Archivos Espanoles De Urologia最新文献

{"title":"Navigating Accuracy and Clarity in Patient Education: The Role of AI Chatbots in Communicating Testicular Prosthesis Information.","authors":"Seref Coser, Bekir Aras, Ali Yasin Ozercan, Baki Numan Ozkaynak, Okan Alkis, Serdar Basboga, Ibrahim Guven Kartal, Halil Ibrahim Ivelik","doi":"10.56434/j.arch.esp.urol.20267905.97","DOIUrl":"https://doi.org/10.56434/j.arch.esp.urol.20267905.97","url":null,"abstract":"<p><strong>Background: </strong>This study investigated the quality and comprehensibility of responses generated by four different artificial intelligence (AI)-powered chatbots (ChatGPT, Gemini, DeepSeek, and Grok) when queried about testicular prostheses.</p><p><strong>Methods: </strong>A Google search using the keyword \"testicular prosthesis\" was conducted, and the 50 most frequently asked questions listed in the \"People Also Ask\" section were identified. These questions were categorized into preoperative, perioperative, and postoperative topics and were posed to four AI chatbots: ChatGPT, Google Gemini, DeepSeek, and Grok. The responses were independently evaluated by four urologists using the Global Quality Scale (GQS), Modified DISCERN, and Patient Education Materials Assessment Tool for Printed Materials (PEMAT-P) scales to assess quality, reliability, and readability.</p><p><strong>Results: </strong>According to the GQS evaluation, the median scores for ChatGPT, Gemini, DeepSeek, and Grok were 4.75, 4.5, 4.75 and 4.875, respectively (<i>p</i> < 0.001). According to the Modified DISCERN scale, the scores were 2.75, 3.0, 3.75 and 3.0, respectively. The PEMAT-P understandability scores were 79.1%, 75.0%, 84.2% and 78.6%, respectively (<i>p</i> < 0.001). Similarly, the PEMAT-P actionability scores were 73.5%, 68.5%, 78.9% and 73.2%, respectively (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>While all chatbots provided high-quality responses, their reliability was moderate. DeepSeek demonstrated the best performance across the evaluated metrics. These findings suggest that AI chatbots may serve as useful supplementary tools for patient education regarding testicular prostheses.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"79 5","pages":"831-836"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431337","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":"The Relationship Between Diagnosis and Severity of Axial Spondyloarthritis and Overactive Bladder: A Cross-Sectional Analysis.","authors":"Derya Cirakoglu, Ahmet Yuce","doi":"10.56434/j.arch.esp.urol.20267905.95","DOIUrl":"https://doi.org/10.56434/j.arch.esp.urol.20267905.95","url":null,"abstract":"<p><strong>Background: </strong>This study aims to evaluate the frequency of overactive bladder syndrome (OAB) and its relationship with disease activity in patients diagnosed with axial spondyloarthritis (axSpA).</p><p><strong>Methods: </strong>The study included 127 axSpA patients and 110 healthy individuals meeting age and gender criteria were included in the study. The demographic data, laboratory results, and clinical parameters of the groups were recorded and compared. axSpArelated disease activity was assessed with the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and Ankylosing Spondylitis Disease Activity Score (ASDAS), functional status with the Bath Ankylosing Spondylitis Functional Index (BASFI), quality of life with the AS Quality of Life Questionnaire (ASQoL), and OAB-related symptoms with the Overactive Bladder Questionnaire Version 8 (OAB-V8).</p><p><strong>Results: </strong>In the axSpA patient group, the incidence of OAB was 34.6% (n = 44), the mean and standard deviation OAB-V8 score was 8 ± 11, while in the control group it was 10.9% (n = 12) and the mean and standard deviation score was 4 ± 5 (<i>p</i> < 0.001, <i>p</i> < 0.001). According to BASDAI, ASDAS-C-reaktive protein (ASDAS-CRP), and ASDAS-erythrocyte sedimentation rate (ASDAS-ESR) results, the differences in OAB-V8 scores between the patients with high and low disease activity were found to be significant (<i>p</i> = 0.007, <i>p</i> = 0.039, <i>p</i> = 0.013). A significant difference was found in ASDAS-ESR (<i>p</i> = 0.04), BASDAI (<i>p</i> = 0.003), and BASFI (<i>p</i> = 0.01) scores between patients with OAB symptoms compared to those without OAB symptoms. A significant correlation was observed between the patients' OAB-V8 score and BASDAI (<i>p</i> < 0.001), ASDAS-CRP (<i>p</i> < 0.001), ASDAS-ESR (<i>p</i> < 0.001), BASFI (<i>p</i> < 0.001) scores. It was determined that the quality of life of axSpA patients with OAB symptoms was negatively affected (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>The frequency of OAB was higher in axSpA patients than in the control group and showed significant associations with disease activity, functional impairment, and quality of life parameters.