Extended pelvic lymphadenectomy in patients with clinically localised prostate cancer: A prospective observational study.

Abstract:

OBJECTIVE:To determine the frequency of lymph node involvement in patients with clinically localised prostate adenocarcinoma who had radical prostatectomy and extended pelvic lymphadenectomy. MATERIAL AND METHODS:A prospective observational study was conducted on 137 patients with clinically localised prostate cancer of low, intermediate or high risk according to the D'Amico classification. All participants underwent radical prostatectomy plus extended pelvic lymphadenectomy in 3 reference centres in Bogota, Colombia, between 2013 and 2014. The following variables were assessed: age, prostate specific antigen levels, Gleason score of the biopsy, probability of lymph node involvement calculated with Partin tables and the histopathology result of the surgical specimen, with the definitive Gleason pattern and the total number of resected and involved lymph nodes per tumour, according to the territory of the dissection. RESULTS:A total of 2,876 lymph nodes were extracted (an average of 20.99 lymph nodes per patient). There was lymph node involvement in 14 (10.22%) patients. The high-risk and intermediate-risk group presented lymph node metastases in 28.57% and 5.25%, respectively. There was no lymph node involvement in the low-risk group. Of the patients at risk of lymph node involvement (≥2% according to the Partin tables), 19.40% had lymph node metastases. CONCLUSION:Lymph node involvement in our population is similar to that reported in the worldwide literature. Extended pelvic lymphadenectomy increased the probability of detecting lymph node metastases in our community.

journal_name

Actas Urol Esp

authors

Ramos JG,Caicedo JI,Cataño JG,Villarraga LG,Trujillo CG,Robledo D,Plata M

doi

10.1016/j.acuro.2016.02.002

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

446-52

issue

7

eissn

0210-4806

issn

1699-7980

pii

S0210-4806(16)00054-1

journal_volume

40

pub_type

杂志文章,多中心研究
  • Differences in overall survival and cancer-specific survival in high-risk prostate cancer patients according to the primary treatment.

    abstract:INTRODUCTION AND OBJECTIVES:There is no high-level evidence as to which primary treatment provides an overall survival (OS) or cancer-specific survival (CSS) advantage in high-risk localised prostate cancer (HRLPC). Our aim was to analyse the differences in survival and predictive factors in this group of patients, acc...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/j.acuro.2018.06.006

    authors: Caño-Velasco J,Herranz-Amo F,Barbas-Bernardos G,Polanco-Pujol L,Hernández-Cavieres J,Lledó-García E,Hernández-Fernández C

    更新日期:2019-03-01 00:00:00

  • [Validation of the Spanish version of the "Bladder control Self-Assessment Questionnarie" (B-SAQ). A new screening instrument for lower urinary tract dysfunction].

    abstract:BACKGROUND:Taking into account the high prevalence in our country of Overactive Bladder Syndrome (OAB) ("urgency", with or without incontinence, sometimes associated to an increase in frequency and/or nocturia) and the difficulty to identify it, it would be interesting to have a short patient self assessment screening ...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(06)73578-1

    authors: Espuña Pons M,Puig Clota M,Rebollo Alvarez P

    更新日期:2006-11-01 00:00:00

  • [Clinico-flowmetric analysis of patients being surgically treated for BPH].

    abstract::Benign prostatic hypertrophy (BPH) is a common urological disease with a standard surgical approach, transurethral resection (TUR) or open adenectomy (OA), but the flowmetric clinical results are controversial. Fifty-five patients were evaluated; in 23 of them TUR was performed and 32 underwent OA. The Boyarsky clinic...

    journal_title:Actas urologicas espanolas

    pub_type: 临床试验,杂志文章,评审

    doi:

    authors: Domínguez Molinero JF,Palao Yago F,Fernández Rodríguez A,Arrabal Martín M,Martínez Torres JL,Zuluaga Gómez A

    更新日期:1994-07-01 00:00:00

  • [Acute renal insufficiency secondary to ureteral obstruction].

