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Influence of barbed suture in laparoscopic radical prostatectomy.
CONCLUSIONS: The use of bidirectional barbed suture (Quill®) for vesicourethral anastomosis in laparoscopic radical prostatectomy, when compared with the conventional suture, shortens surgical time, reduces urinary fistula rate, catheter duration and hospital stay, as the anastomosis is easily performed and prevents leakage. PMID: 26856736 [PubMed - as supplied by publisher] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - February 11, 2016 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Diagnosis challenge of atypical spindle cells neoplasm of the spermatic cord.
CONCLUSIONS: Soft tissues neoplasms of the spermatic cord may occur in an unusual way and they may be a real challenge to diagnose. PMID: 26856737 [PubMed - as supplied by publisher] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - February 11, 2016 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Treatment with hydrochlorothiazide and alendronate in patients with stones and bone mineral density loss. Evolution of bone metabolism and calciuria with medical treatment.
Authors: Arrabal-Martín M, González-Torres S, Cano-García MC, Poyatos-Andújar A, Abad-Menor F, Arrabal-Polo MA Abstract OBJECTIVES: Treatment of calcium stones is based on diet and pharmacological measures such as the use of thiazides and other drugs. The aim of this study is to assess the effect of alendronate on hydrochlorothiazide on urinary calcium and bone mineral density in patients with calcium stones. METHODS: Prospective observational study involving 77 patients with relapsing calcium stones divided into 2 groups according to treatment received. Group 1: 36 patients treated ...
Source: Archivos Espanoles de Urologia - February 11, 2016 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Chairman of Clinical Departments planification, organizational and management portfolio].
Authors: Repullo JR, Oteo LA Abstract Portfolio methodology is widely applied to training, particularly in medical education and for medical trainees. Some Spanish Institutions (National University of Distance Learning and National School of Public Health) are using a seven dimension Portfolio in the field of Clinical Management, which could be used as conceptual framework and checklist for building up different documents for planning, programming and evaluating the new experiences of Clinical Units based on clinical management initiatives. This paper describe the Portfolio in short, takes into consideration its po...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Evaluation of the maturity of a Urology Department in terms of Quality. Management and Quality improvement operative objectives].
CONCLUSIONS: The management of a clinical department cannot be limited to continuous improvisation. A process management approach is necessary, finishing with the usual defects of the generated product (variability, errors, omissions, waiting lists). Excellence in the quality of health care is an essential objective in every healthcare organization and standardization models, such as 2009 ISO 9004 standard, are the right way for that purpose. PMID: 25688530 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Methodology for process documentation and stabilization].
Authors: Mora JR Abstract OBJECTIVES: The methodology for process management implantation consists of four phases with their corresponding stages: The first consists of mobilizing the organization and gaining support of the executive board of the center, as well as the people that will conform the working team. The second phase, once the processes have been identified and classified, is o document and implement them with their review performed. Once the process has been implanted, with time, there is a third phase that consists of its management control that ends with the evaluation. Once the processes are evaluate...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Architecture and design of a processes map in a Urology Department].
Authors: Mora JR, Luján M Abstract Every organization with the intention to be oriented to processes management must know it is a system and what are the factors that characterize it. Health care institutions are open and mixed systems. It is in this system where the chain of value of the productive process occurs, generating a very complex integrated management system, as the productive system main recipients are people with health needs. The process management approach in clinical centers, departments and units means that, once the processes have been identified, they have to be set depending on their miss...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Definition and stabilization of processes I. Management processes and support in a Urology Department].
Authors: Pascual C, Luján M, Mora JR, Chiva V, Gamarra M Abstract The implantation of total quality management models in clinical departments can better adapt to the 2009 ISO 9004 model. An essential part of implantation of these models is the establishment of processes and their stabilization. There are four types of processes: key, management, support and operative (clinical). Management processes have four parts: process stabilization form, process procedures form, medical activities cost estimation form and, process flow chart. In this paper we will detail the creation of an essential process in a surgic...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Definition and stabilization of processes II. Clinical Processes in a Urology Department].
Authors: Pascual C, Luján M, Mora JR, Diz MR, Martín C, López MC Abstract New models in clinical management seek a clinical practice based on quality, efficacy and efficiency, avoiding variability and improvisation. In this paper we have developed one of the most frequent clinical processes in our speciality, the process based on DRG 311 or transurethral procedures without complications. Along it we will describe its components: Stabilization form, clinical trajectory, cost calculation, and finally the process flowchart. PMID: 25688534 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[High resolution for all in the clinics área of a Urology Department].