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"79 5","pages":"815-822"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430307","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":"Analysis of the Effect of Stepwise Refined Nursing on the Severity of Ureteral Stent-Related Symptom Clusters After Flexible Ureteroscopic Lithotripsy.","authors":"Huaqi Shen, Xia Wang, Lina Yu","doi":"10.56434/j.arch.esp.urol.20267904.77","DOIUrl":"10.56434/j.arch.esp.urol.20267904.77","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to explore the clinical effect of stepwise refined nursing inpatients who underwent flexible ureteroscopic lithotripsy (FURL) with indwelling ureteral stent placement.</p><p><strong>Methods: </strong>A retrospective study was conducted.A total of 165 patients who underwent FURL with ureteral stent placement at Huzhou Hospital of Traditional Chinese Medicine from May 2023 to May 2025 were selected.All patients received postoperative treatment with tamsulosin and tolterodine. Amongst them, 83 patients received stepwise refined nursing management (study group), whereas 82 patients received conventional nursing care (control group). Clinical symptoms and pain levels were compared between the two groups.</p><p><strong>Results: </strong>Postoperative observation showed statistically significant between-group effects for daytime urinary frequency, nighttime urinary frequency,urinary urgency,urge urinary incontinence and total overactive bladder (OAB) symptom score (<i>p</i> < 0.05), indicating that stepwise refined nursing helped alleviate postoperative OAB symptoms. The between-group effects for bodily pain, urinary symptoms,work performance and daily living impact, other problems and total Ureteral Stent Symptom Questionnaire score were statistically significant (<i>p</i> < 0.05), suggesting that stepwise refined nursing contributed to reducing postoperative ureteral stent-related symptoms.</p><p><strong>Conclusions: </strong>For patients undergoing FURL with indwelling ureteral stents, the application of stepwise refined nursing can effectively reduce the occurrence of postoperative complications, alleviate OAB symptoms and mitigate ureteral stent-related symptoms.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"79 4","pages":"660-666"},"PeriodicalIF":0.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212886","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":"Real-Time Assessment of Surgical Margins During Radical Prostatectomy: A Comprehensive Review.","authors":"Themistoklis Bellos, Lazaros Tzelves, Stamatios Katsimperis, Christoforos Kourouniotis, Lazaros Lazarou, Titos Markopoulos, Patrick Juliebo Jones, Arman Tsaturyan, Nikolaos Kostakopoulos, Ali Talyshinskii, Bhaskar Somani, Andreas Skolarikos","doi":"10.56434/j.arch.esp.urol.20267904.64","DOIUrl":"10.56434/j.arch.esp.urol.20267904.64","url":null,"abstract":"<p><strong>Background: </strong>Radical prostatectomy (RP) is a widely used treatment for localized prostate cancer, where achieving negative surgical margins is essential to reduce the risk of biochemical recurrence (BCR) and avoid additional treatments like radiation therapy. Positive surgical margins (PSMs) are associated with increased recurrence rates, higher costs, and patient anxiety. This review aims to evaluate real-time technologies for surgical margin assessment during RP, focusing on their clinical utility, advancements, and potential to improve intraoperative decision-making.</p><p><strong>Methods: </strong>A non systematic review was conducted by searching PubMed/MEDLINE and Google Scholar for studies on realtime intraoperative margin assessment technologies in RP, including traditional and emerging methods. The review assessed technologies such as frozen section analysis, Confocal Laser Endomicroscopy (CLE), Fluorescence Confocal Microscopy (FCM), Optical Spectroscopy, and Augmented Reality (AR). Data from clinical trials and studies were analyzed based on their sensitivity, specificity, operational feasibility, and potential to reduce PSMs.</p><p><strong>Results: </strong>Emerging technologies like CLE and FCM have shown significant potential for intraoperative tissue imaging, offering high-resolution, real-time feedback that can help identify cancerous tissue and guide surgical margins. Frozen section analysis remains the gold standard for intraoperative assessment due to its high sensitivity and specificity, but it is time-consuming and dependent on specialized pathology teams. AR, CLE, and optical spectroscopy technologies are gaining attention for their ability to provide real-time data and improve surgical precision. However, challenges such as high costs, technical complexity, and limited availability in resource-limited settings hinder broader adoption. Further clinical validation is needed to confirm their effectiveness and feasibility.