Abstract：
INTRODUCTION:Prostate cryotherapy has been consolidated as an alternative minimally invasive treatment. OBJECTIVE:To exposed its historical development, its action mechanism and the surgical technique. Regarding its indications, we expose the different option of treatment- primary cryotherapy, salvage and focal- emphasizing its oncological results in the absence of randomized studies. RESULTS:Cryotherapy is a safe technique with low complication rate, although incidence of erectile dysfunction is 40-90% in case of full-gland cryotherapy. Nowadays, it is recommended as a therapeutic alternative for low and intermediate risk localized prostate cancer, although in clinical trials. Recurrence-free survival is close to 96% in low-risk tumors and 90% in intermediate-risk tumors. On the other hand, it is a salvage treatment option for local recurrence after radiotherapy. Focal therapies including focal cryoablation have an important development, with recurrence-free survival of 75%. CONCLUSION:Waiting for randomized studies that provide more scientific evidence, available retrospective studies show cryotherapy as a safe and effective treatment option in patients with localized prostate cancer. :INTRODUCCIÓN: La crioterapia prostática se ha ido consolidando como una alternativa de tratamiento mínimamente invasiva. OBJETIVO:Exponer el desarrollo histórico de la crioterapia, su mecanismo de acción sobre el tejido prostático así como la técnica quirúrgica. Se discuten los distintos escenarios – crioterapia primaria, de rescate y focalhaciendo énfasis en sus resultados oncológicos a falta de estudios randomizados. RESULTADOS:La crioterapia es una técnica segura con un bajo índice de complicaciones, aunque destaca una incidencia de disfunción eréctil del 40-90% en el caso de crioterapia de glándula completa. En la actualidad se recomienda como alternativa terapéutica en el cáncer de próstata localizado de riesgo bajo e intermedio, aunque dentro de ensayos clínicos. La supervivencia libre de recidiva bioquímica es cercana al 96% en tumores de bajo riesgo y al 90% en tumores de riesgo intermedio. Por otro lado, es una opción de tratamiento de rescate en el caso de recidiva local tras radioterapia siempre que se cumplan una serie de criterios (Gleason ≤7 y PSA10ng/ml). La mejora en las técnicas de imagen está permitiendo el desarrollo de terapias focales incluyendo la crioablación focal, con supervivencia libre de recidiva bioquímica del 75%. CONCLUSIONES:A la espera de estudios randomizados que aporten mayor evidencia científica, los estudios retrospectivos disponibles muestran la crioterapia como una opción de tratamiento segura y eficaz en pacientes con cáncer de próstata localizado.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Polanco Pujol L,Lledó García E,Caño Velasco J,González García FJ,Jara Rascón J,Hernández Fernández Csubject
Has Abstractpub_date
2019-10-01 00:00:00pages
816-824issue
8eissn
0004-0614issn
1576-8260pii
2019-72-8-6a6c0700f9554b21a85f11b47a1c8e56041e0087journal_volume
72pub_type
杂志文章abstract：OBJECTIVES:To report the case of a female patient with ultrasound diagnosis of great left retroperitoneal hematoma admitted to the hospital for diagnostic workup and treatment. METHODS:39-year-old patient presenting with intense epigastric pain irradiated to both flanks. Hematuria was not present. CT scan and arteriog...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2004-09-01 00:00:00
abstract：OBJECTIVES:To report a case of renal artery embolism. To review the clinical, diagnostic and therapeutic features of this disease interesting for the urologist. METHODS/RESULTS:Case of a 47 year old male with history of cardiovascular disease who presents in the emergency room with left flank pain. Radiological studie...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2002-12-01 00:00:00
abstract：OBJECTIVE:We report the case of a 61-year-old male with the incidental diagnosis of intrathoracic renal ectopia during the workup study for a possible lung mass. METHODS:We performed a bibliographic review on the incidence, origin, clinical presentation and diagnosis of this type of renal ectopia. RESULTS:Chest x-ray...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：10.4321/s0004-06142008000500011
更新日期：2008-06-01 00:00:00
abstract：:Three-dimensional, high-definition images, small instruments with endowrist technology, ergonomic position and the easiness to teach, are possibly the main reasons why robotic surgery will continue to gain ground to others forms of surgery. The current applications of robotics in functional urology are: the correction...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2019-04-01 00:00:00
abstract：:The cholinesterase activity and ultrastructural characteristics of the nerves in tubuli seminiferi recti, rete testis and ductuli efferentes testis have been studied in Wistar rats. The tubuli seminiferi recti and rete testis are innervated by a dense network which has varicosities containing different types of synapt...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1989-10-01 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：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：:The present study was undertaken to determine the reliability of CAT scanning in the preoperative evaluation to detect or discard pelvic lymph node involvement in patients with infiltrating bladder tumor. We compared the radiologic findings with the results of histopathologic examination of the lymph nodes following l...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1990-09-01 00:00:00
abstract：OBJECTIVES:We review the main issues on epididymis obstruction and its diagnosis, as well as therapeutic indications and surgical techniques for epididymovasostomy. METHODS:We describe the microsurgical end-to-side epididymovasostomy technique using double needle 10-0 sutures. RESULTS:Various techniques of epididymov...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2004-11-01 00:00:00
abstract：OBJECTIVES:To present a series of four cases of Gartner cysts and their clinical presentation. A bibliographic review was performed. METHODS:The series consisted of 4 women, mean age 39, who complained of a bulge at the anterior vaginal wall, associated with a variety of urinary symptoms. RESULTS:Surgical removal was...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2014-03-01 00:00:00
abstract：:We report 16 cases of priapism in 13 of 404 patients who received intracavernous injection of vasoactive drugs to induce erection. In 10 patients the complication presented following injection of papaverine and phentolamine in combination. Despite reducing the dose of both agents, one patient had another episode of pr...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1992-10-01 00:00:00
abstract：OBJECTIVE:To review the treatment of invasive bladder cancer with ionizing radiation. METHODS:Patient selection criteria, prognostic factors, treatment of different tumor types with radiation using different strategies alone or in combination with chemotherapy are analyzed in the literature. RESULTS/CONCLUSIONS:The r...
