Abstract：
OBJECTIVE:To review the treatment of invasive bladder cancer with ionizing radiation. METHODS:Patient selection criteria, prognostic factors, treatment of different tumor types with radiation using different strategies alone or in combination with chemotherapy are analyzed in the literature. RESULTS/CONCLUSIONS:The role of radiotherapy in the treatment of invasive carcinoma of the bladder is crucial: 1) preoperative radiotherapy in combination with radical surgery achieves results comparable with those of cystectomy in terms of survival and a higher local control rate; 2) used in combination with cisplatin post-TUR, irradiation is highly effective for local control of the tumor and bladder preservation, with complete remission rates ranging from 60-70%, which are higher than those of radical cystectomy; 3) in this latter therapeutic modality the effect of radiotherapy is dose-related and is influenced by factors such as tumor size, presence or absence of urinary obstruction, presence of multiple lesions on the bladder wall and extravesical spread. Over the last few years, a number of therapeutic procedures have been developed, which can improve the previously mentioned results when used appropriately. Among these are hyperfractionation, accelerated irradiation and concomitant radio and chemotherapy. Studies to determine tumor radiosensitivity (Fs2/a) and the use of gene therapy could enhance the tumor control rate in the future, although a system for the selection on patients for conservative or multilating treatment based on clinical, clinicopathological and scientific criteria will have to be developed. Finally, the use of special techniques, particularly brachytherapy and intraoperative irradiation, in combination with external radiotherapy has achieved excellent results (high local control and survival rates) in certain situations, basically in single/small-sized tumours.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Pedraza V,Cueto J,Castillo I,Gonzalo C,Romero MJ,Zuluaga Asubject
Has Abstractpub_date
1999-07-01 00:00:00pages
662-74issue
6eissn
0004-0614issn
1576-8260journal_volume
52pub_type
杂志文章,评审abstract：OBJECTIVE:To discuss briefly the new therapeutic strategies for poor-prognosis testicular germ cell cancer. METHODS:The use of new drugs in first line chemotherapy, intensive alternating and sequential chemotherapy and high dose chemotherapy with autologous bone marrow or stem cell transplantation are briefly discusse...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2000-07-01 00:00:00
abstract：OBJECTIVES:To assess the usefulness of multiparametric magnetic resonance imaging (MRI) in the staging of patients with localized prostate cancer (PC) and high risk of extracapsular disease (ECD). METHODS:Retrospective study including 30 patients with localized PC and high risk of ECD. Pathologist and radiologist esta...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVES:To move towards a more standardized approach in clinical practice to manage patients with castration-resistant prostate cancer (CRPC) in Spain. METHODS:A panel of 18 Spanish experts in Urology with expertise managing CRPC followed a modified Delphi process with two rounds and a final face-to-face consensus ...