</p><p><strong>Conclusions: </strong>Real-time assessment technologies offer promising advancements in reducing PSMs during RP, potentially improving both oncological and functional outcomes. While frozen section analysis remains the most widely used method, emerging technologies like CLE, FCM, AR, and optical spectroscopy show promise in enhancing surgical precision and patient outcomes. Continued innovation and large-scale clinical trials are crucial for integrating these tools into standard clinical practice and making them more accessible to a broader patient population.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"79 4","pages":"550-557"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213028","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":"Temporal Evolution of Ultrasound Findings and Their Impact on Testicular Salvage in Acute Scrotum: A Retrospective Observational Study of Testicular Torsion.","authors":"Weipeng Li, Lianzheng Lin, Xiaojun Yu, Danhong Cai","doi":"10.56434/j.arch.esp.urol.20267904.76","DOIUrl":"10.56434/j.arch.esp.urol.20267904.76","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the temporal evolution of ultrasound signs in patients with testicular torsion (TT) and correlate these delays with testicular salvageability and long-term reproductive outcomes.</p><p><strong>Methods: </strong>This retrospective study included 89 patients with TT treated from 2020 to 2025. Based on time from symptom onset to treatment, patients were divided into three groups: hyperacute (<6 hours), subacute (6-12 hours) and delayed (>12 hours). We collected baseline data, ultrasound findings, testicular salvage rates, reproductive hormones levels and semen analysis. We used Spearman correlation and binary logistic regression to analyse the association of ultrasound features, and time windows, with the salvage rate.</p><p><strong>Results: </strong>The testicular salvage rates of the three groups were 96.8%, 62.1%, and 41.4%, respectively (<i>p</i> < 0.05). Ultrasonographic features evolved with time: the prevalence of heterogeneous parenchymal echo increased while the whirlpool sign decreased (all <i>p</i> < 0.05). The delayed group showed higher follicle stimulating hormone (FSH)/luteinizing hormone (LH) levels and poorer semen quality (<i>p</i> < 0.05). Logistic regression identified a time window <6 hours as an independent protective factor (odds ratio (OR) = 0.036, 95% confidence interval (CI): 0.003-0.473, <i>p</i> = 0.011), whereas uneven testicular echogenicity (OR = 4.451, 95% CI: 1.257-15.763, <i>p</i> = 0.021), a positive whirlpool sign (OR = 4.445, 95% CI: 1.124-17.588, <i>p</i> = 0.033), and absent blood flow (OR = 4.446, 95% CI: 1.091-18.123, <i>p</i> = 0.037) were independent risk factors for salvage failure. The dynamic evolution of ultrasound findings provides an objective risk assessment basis for time sensitive stratified management of acute scrotum, supporting clinical grading and expedited intervention decisions.</p><p><strong>Conclusions: </strong>The 6-hour threshold may be a critical cutoff for both testicular survival and fertility preservation. For suspected torsion, surgical exploration should be prepared alongside ultrasound to minimize the time to treatment.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"79 4","pages":"651-659"},"PeriodicalIF":0.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213081","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":"Real-Time Shear Wave Elastography Combined With MRI-Ultrasound Cognitive Fusion Targeted Biopsy for Repeat Prostate Biopsy.","authors":"Zhouliang Zhang, Zhongkang Lai, Zhijian Zhu, Chang Li, Huiping Chen, Jianfeng Li","doi":"10.56434/j.arch.esp.urol.20267904.81","DOIUrl":"10.56434/j.arch.esp.urol.20267904.81","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to evaluate the diagnostic value of real-time shear wave elastography (SWE) combined with magnetic resonance imaging-ultrasound (MRI-US) cognitive fusion targeted biopsy in repeat prostate biopsy.</p><p><strong>Methods: </strong>The retrospective cohort study comprised 120 patients who underwent transperineal repeat biopsy. Group A (n = 64) had standard cognitive fusion targeted biopsy plus systematic biopsy; Group B (n = 56) had additional real-time SWE before cognitive fusion to refine targeting. The primary endpoint of the study was the clinically significant prostate cancer (csPCa), which was based on targeted cores. Secondary endpoints encompassed the following: overall PCa detection, core-specific cancer detection rate, agreement with final pathology, diagnostic performance, and complications.