Abstract:
OBJECTIVES:To explore the management of lower urinary tract symptoms (LUTS) in men in Spain and assess the compliance with recommendations established in the European Association of Urology (EAU) guidelines. MATERIAL AND METHODS:MERCURY was an epidemiological and cross-sectional study which involved 227 Urology Units across Spain assessing adult male patients with mixed LUTS and persisting storage symptoms. Sociodemographic, clinical and resource use data for the 6 months prior to study inclusion were collected. Additionally, through a theoretical clinical case, clinicians described their attitude toward the diagnostic and therapeutic management of males with mixed LUTS and persisting storage symptoms during the first and second visits. Answer options given to clinicians about LUTS management were aligned with those recommended by EAU guidelines. RESULT:610 patients included in the study were evaluated. 87.7% of them consumed some health resource mainly due to: urologist visits (79.7%), PSA determination (76.6%) and treatment with alpha-blockers (37.5%) and alpha-blockers plus antimuscarinics (37.2%). According to the theoretical clinical case, urologists preference toward diagnostic tools and pharmacological treatment in first visit were mainly PSA determination (97.7%), digital rectal examination (91.4%) and treatment with alphablockers as monotherapy (56.6%), whereas in the second visit uroflowmetry (48.9%), voiding diary (40.3%) and treatment with alpha-blockers plus antimuscarinics (70.6%) were mainly preferred. CONCLUSIONS:Urologists attitude toward management of male patients with mixed LUTS and persisting storage symptoms is aligned with that recommended in the EAU guidelines.
journal_name
Actas Urol Espjournal_title
Actas urologicas espanolasauthors
Errando-Smet C,Müller-Arteaga C,Hernández M,Roset Mdoi
10.1016/j.acuro.2017.12.003subject
Has Abstractpub_date
2018-06-01 00:00:00pages
323-330issue
5eissn
0210-4806issn
1699-7980pii
S0210-4806(18)30004-4journal_volume
42pub_type
杂志文章abstract:INTRODUCTION:Gleason score biopsy undergrading (GSBU) can have an impact on the management and prognosis of patients with prostate cancer. We analyze the possible impact of time and other clinical and analytical factors in the appearance of GSBU in our series. PATIENTS AND METHOD:Ambispective, multicenter study of 195...
journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:2010-02-01 00:00:00
abstract::We report on a fibroepithelial polyp case with inflammatory characteristics located in the pelvian ureter, and related with an ureteral calculus, which was treated in a conservative way with ureteroscopic resection, after the pincer extraction of the stone. Our team found two fibroepithelial polyp cases in the bibliog...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:
更新日期:1994-07-01 00:00:00
abstract::Review of 18 cases of ureterocele in the adult. The first clinical symptoms are unspecific, with a long-term evolution, and were found while carrying out routine urological examinations. The association to secondary lithiasis in over 60% cases and the presence of complete duplicity in 44% cases is highlighted. The cho...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1991-11-01 00:00:00
abstract:OBJECTIVE:We report a new case of symptomatic myelolipoma of the adrenal gland. We analyse clinical, diagnostic, histopathologic and therapeutic aspects. METHOD AND RESULTS:Surgical excision was performed by lumbotomy. The patient was asymptomatic after surgery. DISCUSSION:Adrenal myelolipoma is norfunctioning benign...
journal_title:Actas urologicas espanolas
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doi:
更新日期:1998-11-01 00:00:00
abstract::This article reviews the current status of the prostatic cryosurgery in the management of patients with prostate cancer. Recent advances in cryoablative technology have allowed to treat these patients successfully with decreased morbidity. Using transrectal high-resolution ultrasound imaging, prostate cryotherapy is d...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:10.1016/s0210-4806(07)73627-6
更新日期:2007-03-01 00:00:00
abstract::Presentation of four cases of keratinizing squamous metaplasia (KSM), two of the renal pelvis, one pyelocaliceal and one ureteral. Nephrouretetectomy was performed in all cases. All our patients showed good evolution. A review of the literature is made discussing all the etiological, diagnostic and therapeutical aspec...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:
更新日期:1994-09-01 00:00:00
abstract::One of the various therapeutic options currently used in erectile dysfunction (ED), vacuum is a procedure that should not be ruled out as it can benefit certain types of patient. To understand each patient's response and usage readiness, a vacuum test is routinely performed by the andrology service as part of the diag...
journal_title:Actas urologicas espanolas
pub_type: 临床试验,杂志文章
doi:10.1016/s0210-4806(00)72437-5
更新日期:2000-03-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,随机对照试验
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journal_title:Actas urologicas espanolas
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abstract::Description of one case of spontaneous fistulization between a renal calix and a descending colon, secondary to lithiasic pyonephrosis. Diagnosis was carried out by means of ascending pyelography without it being clinically suspected. Treatment is surgical, combining nephrectomy, fistula resection and closure of the c...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1992-04-01 00:00:00
abstract:BACKGROUND:Despite the growing interest on Urinary Incontinence (UI) in our country, nocturnal enuresis and Overactive Bladder (OAB), there are no epidemiologic studies on the prevalence of these health problems in the different affected groups of the general population. PATIENTS AND METHODS:This is an epidemiologic, ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,多中心研究
doi:10.1016/s0210-4806(09)74117-8
更新日期:2009-02-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(05)73193-4
更新日期:2005-01-01 00:00:00
abstract::Our service performed a total of 619 kidney transplants between February 1980 and March 1993. Among them, 41 new neoplasias (6.6%) were diagnosed. Most frequent tumour was epithelioma (25) with a presentation age lower than in the normal population. Amongst the remaining tumours (16), the occurrence of 2 lymphoma and ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1994-05-01 00:00:00
abstract::Vesical leiomyoma is a benign mesenchymal tumor that rarely involves the bladder and makes about 1.5% of all vesical tumors. A new case is presented and aspects concerning clinical, diagnostic and surgical issues are examined. The paper includes a revision of the available literature on the topic. ...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1995-06-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/s0210-4806(07)73608-2
更新日期:2007-02-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:10.1016/j.acuro.2019.05.005
更新日期:2019-12-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:10.1016/j.acuro.2019.10.001
更新日期:2020-06-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,多中心研究
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更新日期:2016-09-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1999-01-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:2010-04-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
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更新日期:2006-09-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
doi:
更新日期:1995-11-01 00:00:00
abstract::Serum markers for prostate carcinoma are widely applied for the purpose of early detection of cancer and the differentiation between benign and malignant disease, for the pre-treatment staging of detected prostatic cancers, and for the monitoring of prostate cancer after curative or palliative therapies. Since its dis...
journal_title:Actas urologicas espanolas
pub_type: 杂志文章,评审
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更新日期:2008-06-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.acuro.2019.03.009
更新日期:2019-10-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1994-11-01 00:00:00
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::Radical nephrectomy is the only curative treatment for renal cell cancer. Standard treatment includes ipsilateral adrenalectomy and lymph node dissection. In recent years, development of nephron-sparing surgery and early detection of small renal tumors has led to question this approach. The role of lymphadenectomy and...
journal_title:Actas urologicas espanolas
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更新日期:2009-05-01 00:00:00