[High resolution for all in the clinics área of a Urology Department]. Arch Esp Urol. 2015 Jan-Feb;68(1):96-104 Authors: Páez A, Molina R, González N Abstract OBJECTIVES: To evaluate the performance of a one-stop clinic in terms of proportion of diagnostic-therapeutic orientation during 2013. METHODS: All patients were referred from primary care facilities in the district of Fuenlabrada, Madrid, Spain (population 221.705). Previously, referral protocols were agreed. Seven senior urologists participated. 6674 referrals (January-December 2013) were eligible. RESULTS: 4534 ref...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Adequacy of urology departments in a health care model of hospitals network].
CONCLUSIONS: Belonging to a health care model in network involves a change of attitude. It creates an organizational change, based on the processes and the results, which enables control of the management analytically, detecting the points that need to be optimized as well as those that are satisfactory. It implies developing a culture of learning and cooperation, so that the processes are fluent and have quality, to create clinical and technological projects in favor of new resource-generating research, based on the needs of the joint management of the hospitals network. The complexity of this model requires a work focuse...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Inverse innovation models in the nurse clinic of a Urology Department].
CONCLUSIONS: Implication of urological nursing staff in certain care tasks traditionally reserved to the physician is possible without increase in quality defects, obtaining an advantage in terms of economic cost and flexibility in staff organization thanks to the expansion of the competence array. PMID: 25688537 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Management of non metastatic castration resistant prostate cancer.
CONCLUSIONS: Second-line hormonal maneuvers can be an alternative in the absence of effective therapies, as long as they are well tolerated in well informed patients who refused observation or clinical trial inclusion. PMID: 25774819 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

When should we perform a bone scintigraphy in patients with new diagnosis of asymptomatic prostate cancer in order to detect bone metastasis?
Authors: Márquez-López J, Gómez-Gómez E, Anaya-Henares F, Robles-Casilda R, Requena-Tapia MJ Abstract OBJECTIVE: To define, based on PSA value, Gleason score (GS), clinical stage and age, those patients diagnosed with asymptomatic prostate cancer whose cases warrant further study of bone metastasis (BMet). METHODS: From January 2006 to May 2010, we evaluated 263 patients diagnosed with prostate cancer who were chosen for further study of bone scintigraphy following the consensus protocol accepted by the Ministry of Health of Andalusia (Integrated Andalusian Process Prostate Cancer-BP...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Quality of life after brachytherapy or robot-assisted radical prostatectomy for localized prostate cancer.
Authors: Martín-López JE, Rodríguez-López R, Romero-Tabares A, Beltran-Calvo C, Molina-López T, Baena-González V Abstract OBJECTIVES: To perform a systematic bibliographic review of the literature assessing the quality of life and complications of robotic prostatectomy (RP) versus low-dose rate brachytherapy (LDR-BT) in patients with localized prostate cancer (PCa). PubMed, EMBASE and Cochrane, Centre for Reviews and Dissemination, Emergency Care Research Institute, Web of Knowledge, Technology Evaluation Center, Clinical Evidence, Uptodate, Hayes and Drug Effectiveness Rev...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Effectiveness of low-intensity extracorporeal shock wave therapy on patients with Erectile Dysfunction (ED) who have failed to respond to PDE5i therapy. A pilot study.
The objective of this paper is to assess the effectiveness and safety of LIESWT on patients with ED who have failed to respond to PDE5i treatment. METHODS: Open label, prospective, longitudinal observational study. The study involved an uncontrolled population of 25 patients. The treatment consisted in applying 20,000 shock waves during a period of four weeks. In each session the patient received 5000 shock waves of 0.09 mJ/mm2: 1800 were applied on the penis (900 on each corpus cavernosum), and 3200 were applied on the perineum (1600 on each crus). During the active treatment and follow-up phases, all patients remaine...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Clinical and urodynamic results of alpha-blocker drug treatment in patients with lower urinary tract symptoms and benign prostatic hyperplasia.
Authors: Salinas J, Grupo URAL Abstract OBJECTIVES: To analyse the improvement in both symptoms (IPSS questionnaire) and uroflowmetry parameters (Qmax) after treatment with different alpha-blockers in patients with LUTS and BPH. The efficacy of alpha-blocker treatment on urodynamic parameters was also analysed in some patients. METHODS: An epidemiological, retrospective, multi-centre, and observational study. Twenty-five (24) Spanish healthcare centres recruited 443 patients with LUTS and BPH, and no other concurrent urological disease, they were on treatment with alpha-blockers. The study variables (demographi...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

When routine D-J implantation necessary during PNL?
