Archivos Espanoles De Urologia最新文献

{"title":"Effect of Preoperative Education Provided by Operating Room Nurses on the Preoperative and Postoperative Anxiety Levels of Patients Undergoing Radical Prostatectomy.","authors":"Ranran Zhao, Yutong Li, Ling Sun","doi":"10.56434/j.arch.esp.urol.20257806.93","DOIUrl":"https://doi.org/10.56434/j.arch.esp.urol.20257806.93","url":null,"abstract":"<p><strong>Background: </strong>Prostate cancer is a common malignancy amongst males worldwide. Radical prostatectomy (RP) is a standard treatment, but preoperative anxiety, which affects about 69.5% of patients, negatively affects postoperative outcomes. This study evaluates the effect of preoperative education provided by operating room nurses on the anxiety levels of patients before and after RP.</p><p><strong>Methods: </strong>A single-centre retrospective cohort study was conducted, including 169 patients who underwent RP between January 2020 and June 2024. The patients were divided into two groups: The control group, which received routine preoperative counselling, and the intervention group, which received enhanced preoperative education. Anxiety levels were assessed at three time points by using the State-Trait Anxiety Inventory (STAI): 24 h before surgery (T1), upon entering the operating room (T2) and 24 h after surgery (T3). Statistical analyses included <i>t</i>-tests, chi-squared tests and repeated measures Analysis of Variance (ANOVA).</p><p><strong>Results: </strong>The control group included 102 patients, whilst the intervention group included 67 patients. Repeated measures ANOVA revealed no significant differences in the trait-anxiety levels between groups in terms of group effect, time effect or group × time interaction (<i>p</i> > 0.05). Trait-anxiety levels remained stable across all time points. For state-anxiety levels, group effect (<i>p</i> < 0.001) and time effect (<i>p</i> < 0.001) were statistically significant, but group × time interaction effect was not (<i>p</i> = 0.076). A simple effect analysis showed that state-anxiety levels significantly increased at T2 in both groups, but the increase was less pronounced in the intervention group (<i>p</i> < 0.05). At T3, state-anxiety levels significantly decreased in both groups, with a more substantial reduction observed in the intervention group (<i>p</i> < 0.05). Between-group analysis revealed no significant difference in state-anxiety levels at T1 (<i>p</i> > 0.05). At T2 and T3, however, the intervention group exhibited significantly lower state-anxiety levels than the control group (<i>p</i> < 0.05), with the difference being more pronounced at T2.</p><p><strong>Conclusions: </strong>Preoperative education provided by operating room nurses significantly reduces preoperative and postoperative anxiety levels in patients undergoing RP. These findings suggest that integrating enhanced educational strategies into perioperative care can improve patient outcomes.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"78 6","pages":"693-702"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Vitamin D₃ Supplementation on Androgens and Semen Parameters in Infertile Men: A Systematic Review and Meta-Analysis Based on Prospective Randomised Controlled Trials.","authors":"Yangtian Jiao, Zhaohan Feng, Tianyu Zhang, Xing Chen","doi":"10.56434/j.arch.esp.urol.20257806.103","DOIUrl":"10.56434/j.arch.esp.urol.20257806.103","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate the effects of vitamin D₃ supplementation on androgen levels and semen parameters in infertile men.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted across multiple databases, including PubMed, Web of Science, Cochrane Library, Scopus and Embase, to identify studies investigating the effects of vitamin D₃ supplementation on androgen levels and semen parameters in infertile males. Data pertaining to changes in testosterone, sex hormone-binding globulin (SHBG), total sperm count and percentage of motile sperm before and after intervention were extracted and analysed.</p><p><strong>Results: </strong>Six studies, involving 945 subjects, were included in the quantitative analysis. With regard to testosterone levels, vitamin D₃ supplementation was found to increase testosterone, although this change was not statistically significant (standard mean difference (SMD) = 0.07, 95% confidence interval (CI): -0.11, 0.25). Similarly, an increase in SHBG levels was observed after vitamin D₃ supplementation, but the change was not statistically significant (SMD = 0.42, 95% CI: -0.38, 1.22). By contrast, an increase in total sperm count was observed (SMD = 1.04, 95% CI: 0.11, 2.19). Additionally, vitamin D₃ supplementation significantly increased the percentage of motile sperm (SMD = 0.82, 95% CI: 0.00, 1.64).</p><p><strong>Conclusions: </strong>In infertile men, vitamin D₃ supplementation does not significantly affect androgen levels. Nevertheless, it may contribute to improvements in total sperm count and the percentage of motile sperm, potentially enhancing reproductive function.