[Small cell bladder carcinoma in age extremes: Report of two cases.]
CONCLUSIONS: Our cases have been reviewed with the literature to discuss the evolution and differential diagnosis of small cell carcinoma of the urinary bladder. This is a rare tumor with very aggressive behavior and its diagnosis lies in its morphology, and immunohistochemical profile. PMID: 29521267 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - March 11, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Pseudomyxoma peritonei: A case report and review of the literature.
CONCLUSIONS: PMP is a local-regional disease within the abdomen, characterized by a mucinous tumor (mucocele) that produces a progressive amount of mucinous ascites, which eventually blows-out, and tumor cells are spread through the peritoneal cavity. Treatment options differ significantly, depending the stage of the disease. PMID: 29521268 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - March 11, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

The effect of darbepoetin alfa on renal fibrosis in rats with acute unilateral ureteral obstruction.
Authors: Yuksel OH, Yildirim C, Urkmez A, Ozbay N, Uruc F, Sahin A, Akan S, Verit A Abstract OBJECTIVES: The most important treatment strategy for obstructive nephropathy is to protect renal tissue from the deleterious effects of fibrosis. Therefore, we sought to investigate the renoprotective effects of darbepoetin alfa on unilateral ureteral obstructions. METHODS: We used 12 female and 12 male 3-monthold Wistar rats weighing between 250 and 350 g. The rats were divided equally into sham, darbepoetin and control groups. With the exception of the sham group, left unilateral obstructions were applied to all of t...
Source: Archivos Espanoles de Urologia - March 11, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Supernumerary lump pelvic kidney: The first case of the literature.
Authors: Kaya E, Zor M, Bozlar U, Uguz S, Ebiloglu T, Bedir S PMID: 29521270 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - March 11, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Bladder foreign body.
Authors: Fabià Mayans A, Segarra Tomás J, Ascaso Til H, Serra Deola A, Centeno Álvarez C, Ruiz Plazas X, Prados Saavedra M, Vila Barja J, Santillana Altimira JM PMID: 29521271 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - March 11, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Surgical and academic education in Urology.]
Authors: Gómez Rivas J PMID: 29336325 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Current status of Urological Education in Spain.]
CONCLUSION: The current training program is upgradeable. New studies and efforts should aim to standardize the acquisition of surgical and non-surgical skills, guarantee access to surgical training courses, establish a minimum of required interventions per year and at the end of residency, foster academic training, participation in research of residents and achieve an objective assessment of the specialty. PMID: 29336326 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Current status of urological training in Europe.
We describe a brief description of the most important EAU and ESU opportunities. PMID: 29336327 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Needs, realities and expectations for urology training: Questionaire-based study.
CONCLUSION: Urological education must be standardized and must cover the educational needs of urology residents. PMID: 29336328 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Current status of urological training in Latin America.]
CONCLUSIONS: Current postgraduate training in CAU environment is heterogeneous in their programs, as well as in the modes of accreditation and recertification. Academic activities do not seem to be properly valued. However, specific training offers better expectations of professional development. PMID: 29336329 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[The current urological training program in Spain. Urology National Specialty Commission.]
CONCLUSIONS: to understand the Urology's specialty training system we must know the laws that regulate it, being the most important the 44/2003 Law. The National Specialty Commission is an advisory party of the Ministry, whose main function is to elaborate the Urology training program and to establish the evaluation criteria of the specialists in formation. PMID: 29336330 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Job status after the resident training period in Spain. Analysis of a national survey.]
CONCLUSIONS: The work insertion of the recently specialized urologists is high, reaching 100% within 6 months of finishing their specialization. Labor quality issues are not so positive, observing great working instability associated to a high proportion of temporary contracts lower than 6 months. PMID: 29336331 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Fatigue syndrome: Stress, Burnout and depression in Urology.]
CONCLUSION: Stress, burnout and depression are problems in urology, early detection, promoting individual techniques in resilience, lifestyle and teamwork are fundamental now and for the future of the specialty. Developing and implementing support programs should be seriously considered by health systems and urological associations. PMID: 29336332 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Simulation and training in Urology - in collaboration with ESU/ESUT.