    abstract::Acute renal insufficiency due to ureteral obstruction is relatively uncommon and gives rise to difficulties of diagnosis and treatment. The series presented here analyzes these aspects in 24 patients who had 27 episodes of proven anuria due to ureteral obstruction. Their average age was 62. Six patients had only one k...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:

    authors: Castillo O,Alarcón FJ,Vial S

    更新日期:1989-09-01 00:00:00

  • [A 10-month experience with extracorporeal shockwave therapy of urolithiasis].

    abstract::From November 1987 treatment of urinary lithiasis regardless location was initiated in our Service of extracorporal renal lithofragmentation using shockwaves. Up until August 1988 (10 months), 411 patients have been treated representing a total of 590 lithiasis and 699 sessions on which the present communication is ba...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:

    authors: García Sisamón F,Ferrer Roda J,Tudela Bañuls O,Ferrer Bosch L

    更新日期:1990-05-01 00:00:00

  • [Participation of the pudendal innervation in the detrusor overactivity of the detrusor and in the overactive bladder syndrome].

    abstract:OBJECTIVES:The functional symptoms of the filling phase and detrusor overactivity are two inter-related dysfunctions of the lower urinary tract. We have aimed to study the participation of the lesion of the pudendal nerve in both urinary dysfunctions. MATERIAL AND METHODS:A cross-sectional cutoff study in a series of ...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/j.acuro.2011.07.011

    authors: Vírseda Chamorro M,Salinas-Casado J,Zarza-Luciañez D,Méndez-Rubio S,Pelaquim H,Esteban-Fuertes M

    更新日期:2012-01-01 00:00:00

  • Validation of the Spanish version of the questionnaire «Benefit, satisfaction and willingness to continue the treatment» in patients with overactive bladder.

    abstract:OBJECTIVES:To perform the linguistic and psychometric validation of the Spanish version of the BSW (Benefit, Satisfaction and Willingness to continue) questionnaire. MATERIAL AND METHODS:Epidemiologic, observational, multicenter, prospective (October 2008-February 2009) study in patients ≥40 years old with de novo ove...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.acuro.2013.03.005

    authors: Jiménez MA,Cambronero J

    更新日期:2013-09-01 00:00:00

  • [Pediatric renal transplantation from young children donors (aged < or = 6 years). Complications and functional clinical course].

    abstract:GOALS:To evaluate functional results and complications in a group of pediatric patients who received kidney transplants from donors aged 6 years or less. MATERIAL & METHODS:Thirty-four consecutive renal transplants were reviewed. Of 34 patients, 19 (55.8%) received kidneys from donors aged below 3 years (Group A) and ...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(04)73034-x

    authors: Lledó García E,Díez Cordero JM,Subirá Ríos D,Castaño González I,Moralejo Gárate M,Martínez-Salamanca JI,Hernández Fernández C,Luque de Pablos A

    更新日期:2004-01-01 00:00:00

  • [Pure primary prostate transitional cell carcinoma. A review of our series].

    abstract::Primary prostate transitional cell carcinoma is a very uncommon tumor, that represents about 1% of all prostate tumours. In our institution, only six patients have been diagnosed with pure transitional cell prostate carcinoma until 2002. Bladder origin of the neplasic was ruled out in all cases. We report a study abou...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(04)73092-2

    authors: Mallén Mateo E,Gil Martínez P,Sancho Serrano C,García de Jalón Martínez A,Pascual Regueiro D,Gil Sanz MJ,Rioja Sanz LA

    更新日期:2004-05-01 00:00:00

  • [Is there a place for randomized biopsies in the follow up of superficial transitional cell carcinoma of the urinary bladder?].

    abstract:INTRODUCTION:Transitional cell carcinoma of the bladder represents a disease of entire urothelial tract. The follow up is very important to detect any lesion that might represent a progression or a local recurrence. Some authors recommend randomized biopsies as a routine workup, others recommend cystoscopies and urinar...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(05)73355-6

    authors: Eduardo Matheus W,Nardi Pedro R,Maia Oliveira RR,Ferreira U,Rodrigues Netto N Jr

    更新日期:2005-10-01 00:00:00

  • [Urethrocavernous fistula due to penile fracture].

