Abstract:
OBJECTIVES:To review the pathological criteria used to select patients for active surveillance, the optimization of biopsies and the role of confirmatory biopsy and of the transperineal approach. METHODS:A bibliographic revision of the last years about active surveillance in prostate cancer as well as prostate biopsy, optimal rebiopsy protocols and transperineal approach has been carried out. RESULTS:Misclassification of insignificant disease based on pathological criteria of the first standard biopsy range from 20% to 30% of men. It is likely that many patients who ultimately progress on active surveillance had at the time of diagnosis more advanced disease that was missed by transrectal ultrasound (TRUS) biopsy. This is the main cause of progression on initial follow-up biopsy within 1 year of starting active surveillance. Although the role of immediate prostate rebiopsy after the diagnosis of low-risk prostate cancer and has not been well described, repeat biopsy before the initiation of AS performed shortly after diagnosis (6 months) identifies most patients who harbor high grade or more extensive cancers that may not be appropriate for a surveillance strategy. CONCLUSIONS:PSA, PSAD, and number of cores at initial diagnosis are not helpful in predicting misclassification of AS eligibility. The role of MRI for AS remains unclear and the technique of MRI/US fusion biopsy still lacks consensus on a standardized procedure. Patients considering active surveillance should undergo immediate confirmatory biopsy within 6 months to decrease the risk of substantially underestimating cancer size and grade, even in patients with strict criteria in the initial biopsy and subsequently, to better assess the risk of progression. In this way, most protocols of AS recommend performing volume-based biopsies in the confirmatory procedure. Perhaps, an extensive transperineal template-guided mapping biopsy (TTMB) procedure could more accurately identify those men with occult significant disease. Due to confirmatory biopsy identifies a patient group that is unlikely to progress during the first 5 to 10 years of AS the need of intensive biopsy schedule during follow-up of patients undergoing active surveillance might be reduced.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Fernandez Gomez JM,Garcia Rodriguez Jsubject
Has Abstractpub_date
2014-06-01 00:00:00pages
409-18issue
5eissn
0004-0614issn
1576-8260journal_volume
67pub_type
杂志文章,评审abstract::A systematic review is characterized by the application of the scientific method to the evaluation of scientific literature. When a systematic review uses statistical techniques to combine and summarize the results from previous studies, it is called meta-analysis. Meta-analysis is a working tool that facilitates the ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2003-07-01 00:00:00
abstract:OBJECTIVE:To analyze the utility of chemolysis and the double-J ureteral catheter in patients with uric acid calculi. METHODS:The study comprised 30 patients (28 men and 2 women) treated with chemolysis for uric acid calculi and who consulted for renal colic. The indication for placement of a double-J ureteral stent w...
journal_title:Archivos espanoles de urologia
pub_type: 临床试验,杂志文章
doi:
更新日期:2001-03-01 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:We describe the case of a young male presenting with non-specific abdominal symptoms on follow-up after radical nephrectomy for renal carcinoma leading to the finding of local recurrence and peritoneal metastases. A second exploratory laparotomy was carried out for tumor reduction, but it was followed by fast...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142006000900015
更新日期:2006-11-01 00:00:00
abstract::Urinary lithiasis is a prevalent disorder of uncertain origin which provokes health problems through potential harm to the urinary system, renal parenchyma or the body as a whole, with a frequent trend to relapse. Historically urinary calculi have been studied and treated as an isolated disease but nowadays we know mo...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2017-01-01 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
abstract:OBJECTIVES:Urethral stenosis is a frequent disease in males. The variable results of its treatment have prompted the surgeon to search for new therapeutic alternatives. We propose to treat it by self expandable endourethral prosthesis. METHODS:Since February 1993 to March 2000 48 patients with urethral stenosis previo...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00
abstract::Papillary transitional cell carcinoma of the bladder (PTCCB) is characterized by a high recurrence rate with infiltration of bladder wall and surrounding tissues. The outcome is poor in 10-20% of the cases and these cannot be detected by conventional methods. Different methods have been utilized to identify this high ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVES:We report one case of seminal vesicle cyst with ectopic drainage of the left ureter. We performed a bibliographic review of this pathology. METHODS:23-year-old patient who presented several episodes of acute epididymitis. Complementary study showed a retroprostatic cystic structure on transrectal ultrasound...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2004-03-01 00:00:00
abstract::The author carries out a sonographic study on 200 expansive kidney processes, in which he assess the possibilities of this method of diagnosis at the same time offering the echographic semiology of the different disorders being studied. Finally, he explains the limitations and drawbacks of this technique. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1979-07-01 00:00:00
abstract:OBJECTIVE:To report one case of bilharziasis treated at our centre and to briefly comment the literature in the current context of increase of parasitical diseases in Europe, imported from the Third World by immigrants and tourists. METHODS:We report the case of a male patient from a Central African country referred t...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142007000700010
更新日期:2007-09-01 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: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::Prostate Cancer (PCa) remains an exception among solid cancers since organ-sparing procedures are not considered as a standard option. Despite most men harbour low to intermediate risk disease at diagnosis, the vast majority are advised towards radical treatment. We performed a literature review to highlight and discu...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2016-07-01 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::Five cases are presented of incrusted, alkaline cystitis and the authors point out the pathogenic aspects and the etiology of this illness and comment upon the two forms of endoscopic presentation and the treatment of the general and local kinds. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1978-11-01 00:00:00
abstract:OBJECTIVES:Intravenous urography (IVU) has been classically considered as an essential examination in the great majority of urologic diseases due to the great amount of information that supplies both functional and morphological, mainly for ureteral abnormalities where other exams do not reach enough definition. Nevert...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2003-12-01 00:00:00
abstract::Rectal involvement secondary to adenocarcinoma of the prostate is uncommon and carries a poor prognosis. Distinguishing secondary from primary rectal tumors is mandatory, since each condition warrants a completely different treatment. There are at least five forms of clinicopathological involvement, depending on the r...