Authors: Veneziano D, Cacciamani G, Shekhar Biyani C Abstract Being a Surgeon today means taking on your shoulders countless responsibilities. It is definitely a high-stakes job but, even though the professionals do not go through the intense, focused and demanding training schedule as followed by the other equally risky fields, it doesn't yet require any practical training certification. Simulation was introduced in the aviation field in the early '30s with the "Link Trainer", designed to reproduce the most difficult flying case scenario: landing on an air-carrier. After almost a century, flight simulati...
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Training in basic and advanced laparoscopy: Evaluation of a 30-year experience in a training program in Spain.]
We describe our 30-years experience in different training programs in urological laparoscopy that have been sponsored by the Spanish Association of Urology (AEU), and have undergone several validity studies to assess their capacity in order to evaluate effectively basic and advanced laparoscopic skills. We will also highlight the current and future trend towards training models based on surgical competences where individualized training, accreditation and specialization of tutors is crucial, and where the increase in the use of training and evaluation methods based on the simulation are increasingly common. PMID: 29336...
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Evaluation of competencies in urology. Esscolap ® basic, as aproximation to urologists skills improvement.]
CONCLUSIONS: ESSCOLAP® Basic, of quick and simple implementation capacity, has been validated and calibrated for the evaluation of basic technical skills in laparoscopy. PMID: 29336335 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Training program in urological laparoscopic surgery. Future perspective.]
Authors: Aguilera Bazán A, Gómez Rivas J, Linares-Espinós E, Alvarez-Maestro M, Martínez-Piñeiro L Abstract Nowadays in urology, laparoscopic surgery is a reality that implies a very high percentage of the daily surgical activity. The interest in laparoscopy in urological pathology is undeniable, and the advantages for our patients with this approach are clear in most cases. But how do we deal with learning curve of this technique? What is the difficulty in laparoscopy training? What future perspectives might offer this approach? Difficulties in learning laparoscopy are easily ide...
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Training program in endourological surgery. Future perspectives.]
Authors: Soria F, Villacampa F, Serrano A, Moreno J, Rioja J, Sánchez FM Abstract Current training in urological endoscopy lacks a specific training program. However, there is a clear need for a specific and uniform program, which will ensure the training, regardless of the unit where it is carried out. So, the goal is to first evaluate the current model and then bring improvements for update. The hospital training accreditation programme are only the adjustment of the official program of the urology specialty to the specific circumstances of each center, which causes variability in training of residents. Af...
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Training in urological robotic surgery. Future perspectives.
Authors: El Sherbiny A, Eissa A, Ghaith A, Morini E, Marzotta L, Sighinolfi MC, Micali S, Bianchi G, Rocco B Abstract As robotics are becoming more integrated into the medical field, robotic training is becoming more crucial in order to overcome the lack of experienced robotic surgeons. However, there are several obstacles facing the development of robotic training programs like the high cost of training and the increased operative time during the initial period of the learning curve, which, in turn increase the operative cost. Robotic-assisted laparoscopic prostatectomy is the most commonly performed robotic surge...
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Training program in oncologic urology. Future prospectives.]
Authors: Alvarez-Maestro M, Gómez Rivas J, Aguilera Bazán A, Martínez-Piñeiro L, Juarez Soto A, Cozar Olmo JM, Esteban Fuertes M Abstract Urology is a medical-surgical specialty that deals with the study, diagnosis and treatment of the medical and surgical diseases of the urinary apparatus and retroperitoneum in both sexes and the male genital apparatus without age limit, due to congenital, traumatic, septic, metabolic, obstructive and oncological conditions. Urologic oncology is the broadest urological part, where research and new advances make continuous learning essential. In this cha...
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Training program on medical urology: Future perspectives.]
Authors: Gil Moradillo J, Cabrera Meiras F, Alonso Isa M, Lara Isla A, Justo Quintas J, García Rojo E, González Padilla D, García Gómez B, Medina Polo J, Romero Otero J Abstract Urology is defined as the medical-surgical specialty that includes the study, diagnosis and treatment of medical conditions of the urinary system. It is well specified by the National Commission of Specialties that we must know the medical pathology that concerns us. However, on occasions, resident training focuses on the surgical field and oncological pathology, which, although one of the main pillars of the spe...
