Abstract:
OBJECTIVES:We evaluated the form of presentation, clinical features and analytical values and their relationship with survival in renal cell carcinoma patients and analyzed the efficiency of different diagnostic and staging procedures. METHODS:We reviewed the form of presentation, clinical features, staging procedures and analytical values of 229 consecutive renal cell carcinomas diagnosed at our hospital between 1975 and 1991. RESULTS:Malaise and weight loss or symptoms different from those of the classical triad (hematuria, pain and a flank mass) are factors of poor prognosis and lower survival. The time of presentation of symptoms does not influence prognosis. Computerized tomography was found to be the best imaging technique, with a low sensitivity and a high specificity in our experience. We have found a correlation between hypercalcemia and lower survival, but not for the more advanced tumoral stage. There was a correlation between the levels of hemoglobin and alkaline phosphatase and survival: patients with hemoglobin levels less than 14 g/dl or alkaline phosphatase levels greater than 85 U/l had a lower survival rate and a more advanced tumoral stage. CONCLUSIONS:Computerized tomography was found to be the best imaging technique. Symptoms different from those of the classical triad, malaise and weight loss, hypercalcemia, low levels of hemoglobin or high levels of alkaline phosphatase are factors of poor prognosis.
journal_name
Arch Esp Uroljournal_title
Archivos espanoles de urologiaauthors
Rivas del Fresno M,Fernández Gómez JM,San Martín Blanco A,Sahagún Argüello JL,Martín Benito JL,Alonso Sainz Fsubject
Has Abstractpub_date
1995-01-01 00:00:00pages
67-71issue
1eissn
0004-0614issn
1576-8260journal_volume
48pub_type
杂志文章abstract:OBJECTIVE:Seminal vesicle cysts are rare diseases and frequently cause no symptoms. An acquired giant seminal vesicle cyst in a 73-year-old man is presented. Bladder outlet obstruction was the main complaint, mimicking that arising from the prostate. METHODS:Ultrasonography and computed tomography revealed a well-defi...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2002-05-01 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:OBJECTIVES:To review renal graft obstruction post-transplantation and its surgical management. METHODS/RESULTS:Our experience and those of other Spanish centers are analyzed and the literature reviewed. The different causes of obstruction following transplantation are briefly analyzed and the advantages and disadvanta...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVE:We reviewed the records of patients submitted to renal transplantation at our institution to determine the incidence and risk factors for calculus formation in these patients. METHODS:Of 794 functioning renal grafts that had been transplanted from January, 1981 to May, 1996, 16 patients (2%), 9 males and 7 f...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1997-03-01 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:Although urine cytology plays an important role in the diagnosis of lower urinary tract neoplasias, it should be complemented with other diagnostic tests for the diagnosis of upper urinary tract tumors. METHODS:We present one case of synchronic transitional cell carcinoma of the ureter and bladder papilary n...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142007001000011
更新日期:2007-12-01 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::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:OBJECTIVES:To update the topic of endourethral prosthesis for the treatment of recurrent urethral stenosis comprehensively, focusing on current indications, materials and types of prosthesis in use nowadays. METHODS:We used the PubMed database (1995-2013) with the terms "endourethral ", "prostheses","endourethral pros...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2014-01-01 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: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:OBJECTIVE:To report a new case of penile testicular ectopia. METHODS:We present the case of a three-year old boy who was diagnosed of penile testicular ectopia and underwent surgery. RESULTS:Physical examination revealed on ovoid tumor in the center of the dorsal side of the penile root, together with empty left scro...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142008000100009
更新日期:2008-01-01 00:00:00
abstract:OBJECTIVES:To report our experience in the diagnosis and treatment of the lower urinary tract obstruction after urinary incontinence corrective surgery, analysing the different techniques performed, retropubic or vaginal urethrolysis. METHODS:We report a series of 14 patients with the diagnosis of obstruction after in...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVES:In cases of failure of the vascular occlusive system, testing with both nocturnal and real-time monitoring will offer the possibility of making an accurate diagnosis of venous occlusive dysfunction. METHODS/RESULTS:The study was conducted in 124 cases suspected as having venous occlusive dysfunction (VOD). ...