Authors: Bayrak O, Seckiner I, Erturhan SM, Bulut E, Demirbag A, Erbagci A Abstract OBJECTIVE: We investigated the characteristics of patients who underwent Double-J catheter (D-J) implantation, the risk factors for prolonged urine leakage (PUL), and prediction of patients who require medical treatment. METHODS: The data of 535 adult patients who underwent PNL due to kidney stone disease between January 2005 and December 2011 in our clinic were analyzed retrospectively. Patients were divided into 2 groups: Group 1 (n=77) (14.39%) included patients with Double-J catheter due to prolonged (> 24 h) urinary leak...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Urachal adenocarcinoma of the bladder, our experience in 20 years.
CONCLUSIONS: Urachal adenocarcinomas of the bladder are rare tumors the natural history of which has not changed during the last years. Open partial cystectomy with en bloc resection of the bladder dome, urachus and the umbilicus is the standard treatment in localized stages, although minimal invasive techniques appear to have the same oncological outcomes. Pelvic lymphadenectomy is advised. Most of the patients are diagnosed at an advanced local or metastatic stage. There is a need to improve diagnostic techniques for early treatment and to find new chemotherapy protocols that can help to improve these patients' survival....
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Management of chylous fistulas, a rare complication after urologic surgery.
CONCLUSIONS: The use of octreotide appears to be an effective treatment in the management of chylous fistulae, and it is suggested by some authors as first-line treatment in the management of these, thus decreasing the complications that can appear due to chyle loss. PMID: 25774826 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Spontaneous enterocutaneous and rectovaginal fistula: potential complications during therapy with anti-angiogenic drugs in renal cancer.
We present two cases of enterovaginal and enterocutaneous fistulae associated to treatment with pazopanib, which is an angiogenesis inhibitor for the treatment of metastatic renal cancer. The times from drug administration and the first appearance of a fistula were 6 and 16 months, respectively. None of the cases had a history of surgery or radiotherapy in the area where the complication was observed. Enterovaginal and enterocutaneous fistula represent less than 1% of all published complications caused by the use of antiangiogenic drugs. However, they must be taken into account as the reported mortality rate is close to 30...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[What has changed in the epidemiology and screening of prostate cancer?].
CONCLUSIONS; Systematic screening, despite inconsistencies in some studies, seems to improve prostate cancer specific mortality. The introduction of new biomarkers, imaging techniques such as mpMRI as well as less aggressive therapeutic alternatives, probably open windows to the future for a better diagnosis and treatment of the disease. PMID: 25948794 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Current role of protatic specific antigen (PSA) and its by-products in the diagnosis of prostate cancer].
Authors: Placer J, Planas J, Celma A, Morote J Abstract Incorporation of prostatic specific antigen (PSA) to clinical practice was a revolution in the diagnosis and modified the epidemiology of prostate cancer (PCa). Although it lacks of many characteristics of an ideal tumor marker, it is the marker most used for diagnosis and follow up of any kind of cancer. It represents the best clinical tool we have available today for screening and staging of PCa. On the contrary, its greatest limitation is the lack of tumor specificity. The use of PSA by-products and molecular isoforms tries to solve, at least partially, its...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Non- PSA serum markers for the diagnosis of PCa].
Authors: Mengual L, Musquera M, Ciudin A, Ribal MJ Abstract Prostate cancer (PCa) is the most common male malignancy in our population. Over the past two decades, the prostate specific antigen (PSA) has been widely used for screening, diagnosis and monitoring of prostate cancer. Routine use of PSA has been continuing subject to controversy due to its limited specificity, which is derived from the fact that serum PSA levels are produced in a variety of non-neoplastic conditions. The shortcomings in sensitivity and specificity of PSA have promoted the search for new biomarkers to improve diagnostic performance. The u...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Update on the diagnosis of PCa in urine. The current role of urine markers].
Authors: Fernandez-Serra A, Casanova-Salas I, Rubio L, Calatrava A, García-Flores M, García-Casado Z, López-Guerrero JA, Rubio-Briones J Abstract Prostate cancer (PCa) is still a main health issue, in fact it is responsible for 10% of cancer deaths across Europe. The morphology of the prostate gland makes urine an ideal sample, non invasive, for determination both diagnostic and prognostic biomarkers. We use urinary PCA3 levels to indicate a prostate biopsy, and it is the only urinary biomarkers in PCa with FDA approval for clinical use. Many other biomarkers based on the expression of specific...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Role of tissue markers on diagnosis, prognosis and monitoring of prostate cancer].
