Publications by authors named "David Hernandez-Hernandez"

Introduction: Food Exchange Lists (FELs) are a user-friendly tool developed to help individuals aid healthy eating habits and follow a specific diet plan. Given the rapidly increasing number of new products or access to new foods, one of the biggest challenges for FELs is being outdated. Supervised machine learning algorithms could be a tool that facilitates this process and allows for updated FELs-the present study aimed to generate an algorithm to predict food classification and calculate the equivalent portion.

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Introduction: Post-prostatectomy urinary incontinence (PPUI) has an enormous impact in quality of life (QoL). Transobturator-rethrourethral sling (AdVanceTMXP sling) is a well-established treatment option although there is paucity of data on long-term outcomes. Our objective was to assess the long-term functional outcomes and QoL in a cohort of men undergoing AdVanceTMXP sling surgery.

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Purpose Of Review: No specific guidelines have been developed for acute cystitis management during the COVID-19 pandemic. This review aims to provide up-to-date information about treatment and follow-up in patients with symptoms suggesting lower urinary tract infection.

Recent Findings: Uncomplicated cystitis does not need microbiological confirmation; thus, clinical diagnosis via telephone interview or questionnaires may be done.

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Article Synopsis
  • * A review of studies indicates that sacral, tibial, and pudendal nerve stimulation can be effective for managing BPS/IC, especially for patients who don't have specific lesions.
  • * The effectiveness of neuromodulation can vary based on the underlying cause of the pain, so a thorough diagnosis is essential for better outcomes.
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Background: In this report, we describe a modification of transcorporal artificial urinary sphincter place ment known as Gullwing modification.

Description Of Technique: Using a penoscrotal approach, bilateral corpora cavernosa flaps are harvested and sutured in the midline covering the lateral and ventral surfaces of the urethra. Transcorporal cuff placement provides dorsal reinforcement, thus having extra tissue buttressing all the circumference in cases of a fragile urethra due to previous urethral cuff erosion, urethroplasty, or pelvic radiotherapy.

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Article Synopsis
  • * Research indicates that the treatment of asymptomatic bacteriuria is not recommended, as it may lead to more symptomatic UTIs and increased antibiotic resistance.
  • * There's a call for better diagnosis and management strategies for recurrent UTIs, particularly through non-antibiotic approaches to combat antimicrobial resistance.
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Vesicovaginal fistulas (VVaFs) are relatively uncommon in developed countries but with devastating consequences for the women suffering them. Conservative management has a low response rate. The surgical repair is a technically demanding procedure.

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Urethral stricture is a rare condition in women, representing a diagnostic challenge for the urologist. Its main etiology is traumatic or due to labor. Definitive treatment can be by means of dilations or urethroplasty using both local flaps and free grafts.

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Purpose: The aim of this study was to analyze the long-term outcomes of sacral nerve stimulation (SNS) in both idiopathic and neurogenic pelvic floor disorders in patients treated at a referral center.

Methods: This retrospective observational study analyzed the records of 106 patients tested at our department from December 1999 to January 2017. The efficacy variables evaluated were the Global Response Assessment (range, 0%-100%) and, according to the clinical indication, other specific variables such International Consultation on Incontinence QuestionnaireShort Form, number of catheterizations or pads/day, and the numerical pain scale.

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 To report the recommendations of an expert panel to reorganize Neurourology units and to prioritize examinations and both conservative and surgical treatments during the COVID-19 pandemic. MATERIALS AND METHODS: Non-systematic review of the literature and national experts' opinion summarizing the recommendations in the diagnosis, management, and follow-up of neurourological patients during the COVID-19 pandemic. A modified nominal group technique was used due to extraordinary meeting and mobility restrictions during COVID-19 pandemic.

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There is an ongoing debate in functional urology forums about the role and utility of urodynamics as a diagnostic and prognostic tool for patients with urinary incontinence. Current evidence suggests that in a limited number of patients with pure stress urinary incontinence (those without relevant urogynaecological comorbidities and a low postvoid residual volume of urine), urodynamic studies can be avoided, although this opinion remains controversial. PATIENT SUMMARY: Stress urinary incontinence is highly prevalent and surgical treatment is frequently needed.

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Article Synopsis
  • Urinary retention is the inability to void and can lead to serious health issues like kidney damage or urosepsis if untreated.
  • Acute urinary retention (AUR) is easier to identify and treat, often presenting with pain and a lack of urination, typically resolved through catheterization.
  • Chronic urinary retention (CUR) is harder to detect due to its often asymptomatic nature and is linked to high post-void residual urine; management varies based on the underlying cause and may involve conservative measures, medications, or surgery.
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