    abstract::Penile fracture with urethral laceration usually presents with pain and haematoma, detumescence, erectile failure and blood loss through urethral meatus. We describe the third published case of urethrocavernous fistula following blunt penile trauma sustained durind sexual intercourse. ...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(08)73987-1

    authors: Juaneda Castell B,Montlleó González M,Ponce de León Roca X,Gausa Gascón L,Caparrós Sariol J,Villavicencio Mavrich H

    更新日期:2008-11-01 00:00:00

  • [Ureterointestinal anastomosis in ileal conduit in single kidney. New surgical technique].

    abstract::Introduction of a new approach for uretero-ileal implantation when only one kidney is available. The technique follows the same approach as the Wallace-type re-implantation but in this case the uretero-ileal anastomosis plate is formed with the far en 2-3 cm of ureter. All cases performed with this technique have been...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(00)72409-0

    authors: Aguirre Benites JF,Duarte Ojeda JM,Díaz González R,Leiva Galvis O

    更新日期:2000-01-01 00:00:00

  • [Colpo-urethral suspension for stress incontinence].

    abstract::The paper explains the results obtained in 90 female patients with stress urine incontinence (90% in grade II at medium stress) who have undergone surgery through the vagina to free the urethra, cervix vesicae and bladder, raising them with a silk transversal suture anchored to the pubourethral ligament residues as we...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:

    authors: Abós Fanlo P

    更新日期:1990-09-01 00:00:00

  • Is the adjustable transobturator system ATOMS® useful for the treatment of male urinary incontinence in low to medium volume urological centers?

    abstract:INTRODUCTION:Urinary incontinence (UI) is a complication of radical prostatectomy (RP) and transurethral resection of the prostate (TURP). The gold-standard treatment is the artificial urinary sphincter, however, new treatments have been investigated. OBJECTIVE:To examine the outcome of an adjustable transobturator ma...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/j.acuro.2017.07.011

    authors: Manso M,Alexandre B,Antunes-Lopes T,Martins-da-Silva C,Cruz F

    更新日期:2018-05-01 00:00:00

  • [Lymphedema as an inusual presentation of prostate carcinoma].

    abstract::The most common etiology of lymphedema in our environment is tumoral and, generally, it is due to treatment of the cancer itself. However, the initial presentation of prostate carcinoma as lymphedema is very rare. In fact, there aren't very few documented cases in literature. We described the case of a patient who was...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(07)73637-9

    authors: Ruiz Ruiz S,Auguet Quintillà T,Raventós Estelle A,Florit Serra L,Trobat Vanrell FX,Richart Jurado C

    更新日期:2007-03-01 00:00:00

  • [Selective arterial embolization in a case of renal cell carcinoma as therapeutic choice].

    abstract::We show a big renal cell carcinoma case in an aged woman with many pathology associated. In view of the family refuse to make the radical surgery and the high surgical risk we decided to apply transarterial embolization treatment with polivinil alcohol particles (PVA). 28 months later the patient becames with no sympt...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(05)73246-0

    authors: Blasco Alfonso JE,Pallás Costa Y,Ferrer Puchol MD,Hernández Montes E

    更新日期:2005-03-01 00:00:00

  • [Cysts of the seminal vesicles. Diagnosis and treatment].

    abstract::Congenital cysts in the seminal vesicle represent a rare by illustrative example of embryological malformation. They are often associated with ipsilateral urinary tract anomalies. We have analyzed the diagnostic and therapeutic schemes followed in the study of this uncommon pathology. ...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:

    authors: Extramiana J,Paniagua P,Mora M,Pamplona M,Mañas A,González P,Pérez MJ,García Castaño B,Wert R

    更新日期:1990-05-01 00:00:00

  • [Papillary cystadenoma of epididymis].

    abstract::Contribution of one case report of papillary cystadenoma, a very uncommon benign epithelial tumour. Related to von Hippel-Lindau's disease, it may be associated to infertility. It tends to occur in young adults, lesions being bilateral in one third of cases. It is diagnosed through palpation and particularly with ultr...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(00)72541-1

    authors: Peyrí Rey E,Casalots Serramia J

    更新日期:2000-10-01 00:00:00

  • Liquid biopsy and prostate cancer. Current evidence applied to clinical practice.