CONCLUSIONS: Since prostate cancer is a heterogeneous disease, having a defined set of markers for early diagnosis, prognosis and follow-up, is clinically relevant. Some of these new markers can now be used to complement the conventional histopathologic diagnosis, as well as, to help already established parameters assessing prognosis. PMID: 25948798 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Usefulness of clinical nomograms and predictive models for pca. Predictive clinical factors of tumor agressiveness].
Authors: Borque Á, Esteban LM, Sanz G, Rubio-Briones J, Gil Sanz MJ Abstract In this narrative review we present the natural evolution of predictive models to their presentation in the nomogram format. We show their clinical usefulness and the objective parameters that contribute to their clinical use: calibration, discrimination, decision curves and probability density functions. We continue detailing the various existing predictive models/nomograms in relation to prostate cancer aggressiveness before and after biopsy, before and after primary treatment, recurrence and castration resistance. Finally we incl...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Conventional transrectal ultrasound guided biopsy. Current role, indications, techniques and limitations].
CONCLUSIONS: Ultrasound guided prostatic biopsy is the main diagnostic method for prostate cancer yet. The information it gives is greatly relevant for staging, prognostic evaluation and therapeutic decision-making. Nevertheless, its limitations are evident: low sensitivity, overdiagnosis, complicacions, patient's distress, etc. There are two lines of development to improve its efficiency. The one aiming to reduce the number of biopsies and cores by selectively targeting the findings of the MRI and the one that continues systematizing schemes with increasing number of cores to achieve the optimal sampling. Technical advanc...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Systematic ultrasound-guided saturation and template biopsy of the prostate: indications and advantages of extended sampling.
Authors: Isbarn H, Briganti A, De Visschere PJ, Fütterer JJ, Ghadjar P, Giannarini G, Ost P, Ploussard G, Sooriakumaran P, Surcel CI, van Oort IM, Yossepowitch O, van den Bergh RC, Prostate Cancer Working Group of the European Association of Urology Young Academic Urologists Abstract OBJECTIVES: Prostate biopsy (PB) is the gold standard for the diagnosis of prostate cancer (PCa). However, the optimal number of biopsy cores remains debatable. We sought to compare contemporary standard (10-12 cores) vs. saturation (=18 cores) schemes on initial as well as repeat PB. METHODS: A non-systematic review of the li...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Advances in ultrasound techniques for the diagnosis and staging of prostate cancer. Elastography, Doppler ultrasound, ultrasound contrast media, ultrasound quantification media and MRI fusion].
CONCLUSIONS: The ultrasound-guided prostate biopsy has an acceptable sensitivity in the diagnosis of prostate cancer, but its specificity is still low. Various modalities associated with ultrasound are available in clinical practice in order to increase cancer detection rate. Although some promising data have been published for some of the modalities, we believe the combination of these includes validated ultrasound guided biopsy protocols to accurately target and diagnose prostate cancer. PMID: 25948802 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Multiparametric MRI. The role of MRI techniques in the diagnosis, staging and follow up of prostate cancer].
Authors: Vilanova JC, Luna-Alcalá A, Boada M, Barceló J Abstract The current diagnosis of prostate cancer based on PSA values and systematic biopsy has limitations in its efficacy of detection and staging. Technical advances on imaging over the last decade, mainly MRI, enable improvements in the strategy of prostate cancer management in diagnosis, staging, follow up and therapy monitoring. MRI enables the combination of morphological (T2 sequences) and, at the same time, functional information by means of the application of sequences such as spectroscopy (SMRI), diffusion and dynamic intravenous contr...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Selection of candidates for prostate biopsy using multiparametric magnetic resonance imaging in patients with persistently raising PSA].
CONCLUSION: The mRMN is a useful technique not yet incorporated in algorithms of prostate cancer diagnosis in urological societies. Its safety, effectiveness and efficiency are forcing to include its progressive use and with high probability will be soon incorporated into the decision-making charts. PMID: 25948804 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Integrated US-MR fusion images and MR targeted biopsies. What are their role and value in the detection and follow-up of prostate cancer.
