza

Actas Urol Esp 2019 Apr 1;43(3):158-164. Epub 2018 Dec 1.

Departamento de Urología, Hospital Universitario de Caracas, Universidad Central de Venezuela, Caracas, Venezuela. Electronic address:

Introduction: Benign prostatic hyperplasia is a high prevalence worldwide pathology. Amongst its therapeutic options, there are minimally invasive techniques that use locally injected substances (such as ethanol), which produce a chemoablation of this organ.

Objective: The present work aims to evaluate the efficacy of intraprostatic ethanol injection in the treatment of benign prostatic hyperplasia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02104806183023
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http://dx.doi.org/10.1016/j.acuro.2018.07.009DOI Listing
April 2019
14 Reads

Postoperative pain and cosmetic results of minilaparoscopic nephrectomy compared to the conventional technique.

Actas Urol Esp 2019 Apr 22;43(3):124-130. Epub 2018 Nov 22.

Hospital Universitario Puerta del Mar, Cádiz, España.

Introduction: In recent years urology has been focussing on less invasive forms of laparoscopy with less impact on the abdominal wall. The minilaparoscopy (ML) is promising in this regard. Our objective is to compare the results of a series of patients who underwent minilaparoscopic nephrectomy with another series who underwent conventional laparoscopy (CL). Read More

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http://dx.doi.org/10.1016/j.acuro.2018.05.006DOI Listing
April 2019
2 Reads

Cognitive function assessment in elderly patients with overactive bladder treated with transdermal oxybutynin.

Actas Urol Esp 2019 Apr 22;43(3):143-150. Epub 2018 Nov 22.

Hospital Universitari i Politècnic La Fe, Valencia, España.

Introduction And Objectives: Older patients with overactive bladder under antimuscarinic treatment are especially susceptible to cognitive impairment. The aim was to assess short term changes in cognitive function in elderly patients with overactive bladder treated with transdermal oxybutynin.

Materials And Methods: Observational, retrospective, multicentre study in patients with overactive bladder aged 65-80 years undergoing treatment with transdermal oxybutynin. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.07.005DOI Listing
April 2019
22 Reads

Infections related to healthcare in patients hospitalized in a Urology service: resistance patterns and adequacy of empirical antibiotic treatment as a prognostic factor.

Actas Urol Esp 2019 Apr 22;43(3):151-157. Epub 2018 Nov 22.

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

Objectives: To evaluate the suitability of empirical antibiotic therapy in HAIs and the antibiotic resistance patterns of the responsible microorganisms, as well as the incidence of mortality and risk factors involved.

Method: A prospective observational study was carried out on patients of both sexes older than 16years, admitted by any urological process during a period of 4years. The incidence and characteristics of HAIs, as well as the causative organism and its resistance, the initial empirical antibiotic therapy and its modification, if required, and mortality rates are analysed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02104806183023
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http://dx.doi.org/10.1016/j.acuro.2018.08.004DOI Listing
April 2019
17 Reads

The role of STAT3 protein as a prognostic factor in the clear cell renal carcinoma. Systematic review.

Actas Urol Esp 2019 Apr 19;43(3):118-123. Epub 2018 Nov 19.

Servicio de Urología, Hospital de la Vall d'Hebrón, Universidad Autónoma de Barcelona, Barcelona, España.

Context And Objective: There have been significant advances in the knowledge of renal carcinogenesis n the last years. Nowadays, renal tumors are classified according to their genetic profile and specific treatments based on the identification of therapeutic targets have also been developed. However, no prognostic markers have yet been identified. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.08.003DOI Listing
April 2019
4 Reads

Preoperative magnetic resonance imaging in predicting early continence recovery after robotic radical prostatectomy.

Actas Urol Esp 2019 Apr 9;43(3):137-142. Epub 2018 Nov 9.

Departamento de Urología, Hospital Universitari Vall d' Hebron, Universitat Autonoma de Barcelona, Barcelona, España.

Introduction And Aims: Urinary incontinence is a common complication after radical prostatectomy. The aim of our study was to describe the preoperative anatomical features using magnetic resonance imaging in order to predict early continence recovery after robotic radical prostatectomy.

Material And Methods: 72 patients who underwent robotic radical prostatectomy were prospectively analysed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02104806183019
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http://dx.doi.org/10.1016/j.acuro.2018.07.003DOI Listing
April 2019
12 Reads

Predictive factors of infectious complications in the postoperative of percutaneous nephrolithotomy.

Actas Urol Esp 2019 Apr 8;43(3):131-136. Epub 2018 Nov 8.

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

Objective: Infectious complications (IC) following percutaneous nephrolithotomy surgery (PCNL) can be life-threatening. Our objective was to analyse preoperative predictors of IC in PCNL.

