Abstract:
:Prostate cancer (PCa) is the most common non-skin malignancy among men world-wide. PCa incidence is higher among African American (AA) menin comparison to the white population. Men with a previous history of PCa in first-line relatives carry also an increased risk for this disease. The incidence of PCa diminished in United States (US) since the publication in 2012 of US Preventive Service Task Force (USPSTF), in which PCa screening was bestowed with a grade D of recommendation. Nonetheless, locally advanced andmetastatic disease rates increased notably. In 2018, the USPSTF drop back in their statement against PCa screening and recommended this to be a shared-decision between men 55-69 years old and their physicians.A side-by-side evaluation methodology of the three trials included in USPSTF review was performed. The high intensity screening modality and the lower contamination rate in the control arm found in the ERSPC trial justify theearlier splitting in the cumulative mortality curves between the screening and control arm when contrasted with the CAP and PCLO trials presented. We aim to perform an objective and critical review of the current practice on prostate cancer screening, regarding its limitations and when the physician should offer a shared-decision process screening based on PSA.The controversy over PSA screening has not ended despite unequivocal evidence that it saves lives. Although the USPSTF's 2017 new draft is a step in the right direction, there is more progress to be made concerning the identification of patients harboring high-risk tumors and, consequently, die of PCa. PSA baseline may lead us to differentiate properly patients at high-risk from those under risk of overdiagnosis and overtreatment. It is well established that mpMRI has come to help us in the diagnosis of PCa and in the identification of clinically significanttumors. Finally, studies ongoing on biomarkers may assist us to improve our understanding about this frequent malignancy. :El cáncer de próstata (CaP) es el tumor maligno no cutáneo más frecuente entre los hombres en el mundo. La incidencia de CaP es mayor entre los afroamericanos (AA) en comparación con la población blanca. Los varones con antecedentes de CaP en familiares de primer grado también tienen un riesgo aumentado para padecer esta enfermedad. La incidencia de CaP disminuyó en los Estados Unidos (EEUU) desde la publicación en 2012 del USPSTF (US reventive Service Task Force), en la cual al cribado con PSA se le concedíaun grado D de recomendación. No obstante, las tasas de enfermedad localmente avanzada y metastásica han aumentado notablemente. En 2018, la USPSTFdio marcha atrás en su declaración contra el cribado en CaP y recomendó que fuera una decisión compartida entre los varones de 55-69 años y sus médicos.Realizamos una evaluación conjunta de la metodología de los tres estudios incluidos en la revisión del USPSTF. La modalidad de cribado de alta intensidad y la baja tasa de contaminación en el grupo control del estudio ERSPC justifica la separación precoz de las curvas demortalidad acumulada entre los brazos de cribado y control en comparación con la presentada en los estudios CAP y PLCO. El objetivo del artículo es realizaruna revisión objetiva y crítica de las prácticas actuales en cribado de cáncer de próstata, en relación con sus limitaciones y cuándo debe un médico ofrecer el proceso de decisión compartida de cribado basado en PSA.La controversia sobre el cribado con PSA no ha terminado a pesar de la evidencia inequívoca de que salva vidas. Aunque el nuevo documento de la USPSTF 2017es un paso en la dirección correcta, hay mas progresos por hacer en relación con los pacientes que tienen tumores de alto riesgo y, en consecuencia, mueren deCaP. El PSA basal puede llevarnos a diferenciar adecuadamente los pacientes con alto riesgo de sobrediagnóstico y sobretratamiento de los de bajo riesgo. Estábien establecido que la RMN multiparamétrica ha venido para ayudarnos en el diagnóstico del CaP y en la identificacion de los tumores clínicamente significativos.Finalmente, los estudios de marcadores en marcha pueden asistirnos para mejorar nuestro conocimiento sobre este frecuente tumor maligno.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Baccaglini W,Cathelineau X,Araújo Glina FP,Medina LG,Sotelo R,Carneiro A,Sanchez-Salas Rsubject
Has Abstractpub_date
2019-03-01 00:00:00pages
98-103issue
2eissn
0004-0614issn
1576-8260pii
2019-72-2-802eede653957406ff47e0989301292b6667109bjournal_volume
72pub_type
杂志文章abstract::Instrumental ureterotomy is considered, in this paper, as alternative therapy in ureteral stenoses. There is a description of a special instrument, designed for the treatment of this pathology and there is also a description of the technique to be applied. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1981-03-01 00:00:00
abstract::Oligometastatic prostate cancer (PCA) has increasingly been detected in the era of modern imaging studies such as choline-specific and prostate-specific membrane antigen (PSMA)-positron emission tomography and X-ray computed tomography (PET/CT). Recent evidence suggests that durable control is attainable with local tr...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:To describe the laparoscopic approach for uretero-ileal anastomosis strictures and to analyse our long term series. METHODS:A retrospective review was performed evaluating our series of patients with benign ureteroileal anastomosis strictures treated laparoscopically from 2011 to 2017. Demographics and perio...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVES:To assess the adherence to the antibiotic prophylaxis protocol in patients undergoing prostate surgery and evaluate the effect of antibiotic prophylaxis on surgical site infections (SSI). MATERIAL AND METHODS:A prospective cohort study was carried out between January 2009 and September 2016. The global comp...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2019-12-01 00:00:00
abstract::The results of a prospective study undertaken in 29 patients with symptomatic benign prostatic hyperplasia (BPH) are presented. Transrectal ultrasound, ultrasound-guided biopsy and prostate specific antigen (PSA) were utilized in the search for hidden cancer of the prostate. However, no cancer was detected in any pati...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract:OBJECTIVES:To determine the type and to quantify the DURR phenomena in the male. METHODS:We conducted a clinical and urodynamic study in 31 male patients with functional lower urinary tract symptoms. RESULTS:DURR is produced by two types of mechanisms: urethral rigidity and contraction of the urethral wall. The patie...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1998-01-01 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:OBJECTIVE:We present the clinical case of an intrauterine testicular torsion. METHODS/RESULTS:Three days old boy complaining of testicular pain and scrotum enlargement with the diagnosis of intrauterine testicular torsion. Left testicular extirpation and right fixation were performed. CONCLUSIONS:We analyze cases rep...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142007000900013
更新日期:2007-11-01 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 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:OBJECTIVE:Increasingly nephro-sparing partial nephrectomy has became widely accepted as a preferred treatment option for the select patient when the adenocarcinoma involves a solitary kidney or poorly functioning contralateral kidney, and in patients with synchronous bilateral tumors. While open partial nephrectomy is ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2002-09-01 00:00:00
abstract::A total of 84 patients with superficial transitional cell carcinoma underwent transurethral resection of bladder tumor. All patients had stage pTa or pT1 transitional cell carcinoma or carcinoma in situ without other concurrent malignancies. The patients were assigned to three treatment groups: I. Control group-transu...