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Academic opportunities for Urology residents in Spain.]
Authors: Ribal MJ, Musquera M Abstract The development of an academic career gives a new dimension to the chosen specialty. It consists in combining clinical activity with teaching and research activity. In the area of surgical specialties there is currently a lack of academic positions which is necessary to overcome to maintain the quality standards. Residency and the immediate posterior period it is a good time to star our academic career. This side of our specialty demands an additional effort, great motivation, clear and determined objectives and especially dedication. Considering Urology is a medical-surgical ...
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Homogeneity of the European training program. The role of the European Board of Urology.]
Authors: Domínguez Escrig JL Abstract From its origins and acting through its specific committees, the E.B.U. has been dedicated to the improvement and standardization of urological training across Europe. Identifying minimal requirements for urology training, publishing a European Curriculum and defining basic rules for accreditation of educational activities, hence, offering a systematic assessment for the recognition of quality. Working through different dedicated committees, the E.B.U. oversees every aspect on the urological training in Europe. The Accreditation Committee sets standards for the accredita...
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[On line learning in urologic surgery. The value of the 2.0 Web tools.]
Authors: Castillón Vela IT Abstract The field of Surgery is under the pressure of accelerated change where technological cycles get shorter and shorter, sometimes transformational. Learning and training have gotten a key role because learning curves for new techniques directly affect patient's safety and learning cycles are slower. The traditional learning model within the urology department is overwhelmed. We need new training and learning methods. The aim of this article is to perform a critical analysis of the current status of learning in urological surgery and the challenges we face, evaluating how new ...
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[The urologist of the future and new technologies.]
Authors: Peinado F, Fernández A, Teba F, Celada G, Acosta MA Abstract The last 25 years have brought about revolutionary changes for medicine and in particular for urology: internet was only in its infancy, medical records were written on paper, searches for medical information were done in the hospital library, medical articles were photocopied and our relationship with patients only existed face to face. Social networks had not yet appeared and even Google did not exist. Just imagine what might happen during the next 25 years, we're going to see even more radical changes. The urologist of the future is goi...
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[The role of social media in academic training in Urology. Adequate use.]
Authors: Gómez Rivas J, Tortolero Blanco L, Rodríguez Socarras M, García Sanz M, Carrión DM, Okhunov Z, Veneziano D Abstract Social media is characterized because all its services are participative. Users of 2.0 technologies can interact easily and openly with other people, share resources and communicate immediately and simultaneously. Research improves from participatory technologies by allowing groups to share reflections, methodologies, resources and results.The social media platform with greater diffusion and use in urology is possibly Twitter because it allows to realize what is kn...
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Future of Urology training.
Authors: Sarikaya S, Dourado Meneses A, Cacciamani GE, Gómez Rivas J Abstract Urology has become more complex through the years, as it comprises increasingly sophisticated medical and surgical technologies such as advanced medical tumour therapies, and endourological, laparoscopicand robotic surgical techniques. Training in urology starts during medical school and once a medical student chooses to specialize on it, becomes life-long. Becoming a good urologist requires a highly qualified education and sufficient experience. To devise a training programme of high proficiency, several important factors must be ...
Source: Archivos Espanoles de Urologia - January 18, 2018 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Experience with third, fourth and fifth kidney transplants and their complications.]
CONCLUSIONS: A new renal transplant in patients with two or more previous grafts is feasible, being necessary to individualize the cases. In spite of being more complex operations than previous transplants with a higher complication rate, we can obtain both acceptable graft and patient survival outcomes with an appropriate approach. PMID: 29205159 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 7, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Glans penis phimosis in antiquity as depicted upon two roman ex-votos.
Authors: Tsoucalas G, Sgantzos M PMID: 29205160 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 7, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Low dose rate brachytherapy in low and middle risk prostate cancer: Results and impact on quality of life with 5 year follow up.]
