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 with the toxicity can be avoided. It has not been determined whether close observation with early salvage radiotherapy provides a similar result to ART. METHODS:Patients with localized prostate cancer treated with radical prostatectomy (RP) at the Institute of Cancerology (Medellín-Colombia), and those who had adverse predictors of biochemical relapse were included: extracapsular compromise, seminal vesicle involvement (pT3), and positive surgical margins (PSM) or not. Biochemical progression-free survival was compared between ART group and the observation group. RESULTS:Of 171 patients treated with RP, 55 had at least one adverse pathological factor. Of them, 33 (60%) were observed and 22 (40%) received ART. The median follow-up was 55 months (IQR: 37-89). Biochemical relapse occurred in 6 (18.2%) of the first group and 3 (13.6%) of the second group (p>0.05). Biochemical progression-free survival was 24.2% (95%CI: 11.5%-39.6%) in the observation group and 47.7% (95CI: 26.3%-66.4%) in the ART. CONCLUSIONS:After radical prostatectomy, the biochemical relapse in the patient with high-risk prostate cancer was similar in the observation group and in the ART group.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Chancy M,Gónzalez V,Cabrales M,Lopera C,García HIsubject
Has Abstractpub_date
2018-09-01 00:00:00pages
588-594issue
7eissn
0004-0614issn
1576-8260journal_volume
71pub_type
杂志文章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::Hypogonadism may affect as much as 70% of the patients with chronic renal failure (CRF) in comparison with general population. Physiopathologically, it is a hypergonadotropic hypogonadism, with alterations in the pulsatile production of GnRH, FSH, LH and testicular testosterone, that is a general disorder of the hypot...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2013-09-01 00:00:00
abstract::We evaluated the results and complications of 85 ureteroneocystostomies performed from 1978 to 1987. These varied according to the etiology of the disorder; the success rate was 100% for malformations, 87.5% for gynecologic ureters, and 80% for stenosis of the end of the ureter. Several surgical techniques were employ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1989-06-01 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:OBJECTIVES:Currently there are instruments to evaluate the different features of the impact on quality of life in those patients with prostate cancer undergoing any type of treatment, but most of them have 50 or more questions and they are difficult to apply in clinical practice. An English validation of a shortened ve...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2015-06-01 00:00:00
abstract::We report on a 72-year-old male patient with fibrous ureteral polyp which had been diagnosed following the incidental finding of a ureteral filling defect on radiographic evaluation for prostatism and gross intermittent hematuria of several months. We underscore the low frequency of this disorder and the therapeutic i...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1989-10-01 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::In the near future molecular biology will permit selection of patients with bladder cancer who can benefit more from radiotherapy and chemotherapy. There will also be an increase in the response rate due to the possibility of regulating the genes responsible for cellular radiosensitivity. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVE:To report our experience with the management of arterial priapism by embolization. METHODS:Two patients with arterial priapism secondary to perineal trauma are described. Diagnostic evaluation included intracorporal blood gas, echo Doppler and selective pudendal arteriographic assessment. Treatment was by se...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1999-04-01 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:OBJECTIVE:To report an unusual case of renal tumor and review the literature. METHODS:We present a 20 years old female with a history of acute right pyelonephritis. The ultrasound study revealed a tumor-like image in the lower pole of the right kidney . The CT-scan showed a mixed solid and cystic mass of 7 cm. in the...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2012-09-01 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: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,...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the impact of a new renal lithiasis classification on the stone free rate. The new system would allow standarization of comparison between different series of percutaneous nephrolithotomy. MATERIAL AND METHODS:Patients undergoing NPCL between November 2011 and November 2016 were retrospectively a...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2020-01-01 00:00:00
abstract::The microscopic innervation of the vas deferens in the rat was studied both in light and electron microscope. The nerve fibres form perivascular, intramuscular and subepithelial plexuses. Inside the connective tissue surrounding the vas deferens both isolated nerve fibres and sensory corpuscles (glomerular and Ruffine...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract:OBJECTIVES:To perform a bibliographic review of the laparoscopic approach for radiofrequency ablation of small renal masses. METHODS:For this review we used the Medline database. We reviewed the clinical guidelines of the American Urological Association, the European Association of Urology and other institutions. RES...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,meta分析,评审