journal_title:Archivos espanoles de urologia
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:1991-10-01 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::Radical prostatectomy is currently the standard of care for localized prostate cancer. In the last decade, the minimally invasive surgery, especially the robotic surgery has been growing and open techniques are less frequent performed. A non-systematic review of the literature is performed, highlighting the current s...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2012-10-01 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::A retrospective study was undertaken in 243 cases of transitional cell carcinoma of the bladder to determine the correlation of clinical parameters (sex, age, symptoms and duration of the disease) and tumor gross anatomic features (cystoscopic aspects, tumor number, size and site) with survival. The study comprised 14...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1991-03-01 00:00:00
abstract:OBJECTIVE:The inability to remove a bladder catheter due to impossible balloon removal is a situation with controversial management; there are no action guidelines and it is limited to individual experience in most cases. In this article, we review the techniques described for removing a urethral catheter and we share...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2012-05-01 00:00:00
abstract::Bladder cancer is one of the most frequents pathologies in urology. The introduction of the laser among the technical tools supposed a great advance, but the initial results with the first model failed with the expectations. Nevertheless, nowadays we have at our disposal a great variety of laser for urological use, wi...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142008000900008
更新日期:2008-11-01 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::Urological surgery is rapidly developing towards less invasive and more conservative approaches without detriment to its proven efficacy. The authors, who perform endourologic surgery in 60% of the cases, have sought to enhance endoscopic suture techniques in the bladder using the triangulation procedure. Investigatio...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract:OBJECTIVE:To report the case of a patient with long-term giant genital lymphedema as a consequence of partial penectomy with bilateral inguinal lymphadenectomy 26 years before. METHODS:58-year-old male patient consulting for genital volume increase (penis and scrotum). Diagnostic tests were performed and surgery was i...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2007-03-01 00:00:00
abstract::To determine the usefulness of ultrasound in the diagnosis of acute renal graft failure, 48 renal transplants were retrospectively studied. The characteristic morphologic signs of acute rejection (AR) were compared with the histologic analysis of the graft using material obtained from percutaneous renal biopsy and/or ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1989-11-01 00:00:00
abstract::Four hundred and thirty-eight men with histologically confirmed prostatic adenocarcinoma were diagnosed consecutively and followed up closely for up to ten years. The mean age at presentation was 72.5 years and ranged from 45.3 to 91.0 years. Half of the total presented with symptoms of increasing urinary outflow obst...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1989-01-01 00:00:00
abstract::The accelerated expansion of the knowledge of genetic and molecular basics of cancer, together with the recent development of molecular biology techniques, have had a significant impact in the field of oncology, among other medical disciplines. So, over the last few years, we are crossing from an empiricism-based mode...
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::Endometriosis is relatively frequent in females of menstrual age and consists in the appearance of active endometrial tissue at sites other than the uterine cavity (genital system or adjacent organs). Endometrial tissue has been described to colonize the urinary system, particularly the urinary bladder. The most commo...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-03-01 00:00:00
abstract::Management of complex female urethral injuries is challenging. We present our experience of 9 cases over the last 3 years with a mean follow-up of 14 months. The spectrum of clinical problems and results of various forms of innovative management are highlighted. Injuries which could not be managed by primary repair or...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1993-10-01 00:00:00
abstract::In the centenary of Dr. Luis Cifuentes Delatte we tell several histories about his teaching, which help to know and understand his professional and human quality. ...
journal_title:Archivos espanoles de urologia
pub_type: 传,历史文章,杂志文章
doi:10.4321/s0004-06142008001000010
更新日期:2008-12-01 00:00:00
abstract:OBJECTIVE:To report a case of prostate lymphoma and a brief review of the literature. METHODS/RESULTS:A 70 year-old mele patient was referred to the Urology departament with a clinical picture of prostatism, with acute urinary retention (AUR). Surgery with retropubic prostatectomy was performed, and pathology revealed...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142006000500015
更新日期:2006-06-01 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:OBJECTIVES:To compare the antibiotic susceptibility of Escherichia coli (E. coli) between community- acquired acute bacterial prostatitis (CA-ABP) and ABP following transrectal ultrasound-guided prostate biopsy (Bx-ABP). METHODS:A total of 4,383 patients underwent prostate biopsy from January 2005 to June 2014. Among ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2019-12-01 00:00:00