Materials And Methods: A total of 203 patients who underwent PCNL were included in a prospective study between January 2013 and February 2016. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.05.009DOI Listing
April 2019
2 Reads

Impact of the baseline study with penile doppler ultrasound in patients with prostate cancer before radical prostatectomy.

Actas Urol Esp 2019 Mar 22;43(2):84-90. Epub 2018 Oct 22.

Servicio de Cirugía General y Digestiva, Hospital Universitari Parc Taulí, Universitat Autònoma de Barcelona, Sabadell, Barcelona, España.

Introduction: Given the high prevalence of erectile dysfunction in male population between 40-70 years old and the effect of radical prostatectomy on this domain, it is important to perform a baseline study.

Material And Methods: Prior radical prostatectomy, erectile function has been assessed prospectively in 112 prostate cancer patients using the erectile function (EF) domain of the International Index of Erectile Function (EF-IIEF), Erectile Hardness Score (EHS) and a penile doppler ultrasound (PDUS). Comorbidities and Charlson index were collected. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02104806183019
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http://dx.doi.org/10.1016/j.acuro.2018.08.001DOI Listing
March 2019
23 Reads

Influence of the laparoscopic approach on cancer-specific mortality of patients with stage pt3-4 bladder cancer treated with cystectomy.

Actas Urol Esp 2019 Mar 13;43(2):71-76. Epub 2018 Oct 13.

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

Introduction And Aim: The main aim of the study was to establish the oncological safety of the laparoscopic approach to radical cystectomy for high-risk, non-organ-confined urothelial tumours.

Material And Methods: A retrospective cohort study of 216 stage pT3-4 cystectomies operated between 2003 and 2016; using an open approach (ORC, n=108), and using a laparoscopic approach (LRC, n=108).

Results: Both groups have similar pathological features except, in G3 TUR, there were more lyphadenectomies and greater pN+, and more adjuvant chemotherapies using the LRC. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02104806183019
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http://dx.doi.org/10.1016/j.acuro.2018.06.009DOI Listing
March 2019
15 Reads

Sarcomatoid urothelial bladder carcinoma in adults: Histology, symptomatology, treatments and survival.

Actas Urol Esp 2019 Mar 1;43(2):106-110. Epub 2018 Oct 1.

Servicio Urologia, Hospital Universitari Son Espases, Palma de Mallorca, España.

Objective: Sarcomatoid urothelial bladder carcinoma comprises 3% of the tumours of the bladder and is considered one of the most aggressive tumours of the urinary tract. Our aim is to analyse the characteristics of sarcomatoid urothelial bladder carcinoma in adults, its treatments and survival.

Method: A retrospective study performed between 2000 and 2017 of all the patients with a sarcomatoid urothelial bladder carcinoma in a single centre. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.05.012DOI Listing
March 2019
3 Reads

Objective assessment of early urinary continence by analysis and visualisation of intraoperative variables of radical robotic prostatectomies with a video editor.

Actas Urol Esp 2019 Mar 1;43(2):99-105. Epub 2018 Oct 1.

Hospital Regional de Málaga, Málaga, España.

Introduction: UI after RP is a factor that has a major impact on patients' quality of life and the associated healthcare costs. The definition of UI is very variable in the literature. Similarly, a great many predictors have been studied that affect recovery of continence after surgery, the most important of which are intraoperative. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.05.010DOI Listing
March 2019
2 Reads

Influence of venous tumour extension on local and remote recurrence of stage pT3a pN0 cM0 kidney tumours.

Actas Urol Esp 2019 Mar 27;43(2):77-83. Epub 2018 Sep 27.

Unidad de Tumores Renales con Afectación Venosa (TRAV), Servicio de Urología, HGU Gregorio Marañón, Madrid, España.

Introduction And Objective: One of the inherent features of kidney tumours is the capacity to spread inside the venous system as tumour thrombi. The aim of this study was to assess in patients with stage pT3apN0cM0 kidney cancer whether venous tumour involvement influenced tumour recurrence.

Materials And Methods: A retrospective analysis of patients with stage pT3apN0cM0 kidney cancer treated with radical nephrectomy between 1990-2015. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.06.007DOI Listing
March 2019
7 Reads

Bladder pain syndrome: Prevalence and routine clinical practice in women attending functional urology and urodynamics units in Spain.

Actas Urol Esp 2019 Mar 24;43(2):62-70. Epub 2018 Sep 24.

Astellas Pharma SA, Madrid, España.

Introduction And Objectives: Bladder pain syndrome (BPS) is classified as a rare chronic debilitating disease and its diagnosis presents a challenge because its symptoms overlap with those associated with overactive bladder syndrome. The aim of the routine study was to estimate the prevalence of BPS and discover to study the profile of symptoms and clinical practice for patients attending functional urology and urodynamics units.