    abstract:CONTEXT:Despite being a validated source of biomarkers, liquid biopsy has not yet succeeded in becoming part of the standard clinical practice in prostate cancer patients. Few biomarkers undergo adequate validation, prospective and independent, of their predictive and/or prognostic value, which results in a lack of the...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章,评审

    doi:10.1016/j.acuro.2019.08.007

    authors: Puche-Sanz I,Rodríguez-Martínez A,Garrido-Navas MC,Robles-Fernández I,Vázquez-Alonso F,Álvarez Cubero MJ,Lorente-Acosta JA,Serrano-Fernández MJ,Cózar-Olmo JM

    更新日期:2020-04-01 00:00:00

  • [European Association of Urology guidelines on laser technologies].

    abstract:CONTEXT:The European Association of Urology (EAU) Guidelines Office has set up a guideline working panel to analyse the scientific evidence published in the world literature on lasers in urologic practice. OBJECTIVE:Review the physical background and physiologic and technical aspects of the use of lasers in urology, a...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章,实务指引,评审

    doi:10.1016/j.acuro.2012.05.005

    authors: Herrmann TR,Liatsikos EN,Nagele U,Traxer O,Merseburger AS,European Association of Urology.

    更新日期:2013-02-01 00:00:00

  • Multiparametric magnetic resonance imaging predicts the presence of prostate cancer in patients with negative prostate biopsy.

    abstract:OBJECTIVE:To assess the ability of multiparametric prostate magnetic resonance imaging (mpMRI) to detect prostate cancer in patients with prior negative transrectal prostate biopsy (TPB). MATERIAL AND METHODS:mpMRI (TSE-T2-w, DWI and DCE sequences) was performed on 1.5T (Magnetom Avanto; Siemens Healthcare Solutions) ...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/j.acuro.2014.07.001

    authors: Lista F,Castillo E,Gimbernat H,Rodríguez-Barbero JM,Panizo J,Angulo JC

    更新日期:2015-03-01 00:00:00

  • Preservation of the internal vesical sphincter and proximal urethra during retropubic radical prostatectomy may improve earlier recovery of continence in selected patients.

    abstract:OBJECTIVES:To evaluate the influence of preservation of the muscular internal sphincter and proximal urethra on continence recovery after radical prostatectomy (RP). MATERIAL AND METHODS:Fifty-five consecutive patients with organ confined prostate cancer were submitted to RP with the preservation of muscular internal ...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/j.acuro.2013.12.010

    authors: Brunocilla E,Schiavina R,Borghesi M,Pultrone C,Vagnoni V,Rossi MS,Cevenini M,Bianchi L,Molinaroli E,Gentile G,Martorana G

    更新日期:2014-09-01 00:00:00

  • [Renal hematomas after extracorporeal lithotripsy with the lithotriptor "lithostar multiline de Siemens"].

    abstract:OBJECTIVE:Renal haematomas after extracorporeal shockwave lithotrity are an immediate and potentially serious complication. The incidence of post-ESWL renal haematoma with the new Siemens' Lithostar Multiline lithotripter is analyzed in an attempt to know its occurrence, predisposing factors and presentations signs and...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(00)72399-0

    authors: Gallego Sánchez JA,Ibarlucea González G,Gamarra Quintanilla M,Guisasola J,Bernuy Malfaz C

    更新日期:2000-01-01 00:00:00

  • [Primary carcinoma of the male urethra. Report of a case and review of the literature].

    abstract::Contribution of one case of epidermoid carcinoma of the urethra in a 47-year old male with a several years old urethral stenosis. The significance of urethroscopy and the obtention of biopsies for diagnosis is emphasised. Also a review is made of the existing literature on the different therapeutical alternatives. ...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章,评审

    doi:

    authors: Martín García C,Fernández Durán A,Fernández Gómez J,Jiménez López-Lucendo N,Martín Dávila F

    更新日期:1998-09-01 00:00:00

  • [Erectile dysfunction].