Authors: Delongchamps NB, Escourou C, Cornud F Abstract Accuracy of multiparametric MRI has greatly improved the ability of localizing tumor foci of prostate cancer. This property can be used to perform a TRUS-MR image registration, new technological advance, which allows for an overlay of an MRI onto a TRUS image to target a prostate biopsy toward a suspicious area Three types of registration have been developed: cognitive-based, sensor-based, and organ-based registration. Cognitive registration consists of aiming a suspicious area during biopsy with the knowledge of the lesion location identified on multiparametr...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

State of the art of PET/CT with 11-choline and 18F-fluorocholine in the diagnosis and follow-up of localized and locally advanced prostate cancer.
CONCLUSION: In the Prostate Specific Antigen (PSA) era with a large number of localized disease, the diagnostic performance of choline PET and PET/CT lack of reliability in initial diagnosis of PCa. The major clinical role of choline PET/CT is the re-staging of patients with a biochemical relapse after radical treatment; the promising performance of choline PET/CT scan in patients with low levels of PSA could also lead the clinicians for to perform PET-guided adjuvant curative therapies or palliative treatments in patients already treated radically for PCa. PMID: 25948806 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Total body MRI in early detection of bone metastasis and its indication in comparison to bone scan and other imaging techniques].
Authors: Luna A, Vilanova JC, Alcalá Mata L Abstract Bone metastases are a recognized prognostic factor in patients with prostate cancer. Currently, Tc99 bone scan is the most frequently used imaging technique for their detection, showing a high sensitivity but a limited specificity. Thus, new morphological and mainly functional imaging techniques based on PET and MRI, or hybrid techniques such as PET-CT or PET-MRI have been introduced to improve metastases detection, estimation of total tumor load and for therapeutic monitoring. In this clinical scenario, total body MRI has arisen as a very promising techni...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[Personalized medicine and prostate cancer. The reality of change].
Authors: Carballido Rodríguez JA, Martínez-Salamanca JI Abstract Prostate cancer (PCa) is a public health problem in western male populations on the basis of it's high incidence and prevalence. Nowadays we come to changes in the diagnostic technologies that deserve special attention and that once applied allow to show the way towards a personalized view of PCa being able to join this modern current trend of the oncologic pathology. In spite of the recognized heterogeneity of the disease; clinical, pathological and genetic variants in genes and the limitations of the PSA as a biomarker to determine the...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[The second kidney transplantation in Spain].
Authors: Virseda Rodríguez JA Abstract The first two living donor kidney transplants in our country (isotransplant and homotransplant respectively) were reported in 1961. We reviewed the clinical history of the renal homotransplant performed between father and son, more than half a century ago, by Carlos Younger de la Peña and Ramiro Rivera at "La Paloma' Clinic in Madrid. We comment on the organizational, legal, immunobiological and technical difficulties in those times when the successful future of transplantation was barely in sight. From the XXI Century we can see the long path of renal trans...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

100 cases of three-piece Inflatable Penile Prosthesis with new scrotal pump: Evaluation of 3 specialised centres.
CONCLUSIONS: The Coloplast Titan™ OTR IPP was easy to implant, inflate, and deflate with high levels of EF improvement, patient and partner satisfaction. A small number of postoperative teaching sessions were required for the patient to properly operate the device. PMID: 26033761 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Substitution urethroplasty. Long term follow up results in a group of 50 patients.
CONCLUSIONS: The recurrence of the stricture after augmentation urethroplasty occurs, in the majority of cases, in the first five years. After this period of time recurrence is very rare. Oral mucosa showed better results as substitute tissue in the urethral stricture surgery. PMID: 26033762 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Risk assessment in children with lithogenic kidney stones.
Authors: Ubetagoyena Arrieta M, Corera Casty MN, Martínez Saenz de Jubera J, González Hospitaler MT, Areses Trapote R, Pérez-Yarza EG Abstract OBJECTIVE: The aim of this study was to describe the lithogenic risk profile of pediatric patients with lithiasis. METHODS: We retrospectively analyzed the metabolic studies in 24-hour urine samples in 47 pediatric patients with lithiasis. Biochemical determinations were made in blood and 24-hour urine. Oxalate calcium, brushite, struvite and uric acid salt saturations were calculated. 49 healthy children were used as a control group. RESULTS: No...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Which treatment method should be used in pregnant patients with ureteral calculi? Two center comparative study.