journal_title:Archivos espanoles de urologia
pub_type: 临床试验,杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract:OBJECTIVES:To present a new case of adenomatoid tumor of the epididymis, the first report in our hospital since 1962. METHODS:We report a clinical case with a brief bibliographic review about adenomatoid tumor of the epididymis. The diagnostic and therapeutic implications are discussed focusing on the role of ultrasou...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:10.4321/s0004-06142009000800009
更新日期:2009-10-01 00:00:00
abstract::Percutaneous nephrostomy (PCN) is currently one of the procedures of choice for emergency drainage of the upper urinary tract. Moreover, it permits morphologic and functional diagnostic possibilities as well as a wide variety of new and frequently definitive therapeutic procedures. We report on 58 PCN procedures perfo...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1989-11-01 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::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:OBJECTIVES:Ultrasound guided prostate biopsy is the most effective test for prostate cancer diagnosis, but its sensitivity is not higher than 80% so that biopsy repetition must be considered in patients with persistent diagnostic doubts after a previous negative one. However, the majority will be negative as it happene...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2002-12-01 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::The authors describe an experimental technique of endoscopic autotransplantation of the testis. Four trocars are utilized; one is placed at the level of the umbilicus, one in the right flank, another in the left flank, and one in the hypogastrium. Five or six cms of the epigastric vessels are dissected and sectioned. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1992-12-01 00:00:00
abstract:OBJECTIVES:To record the findings from pelvic floor examination in an understandable way that permits the indication of a proper treatment. METHODS:We review classic classifications, as well as genital prolapse stages and degrees. We also record the POPQ examination system which is the established standard nowadays. ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:2002-11-01 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::Although the most frequent tumor of the male genitourinary system is cancer of the prostate, epidemiological studies on this tumor are uncommon in our setting. This study attempts to record the number of patients who were diagnosed as having prostatic cancer at La Paz Hospital (Madrid) during 1981-1987 and to determin...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1990-05-01 00:00:00
abstract::A case of polyorchism is described and the literature reviewed, highlighting the rarity of this pathological condition. To our knowledge, only 70 cases have been reported in the world literature. Similarly, Nocks' embryological development theory is discussed herein. The present case was diagnosed intraoperatively. No...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-01 00:00:00
abstract:OBJECTIVE:We report the case of a 33 year old female presenting with an upper pole renal mass suggestive of renal cell carcinoma which in the pathological specimen resulted to be a retained surgical gauze. METHODS/RESULTS:The case of a female patient with history of previous nephrolithotomy 5 years before who presente...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2002-10-01 00:00:00
abstract:OBJECTIVES:Human papillomavirus (HPV) genital infection is a sexually transmitted disease that appears to be involved in the pathogenesis of various tumors of the genitourinary system, especially carcinoma of the uterine cervix. Diagnosis and treatment of sexual partners of female carriers is fundamental in preventing ...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1996-03-01 00:00:00
abstract:OBJECTIVE:To study lytic lesions in a patient with past history of renal cancer. METHODS:A 62 year-old man was admitted to hospital for investigation of the cause of polyostotic bone pain. RESULTS:Brown tumors due to hyperparathyroidism turned out to be the cause of bone pain. CONCLUSIONS:Differential diagnosis is i...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:2013-04-01 00:00:00
abstract::We report on a patient diagnosed as having ganglioneuroblastoma, an uncommon disease entity. The results of clinical examination and complementary tests, including a descending urogram and ultrasound evaluation are presented. The surgical procedure employed is described and the result of pathological analysis of the s...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract::Herein we describe two additional cases of non-acquired arteriovenous renal fistula, one was congenital or cirsoid and the other was idiopathic or aneurysmal. Patient clinical work up prompted us to suspect this condition which was confirmed by renal arteriography. The usefulness of the diagnostic tests are highlighte...
journal_title:Archivos espanoles de urologia
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00