Abstract：
:Laparoscopic colposacropexy has become a substitute for open surgery in the treatment of pelvic organ prolapse. In the same way, robotic assisted surgery is a new step in the evolution of the procedure. In this paper we intend to show our surgical technique and preliminary results. From November 2006 to date, 10 patients have undergone this procedure at the Hospital Clinico San Carlos. The main indication for the operation was existence of symptomatic pelvic prolapse. Both patients with or without hysterectomy have been operated, without making significant differences between them. Preoperative evaluation workout included: cystogram, urinary tract ultrasound and urodynamics in all cases; urinary tract MRI was performed only in selected cases. All patients underwent surgery under general anesthesia, with at least three robotic trocars (8 mm) and one conventional trocar for the assistant; 2 accessory trocars were necessary in some cases, mainly at the beginning of the series. Most procedures in our series were associated with a transobturator suburethral sling for the treatment of stress urinary incontinence or prevention of its appearance after prolapse repair. Our results are comparable to those reported in other larger series in terms of operative time, hospital stay and early or late complications. Pending an evaluation on the long term with larger series, we can include robot assisted colposacropexy among the therapeutic options for symptomatic pelvic floor prolapse repair.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Moreno Sierra J,Galante Romo I,Ortiz Oshiro E,Núñez Mora C,Silmi Moyano Adoi
10.4321/s0004-06142007000400018subject
Has Abstractpub_date
2007-05-01 00:00:00pages
481-8issue
4eissn
0004-0614issn
1576-8260journal_volume
60pub_type
杂志文章abstract：OBJECTIVE:To assess Latzko's colpocleisis with bilateral Martius flap as a solution for vesico vaginal fistula secondary to radiotherapy. METHOD:65 year old woman with past medical history of cervix adenocarcinoma treated with hysterectomy, pelvic radiotherapy and brachytherapy. She also had terminal colostomy for re...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2011-11-01 00:00:00
abstract：OBJECTIVES:Experimental data show the relationship between the area of injured urothelium and recurrence rates in superficial bladder cancer. Tumor cell adherence is increased by the exposure to the extracellular matrix (ECM). Transurethral resection uncovers the ECM and might lead to recurrent tumors. The question if ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2006-01-01 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：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
abstract：:This articles discusses the preclinical development of natural orifice surgery in urology. Rationale for this approach is provided. The description of transvaginal nephrectomy and NOTES prostatectomy is described. ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2012-04-01 00:00:00
abstract：OBJECTIVES:The association of stress urinary incontinence secondary to urethral hypermobility and lower urinary tract obstruction in the same patient with cystocele is rare, and even represents a contradiction. The objective of our work is to treat to define the characteristics that identify this entity, in comparison ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142007000500008
更新日期：2007-06-01 00:00:00
abstract：:The presentation of a case of a secondary or metastasic tumour of the ureter caused by primitive cancer of the prostate gland, is justified by its rarity, by the need to think about this etiology when faced with a picture of ureteral obstruction in a patient with a primitive cancer; by the solely histopathological dia...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1980-05-01 00:00:00
abstract：OBJECTIVES:To assess the complications of polypropylene mesh in the treatment of female pelvic floor disorders. METHODS:Retrospective study of patients with pelvic floor pathology (SUI, cystocele, rectocele, enterocele) undergoing pelvic floor intervention with surgical meshes from March 2002 to October 2009. We evalu...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2011-09-01 00:00:00
abstract：:The diagnosis of the accessory spleen, if unsuspected, is basically anatomopathological due to its frequency and, above all, its nonspecific clinical features. We report a case of a retroperitoneal mass that was shown to be composed of accessory splenic tissue. ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1993-05-01 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：:A case of testicular gonadal stromal tumor in an 8-month-old boy is described. Patient evaluation revealed no hormonal alterations. The patient underwent orchidectomy and has remained tumor-free at two years follow-up, which meets the well-established criteria for benign tumors. A detailed anatomopathological descript...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1993-03-01 00:00:00
abstract：OBJECTIVES:To report a new case of renal colic in a patient with crossed renal ectopia and L-shaped kidney, and to perform a bibliographic review. METHODS AND RESULTS:A 33-year-old male patient consulted for abdominal right pain. Ultrasound and CT showed a L-Shaped Kidney with left renal and ureteral stones. These sto...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2003-04-01 00:00:00
abstract：OBJECTIVE:We report the case of a 33 year old female presenting with an upper pole renal mass suggestive of renal cell carcinoma which in the pathological specimen resulted to be a retained surgical gauze. METHODS/RESULTS:The case of a female patient with history of previous nephrolithotomy 5 years before who presente...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2002-10-01 00:00:00
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：:Most of the urodynamic studies are conducted in the laboratory during a brief recording time and under nonphysiological conditions and, thus, may fail to unfold the nature of existing pathological conditions of the lower urinary tract; false positives and false negatives are possible. To overcome some of the difficult...