Material And Methods: An epidemiological study in which 37 functional urology and urodynamics units in Spain participated. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.06.004DOI Listing
March 2019
32 Reads

Differences in overall survival and cancer-specific survival in high-risk prostate cancer patients according to the primary treatment.

Actas Urol Esp 2019 Mar 21;43(2):91-98. Epub 2018 Sep 21.

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

Introduction And Objectives: There is no high-level evidence as to which primary treatment provides an overall survival (OS) or cancer-specific survival (CSS) advantage in high-risk localised prostate cancer (HRLPC). Our aim was to analyse the differences in survival and predictive factors in this group of patients, according to their primary treatment (radical prostatectomy (RP) or radiotherapy and androgen blockade (RT+HT)).

Material And Methods: A retrospective study of 286 HRLPC patients diagnosed between 1996-2008, treated by RP (n=145) or RT+HT(n=141). Read More

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http://dx.doi.org/10.1016/j.acuro.2018.06.006DOI Listing
March 2019
3 Reads

Effectiveness of the «cognitive» biopsy in the diagnosis of prostate cancer in patients with a previous negative biopsy.

Actas Urol Esp 2019 Jan - Feb;43(1):12-17. Epub 2018 Aug 18.

Servicio de Urología, Hospital General Universitario Gregorio Marañón, Facultad de Medicina, Universidad Complutense, Madrid, España.

Introduction: Evaluation of the effectiveness of cognitive biopsy (CB) in patients with clinical suspicion of prostate cancer (PC), and at least one negative biopsy (TRB).

Material And Method: Retrospective study of 144 patients with at least one previous TRB and magnetic resonance imaging (MRI). The MRI nodules were classified based on PI-RADS v2 grouping pZa, pZpl and pZpm as the peripheral zone(PZ), Tza, Tzp and CZ as the transitional zone (TZ), and the AS zones as the anterior zone (AZ). Read More

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http://dx.doi.org/10.1016/j.acuro.2018.06.008DOI Listing
August 2018
3 Reads

Incidence of second tumours in high risk prostate cancer patients according to the primary treatment applied.

Actas Urol Esp 2019 Jan - Feb;43(1):18-25. Epub 2018 Aug 14.

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

Introduction And Objectives: The onset of second primary tumours should be considered in high-risk prostate cancer patients in the natural course of the disease. Our aim was to evaluate the influence of primary treatment with curative intent for these patients on the development of second primary tumours.

Material And Methods: A retrospective study of 286 patients diagnosed between 1996 and 2008, treated by radical prostatectomy (n=145) or radiotherapy and androgen blockade (n=141). Read More

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http://dx.doi.org/10.1016/j.acuro.2018.07.002DOI Listing
August 2018
4 Reads

Usefulness of PET/CT 18-FDG for the diagnosis and follow-up of urological, urothelial and kidney tumours.

Actas Urol Esp 2019 Jan - Feb;43(1):32-38. Epub 2018 Aug 9.

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

Introduction: New imaging studies have appeared in recent years for the diagnosis and follow-up of metastatic urological tumours.

Material And Methods: A total of 41 patients were reviewed with suspected recurrence of a urothelial or kidney tumour, analysing the diagnostic performance of PET-CT scans undertaken between 2013 and 2016.

Results: We collected 17 urothelial tumours and 24 renal tumours, with a median follow-up of 30 months. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.05.005DOI Listing
August 2018
4 Reads

Urethral reconstruction in patients previously treated with Memokath™ urethral endoprosthesis.

Actas Urol Esp 2019 Jan - Feb;43(1):26-31. Epub 2018 Aug 9.

Kulkarni Center for Reconstructive Urology, Pune, India.

Purpose: To evaluate the role and success rate of urethral reconstruction in patients with urethral stricture previously treated with thermos-expandable Memokath™ urethral endoprosthesis.

Materials And Method: A case series of patients with urethral stricture and Memokath™ endoprosthesis treated with urethroplasty is presented. Reconstruction was decided due to stricture progression or complications derived from primary stent treatment. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.05.013DOI Listing
August 2018
3 Reads

Diagnosis of metastasis in castration-resistant prostate cancer patients: decision algorithm in imaging tests.

Actas Urol Esp 2019 Mar 3;43(2):55-61. Epub 2018 Aug 3.

Servicio de Urología, Hospital Universitario Carlos Haya, Málaga, España.

Introduction: In castration-resistant prostate cancer (CRPC), early detection of metastases is essential for the selection of treatment, and prevention of bone complications. However detecting incipient metastases remains a challenge as the conventional radiological tests (bone scintigraphy or computerised tomography) lack sufficient sensitivity. Diagnostic imaging techniques are currently available that have greater sensitivity and specificity, but are little used due to shortfalls in the recommendations. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.05.011DOI Listing
March 2019
8 Reads

A new approach to laparoscopic implantation of the artificial urinary sphincter: Vesicovaginal approach to the bladder neck.