    abstract::In Spain, based on the IIEF, 19% of males between 25 and 70 years old present some degree of erectile dysfunction (ED). Therefore, around 2,000,000 Spanish men present this condition and could require medical attention for it. Here, we present an up-date of the most important aspects of erectile dysfunction (pathophys...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章,评审

    doi:10.1016/s0210-4806(02)72844-1

    authors: Rodríquez Vela L,Gonzalvo Ibarra A,Pascual Regueiro D,Rioja Sanz LA

    更新日期:2002-10-01 00:00:00

  • [Renal transplantation with living donors. A critical analysis of surgical procedures based on 40 years of experience].

    abstract:INTRODUCTION:Absolute priority in an LDKT programme are donnor safety and kidney optimal anatomical and functional preservation. Reduced donnor morbidities, both at short and long term, are important objectives. Excellent technical grafting is a must as are the strategies employed for facilitatig it. We revised the inc...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/s0210-4806(08)73977-9

    authors: Vela Navarrete R,Rodríguez Miñón Cifuentes JL,Calahorra Fernández J,González Enguita C,Cabrera J,García Cardoso JV,Castillon Vela I,Plaza JJ

    更新日期:2008-11-01 00:00:00

  • Influence of demographic and tumour variables on prostate cancer treatment with curative intent in Spain. Results of the 2010 national prostate cancer registry.

    abstract:OBJECTIVE:The aim of this study is to determine which cancer and demographic criteria influence the indication for surgery (radical prostatectomy) or radiation therapy (external or brachytherapy) in the treatment of prostate cancer. MATERIAL AND METHODS:An analysis of the 2714 patients of the 2010 National Prostate Ca...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/j.acuro.2016.04.011

    authors: Martínez-Jabaloyas JM,Castelló-Porcar A,González-Baena AC,Cózar-Olmo JM,Miñana-López B,Gómez-Veiga F,Rodriguez-Antolín A,Grupo Español de Cáncer de Próstata.

    更新日期:2016-10-01 00:00:00

  • A Preliminary Study of the Ability of the 4Kscore test, the Prostate Cancer Prevention Trial-Risk Calculator and the European Research Screening Prostate-Risk Calculator for Predicting High-Grade Prostate Cancer.

    abstract:INTRODUCTION:To prevent the overdiagnosis and overtreatment of prostate cancer (PC), therapeutic strategies have been established such as active surveillance and focal therapy, as well as methods for clarifying the diagnosis of high-grade prostate cancer (HGPC) (defined as a Gleason score ≥7), such as multiparametric m...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章

    doi:10.1016/j.acuro.2015.09.006

    authors: Borque-Fernando Á,Esteban-Escaño LM,Rubio-Briones J,Lou-Mercadé AC,García-Ruiz R,Tejero-Sánchez A,Muñoz-Rivero MV,Cabañuz-Plo T,Alfaro-Torres J,Marquina-Ibáñez IM,Hakim-Alonso S,Mejía-Urbáez E,Gil-Fabra J,Gil-Martínez P,Ávare

    更新日期:2016-04-01 00:00:00

  • [Usefulness of PET in the diagnosis and response to treatment of extragonadal germinal tumor with atypical presentation].

    abstract::Primary tumors of extragonadal origin are rare, with fewer than 1000 cases described in the literature. Although the exact incidence of EGTs is unknown, clinical data suggest that roughly 3% to 5% of all germ cell tumors. We expose a case report of EGT with unusually clinic presentation. We present our diagnostic and ...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章,评审

    doi:10.1016/s0210-4806(03)73025-3

    authors: Fernández Montero JM,Zudaire Bergera JJ,Rioja J,Regojo Balboa J,López Ferrandis J,Sánchez Zalabardo D,Rosell Costa D,Robles García JE,Berián Polo JM

    更新日期:2003-11-01 00:00:00

  • [Emphysematous cystitis].

    abstract::Emphysematous cystitis constitutes an uncommon clinical radiological entity. (Approximately 160 cases in the literature). We offer five cases of emphysematous cystitis, all of which occurred in women aged 60-80 (X = 74.2). All of them except one proved to be known diabetics and the glycemia figures at the time of bein...

    journal_title:Actas urologicas espanolas

    pub_type: 杂志文章,评审

    doi:

    authors: Calahorra Fernández FJ,Díaz González R,Pamplona M,Rodríguez A,Castro MA,Passas J,Leiva O

    更新日期:1989-09-01 00:00:00