Abstract:
OBJECTIVE OF THE REVIEW:Robot assisted Radical prostatectomy (RARP) has generated a new trend in the binomial teaching/learning, grouping these techniques in training modules such as theoretical learning, practice, personalized counseling, and modern tools like simulation and practice in virtual models. This review summarizes the current trend in the teaching process of RARP. RECENT FINDINGS: Current trends in the acquisition of the RARP learning curve is to provide the Urologist with a well-structured teaching process, implementing gradual training modules, which make possible to understand all aspects of the development of prostate surgery with a robotic system. This process consists in analyzing the theoretical aspects, perform training with high quality simulators and proctorization, in both cases in vivo and as assistant, until completion of the advanced phase in console with haptic training and proctor's direct advice, while the learning curve is being completed. The evidence shows that student and proctor feedback with the use of virtual models, immediately post-procedure video analysis, and a high-volume center are able to shorten the teaching process. The learning process never culminates, in other words, the final phase of the student, is when he is prepared to teaching the multiplier effect of his learning curve. CONCLUSIONS:Virtual models in Robotic surgery has changed the perspective teaching process of medicine. Theoretical knowledge, virtual training and Proctor's advice are essential steps in the learning curve. Future directions,evolution of virtual models in a similar fashion to the real scenario. OBJETIVO:La Prostatectomía Radical asistida por Robot (PRAR) ha generado una nueva tendencia en el binomio enseñanza/aprendizaje agrupando estastécnicas en módulos de entrenamiento como aprendizaje teórico, practico, asesoramiento personalizado y herramientas modernas como simulación y práctica en modelos virtuales. Esta revisión resume la tendencia actual en el proceso de enseñanza de la PRAR. HALLAZGOS RECIENTES:La tendencia actual en la adquisición de la curva de la PRAR es proporcionar al urólogo un proceso de enseñanza bien estructurado,implementando módulos de entrenamiento graduales, que le permitan comprender en todos los aspectos el desenvolvimiento de la cirugía radical de próstata con un sistema robótico. Dicho proceso consiste en analizarlas bases teóricas, realizar entrenamiento con simulado res de alta calidad, interactuar con él supervisor tanto en casos in vivo como en ayudantía de cirugías, hasta completar la fase avanzada en consola con entrenamientoháptico y asesoramiento directo del supervisor, mientras se adquiere la curva de aprendizaje. La evidencia demuestra que la retroalimentación del alumno yproctor supervisor con el uso de modelos virtuales, análisis de videos inmediatamente posterior al procedimiento y un centro de alto volumen logran acortar el proceso de enseñanza. La formación en cirugía robótica nunca culmina, por el contrario, la fase final del alumno, es cuando se encuentra preparado para realizar el efecto multiplicador de su curva de aprendizaje.CONCLUSIÓN: La Cirugía Robótica ha cambiado la perspectiva de la enseñanza de la Medicina, mediante el uso de modelos virtuales. Conocimientos teóricos, entrenamiento virtual y el asesoramiento del supervisor son pasos necesarios en la curva de aprendizaje. Direccionesfuturas esperadas son la evolución de los modelos virtuales similares al escenario real.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Martínez-Alonso IA,Valdez-Flores RA,Padrón-Lucio S,Campos Salcedo JG,Gutierrez-Aceves J,Cathelineau X,Sánchez-Salas Rsubject
Has Abstractpub_date
2019-04-01 00:00:00pages
239-246issue
3eissn
0004-0614issn
1576-8260pii
2019-72-3-594022c20d0bb373b923caabc135fc315c5d5cdfjournal_volume
72pub_type
杂志文章abstract::Testicular tumors have a typical form of presentation, but there are also unusual forms that must always be considered. We report on 5 cases of testicular tumors that had an uncommon form of presentation: 3 seminomas (1 anaplastic), 1 teratocarcinoma and 1 carcinoma in situ. All testicular changes, particularly in the...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract:OBJECTIVES:In recent years, different studies have mentioned the recurrence of vesicoureteral reflux (VUR) endoscopically resolved, an exceptional event after open surgery. The aim of this study is to describe the evolution of the cases of recurrence identified in our center to assess the importance of this event. MET...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2018-06-01 00:00:00
abstract::Clinical stage I testicular nonseminomatous germ cell tumours (NSGCT) are highly curable. Following orchidectomy a risk-adapted approach using active surveillance (AS), nerve sparing retroperitoneal lymph node dissection (nsRPLND) and primary chemotherapy is recommended by the current guidelines. CS I is defined neg...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2012-03-01 00:00:00
abstract::The authors reviewed treatments performed worldwide using extracorporeal shock wave lithotripsy since its introduction in West Germany in 1980 to determine the efficacy of this treatment modality and its potential risks. The prevention of complications related to patients or shock wave energy are discussed, as well as...