Authors: Balbontín F, Pizzi P, Canals A, Alliende I Abstract Low dose rate brachytherapy (LDR-Br) with radioactive isotopes is a curative treatment and has shown to be comparable for the management of localized prostate cancer (PCa) to more conventional treatments such as radical prostatectomy or external beam radiotherapy, but with fewer side effects. The aim of this study is to show the global, specific and biochemical recurrence-free survival in 193 patients undergoing low dose rate Brachytherapy with permanent implants with iodine 125 and analyze the quality of life impact. 193 patients with localized PC...
Source: Archivos Espanoles de Urologia - December 7, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Multiparametric-MRI-Guided Biopsy in the Era of Precision Medicine.
CONCLUSION: MRGB increased PC detection in patients with previous biopsies and also increased SPC detection at the expense of decreasing NSPC detection in both groups of patients with fewer biopsies when compared with TRUS. These results demonstrate the value of MRGB in PC diagnosis. PMID: 29205162 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 7, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Extramedullary plasmacytoma of the testicle.
CONCLUSIONS: Invasion of the testis in multiple myeloma patients as a recurrence of the disease is an extremely rare condition, as EMPs are more common in other organ systems. Initial treatment should be the same as a primary testicular tumor with radical inguinal orchiectomy, and definitive diagnosis is established in histologic analysis. PMID: 29205163 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 7, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Genital reconstruction with Integra ™ artificial dermis after radical resection in a boy with diffuse lymphangiomatosis.
CONCLUSION: The use of artificial dermis for genital surface reconstruction enables radical excision of tissues involved by diffuse lymphangiomatosis in this location. Surgical technique is simple, postoperative care is easy, being ambulatory care feasible. Final result is an elastic, fine skin, very satisfactory aesthetically, and functionally normal, which even keeps local sensitivity. In the long term, this will benefit the sexual field, so damaged in this patients. PMID: 29205164 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 7, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Prevalence of antibiotic resistance in fecal flora before transrectal ultrasound-guided prostate biopsy and the clinical impact of targeted antibiotic prophylaxis.
CONCLUSION: In our study, the rates of ESBL presence and ciprofloxacin resistance in rectal flora were not negligible. However, by obtaining rectal swab cultures prior to performing transrectal prostate biopsies and using targeted prophylaxis before prostate biopsy, the sepsis rates were reduced; however, this effect was statistically insignificant. Additional studies with a larger patient population could help to evaluate the targeted prophylaxis procedure. PMID: 29205165 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 7, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Obstructive uropathy due to double J catheter bending.
Authors: Martínez-Ruiz J, Carrión López P, Cantos Venturini C, Libran García L PMID: 29205166 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 7, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Persistent renal colic due to a ureteral stone in a bilateral double ureteral system.
Authors: Redón L, Álvarez M, Páez Borda Á PMID: 29205167 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 7, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Mid-term safety and efficacy of high power thulium laser vaporization.]
CONCLUSIONS: In this study, high power TL-PVP is a safe and effective alternative with subjective and objective functional results that are comparable to the "gold standard" technique. It also offers a shorter hospital stay and a lower complication rate. PMID: 29099377 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - November 5, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Prognostic factors predicting failure of the trial without catheter after tamsulosin in patients with acute urinary retention.]
CONCLUSIONS: The only variable that impact negatively on the trial without catheter was the severe IPSS with an approximation to statistical significance. The presence of diabetes as a related factor is a hypothesis that should be investigated with a higher number of cases. PMID: 29099378 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - November 5, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Complications of radical prostatectomy.]
CONCLUSIONS: It is crucial to know the potential complications of radical prostatectomy, as well as the associated risk factors, in order to avoid their appearance. PMID: 29099379 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - November 5, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Consensus on castration-resistant prostate cancer management in Spain.]
CONCLUSION: After the consensus, we provide a series of recommendations for Spanish physicians treating CRPC to address the disease characteristics,how to tailor patient management decisions, the use of imaging techniques, and how to handle disease progression appropriately to improve patients' quality of life. PMID: 29099380 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - November 5, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Adenoma metanephric: Report of 2 cases and bibliographic review.]