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"78 6","pages":"772-781"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence and Human Factors in Urology.","authors":"Abdullah Altunhan, Selim Soyturk, Burak Akgul, Theodoros Tokas, Mehmet Balasar, Selcuk Guven, Kamran Ahmed","doi":"10.56434/j.arch.esp.urol.20257806.86","DOIUrl":"https://doi.org/10.56434/j.arch.esp.urol.20257806.86","url":null,"abstract":"<p><strong>Background: </strong>This review focuses on the critical role of human factors in the integration of artificial intelligence (AI) into urology. Whilst AI holds promise for enhancing diagnostics, surgical precision and personalised care, its success depends considerably on the cognitive, physical and psychosocial dimensions of human interaction with these systems.</p><p><strong>Objectives: </strong>Key human factors, such as cognitive load, trust, collaboration and communication, directly influence the adoption and effectiveness of AI technologies. For instance, clinicians must balance leveraging AI's insights with maintaining critical thinking to avoid automation bias.</p><p><strong>Methods: </strong>The design and ergonomics of AI tools, and their seamless integration into clinical workflows, play pivotal roles in optimising efficiency and minimising disruptions. Psychosocial elements like transparency, team dynamics and patient-centric communication are vital to fostering trust and ensuring ethical use of AI in sensitive contexts.</p><p><strong>Results: </strong>Training and continuous professional development tailored to human factors are essential to empower clinicians to work effectively alongside AI. Ethical considerations, including accountability and fairness, further emphasise the need for transparent processes and diverse datasets to address algorithmic biases.</p><p><strong>Conclusions: </strong>This review highlights the path toward a responsible and patient-centred integration of AI in urology by prioritising human factors, ultimately bridging the gap between technological innovation and compassionate healthcare delivery.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"78 6","pages":"632-641"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Postural Care on Postoperative FLACC Score and Incision Recovery in Children Undergoing High Hernia Sac Ligation.","authors":"Hongling Yu, Qin Bai, Ling Yang","doi":"10.56434/j.arch.esp.urol.20257806.102","DOIUrl":"https://doi.org/10.56434/j.arch.esp.urol.20257806.102","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect of postural nursing on the postoperative Face, Legs, Activity, Cry, Consolability (FLACC) scores and incision recovery of children undergoing high hernia sac ligation, which is an effective method for the treatment of inguinal hernia in children.</p><p><strong>Methods: </strong>Clinical data were collected from paediatric patients who underwent laparoscopic high hernia sac ligation during the observation period in our hospital. According to different postoperative nursing methods, the children were divided into an observation group (postoperative position nursing) and a control group (postoperative routine nursing). The FLACC scores of the two groups of paediatric patients were obtained at 4, 12 and 24 h postoperatively. Data on the recovery time of relevant functions and surgical incision healing status for the two groups of paediatric patients were collected during the postoperative care period.</p><p><strong>Results: </strong>A total of 207 paediatric patients' clinical data were collected and divided into an observation group (n = 103) and a control group (n = 104). The results of repeated measures analysis of variance (ANOVA) indicated a significant interaction effect between measurement time and group on the FLACC scores (<i>p</i> < 0.001). Further simple effect analysis revealed no statistically significant difference in FLACC scores between the two groups at time T0 (<i>p</i> > 0.05). However, at time points T1 and T2, the FLACC scores in the observation group were significantly lower than those in the control group (<i>p</i> < 0.001). The postoperative recovery indexes of the observation group were better than those of the control group (<i>p</i> < 0.001), and the total incidence of postoperative surgical incision complications was lower than that of the control group (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Positional care has a significant effect on postoperative pain and incision recovery in children undergoing hernia sac ligation.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"78 6","pages":"766-771"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Circumaortic Left Renal Vein Causing Combined Nutcracker Syndrome: A Case Report and Literature Review.","authors":"David Luengo Gómez, María Rabadán Caravaca, Francisco Javier Contreras Matos, Antonio Jesús Láinez Ramos-Bossini","doi":"10.56434/j.arch.esp.urol.20257806.104","DOIUrl":"https://doi.org/10.56434/j.arch.esp.urol.20257806.104","url":null,"abstract":"<p><strong>Background: </strong>Nutcracker syndrome is a rare clinical condition characterised by the compression of the left renal vein (LRV). This syndrome results in venous hypertension and a variety of symptoms, including haematuria and abdominal pain. We reported an unusual case of combined nutcracker syndrome caused by the compression of both branches of a circumaortic LRV, an anatomical variant.