[Cirugía guiada por la imagen y otros avances en la ayuda al diagnóstico y tratamiento quirúrgico urológico.].

 La evolución de la cirugía va ligada inexorablemente al avance de la tecnología,en un ciclo acelerado que ha transformado completamente el escenario de la cirugía urológica.Poco tiene que ver la realidad actual con la cirugía que los urólogos del siglo XXaprendimos de nuestros maestros..

Robotic colposacropexy.

Objectives: To review the role of robot- assisted laparoscopic colposacropexy (RALCS) as a treatment for pelvic organ prolapse (POP) accordingly with the available literature and our own experience.

Methods: We have analyzed the studies with the results of robot-assisted colposacropexy (RALCS) and others in which this technique is compared with the abdominal (ACS) and/or the laparoscopic approach (LCS), including our own series. The main data collected are surgical time, blood loss, complications, clinical outcomes, quality of life and the different costs of LCS versus RALCS.

Robotic Anderson-Hynes dismembered pyeloplasty: initial experience.

Introduction: The introduction of the da Vinci(®) robotic system in 2000 has been a new step forward in the treatment of ureteropelvic junction obstruction (UPJO). The aim of this study was to analyse our initial experience with robot-assisted dismembered Anderson-Hynes pyeloplasty and to perform a bibliographic review on the topic.

Patients And Methods: We performed 11 robot-assisted pyeloplasties between March 2007 and April 2011.

Prognostic significance of circulating tumor cell count in patients with metastatic hormone-sensitive prostate cancer.

Objective: To analyze the correlation between circulating tumor cell (CTC) levels and clinicopathologic parameters (prostate-specific antigen level, Gleason score, and TNM stage) in patients with metastatic hormone-sensitive prostate cancer (PCa) and to establish its prognostic value in overall survival (OS) and progression-free survival (PFS).

Materials And Methods: A prospective, 3-arm study was performed that included 30 patients with localized PCa; 30 patients with metastatic PCa, and 30 healthy volunteers. A single 7.

Surgical repair and analysis of penile fracture complications.

Background: The objective of this study is to describe and analyze the experience over a period of 10 years at our center through a retrospective study of a series of diagnosed and treated cases of penile fracture.

Material And Methods: From 2005 to 2009 the Urology Department of the Hospital Clínico San Carlos of Madrid carried out a retrospective case study of a total of 15 cases of penile fracture. The diagnosis was reached through physical exploration of the patient aided by a penile ultrasound; the immediate treatment performed on the patients was emergency surgical repair.

Long-term outcomes after robotic sacrocolpopexy in pelvic organ prolapse: prospective analysis.

Objective: To evaluate the feasibility and long-term outcomes of our initial series of robot-assisted laparoscopic sacrocolpopexy.

Methods: We conducted a prospective analysis of our series of robotic sacrocolpopexy.

Inclusion Criteria: patients with grades III and IV cystocele and or other symptomatic pelvic organ prolapse.

Bladder diverticulum robotic surgery: systematic review of case reports.

Introduction: We report one case of robot-assisted transperitoneal bladder diverticulectomy and perform a systematic review of published experience.

Patient And Methods: Our patient was a 64-year-old male with a history of lower urinary tract symptoms secondary to benign prostatic enlargement for 6 years with recurrent urinary tract infection. Ultrasound and voiding cystourethrogram showed a 7-cm diverticulum in the posterior bladder wall.

[Multidisciplinary development of robotic surgery in a University Tertiary Hospital: Organization and outcomes].

Background: Da Vinci system (Intuitive Surgical) is a surgical telemanipulator providing many technical advantages over conventional laparoscopic approach (3-D vision, ergonomics, highly precise movements, endowrist instrumentation...

[Hereditary renal cancer].

Kidney cancer is the tenth most common cause of cancer death. There are a growing number of genes known to be associated with an increased risk of specific types of kidney cancer. People with Von Hippel-Lindau syndrome have about a 40% risk of developing multiple bilateral clear cell kidney cancers.

[The usefulness of laser in the treatment of urethral stenosis].

Introduction: Optical urethrotomy was introduced by Sachse in 1973 and it has a registered long-term recurrence rate of 75-80%. This stimulated the search for new therapies with less recurrences. Several types of laser were tried: Nd:YAG, KTP, Argon, Ho:YAG, diode,.

[Robotic assisted laparoscopic colposacropexy in the treatment of pelvic organ prolapse].

Laparoscopic colposacropexy has become a substitute for open surgery in the treatment of pelvic organ prolapse. In the same way, robotic assisted surgery is a new step in the evolution of the procedure. In this paper we intend to show our surgical technique and preliminary results.

[New technique for the repair of anterior pelvic floor compartment defects using a synthetic implant with biological coverage: approach, fixation and transobturator anchoring].

Unlabelled: Transobturator systems for anterior vaginal wall prolapse repair exemplify the current trend in pelvic floor surgery. They may be considered an approach and also a mesh fixation system, in opposition to free mesh cystocele repair where they work by the creation of fibrotic tissue after mesh implant (biological or synthetic).

Objectives: To describe the elements of the Avaulta anterior system, its indications and the surgical technique to implant it and adequately adjust it.

[Suburethral readjustable sling (Remeex) for the treatment of female urinary incontinence: personal surgical technique].

Objectives: Currently there is not agreement about the adequate tension for each patient with female stress urinary incontinence treated with urethral slings. The adjustable tension sling Remeex (external mechanic regulation) allows adjustment to ideal tension trying to avoid or minimize possible reoperations. The objective of these paper is to describe the components of the Remeex system, its indications, and the surgical technique to implant and adjust it.

[New male sling "Argus" for the treatment of stress urinary incontinence].

Objectives: Male stress urinary incontinence is usually a consequence or sequel of a prostatic surgical procedure (radical prostatectomy, surgery for BPH or bladder neck sclerosis: adenomectomy, conventional and/or bipolar transurethral resection, laser...