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 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::23 cases of flexible retrograde nephroscopy system for undiagnosed hematuria or filling defect are reviewed. The introduction was carried out by combining hydraulic dilation, rigid ureterorenoscopy and a working sheath. The indications were merely diagnostic (filling defects and/or haematuria). The success rate was ve...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1991-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of the Anderson-Hynes pyeloplasty in 47 patients with pelviureteric junction syndrome and to compare our results with the reported results for open surgery and other techniques. METHODS:The records of 47 patients (21 males, 26 females) with pelviureteric junction syndrome treated at ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1999-06-01 00:00:00
abstract::The authors draw attention to the potential danger of urinary schistosomiasis in Spain, pointing out the nuclei in the country which present snails suitable for being intermediary carriers. They present one case, not autochthonous, observed in León and they point out the possible increase in this parasitosis, due to t...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1980-01-01 00:00:00
abstract::We present our experience in 61 patients with partial or complete staghorn stone who underwent combined treatment with PCN and ESWL. We excluded the cases with an additional factor complicating staghorn stone, such as horseshoe kidney, severe ectopic, mal-rotated or high, with pyeloureteral junction stricture, etc. Th...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract:OBJECTIVE:To describe a case of vasitis nodosum causing spontaneous recanalization of the vas deferens. METHODS:Herein we describe a patient who had undergone vasectomy 9 years earlier. A nodule in the vas deferens arising from granulomatous reaction had progressed to vasitis nodosum, causing spontaneous recanalizatio...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1997-06-01 00:00:00
abstract::The history of urology starts with written documents making express reference to procedures, practices and descriptions of morbid processes related with the male genitourinary tract. Oddly, the most recent prehistoric period, the superior Paleolithic (from approximately 40.000 years to 12.000 years ago; the longest pe...
journal_title:Archivos espanoles de urologia
pub_type: 历史文章,杂志文章
doi:10.4321/s0004-06142007000800002
更新日期:2007-10-01 00:00:00
abstract::Robotic radical prostatectomy is fast getting popular as an alternative to the open and laparoscopic radical prostatectomy. Planning for port placement and the assistant's role are the two crucial yardsticks for the success of this procedure. Ideal port placement for radical robotic prostatectomy is not only crucial f...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142007000400008
更新日期:2007-05-01 00:00:00
abstract::The presence of gas in the bladder wall and/or lumen (emphysematous cystitis) is an uncommon disease entity that may be caused by infectious organisms. Diabetes and chronic urinary infection are predisposing factors. Its clinical features are unspecific and the prognosis depends on the degree of aggressiveness at pres...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1994-04-01 00:00:00
abstract:OBJECTIVE:To describe an additional case of idiopathic retroperitoneal fibrosis. METHODS/RESULTS:A 56-year-old man consulted for abdominal pain and previous symptoms of intermittent claudication. A CT scan disclosed a retroperitoneal mass, for which reason the patient was submitted to surgery. Analysis of the biopsy s...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1998-11-01 00:00:00
abstract:OBJECTIVES:To report the principles of penile resculpturing of different deformities caused by M. Peyronie: restoration of penile length, girth and shape with or without penile prosthesis implantation. METHODS:In the period between February 2007 and March 2009, we performed grafting surgery for M. Peyronie in 98 patie...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVES:The use of intraoperatory laparoscopic ultrasound for nephron sparring surgery (partial nephrectomy) in patients with technically challenging tumors has emerged during the last years. The objective of this work is to present a literature review and analysis of the published series, as well as the surgical te...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2019-10-01 00:00:00