</p><p><strong>Methods: </strong>An 18-year-old female presented with chronic abdominal pain and intermittent haematuria. Laboratory tests and imaging studies including contrast-enhanced computed tomography (CT) of the abdomen and pelvis were performed to investigate the cause. A comprehensive literature review of similar cases was conducted using PubMed.</p><p><strong>Results: </strong>CT showed circumaortic LRV with the anterior branch compressed between the superior mesenteric artery and the aorta, and the posterior branch compressed between the aorta and the spine. This finding confirmed the diagnosis of combined nutcracker syndrome. The patient opted for conservative management, which improved her symptoms. Literature review identified only five other cases of combined nutcracker syndrome owing to circumaortic LRV.</p><p><strong>Conclusions: </strong>Combined nutcracker syndrome is primarily diagnosed through imaging and should be considered in patients with chronic abdominal pain and haematuria, especially when anatomic variants such as circumaortic LRV are present. CT allows accurate visualisation of venous compression and the anatomic structures involved.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"78 6","pages":"782-787"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Value of Preoperative Inflammatory Burden Index in Predicting Overall Survival and Progression in Nonmetastatic Muscle-Invasive Bladder Cancer.","authors":"Rıdvan Kayar, Kemal Kayar, Emre Tokuç, Ramazan Topaktaş, Muhammet Çiçek, Samet Demir, Metin Öztürk","doi":"10.56434/j.arch.esp.urol.20257806.89","DOIUrl":"https://doi.org/10.56434/j.arch.esp.urol.20257806.89","url":null,"abstract":"<p><strong>Purpose: </strong>This study evaluates the prognostic significance of the inflammatory burden index (IBI) and related systemic inflammatory markers, namely, C-reactive protein-to-albumin ratio (CAR), systemic immune-inflammation index (SII), platelet-to-lymphocyte ratio (PLR), monocyte-to-lymphocyte ratio (MLR), systemic inflammation response index (SIRI), neutrophil-to-lymphocyte ratio (NLR), and pan-immune inflammation value (PIV), in predicting survival outcomes in patients with nonmetastatic muscle-invasive bladder cancer (MIBC) undergoing radical cystectomy (RC).</p><p><strong>Methods: </strong>A total of 115 patients treated between January 2014 and January 2023 were included. IBI, CAR, SII, PLR, MLR, SIRI, NLR, and PIV were calculated. Kaplan-Meier, Cox regression, and receiver operating characteristic (ROC) curve analyses were performed to determine the impact of these biomarkers on overall survival (OS) and progression-free survival (PFS).</p><p><strong>Results: </strong>ROC analysis for OS prediction revealed the highest predictive accuracy for PIV (area under curve (AUC) = 0.784, <i>p</i> < 0.001), followed by SIRI (AUC = 0.751) and IBI (AUC = 0.747). For PFS prediction, IBI demonstrated the strongest predictive value (AUC = 0.672, <i>p</i> = 0.002), followed by CAR (AUC = 0.663, <i>p</i> = 0.003) and PIV (AUC = 0.662, <i>p</i> = 0.003). Multivariate Cox regression analysis identified PIV (hazard ratio (HR) = 3.673, <i>p</i> < 0.001), SIRI (HR = 3.074, <i>p</i> < 0.001), and IBI (HR = 2.209, <i>p</i> = 0.002) as independent predictors of OS. High IBIs were significantly associated with advanced tumor stage (T stage) (<i>p</i> = 0.025), lymphovascular invasion (<i>p</i> = 0.002), and perineural invasion (<i>p</i> = 0.023) but not with lymph node metastasis (<i>p</i> = 0.713).</p><p><strong>Conclusions: </strong>IBI and associated hematological markers are valuable for predicting survival outcomes in patients with MIBC. The findings support the integration of these biomarkers with other prognostic tools to enhance the accuracy of treatment outcome predictions.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"78 6","pages":"660-670"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Factors and Construction of a Prediction Model for Early Postoperative Infections in Patients Who Underwent Kidney Transplantation.","authors":"Changhai Xu, Xueying Wang, Haibo Wu, Wei Li, Fei Lin, Na Lin, Shiyin Shen, Shubin Pan, Tong Chen, Donghui Zhang, Long He, Yan Cui","doi":"10.56434/j.arch.esp.urol.20257806.101","DOIUrl":"https://doi.org/10.56434/j.arch.esp.urol.20257806.101","url":null,"abstract":"<p><strong>Objective: </strong>This study explored infection risk factors within one month post-kidney transplantation (KT) and developed a clinical prediction model.