CONCLUSIONS: Two new cases of metanephric adenoma are presented and a review of the literature was performed in order to discuss the prognosis and differential diagnosis of metanephric adenoma. This is a rare tumor and its diagnosis lies on its morphology and its immunohistochemical profile. PMID: 29099381 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - November 5, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Neurofibromas in the urogenital system: Report of two cases and literature review.]
CONCLUSIONS: Pelvic neurofibromas are a rare entity in this anatomical location. They can be associated with Neurofibromatosis type 1 or not. We get to their diagnosis by an anatomopathological study. Conservative management is the usual procedure, being mandatory a clinical follow-up that must be coupled with image tests. PMID: 29099382 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - November 5, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Does using alprazolam during outpatient flexible cystoscopy decrease anxiety and pain?
CONCLUSIONS: Using alprazolam before flexible cystoscopy reduces both anxiety (STAI-1 vs STAI-2b) and pain (VAS-1 vs VAS-2). Previous cystoscopy experience reduces anxiety (STAI-2a vs. STAI-2b). Elderly patients have less anxiety and pain scores than younger patients in flexible cystoscopy. PMID: 29099383 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - November 5, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Ackerman's tumor of the penis.
Authors: Elizalde Benito FX, Urra Palos M, Elizalde Benito ÁG, Ramirez Fabian M PMID: 29099384 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - November 5, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Diagnosing urines with Giemsa tintorial techniques.
Authors: Torres Gómez FJ PMID: 29099385 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - November 5, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Urodynamics before surgery for stress urinary incontinence in female patients: An open debate.
In conclusion, we believe that in most patients (the "complicated" ones) the role of UDI has not been fully evaluated. In "uncomplicated" cases, pretreatment UDI might not improve clinical outcomes but it could give important informations (voiding dysfunction in about 10% of cases) offering a valuable guide to the surgeon and to the patient. Interestingly though, UDI could alter clinical decision making being a valuable tool in counseling our patients with the aim of cure their symptoms, never risking of worsening them or causing further discomfort. PMID: 28976343 [PubMed - in process] (Source: Arch...
Source: Archivos Espanoles de Urologia - October 6, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Laparoscopic adenomectomy: Evolution of the technique and results.]
CONCLUSION: LA and R-LA are procedures under continuous "development" of some complexity that require experience in laparoscopy and/or robotics. These techniques offer significant advantages compared to the OA, so they are reasonable alternatives, effective and safe in the treatment of BPH in laparoscopic or robotic centers or with interest in the development of these techniques. PMID: 28976344 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - October 6, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Impact of a goal directed therapy in the implementation of an ERAS (Enhanced recovery after surgery) protocol in laparoscopic radical cystectomy.]
Authors: Uña Orejón R, Huercio Martinez I, Mateo Torres E, Jofré Escudero C, Gomez Rivas J, Diez Sebastián J, Ureta Tolsada MP Abstract OBJECTIVES: The intraoperative goaldirected fluid therapy (GDT) has become the base of perioperative management in the fast-track protocols. This program using technology to estimate cardiac output, with the aim of minimizing splanchnic hypoperfusion. However, there is insufficient evidence to confirm its application in radical laparoscopic cystectomy. METHODS: In a retrospective study, we have included 52 patients that were scheduled for radical cys...
Source: Archivos Espanoles de Urologia - October 6, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Analysis of success predictive factors in the treatment of urinary lithiasis by extracorporeal shock wave lithotripsy. patient optimization: ESWL score.]
CONCLUSIONS: Patient classification before ESWL treatment seems to allow us better selection, improving treatment success. PMID: 28976346 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - October 6, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Lithogenic risk index in urinary lithiasis patients and their evolution after treatment.]
CONCLUSIONS: The lithogenic risk factors more frequently detected were hipocitraturia and hypercalciuria. Therapeutic measures achieved the decrease of saturation risk indexes for all the crystals analyzed, registering significant effects in the increase of diuresis and uric acid saturation decrease. The use of software tools for the calculation of crystallization risk is an important innovation in Paraguay. PMID: 28976347 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - October 6, 2017 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research