Abstract：
OBJECTIVES:The growing interest on increasing the number of biopsy samples during ultrasound guided prostatic biopsies moved us to evaluate the tolerability and complications of the extensive biopsy with/without blockage of neurovascular bundles. METHODS:A group of 222 patients underwent prostatic biopsy with the aim to obtain 10 cores on each. After evaluation of the first 50 cases performed without anesthesia, decision was taken to proceed with neurovascular blockage with 2% lidocaine, comparatively evaluating both groups for results on tolerability, complications and global adverse events. RESULTS:The aimed number of cores could not be completed in 16% of the patients without anesthesia in comparison with 2.33% with anesthesia (p < 0.002); the biopsy was qualified as painful or very painful by 10.9% and 1.9% respectively (p < 0.0002). The results of the visual analogical scale for pain were 2.46 +/- 1.67 and 4.5 +/- 2.11 for the anesthesia/without anesthesia groups respectively, with mild-moderate vagal reactions in 28% of these latter in comparison with 7.7% in patients receiving lidocaine. Rectal bleeding was the most worrying complication, being moderate-severe in 4.7% of the patients, with 2% hospital admission. CONCLUSIONS:The increase in the number of ultrasound guided prostatic biopsy samples may be associated with a higher frequency of complications, mainly bleeding, and requires the application of local anesthesia due to worse tolerance. Neurovascular bundle blockage with lidocaine is very effective to diminish biopsy associated pain.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Rodríguez-Patrón Rodríguez RR,Mayayo Dehesa T,Burgos Revilla FJ,Alonso González M,García González R,Lennie Zucharino Adoi
10.4321/s0004-06142005001000003subject
Has Abstractpub_date
2005-12-01 00:00:00pages
989-1001issue
10eissn
0004-0614issn
1576-8260journal_volume
58pub_type
杂志文章abstract：OBJECTIVE:To report a case of prostate lymphoma and a brief review of the literature. METHODS/RESULTS:A 70 year-old mele patient was referred to the Urology departament with a clinical picture of prostatism, with acute urinary retention (AUR). Surgery with retropubic prostatectomy was performed, and pathology revealed...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：10.4321/s0004-06142006000500015
更新日期：2006-06-01 00:00:00
abstract：OBJECTIVE:To report an unusual case of renal tumor and review the literature. METHODS:We present a 20 years old female with a history of acute right pyelonephritis. The ultrasound study revealed a tumor-like image in the lower pole of the right kidney . The CT-scan showed a mixed solid and cystic mass of 7 cm. in the...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2012-09-01 00:00:00
abstract：OBJECTIVE:To analyze the association of congenital bilateral agenesis of the vas deferens and cystic fibrosis. METHODS:Three azoospermic patients with surgically confirmed congenital agenesis of the vas deferens in whom a molecular genetics study had been performed to discard the more common mutations of cystic fibros...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1998-06-01 00:00:00
abstract：:Four hundred and thirty-eight men with histologically confirmed prostatic adenocarcinoma were diagnosed consecutively and followed up closely for up to ten years. The mean age at presentation was 72.5 years and ranged from 45.3 to 91.0 years. Half of the total presented with symptoms of increasing urinary outflow obst...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1989-01-01 00:00:00
abstract：OBJECTIVES:In patients with localized prostate cancer and life expectancy longer than 10 years, radical prostatectomy (RP) remains the Gold Standard. Radical surgery must achieve good oncological and functional outcomes with early continence and potency. In expert hands RP offers very low post-prostatectomy urinary inc...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142009001000005
更新日期：2009-12-01 00:00:00
abstract：OBJECTIVE:Congenital anterior urethrocutaneous fistula, is a rare anomaly characterised by fistulisation of penile urethra to skin and presence of a concomitant normal or hypospadiac external urethral meatus. It may be seen as an isolated anomaly or may accompany genitourinary or anorectal malformations. We aim to pres...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2016-06-01 00:00:00
abstract：OBJECTIVES:To present one case of paratesticular leiomyosarcoma, a rare tumor which has been reported in 5 cases only in our country. To review the management of this type of tumor. METHODS:A 73-year-old male presenting with a 4 cm mass adjacent to the right testicle underwent excision of the mass, spermatic cord and ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2004-06-01 00:00:00
abstract：OBJECTIVE:To review the utility of MR imaging in the assessment of renal masses, with special reference to the morphological characteristics of the different tumor types. Staging of renal cell carcinoma is also discussed. METHODS:The literature on the use of MRI in the evaluation of renal masses is reviewed. The techn...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2001-07-01 00:00:00
abstract：:Leukoplakia is a morphological term that attempts to define keratinizing desquamative squamous metaplasia of the transitional epithelium. It is uncommon in the upper urinary tract (less than 100 cases have been reported) and has been attributed to infection or mechanical injury to the epithelium and/or genetic factors...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1992-01-01 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：OBJECTIVE:To compare the subjective and objective penile rigidity in the same group of patients with erectile dysfunction after intracavernous injection of different vasoactive drugs. METHODS:91 impotent males were randomly assigned to three groups of intracavernous injection: A: 20 micrograms PGE1 B: 30 mg papaverine...