journal_title：Archivos espanoles de urologia
pub_type： 临床试验,杂志文章
doi：
更新日期：1994-11-01 00:00:00
abstract：OBJECTIVE:Involvement of extralymphatic tissue in chronic lymphocytic leukemia (CLL) is uncommon and that of the epididymis and spermatic cord is rare. This paper describes an unusual case with metastasis to both epididymis and the spermatic cord as the first sign of reactivation of CLL. METHODS/RESULTS:A patient with...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1997-03-01 00:00:00
abstract：:The cholinesterase activity and ultrastructural characteristics of the nerves in tubuli seminiferi recti, rete testis and ductuli efferentes testis have been studied in Wistar rats. The tubuli seminiferi recti and rete testis are innervated by a dense network which has varicosities containing different types of synapt...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1989-10-01 00:00:00
abstract：OBJECTIVES:To determine the frecuency of complications during the management of bladder trauma and its associated factors in a third level reference Hospital. METHODS:A cross-sectional study of adult patients admitted in a reference Hospital from January 2006 to June 2011 with the diagnosis of bladder trauma. We ident...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2014-05-01 00:00:00
abstract：OBJECTIVE:Mondor's disease is a superficial thrombophlebitis and usually occurs in the anterior and lateral chest. The scrotal vein thrombosis is a fairly rare disease. METHODS:Thirty-four year old male who consulted for inguinal tumor and pain in the postoperative period of an umbilical hernia repair, which resulted ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2012-12-01 00:00:00
abstract：:We report on a 62-year-old female patient who consulted for G.I. tract disorders and was diagnosed as having renal oncocytoma. The rarity of this disease entity prompted us to report on this case, highlighting the malignant course of this tumor type despite its apparently benign features. ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1989-04-01 00:00:00
abstract：:We describe a case of recurrent urinary tract infection in a male patient that had been repeatedly associated with sporadic sexual intercourse with his partner. The timing of the episodes and the bacteriological findings indicate this to be another uncommon case of urinary tract infection sexually transmitted by the f...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1992-07-01 00:00:00
abstract：OBJECTIVES:To update a syndrome that has increased the number of pathologies included such as obesity, hypertension, hypercholesterolemia, type II diabetes mellitus, and the recent addition of erectile dysfunction and androgen deficiency METHODS:Global review of bibliography taking the last articles as a reference and...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2010-10-01 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：:The authors study the greater incidence of testicle neoplasias in cryptorchidic patients and the convenience of hormone or surgical treatment before puberty. These follows a discussion of the therapy to be applied depending upon whether the cryptorchidia is unilateral or bilateral. ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1980-07-01 00:00:00
abstract：:Transitional cell carcinoma of bladder coexisting with prostate adenocarcinoma is one of the most common tumor associations and accounts for 1.1% of all bladder and prostate tumors seen at our setting. The cases observed (13) were far greater than those expected (2.62) relative to the number of patients studied, lengt...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1989-09-01 00:00:00
abstract：OBJECTIVE:This paper describes our initial experience with laparoscopic ureteroneocystostomy in two patients with distal ureter lesions following gynaecological surgery (hysterectomy). Furthermore, we review the evidence on the incidence, prevention, and management of urinary tract injuries that occur during laparoscop...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2019-05-01 00:00:00
abstract：OBJECTIVES:To report the series of our Urology Department in the treatment of urinary stone disease with extracorporeal lithotripsy as well as the effectiveness of the Dornier lithotripter MFL-5000. METHODS:6.602 patients were treated by extracorporeal lithotripsy during 12 years with a total of 17.120 sessions. We ex...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2007-07-01 00:00:00
abstract：OBJECTIVES:To describe a roadmap of the most representative milestones and considerations in the validation of surgical simulators, especially those of laparoscopic surgery. And additionally, help determine when in this process a simulator can be considered as validated. METHODS:A non-systematic review was carried out...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2019-11-01 00:00:00
abstract：OBJECTIVE:To describe an additional case of multilocular cystic nephroma, with special reference to the sonographic features of a renal cystic lesion. METHODS:The clinical and radiological features of a kidney tumor in a 61-year-old female patient were retrospectively analyzed. RESULTS:The preoperative diagnosis was ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1998-06-01 00:00:00
abstract：OBJECTIVE OF THE REVIEW:Robot assisted Radical prostatectomy (RARP) has generated a new trend in the binomial teaching/learning, grouping these techniques in training modules such as theoretical learning, practice, personalized counseling, and modern tools like simulation and practice in virtual models. This review sum...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2019-04-01 00:00:00