</p><p><strong>Methods: </strong>We retrospectively analyzed clinical data from KT patients treated at our hospital (January 2015-December 2024). Patients were categorized into infection or control groups based on 1-month postoperative infection status. Infection incidence and risk factors were analyzed, and a multivariate logistic regression model was developed. The receiver operating characteristic (ROC) curves and a nomogram were generated. Patients were randomly split 7:3 into training and validation sets to assess model performance.</p><p><strong>Results: </strong>A total of 410 patients were included in this study, of whom 131 had postoperative infection, with an incidence rate of 31.95%. Multivariate logistic regression analysis showed that history of smoking (odds ratio (OR) = 2.96, 95% confidence interval (CI) (1.20-7.27)), drainage tube indwelling time (OR = 1.41, 95% CI (1.17-1.71)), catheter indwelling time (OR = 1.66, 95% CI (1.36-2.03)) and albumin (ALB) (OR = 0.78, 95% CI (0.71-0.86)) and haemoglobin (HGB) (OR = 0.70, 95% CI (0.59-0.83)) levels were independent risk factors for early infection after KT (<i>p</i> < 0.05). The area under the ROC curve of the training set was 0.954 (95% CI (0.925-0.982)), the specificity was 0.855 and the sensitivity was 0.896. In the validation set, the area under the ROC curve was 0.914 (95% CI (0.861-0.967)), the specificity was 0.832 and the sensitivity was 0.903. The Hosmer-Lemeshow goodness-of-fit test of the model showed that the training set χ² = 6.962 (<i>p</i> = 1.000) and the validation set χ² = 8.813 (<i>p</i> = 0.450). Multivariate risk factors were used to construct a nomogram model, and the calibration curve was consistent with the ideal curve, suggesting that the model had good stability. The clinical decision curve showed that it had good clinical value.</p><p><strong>Conclusions: </strong>History of smoking, drainage tube indwelling time, catheter indwelling time and ALB and HGB levels are the risk factors of infection after KT. The model based on these factors can effectively predict the occurrence of infection after KT.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"78 6","pages":"758-765"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Metabolic Syndrome in Male Fertility: Is It a Risk Factor?","authors":"Ali Egemen Avcı, Basri Çakıroğlu, Bekir Sami Uyanık, Muammer Kendirci, Mehmet Murad Başar","doi":"10.56434/j.arch.esp.urol.20257805.73","DOIUrl":"https://doi.org/10.56434/j.arch.esp.urol.20257805.73","url":null,"abstract":"<p><strong>Background: </strong>Metabolic syndrome (MetS) is a significant health issue linked to male infertility through mechanisms such as aromatisation, hormonal imbalance, increased scrotal temperature, decreased testicular blood flow and increased DNA damage. This study evaluated the serum hormone levels and sperm parameters in men with idiopathic infertility on the basis of the presence or absence of MetS.</p><p><strong>Methods: </strong>Infertile men were included. Height, weight and waist circumference were measured, and body mass index (BMI) was calculated. Blood pressure and biochemical parameters, including serum hormone levels, blood sugar, lipid profiles and semen analysis after 3-5 days of abstinence, were assessed. Participants were divided into two groups on the basis of the International Diabetes Federation criteria: Those with MetS (group I) and those without MetS (group II). Parameters were statistically compared between groups. Risk factors were assessed using logistic regression.</p><p><strong>Results: </strong>A total of 518 infertile men were included, of whom 227 (43.8%) had MetS (group I) and 291 (56.2%) did not (group II). Significant differences were observed in all MetS criteria except low-density lipoprotein levels (<i>p</i> = 0.240). Serum testosterone levels were significantly lower in group I (<i>p</i> = 0.001). Although sperm parameters were lower in group I, but the differences were not statistically significant (<i>p</i> > 0.05). Age (odds ratio (OR): 1.075; 95% confidence interval (CI): 1.042-1.109; <i>p</i> < 0.001), medication use (OR: 1.675; 95% CI: 1.131-2.481; <i>p</i> = 0.01) and ejaculate volume (OR: 0.869; 95% CI: 0.772-0.978; <i>p</i> = 0.02) were found to be risk factors for MetS in regression analysis.</p><p><strong>Conclusions: </strong>MetS may negatively influence the male reproductive system through various mechanisms. Further research is required to clarify the effect of MetS on male infertility.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"78 5","pages":"541-546"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Remimazolam or Propofol Combined with Sufentanil for Prostate Biopsy in Elderly Men: A Single-Centre, Retrospective Study.","authors":"Geng Liu, Yuzhou Yu","doi":"10.56434/j.arch.esp.urol.20257805.79","DOIUrl":"https://doi.org/10.56434/j.arch.esp.urol.20257805.79","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the efficacy and safety of different anaesthetic drugs in prostate biopsy.