journal_title：Archivos espanoles de urologia
pub_type： 临床试验,杂志文章,随机对照试验
doi：
更新日期：2001-05-01 00:00:00
abstract：OBJECTIVES:Extracorporeal shock wave lithotripsy is a minimally invasive therapeutic option for the treatment of renal-ureteral lithiasis. The aim of this study was to analyze the results and complications of shock wave extracorporeal lithotripsy treatment with the Dornier Gemini® Generator EMSE 220f-XXP device in pati...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2019-05-01 00:00:00
abstract：:Clinical stage I testicular nonseminomatous germ cell tumours (NSGCT) are highly curable. Following orchidectomy a risk-adapted approach using active surveillance (AS), nerve sparing retroperitoneal lymph node dissection (nsRPLND) and primary chemotherapy is recommended by the current guidelines. CS I is defined neg...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2012-03-01 00:00:00
abstract：:Introduction of retrograde flexible ureteroscopy represented a leap forward in upper urinary tract endourology. Nowadays, areas of the pyelocaliceal system accessible otherwise only by percutaneous or open surgery, can be approached in a retrograde fashion, using the anatomical pathways. The flexible ureteroscopes evo...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2011-01-01 00:00:00
abstract：:Surgical repair of uretero-enteric strictures in patients with enteric conduit urinary diversion (incidence rate 4-8%) is difficult and has a high morbidity. With the development of endo-urologic techniques and ureteral catheters, long-term insertion of stents in the treatment of strictures has become possible and saf...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1990-06-01 00:00:00
abstract：:Percutaneous endopyelotomy is becoming widely accepted in the treatment of primary or secondary stenosis of the ureteropelvic junction because it achieves excellent results and is less invasive. Herein we describe our experience with this technique, which we perform with the electric knife and large caliber ureteral s...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1992-05-01 00:00:00
abstract：OBJECTIVE:To report the case of a patient with long-term giant genital lymphedema as a consequence of partial penectomy with bilateral inguinal lymphadenectomy 26 years before. METHODS:58-year-old male patient consulting for genital volume increase (penis and scrotum). Diagnostic tests were performed and surgery was i...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2007-03-01 00:00:00
abstract：OBJECTIVE:To present three illustrative cases of pyeloureteritis cystica and review the literature. METHODS:Three illustrative cases diagnosed at our department are described. Patient history, clinical features, diagnostic procedures and treatment are analyzed and the literature is reviewed. RESULTS:Our patients had ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2000-01-01 00:00:00
abstract：OBJECTIVES:During a 36-month period, 63 patients with benign prostatic hypertrophy (BPH) who presented urinary retention, were treated on an outpatient basis by transurethral microwave thermotherapy (TUMT) with the Prostatron device using analgosedation. METHODS:Treatment consisted of a single one hour session with Pr...
journal_title：Archivos espanoles de urologia
pub_type： 临床试验,杂志文章
doi：
更新日期：1996-05-01 00:00:00
abstract：OBJECTIVES:To report one case of primary adenocarcinoma of the seminal vesicles. METHODS/RESULTS:We report the case of a 69-year-old man with obstructive voiding symptoms. Digital rectal examination reveals a marked enlargement of posterior area of the prostate and surrounding tissues. Transrectal needle biopsy shows ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142009000800013
更新日期：2009-10-01 00:00:00
abstract：OBJECTIVES:To determine and compare the antioxidant power, cellular damage by lipidic peroxidation, and membrane damage in normal patients and patients with prostate cancer, so determining the antitumoral capacity. METHODS:The study population included 19 patients with elevated total PSA, greater than 4 ng/ml, with a ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142008000500001
更新日期：2008-06-01 00:00:00
abstract：OBJECTIVES:The present study describes two patients with retroperitoneal fibrosis following prolonged use of bromocriptine and pergolide for Parkinson's disease. Both patients also presented severe atheromatosis. METHODS:Similar cases reported in the literature are reviewed and the possible relationship between the us...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1995-12-01 00:00:00
abstract：OBJECTIVES:Urinary pH is a decisive factor in several pathologies, there by an informative marker employed in treatment decisions. Although extensively used, the urinary pH dipstick test may not be sufficiently accurate or precise for clinical decisions and more robust methodologies need to be considered. In this study...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2020-07-01 00:00:00
abstract：:Holmium laser has been established asthe gold-standard for the ureteroscopic management of urinary stone disease. However the role of laser inpercutaneous nephrolithotomy (PCNL) varies, as multiple energy sources and lithotripters are available. Currently, lasers are becoming more relevant with the development of seve...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2020-10-01 00:00:00
abstract：:The authors describe an experimental technique of endoscopic autotransplantation of the testis. Four trocars are utilized; one is placed at the level of the umbilicus, one in the right flank, another in the left flank, and one in the hypogastrium. Five or six cms of the epigastric vessels are dissected and sectioned. ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1992-12-01 00:00:00
abstract：:Double-J ureteral stents disposal is associated with the appearance of side effects in up to 90% of the patients. The main causes of these symptoms are related to stent's design and the materials they are manufactured from. Vesicoureteral reflux and bladder trigone irritation are the etiopathogenic causes of ureteral ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2016-10-01 00:00:00
abstract：OBJECTIVES:Laparoscopic surgery in general is handicapped by the reduction of the range of motion from six to four degrees of freedom. This has a major impact on technically difficult procedures such as laparoscopic radical prostatectomy. Solutions for this problems include the understanding of the geometry of laparosc...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2002-07-01 00:00:00
abstract：OBJECTIVES:Giant hydronephrosis, defined as the presence of a liquid volume over 1000 ml within the urinary collector system, is a rare clinical entity, the diagnosis of which is an excellent exercise because it lacks of a defined clinical presentation. METHODS/RESULTS:We report the case of a 66-year-old male under st...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142006000100014
更新日期：2006-01-01 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：OBJECTIVES:To evaluate the current role of PSA as a diagnostic method for prostate cancer, as well as to analyze possible new markers. METHODS:We perform a bibliographic review for PSA, and its molecular forms, as a marker to define the presence of prostate cancer. We review the factors related to PSA modifications, p...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：10.4321/s0004-06142006001000014
更新日期：2006-12-01 00:00:00