doi:
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:To report the first case of bladder diverticulectomy in a female patient. METHODS:74-year-old female patient with a two-year history of recurrent lower urinary tract infection and the diagnosis of big bladder diverticulum. A laparoscopic bladder diverticulectomy was performed. RESULTS:Operative time was 90...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142006000800008
更新日期:2006-10-01 00:00:00
abstract:OBJECTIVES:To evaluate the results of this surgical treatment of hydrocele over the first four years of integration of the Urology Department in the Major Ambulatory Surgery Unit in our Hospital. METHODS:From January 2000 to July 2004 we have performed 167 hydrocelectomies as ambulatory surgery in 152 patients (15 cas...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142005000500003
更新日期:2005-06-01 00:00:00
abstract:OBJECTIVE:To determine the more useful parameters of urethral resistance and bladder contractile power to explain the values of maximum flow and postvoid residual urine observed in free uroflowmetry and appropriately assess the voiding dynamics in childhood. METHODS:A cross-sectional study was carried out in 68 childr...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVES:44/2003 Law involved the creation of the National Council of Specialties in Health Sciences and the National Commissions of the Specialties in Health Sciences. METHODS:Analysis of the main laws implicated in Specialized Training and the role of the National Specialty Commission. DISCUSSION:44/2003 Law regu...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2018-01-01 00:00:00
abstract:OBJECTIVES:To describe two cases of malakoplakia of the bladder with an unusual form of presentation and review the cases previously reported in the literature. METHODS/RESULTS:Two patients, a 61-year-old female and a 71-year-old male, are described. Both patients had a history of recurrent infection caused by colifor...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1998-03-01 00:00:00
abstract:OBJECTIVES:We report the case of a patient who had underwent surgery for a clear cell renal carcinoma 2 years before presenting with metastasic extension to bladder on follow-up. METHODS:Radiological finding of a bladder mass during follow-up after nephrectomy. RESULTS:TURBT was carried out with the pathologic report...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVE:The management of stone disease in renal abnormalities is a challenge for urologist due to its rarity. The aim of the current manuscript is to report our experience in Retrograde Intrarenal Surgery (RIRS) in 4 complex-abdnormal cases using the flexible videoureterorrenoscopy. MATERIAL AND METHODS:Data was pr...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2020-04-01 00:00:00
abstract:OBJECTIVE:To report an uncommon clinical case of spontaneous rupture of the superficial dorsal vein of penis. METHOD:A 27-year-old male patient attended the emergency room following spontaneous occurrence of a large hematoma and deformity in the penis. Rupture of cavernous bodies was initially suspected. RESULTS:Surg...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVE:To discuss briefly the new therapeutic strategies for poor-prognosis testicular germ cell cancer. METHODS:The use of new drugs in first line chemotherapy, intensive alternating and sequential chemotherapy and high dose chemotherapy with autologous bone marrow or stem cell transplantation are briefly discusse...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2000-07-01 00:00:00
abstract::La aplicación del láser en urología viene utilizándose desde hace muchos años, pero es realmente en nuestros tiempos donde está alcanzando unos niveles de popularidad excelentes. :La aplicación del láser en urología viene utilizándose desde hace muchos años, pero es realmente en nuestros tiempos donde está alcanzando...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:To describe an additional case of incomplete sagittal septum of the bladder. METHODS:A case of incomplete sagittal septum of the bladder in a young, asymptomatic patient with paralysis of both lower limbs is presented and literature is briefly reviewed. RESULTS:The diagnosis was made by intravenous urograph...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2000-09-01 00:00:00
abstract::In this paper, the authors carry out a comparative study of the structures adjacent to the alveolar periphery of the prostate-glands of men, dogs and bulls. In the three cases an E.S.J. (Epithelial-Stromal-Junction) similar to that described in the mammary gland and characterized in the first two cases by the existenc...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1979-01-01 00:00:00
abstract:OBJECTIVE:To describe a simple method of depilation of scrotal skin and the advantages of utilizing scrotal skin flaps for urethroplasty in the postpubertal male. METHODS:Depilation of the scrotal flap is achieved by electrocoagulating the dermal papillae with a needle specifically designed for scrotal hair. The frequ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1997-05-01 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