Abstract:
:Transitional cell carcinoma of the upper urinary tract (UUT-TCC) is relatively uncommon, accounting for 2-5% of all urothelial tumors. Its incidence appears to be increasing as a result of progress in imaging, endoscopy, and improved survival from bladder cancer. Renal pelvis tumors represent 10% of all renal cancers. Pyelic neoplasms occur at a rate twice to four times the incidence of tumors in the ureter, where the common site is the distal tract (about 70%). One third of UUT-TCC ore multifocal, and about 1% are simultaneous and bilateral. The introduction of lasers represented a big step in the diagnosis and endoscopic treatment of upper urinary tract tumors. A successful laser treatment is defined by the careful selection of the patients affected by urinary tract lesions. Usually, only patients affected by low grade and papillary lesion should be treated endoscopically with laser. Patients with high grade and invasive lesions should rather be submitted to surgical procedure. Actually, the urologist has a wide choice in laser technology (Holmium laser, Thulium laser). For a correct and safe treatment of ureteral and pyelic lesions with lasers it is mandatory to respect some technical advises. First of all, an adequate access for a good vision of ureter and renal pelvis is imperative. In fact, the urologist should always work in safety, with an optimal control of the instrumentation. Then, it is important to define the laser type and its energy level. The development in laser technology (i.e. small and flexible laser fibers) allows also a radical, safe and minimally invasive treatment of urothelial lesions using flexible ureteroscopes. Of course it is mandatory to evaluate the grade and stage of the tumors by means of the ureteroscopic biopsies: invasive tumors must be treated by immediate nephroureterectomy while the endoscopic treatment should be reserved to those patients with a solitary kidney, renal failure, bilateral tumors, severe comorbities or affected by a solitary tumors with <15 mm in diameter and of low-grade/stage.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Scoffone CM,Cracco CM,Poggio M,Cossu M,Scarpa RMdoi
10.4321/s0004-06142008000900018subject
Has Abstractpub_date
2008-11-01 00:00:00pages
1080-7issue
9eissn
0004-0614issn
1576-8260journal_volume
61pub_type
杂志文章abstract::The present study was conducted to determine the reversibility of the seminal alterations following experimental unilateral cryptorchidism in relation to the time orchiopexy is performed. Two groups of 45 Wistar rats were subjected to mechanical unilateral cryptorchidism followed by prepubertal, early and late orchiop...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract:OBJECTIVES:To analyze the current indications for renal autotransplantation, as well as the technical features, complications and long-term follow-up of the technique. METHODS:From 1990 to 2005 we have performed autotransplantation in 10 patients, 7 adults and 3 children. The indication was established due to vascular...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142007000300005
更新日期:2007-04-01 00:00:00
abstract:OBJECTIVE:We report one case of gonadal stromal testicular tumor and perform a bibliographic review. METHODS/RESULTS:We present the case of a 42 year-old male patient consulting for a painless right testicular mass. Orchiectomy was performed and the patient underwent follow-up. CONCLUSIONS:Nonspecific sexual cord tum...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142008000700011
更新日期:2008-09-01 00:00:00
abstract::We reviewed the records of patients with genitourinary tumors that had been diagnosed and treated at the Section of Pediatric Surgery of Marqués de Valdecilla Hospital from 1974 to 1990. There were 14 such tumors. Of these, 12 (85.7%) were Wilm's tumor. This tumor type is the subject of the present study. Regarding it...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1991-10-01 00:00:00
abstract:OBJECTIVES:To assess the efficacy of antibiotic prophylaxis for prevention of urinary infections and renal parenchymal damage in children with primary vesicoureteral reflux (VUR). METHODS/RESULTS:A search based on MEDLINE and The Cochrane Library was performed selecting those clinical trials and meta-analysis which co...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142008000200018
更新日期:2008-03-01 00:00:00
abstract::The authors present a case of sarcomatoid kidney adenocarcinome of the fibrosarcomatoid kind. They stress the importance and difficulty of making a differential diagnosis between the sarcomatoid type of kidney adenocarcinomas and pure sarcomas of the kidney, this being an entirely histopathological and extremely compl...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1978-07-01 00:00:00
abstract:OBJECTIVES:To assess the clinical usefulness of bone-specific alkaline phosphatase (B-AKP) to detect or rule out bone metastases in patients with prostate cancer. METHODS:Between November 2001 and July 2003 111 patients with the diagnosis of prostate adenocarcinoma were evaluated to rule out bone metastases. Bone meta...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2004-09-01 00:00:00
abstract::A case of non-secreting bladder paraganglioma whose clinical manifestation was that of painless hematuria is described herein. Treatment was by partial cystectomy. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-05-01 00:00:00
abstract:OBJECTIVE:This study presents the first Spanish case of a spontaneous knot in the catheter of a suprapubic cystostomy and review the national and international literature. METHODS:The case of an 87-year-old patient who was diagnosed with adenocarcinoma of the prostate is presented. A suprapubic vesical puncture for ur...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVES:Megacalycosis or Puigvert's disease is a clinical entity characterized by dilatation of all renal calyces without dilatation of the renal pelvis or ureter in the absence of any obstructive factor. To date, its pathogenesis remains unclear. The rarity of this disease and the importance of making a correct dif...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1995-04-01 00:00:00