Actas Urol Esp 2019 Jan - Feb;43(1):44-50. Epub 2018 Jul 29.

Hospital Universitario Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, España.

Introduction: The artificial urinary sphincter (AUS) is not used extensively in the treatment of female urinary stress incontinence (USI) due to the poor reproducibility of the techniques used. We describe a new approach to laparascopic implantation, of which dissection of the vesicovaginal space is an essential step. This enables an approach under direct vision to the posterior surface of the bladder neck. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.04.001DOI Listing
July 2018
5 Reads

Radium-223 for the treatment of metastatic castration-resistant prostate cancer: A window of opportunity.

Actas Urol Esp 2018 Dec 2;42(10):616-624. Epub 2018 Jul 2.

Hospital Virgen de las Nieves, Granada, España.

Context: The elimination of bone metastases, restoration and/or preservation of bone morphology and prevention and/or delay of skeletal events are a fundamental objective in the management of metastatic castration-resistant prostate cancer (mCRPC). Radium-223 is the first targeted alpha therapy with effects on bone that has been shown to increase survival in these patients, besides providing other bone-related benefits.

Objective: To analyze the impact of bone metastasis on mCRPC, and the benefits and the window of opportunity provided by radium-223 in the treatment of patients with mCRPC in the current treatment era. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.05.004DOI Listing
December 2018
3 Reads

5-alpha reductase inhibitors: New evidences on benefits and harms beyond benign prostatic hyperplasia.

Actas Urol Esp 2019 Jan - Feb;43(1):52-53. Epub 2018 Jul 19.

Departamento de Urología, Complexo Hospitalario Universitario de Ourense, Ourense, España.

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http://dx.doi.org/10.1016/j.acuro.2018.05.003DOI Listing
July 2018
4 Reads

Long-term safety and efficacy of mirabegron and solifenacin in combination compared with monotherapy in patients with overactive bladder: SYNERGY II study.

Actas Urol Esp 2019 Jan - Feb;43(1):51-52. Epub 2018 Jul 17.

Centro de Salud José María Álvarez, Don Benito, Badajoz, España. Electronic address:

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http://dx.doi.org/10.1016/j.acuro.2018.06.002DOI Listing
July 2018
5 Reads

Comment to: "Transcutaneous stimulation of the posterior tibial nerve for treating refractory urge incontinence of idiopathic and neurogenic origin".

Actas Urol Esp 2019 Jan - Feb;43(1):1-3. Epub 2018 Jul 17.

Departamento de Urología, Complexo Hospitalario Universitario de Ourense, Ourense, España.

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http://dx.doi.org/10.1016/j.acuro.2018.06.003DOI Listing
July 2018
6 Reads

Sample size and the establishment of safety in perioperative medicine.

Actas Urol Esp 2018 Nov 13;42(9):610. Epub 2018 Jul 13.

Department of Anesthesiology, Rhode Island Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, EE. UU.. Electronic address:

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http://dx.doi.org/10.1016/j.acuro.2018.05.007DOI Listing
November 2018
4 Reads

Developments in urologic oncology "OncoForum": The best of 2017.

Actas Urol Esp 2018 Oct 21;42(8):488-498. Epub 2018 Jun 21.

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

Objective: To put forth new findings of urologic oncology with impact on clinical practice presented during 2017 in the main annual meetings.

Methods: This document reviews abstracts on prostate, kidney and bladder cancer presented at the congresses of 2016 (EAU, AUA, ASCO, ESMO and ASTRO) and publications with the highest impact in this period valued with the highest scores by the OncoForum committee.

Results: Among patients at high risk of recurrent renal cell carcinoma after nephrectomy, adjuvant sunitinib compared to placebo showed a benefit in patients at higher risk of recurrence. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.06.001DOI Listing
October 2018
4 Reads

Adjustable transobturator male system (ATOMS) as treatment of stress urinary incontinence secondary to transurethral resection of the prostate.

Actas Urol Esp 2018 Nov;42(9):567-573

Centro Hospitalar São João, Oporto, Portugal.

Objectives: Feasibility study to evaluate efficacy and safety of Adjustable Transobturator Male System (ATOMS) for male stress urinary incontinence (SUI) after transurethral resection of the prostate.

Materials And Methods: Twenty patients were implanted ATOMS for SUI caused by transurethral resection of the prostate with or without radiotherapy. Incontinence severity was evaluated as mild (2 pads/day), moderate (3-5 pads/day) or severe (≥6pads/day), and dryness as none or one security pad/day. Read More

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http://dx.doi.org/10.1016/j.acuro.2018.05.002DOI Listing
November 2018
29 Reads