journal_title：Archivos espanoles de urologia
pub_type： 共识发展会议,杂志文章
doi：
更新日期：2017-11-01 00:00:00
abstract：OBJECTIVES:To review the ultrasound technique, normal anatomy, bibliography, as well as the most frequent scrotal ultrasound findings in infertile patients studied in our center over the last five years, with special emphasis in the diagnosis of varicocele and its follow-up after surgical treatment or embolization. ME...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2004-11-01 00:00:00
abstract：OBJECTIVES:To describe two cases of malakoplakia of the bladder with an unusual form of presentation and review the cases previously reported in the literature. METHODS/RESULTS:Two patients, a 61-year-old female and a 71-year-old male, are described. Both patients had a history of recurrent infection caused by colifor...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1998-03-01 00:00:00
abstract：OBJECTIVES:We report the case of a patient who had underwent surgery for a clear cell renal carcinoma 2 years before presenting with metastasic extension to bladder on follow-up. METHODS:Radiological finding of a bladder mass during follow-up after nephrectomy. RESULTS:TURBT was carried out with the pathologic report...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2004-12-01 00:00:00
abstract：OBJECTIVE:Indinavir is a protease inhibitor used in the treatment of HIV with a lithogenic capacity as a urological side effect. The pathogenesis, diagnosis and treatment of indinavir urolithiasis are briefly reviewed. METHODS:A 37-year-old male, seropositive for HIV on treatment with indinavir, lamiduvine and zidovud...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2001-12-01 00:00:00
abstract：OBJECTIVES:To assess the feasibility and a validity of the Spanish version of the FACT-P and its relation to urinary symptoms. METHODS:The Spanish version of the FACT-P was self-administered to 60 Prostate Cancer patients (pts) waiting to undergo radical treatment and 20 age-matched controls (con) with a negative biop...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2003-05-01 00:00:00
abstract：INTRODUCTION:Fluoroscopy is used for access sheath insertion and postoperative control during retrograde intrarenal surgery (RIRS) operation but with this technique both patient and operation team are exposed to radiation. The use of fluoroscopy is disadvantage for both patient and surgeon. Considering results of recen...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2018-11-01 00:00:00
abstract：OBJECTIVES:Crossed fused renal ectopia is a rare congenital anomaly. We report the case of a 3 year old boy with diagnosis of right crossed fused renal ectopia, history of recurrent urinary tract infection and previous failure of surgical treatment. METHODS:Three year old boy with diagnosis of right crossed fused rena...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2010-01-01 00:00:00
abstract：OBJECTIVES:This analyzes the usefulness of transvaginal endosonography before and after surgery in patients with stress urinary incontinence. METHODS:We evaluated the bladder contour in 50 patients by transvaginal endosonography and the distance from the bladder neck to the pubis was measured with and without stress. ...
journal_title：Archivos espanoles de urologia
pub_type： 临床试验,杂志文章
doi：
更新日期：1996-09-01 00:00:00
abstract：OBJECTIVES:To report one case of precocious puberty in a 6-year-old boy with bilateral cryptorchidism. METHODS:History and physical examination, blood tests, nuclear chromatin and cariotype, bone age, pneumopelvis, hormonal tests, laparotomy and hysterectomy were performed. RESULTS:The absence of testicles within the...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2004-10-01 00:00:00
abstract：OBJECTIVES:Herein we describe a case of granulomatous prostatitis following intravesical instillation of bacillus Calmette-Guerin (BCG) for superficial bladder cancer. METHODS:Patient evaluation included DRE, urine culture, urinary cytology, cystoscopy, PSA determination and transrectal US-guided needle biopsy. RESUL...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1996-11-01 00:00:00
abstract：OBJECTIVE:To report a case of infected urachal cyst, with special reference to the difficulty in making the diagnosis due to the low incidence of this condition. METHODS/RESULTS:The embryologic origin of the urachus, its anomalies, clinical features, diagnosis and treatment are discussed. CONCLUSION:A high index of s...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2001-09-01 00:00:00
abstract：:The presence of microorganisms in certain renal calculi having been demonstrated; currently, there is a debate about the possibility of certain germs of extremely small size, Nanobacteria, which can have an important role in the general theory of lithogenesis. ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2003-03-01 00:00:00
abstract：:The authors report on two male neonates who underwent transurethral resection of urethral valves in one case and a polyp in the posterior urethra in the other case, via antegrade percutaneous cystostomy. The percutaneous antegrade approach to the urethra is described in detail. The advantages afforded by this procedur...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1990-03-01 00:00:00