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：OBJECTIVES:To review the ultrasound technique, normal anatomy, bibliography, as well as the most frequent scrotal ultrasound findings in infertile patients studied in our center over the last five years, with special emphasis in the diagnosis of varicocele and its follow-up after surgical treatment or embolization. ME...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2004-11-01 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:To analyze the therapeutic approach in epidermoid or squamous cell carcinoma of the scrotum, a rare tumor that is of interest for clinical and historical reasons. METHODS/RESULTS:A case of epidermoid carcinoma of the scrotum is described. The patient had undergone urethroplasty in 1972, using preputial free ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2000-12-01 00:00:00
abstract：OBJECTIVES:To investigate the postoperative surgical complications and patient satisfaction with the outside-in transobturator tape (TOT) procedure performed by an experienced surgeon compared to those performed by residents in training. METHODS:Patients who received TOT surgery performed by a resident under supervisi...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVES:To report a new case of bladder leiomyoma in an adult. METHODS:64-year-old female patient consulting for a four-month hematuria diagnosed of a bladder intraluminal tumor on ultrasound during a routine gynecologic revision. Cystoscopy confirmed the presence of the tumor. Transurethral resection was indicated...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142006000200015
更新日期：2006-03-01 00:00:00
abstract：OBJECTIVE:To present the results of a retrospective study on laparoscopic varicocelectomy, with special reference to the changes in the operating time observed throughout the training period. METHODS:We have reviewed the laparoscopic varicocelectomy procedures performed from 1987 to 1997. The operating times were grap...
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:To describe an additional case of this rare disease entity, with special reference to its diagnosis and treatment, and to briefly review the literature. METHODS:We report on an 82-year-old male with adrenal myelolipoma that had been incidentally discovered during evaluation for another condition. A left adre...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：1998-05-01 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：:The therapeutic indications for renal cysts, a pathology observed in more than 50% of subjects aged over fifty years, are currently limited to their symptomatic forms or those of uncertain diagnosis. The approach has changed from the unroofing procedure to percutaneous sclerotherapy and, thereafter, to percutaneous re...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：1994-04-01 00:00:00
abstract：OBJECTIVE:To report a case of retroperitoneal bronchogenic cyst, an anomaly during the development of the primitive anterior intestine from which the bronchi and lungs are developed. METHODS/RESULTS:A 38-year-old male presented with left lumbar pain. Patient evaluation disclosed a left adrenal polycystic mass which wa...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2000-05-01 00:00:00
abstract：OBJECTIVE:To describe a case of mucinous adenocarcinoma of the prostate. METHODS:A 77-year-old patient presented with urinary complaints. Patient evaluation showed an enlarged prostate and increased PSA levels. RESULTS:A prostate biopsy showed a glandular neoplasm with extensive mucinous differentiation and abundant ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2001-04-01 00:00:00
abstract：:Two Phase II studies, three Phase III and one observational study seem to justify that EMDA-MMC is a real alternative in the treatment of patients with NMIBC, especially the high risk group. The phase III studies compare EMDA-MMC with passive diffusion MMC and BCG in patients with bladder TIS. They showed EMDA MMC sup...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章,评审
doi：
更新日期：2018-05-01 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
abstract：:Leukoplakia is a morphological term that attempts to define keratinizing desquamative squamous metaplasia of the transitional epithelium. It is uncommon in the upper urinary tract (less than 100 cases have been reported) and has been attributed to infection or mechanical injury to the epithelium and/or genetic factors...
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:To report one case of primary adenocarcinoma of the seminal vesicles. METHODS/RESULTS:We report the case of a 69-year-old man with obstructive voiding symptoms. Digital rectal examination reveals a marked enlargement of posterior area of the prostate and surrounding tissues. Transrectal needle biopsy shows ...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142009000800013
更新日期：2009-10-01 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
abstract：OBJECTIVE:To report on a female patient with metachronous bilateral Wilms' tumor with a long survival. METHODS:An 11-year-old girl underwent total nephrectomy when she was 4 years old for Wilms' tumor of the right kidney. She received cobalt therapy and chemotherapy, and the evolution was good for three years, at whic...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：
更新日期：2000-04-01 00:00:00
abstract：OBJECTIVES:To report the first case of spontaneous regression of renal vein and inferior vena cava thrombus in a patient with renal clear cell carcinoma. METHODS/RESULTS:We describe the case of a woman with the diagnosis of renal mass with venous thrombus of the renal vein and inferior vena cava. Extension studies bef...
journal_title：Archivos espanoles de urologia
pub_type： 杂志文章
doi：10.4321/s0004-06142005000300012
更新日期：2005-04-01 00:00:00