</p><p><strong>Methods: </strong>The study included patients who underwent prostate biopsy at our hospital from January 2023 to January 2024. All patients received ultrasound-guided transrectal prostate biopsy. The mean arterial pressure (MAP) and heart rate (HR) of the two groups were observed at seven time points: Entering the operating room (T0), starting drug injection (T1), 3 min (T2), 5 min (T3) after drug injection, the end of the operation (T4), entering the PACU (T5) and leaving the PACU (T6). The time from induction to loss of consciousness (A1), the time from induction to bispectral index (BIS) dropping to 60 or lower (A2), the time from drug withdrawal to eye opening (A3), the length of postoperative post-anaesthesia care unit (PACU) stay (A4) and the operation time (A5) were observed. Moreover, the safety of the two groups was compared.</p><p><strong>Results: </strong>A total of 76 patients were enrolled and divided into two groups: The remimazolam combined with sufentanil (RS) group (n = 37) and the propofol combined with sufentanil (PS) group (n = 39). No significant differences were observed in general data, A1, A2, A3, A4 or A5 between the groups (<i>p</i> > 0.05). Repeated measures analysis of variance (ANOVA) demonstrated significant interaction effects between measurement time and group on MAP and HR (<i>p</i> < 0.05). In addition, significant main effects were observed for time and group (<i>p</i> < 0.05). Simple effect analysis showed no significant differences in MAP and HR at T0 and T1 (<i>p</i> > 0.05). At T2, T3, T4, T5 and T6, the MAP in the RS group was higher than in the PS group (<i>p</i> < 0.05). The HR in the RS group was higher at T2, T3 and T4 (<i>p</i> < 0.05), but exhibited no differences at T5 and T6 (<i>p</i> > 0.05). In terms of safety, the RS group had lower incidences of injection pain and low blood pressure than the PS group (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Remimazolam combined with sufentanil provides more stable vital signs and improved safety in elderly men undergoing prostate biopsy, rendering it worthy of promotion.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"78 5","pages":"588-594"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of 3D Reconstruction and Printing on Surgical Outcomes in Renal Tumour Surgery.","authors":"Daniel Campos-Valverde, José Ramón Muñoz-Rodríguez, Paz Castro Fernández, David López Sánchez, Gonzalo Bueno Serrano, Francisco J Damas Arroyo, Manuel Pérez-Utrilla, Santiago Pérez Cadavid, David Grande Murillo, Ana García Torres, David Higuero Acevedo, María Casa Valencia, María Pilar Alcoba García, Alba Lara Isla, Alejandro Puerto Puerto, Carmen Gonzalez Enguita, Francisco Javier Redondo Calvo","doi":"10.56434/j.arch.esp.urol.20257805.72","DOIUrl":"https://doi.org/10.56434/j.arch.esp.urol.20257805.72","url":null,"abstract":"<p><strong>Background and purpose: </strong>With the advances in imaging technology that have enabled the widespread adoption of nephron-sparing surgical techniques, the incidence of renal tumours has concurrently risen. Current guidelines recommend partial nephrectomy for all tumours smaller than 7 cm and, when feasible, even for larger lesions. However, the increasing use of nephron-sparing surgery and advancements in imaging have highlighted the substantial variability in renal hilar anatomy, which poses challenges during surgical procedures. Three-dimensional (3D) imaging technology integrated into preoperative planning has been proposed as a complement to conventional radiological studies to address this complexity. This study aims to evaluate the impact of preoperative 3D imaging and printing on the surgical management of renal cancer.</p><p><strong>Methods: </strong>A prospective cohort study was conducted involving 37 patients managed according to standard clinical protocols. The patients were divided into two groups: One group underwent preoperative 3D tumour reconstruction and printing, and the other did not. Key surgical outcomes, including operative time, intraoperative blood loss, need for transfusion and status of surgical margins on pathological examination, were assessed. All 3D models were reconstructed and printed using polylactic acid (PLA) by the same urologist to ensure consistency.</p><p><strong>Results: </strong>The group that received preoperative 3D reconstruction demonstrated remarkable reductions in intraoperative blood loss and operative time, with no cases of positive surgical margins. No significant differences in tumour size, renal nephrometry index or surgery performed were observed between the two groups.</p><p><strong>Conclusions: </strong>The incorporation of 3D printing and reconstruction into the surgical planning of renal tumours offers tangible benefits, including reduced intraoperative blood loss, short operative duration and enhanced oncological outcomes by minimising the risk of positive margins. These findings support the potential of 3D technology as a valuable adjunct to traditional preoperative assessment in oncological renal surgery.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"78 5","pages":"534-540"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}