abstract：:Renal adenocarcinoma can present with a wide range of symptoms and clinical signs and among them pain is the more frequent. As a matter of fact, it can also assume the features of a reno-ureteral colic. This kind of symptom, however, is more frequently combined with macro-hematuria and seldom presents alone, even in t...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1990-09-01 00:00:00
abstract：OBJECTIVE:To report on a female patient with metachronous bilateral Wilms' tumor with a long survival. METHODS:An 11-year-old girl underwent total nephrectomy when she was 4 years old for Wilms' tumor of the right kidney. She received cobalt therapy and chemotherapy, and the evolution was good for three years, at whic...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2000-04-01 00:00:00
abstract：:In the near future molecular biology will permit selection of patients with bladder cancer who can benefit more from radiotherapy and chemotherapy. There will also be an increase in the response rate due to the possibility of regulating the genes responsible for cellular radiosensitivity. ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1999-07-01 00:00:00
abstract：:Herein we describe a case of vesical bilharziasis in a Spanish patient who became infected during a trip to an endemic area. The characteristic features of the disease and particularly its relationship to squamous type bladder tumors are discussed with a special focus on treatment with Praziquantel. ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1991-04-01 00:00:00
abstract：:Although the laparoscopic ureteral reimplantation (LUR) has a history of over 20 years, its presence in the literature is relatively sparse, almost always in the form of small case series with low statistical power, which has prevented consistent results. It has proven to be a safe and effective technique, improving t...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2017-05-01 00:00:00
abstract：OBJECTIVES:To analyze the evolution of prostate cancer (PCa) in our community health area over the last years, in terms of incidence, clinical-epidemiological characteristics, and cancer-specific mortality. METHODS:Retrospective analysis of the medical records of patients with PCa in our hospital over the 1991-2003 pe...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2004-10-01 00:00:00
abstract：OBJECTIVE:To emphasize that adrenal cysts are an uncommon finding and in most cases incidentally discovered during evaluation for nonspecific abdominal pain or even at outopsy. METHODS:We report a case of a non-hypers-creting right adrenal cyst in a middle-aged woman. RESULTS:A complete hormone, radiological and some...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1998-09-01 00:00:00
abstract：OBJECTIVES:To present a series of four cases of Gartner cysts and their clinical presentation. A bibliographic review was performed. METHODS:The series consisted of 4 women, mean age 39, who complained of a bulge at the anterior vaginal wall, associated with a variety of urinary symptoms. RESULTS:Surgical removal was...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2014-03-01 00:00:00
abstract：:We present our experience with bladder substitution in radical surgery for bladder cancer. Ileocapsuloplasty was performed in 40 patients. There were 2 postoperative deaths and 11 patients died from tumor recurrence or progression 2 to 10 years later. Two patients had urothelial tumor recurrence in the capsuloplasty. ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1992-11-01 00:00:00
abstract：OBJECTIVE:To evaluate the presence of urinary symptoms in 77 patients with multiple sclerosis. METHODS:The neurological compromise and the degree of functional disability were evaluated through the Minimum Dossier of Disability for Multiple Sclerosis. The pertinent data for the urinary symptoms were collected through ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：OBJECTIVES:To report a case of renal artery embolism. To review the clinical, diagnostic and therapeutic features of this disease interesting for the urologist. METHODS/RESULTS:Case of a 47 year old male with history of cardiovascular disease who presents in the emergency room with left flank pain. Radiological studie...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2002-12-01 00:00:00
abstract：OBJECTIVE:To report on a patient with Wilms' tumor treated by partial nephrectomy with 31 years survival. METHODS:Herein we describe a 33-year-old patient who had undergone surgery for a right renal tumor at age 2 years and 10 months. A partial nephrectomy was performed because the patient had left ureterohydronephros...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1997-09-01 00:00:00
abstract：OBJECTIVES:Complex stenoses of the bulbar urethra and long stenoses of the penile urethra are very difficult to solve. Which surgical techniques must be applied in these cases is not clear. The objectives of this work were to define whether two-stage urethroplasties and definitive perineal urethrostomies are currently...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2011-12-01 00:00:00
abstract：OBJECTIVE:To determine the utility of different diagnostic imaging techniques in diverticulum of the urachus and discuss the approach in the incidentally discovered cases such as those detected due to infectious complications. METHODS/RESULTS:We reviewed the literature, with special reference to the diagnostic and the...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2002-04-01 00:00:00