abstract:INTRODUCTION:Urosepsis is an underdiagnosed entity with high morbidity and mortality and significant associated costs. The delay in diagnosis leads to an increased risk of multiorgan failure and death. Although its prognosis is better than that of other sepsis, the mortality rate is 20 - 40%. OBJECTIVE:Describe the ob...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2020-05-01 00:00:00
abstract::We reviewed the records of 292 patients with prostatic cancer who had been submitted to transurethral resection (TUR) to elucidate the role of endoscopic surgery in the diagnosis and treatment of this condition. Re-staging TUR permits differentiation between stage A1 and A2 tumors. Of 20 patients classified as having ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1989-01-01 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::Fifteen patients with infiltrating bladder carcinoma underwent partial cystectomy and cystoplasty with lyophilized human dura at our hospital from 1983 to 1988. The 5-year survival rate was 75% for stage B1, 60% for B2, 40% for C and 0% for D1. There were no intra- or post-operative deaths and the post-operative compl...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
abstract:OBJECTIVE:To report two cases of verrucous carcinoma of the penis, a rare tumor with a characteristic course and specific treatment that accounts for approximately 1% of tumors in the male. METHODS:Two patients, aged 86 and 51 years, with verrucous carcinoma of the penis are described. Treatment was by partial penecto...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVE:To report a case of granuloma due to a retained surgical sponge that mimicked a pseudotumor in a patient with autosomal dominant polycystic kidney disease. The appearance of retained surgical sponges on diagnostic imaging is reviewed. METHODS:Patient evaluation included renal ultrasound, magnetic resonance i...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2000-11-01 00:00:00
abstract:OBJECTIVE:To compare the morbidity of conventional inguinal lymphadenectomy for epidermoid carcinoma of the penis using ligation versus ultrasonic sealing of the lymph nodes with Ligasure. METHODS:29 cases of carcinoma of the penis are analyzed; 8 underwent superficial and deep inguinal lymphadenectomy using the conve...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2002-06-01 00:00:00
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 fo...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVE:To review the unusual localizations of metastasic prostate cancer with the contribution of a clinical case of prostatic adenocarcinoma metastasis in the thyroid cartilage. METHODS:49-year-old-male admitted with history of 48 hour hematuria associated with lumbar pain radiating to the lower extremities and ce...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2011-03-01 00:00:00
abstract::The present study reviewed the first 25 incontinence prostheses implanted at the Urology Services of the Ramón y Cajal Hospital. The literature is briefly reviewed and the indications for the AUS-800 incontinence prosthesis are discussed. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1994-05-01 00:00:00
abstract:OBJECTIVE:In patients with prostate cancer and high-risk pathological factors, adjuvant radiotherapy (ART) has been reported to be superior to observation for local disease control and progressionfree survival. But more than 30% of the patients do not present biochemical relapse (BR) and therefore the ART associated wi...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2018-09-01 00:00:00
abstract::Analysis of urinary stones is an essential step in establishing the diagnosis and treatment of the stone patient. In fact, the need for an exhaustive study of the stones increases as the relationships between the type of stone and the etiological factors that predispose to this disease become evident. The enumeration ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVES:The epidermoid cyst of the testis is a rare benign tumor. It accounts for approximately 1% of all testicular tumors. Generally, the testis has a palpable, painless mass with tumor markers (AFP, BHCG, and LDH) within normal ranges. Pathology reveals a cavity consisting of squamous epithelial cells containing ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVE:To report a case of giant diverticulum of the bladder associated with inguinal hernia. METHODS/RESULTS:An uncommon case of giant diverticulum associated with inguinal hernia is presented and the literature reviewed. The enormous size of the diverticulum and the associated lower urinary tract obstruction aris...
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::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: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 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::Cisplatin has been the cornerstone of germ cell testicular tumors therapy since its introduction more tan 30 years ago, and a basic part of the schemes given to multiple ovarian, lung, head and neck, and bladder tumors among others. Some tumors present primary resistance to this drug, others will develop it despite go...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVES:Ureterointestinal stricture represents a serious problem whose management has traditionally been by open surgery. Endourological treatment is an alternative that is generally free from the complications of open surgery, but with a lower success rate. The efficacy of endourological treatment is analyzed in 14...
journal_title:Archivos espanoles de urologia
pub_type: 临床试验,杂志文章,评审
doi:
更新日期:1995-09-01 00:00:00
abstract:OBJECTIVES:To analyze surgery for renal cancer with venous thrombus at different levels, perioperative complications and prognostic factors associated to overall, cancer-specific and disease-free survival. MATERIAL AND METHODS:Retrospective analysis of 42 cases of renal cancer with venous thrombus performed between 20...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2017-07-01 00:00:00