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:OBJECTIVES:To study and to review the squamous cell carcinoma of the prostate (SCCP). METHODS:We report one case of squamous cell carcinoma of the prostate. RESULTS:A 78-year-old patient was diagnosed of having a squamous cell carcinoma of the prostate. Clinically, the patient presented with severe irritative lower u...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:We report a rare case of horses-hoe kidney trauma. METHODS:67 years old man with a horseshoe kidney, which presented a fracture of the isthmus after falling. RESULTS:The diagnosis was made by IV contrast CT scan. He underwent exploratory laparotomy due to hemodynamic instability and radiologic findings on ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2009-03-01 00:00:00
abstract::The authors report on two male neonates who underwent transurethral resection of urethral valves in one case and a polyp in the posterior urethra in the other case, via antegrade percutaneous cystostomy. The percutaneous antegrade approach to the urethra is described in detail. The advantages afforded by this procedur...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-03-01 00:00:00
abstract:OBJECTIVES:To assess the complications of polypropylene mesh in the treatment of female pelvic floor disorders. METHODS:Retrospective study of patients with pelvic floor pathology (SUI, cystocele, rectocele, enterocele) undergoing pelvic floor intervention with surgical meshes from March 2002 to October 2009. We evalu...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVES:To evaluate the clinical and laboratory findings in pediatric patients with urolithiasis in a case control study and to obtain variables predicting a low risk of having urolithiasis. METHODS:Retrospective analysis of 24 cases of children with urolithiasis (age range 3 to 17 years old) admitted to the pediat...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142006000900005
更新日期:2006-11-01 00:00:00
abstract::Erectile dysfunction is not the only cause of impotence in the male; impotencia coeundi may result from various disorders, although cavernosal erectile function is normal. The present study reviews the congenital and acquired penile disorders, as well as the cutaneous disorders that may cause penile morphological chan...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
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::We describe a case of recurrent urinary tract infection in a male patient that had been repeatedly associated with sporadic sexual intercourse with his partner. The timing of the episodes and the bacteriological findings indicate this to be another uncommon case of urinary tract infection sexually transmitted by the f...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract:OBJECTIVES:To report one case of pseudotumoral lesion of the iliac ureter with obstructive uropathy leading to loss of function of the renal unit. METHODS:66-year-old male being studied for BPH who presents with a self-limited monosymptomatic hematuria. RESULTS:Renal ultrasound detected grade II pyelocaliectasis of t...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142005000400011
更新日期:2005-05-01 00:00:00
abstract:OBJECTIVE:To describe a case treated with a new technique in our therapeutic algorithm for non-neurogenic vesicourethral dysfunction. METHODS/RESULTS:A 47-year-old female underwent retropubic urethropexy for stress urinary incontinence. She remained incontinent due to detrusor instability to a degree that was socially...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1998-04-01 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 two rare cases ofbladder xanthomata associated with transitional cell carcinoma. METHOD AND RESULTS:Cases description and selectionof related pictures. Review of the existing literature. CONCLUSIONS:Xanthomata are non-neoplastic lesionsconsisting of group of foamy lipidstoring histiocytes in thed...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:The results of in situ dissolution of a cystine calculus is described. This approach was attempted in a female patient for whom surgery was not considered to be the best therapeutic option. METHODS:An obstructive cystine calculus was treated by in situ litholysis using N-acetylcysteine applied locally via tw...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1995-11-01 00:00:00
abstract:OBJECTIVE:To report on a patient who underwent surgery for renal carcinoma at the age of 12 years and who is alive and symptom-free after 22 years. METHODS:A 34-year-old female who underwent surgery for a right renal tumor when she was 12 is described. The histological analysis demonstrated renal adenocarcinoma. To da...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1999-11-01 00:00:00
abstract::Holmium laser has been established asthe gold-standard for the ureteroscopic management of urinary stone disease. However the role of laser inpercutaneous nephrolithotomy (PCNL) varies, as multiple energy sources and lithotripters are available. Currently, lasers are becoming more relevant with the development of seve...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVES:The association of stress urinary incontinence secondary to urethral hypermobility and lower urinary tract obstruction in the same patient with cystocele is rare, and even represents a contradiction. The objective of our work is to treat to define the characteristics that identify this entity, in comparison ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142007000500008
更新日期:2007-06-01 00:00:00
abstract:OBJECTIVES:The growing interest on increasing the number of biopsy samples during ultrasound guided prostatic biopsies moved us to evaluate the tolerability and complications of the extensive biopsy with/without blockage of neurovascular bundles. METHODS:A group of 222 patients underwent prostatic biopsy with the aim ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142005001000003
更新日期:2005-12-01 00:00:00
abstract::We report on 10 patients who presented with a scrotal mass. The diagnosis of testicular abscess was made on ultrasonographic examination of the scrotal mass. The sensitivity and specificity rates of the foregoing imaging technique were 100%. Furthermore, it permitted determining with precision the extent and degree of...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1991-07-01 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: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:OBJECTIVES:The value of ultrasonography for the study of female urinary incontinence has been redefined over the last years. METHODS:We review the literature about the value of ultrasound in the workup of females with urinary incontinence, mainly transperineal ultrasound for the female stress urinary incontinence (SUI...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:10.4321/s0004-06142006000400012
更新日期:2006-05-01 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:OBJETIVE:Our aim is to present a novel mutation of the Birt-Hogg-Dubé Syndrome. METHODS:We present a case report of a 70-year-old male with three solid nodulary lesions of 4, 2.6, and 3 cm each in the right kidney, and two lesions of 1.5 and 1.3 cm in the left kidney. RESULTS:Needle biopsy was performed. The patholog...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2017-09-01 00:00:00
abstract::Currently, there are no guidelines for the selection of patients for caliceal stone removal, although there is no doubt that urologists are taking a more aggressive approach now that treatments with low morbidity are available. We discuss when and how to treat patients with symptomatic and asymptomatic caliceal stones...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract:UNLABELLED:We report the case of a 65-year-old man who presented with a right testicular mass and synchronous involvement of skin and Waldeyer's ring. These facts led us to the working diagnosis of malignant primary testicular lymphoma. MATERIAL/RESULTS:We present the case with comments and make a bibliographic review...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2009-07-01 00:00:00
abstract:OBJECTIVE:To emphasize that adrenal cysts are an uncommon finding and in most cases incidentally discovered during evaluation for nonspecific abdominal pain or even at outopsy. METHODS:We report a case of a non-hypers-creting right adrenal cyst in a middle-aged woman. RESULTS:A complete hormone, radiological and some...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1998-09-01 00:00:00