Authors: Bayar G, Bozkurt Y, Acinikli H, Dagguli M, Cakmak S, Nuri Bodakci M, Kemal Hatipoglu N, Tanriverdi O Abstract OBJECTIVES: We aimed to compare ureterolithotripsy and inserting only ureteral-j stent in terms of efficiency, safety and patient comfort in treatment of ureteral calculi in pregnant patients. METHODS: Seventy patients who developed hydronephrosis due to ureteral calculi during pregnancy, and on whom endoscopic intervention was performed were included in the study. In a center, the stones were broken up by ureteroscopy, and then ureteral stents (JJ) were placed if needed. In the other center, n...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Greenlight-XPS laser vaporization, the new standard of treatment in men with myasthenia gravis and benign prostatic obstruction?
CONCLUSIONS: Laser photoselective vaporization (GreenLight-XPS) could be the standard treatment for men with MG and BPO, whose prostate volume is less than 60 cc who are candidates for surgical treatment. Despite the extremely low incidence of these cases, further investigations are needed to confirm this affirmation. PMID: 26033765 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Voiding syndrome of gynaecological origin: the importance of good physical examination.
CONCLUSIONS: The adhesion of the labia minora is an acquired disease, more frequent in girls under 2 years. Several predisposing factors have been proposed: oestrogen deprivation, inadequate personal care, local irritants, infections or previous trauma. Differential diagnosis is required among three congenital pathologies: vaginal agenesis, imperforated hymen and ambiguous genitalia. Cases in postpubertal or postmenopausal women, or refractory to medical treatment are considered for surgery. PMID: 26033766 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

[New horizont in the fight against bacterial resistance].
Authors: Sánchez de Badajoz E PMID: 26102049 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Quality of life in patients with prostate cancer: validation of an instrument for clinical practice.
CONCLUSION: The Spanish version of the EPIC-CP is reliable and valid, so it is a useful tool to measure the quality of life in patients with prostate cancer, as well as the impact of different treatments. PMID: 26102050 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Expression of P504S and matrix metalloproteinase-2 in circulating prostate cells disseminated as a result of transrectal ultrasound guided biopsy as determined by immunocytochemistry: Clinical implications.
CONCLUSIONS: Prostate biopsy causes dissemination of prostate cells into the circulation, both malignant and benign; the majority of them are cleared within 24 hours. There was no conversion of negative to positive result in men with cancer, this suggests that the inherent capacity of malignant CPCs to disseminate is more important than the effect of dissemination caused by prostate biopsy. PMID: 26102051 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Analysis of budgetary impact of moderate and high risk non muscle-invasive bladder cancer by means of neoadjuvant hyperthermia chemotherapy compared to the standard adjuvant treatment with BCG.
CONCLUSIONS: The neoadjuvant treatment with chemo hyperthermia constitutes a cost-effective therapeutic strategy. PMID: 26102052 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Magnetic resonance spectroscopic imaging 3T and prostate cancer: correlation with transperineal ultrasound guided prostate biopsy.
CONCLUSIONS: In conclusion, the use of MRSI 3T before performing prostate biopsies may represent a valid aid for the urologist in the diagnosis of PCa, allowing them to avoid unnecessary prostate biopsies that may be negative. Furthermore, it would also be possible to reduce the total number of biopsies, thus decreasing patient exposure to the unnecessary risks associated with biopsy. PMID: 26102053 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Vesicovaginal Reflux and Urocolpos.
DISCUSSION: Between 12 to 15% of girls referred to Urological clinics because of urine incontinence present VVR. In the absence of a clear anatomical obstruction, reflux happens as the urine flow encounters a natural obstacle in the labia majora usually in girls that close their legs as they void. Instructions on proper voiding form a key element in the management of VVR, and if not enough, the behavioural modification consists on a reverse position during voiding. PMID: 26102054 [PubMed - in process] (Source: Archivos Espanoles de Urologia)
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

Penile necrosis as clinical presentation of systemic Calciphylaxis: Report of two cases and bibliographic review.
We report two clinical cases treated in our center and perform an evidence review. METHODS: Clinical data was obtained from both patients and an evidence review was performed on PubMed under the criteria "penile necrosis" and "Calciphylaxis". RESULTS: Both patients underwent partial penectomy due to severe penile necrosis. After surgery both patients received treatment with sodium thiosulfate (STS) 20mg in every hemodialysis session. Both patients showed stabilization of necrotic lesions. DISCUSSION: The same way that biopsying the ischemic lesions produced by Calciphylaxis is discussed and ...
Source: Archivos Espanoles de Urologia - December 21, 2015 Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research