</p><p><strong>Results: </strong>It is evident from the data that Group B had a significantly higher csPCa detection rate in comparison to Group A (<i>p</i> < 0.05). The number of biopsy cores was comparable, yet the core-specific cancer detection rate was higher in Group B (<i>p</i> < 0.05). In Group B, maximum elastic modulus of shear wave elastography (SWE-Emax) values and the proportion of the Prostate Imaging Reporting and Data System (PI-RADS) 5 lesions were significantly higher in csPCa lesions than in benign lesions (<i>p</i> < 0.001). Group B had superior sensitivity, specificity, accuracy, and agreement with final pathology. Receiver operating characteristic (ROC) curve analysis suggested that the combination of SWE-Emax with PI-RADS score yielded a higher diagnostic performance than either individual method (area under the curve (AUC) = 0.904, 95%confidence interval (CI): 0.825-0.983, <i>p</i> < 0.001). Subsequent analysis revealed no significant disparities in complication rates between the two groups (<i>p</i> > 0.05).</p><p><strong>Conclusions: </strong>The combination of real-time SWE and MRI-US cognitive fusion targeted biopsy has been shown to be associated with a higher detection rate of clinically significant prostate cancer and improved biopsy accuracy during repeat biopsies, offering incremental diagnostic value without additional risks.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"79 4","pages":"692-699"},"PeriodicalIF":0.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213005","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":"Retrospective Comparison of Transurethral Prostatic Columnar Water Balloon Dilation and Pharmacotherapy for Moderate-to-Severe Benign Prostatic Hyperplasia: Efficacy, Safety and Compliance.","authors":"Zhixiong Duan, Zhongxiang Zhang, Cheng Fang","doi":"10.56434/j.arch.esp.urol.20267904.78","DOIUrl":"10.56434/j.arch.esp.urol.20267904.78","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to compare the clinical efficacy, safety,and patient compliance of transurethral prostatic columnar water balloon dilation versus combination pharmacotherapy (α-blockers + 5α-reductase inhibitors) in patient with moderateto-severe benign prostatic hyperplasia (BPH).</p><p><strong>Methods: </strong>This retrospective analysis included 120 patient with moderate-to-severe BPH (International Prostate Symptom Score[IPSS] 8-35 points, January 2022-December 2025) After propensity score matching (1:1), patient were divided into a surgical group (n = 60, transurethral prostatic columnar water balloon dilation) and a medication group (n = 60, combined pharmacotherapy). Key outcomes assessed at baseline and 1, 3, and 6 months post-treatment included IPSS, maximum urinary flow rate (Qmax), post-void residual urine volume (PVR), prostate volume (PV), quality of life (QoL), adverse events (AEs), compliance, and satisfaction.</p><p><strong>Results: </strong>At all follow-up points, both groups showed significant improvements in IPSS, QoL,PVR,and voiding time (<i>p</i> < 0.05). At 6 months, outcomes were significant better in the surgical group than in the medication group: total IPSS (8.32 ± 2.34 vs. 14.22 ± 2.57), Qmax (20.59 ± 3.51 vs. 14.54 ± 3.51 mL/s), and PVR (29.58 ± 9.67 vs. 45.92 ± 12.51 mL) (all <i>p</i> < 0.05). PV decreased significantly in the medication group (52.13 ± 8.56 vs.67.60 ± 10.12 mL, <i>p</i> < 0.05) but did not change significantly in the surgical group (<i>p</i> > 0.05). The surgical group had a lower unadjusted AE rate (6.7% vs. 20.0%, <i>p</i> = 0.032), but a higher standardized short-term procedural event rate. Complete compliance (95.0% vs. 68.3%, <i>p</i> < 0.001), and satisfaction (89.42 ± 6.83 vs. 73.62 ± 8.59, <i>p</i> < 0.001) were also higher in the surgical group.</p><p><strong>Conclusions: </strong>For moderate-to-severe BPH, transurethral prostatic columnar water balloon dilation provides superior short-tomedium-term efficacy, safety, and compliance compared with pharmacotherapy, making it particularly suitable for high-risk or medication-intolerant patients.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"79 4","pages":"667-675"},"PeriodicalIF":0.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213048","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 Two Different Standing Urination Positions on Clinical Assessment in Patients With Lower Urinary Tract Symptoms: A Significant Factor or a Negligible Detail?","authors":"Turgay Kacan, Ali Kaan Yildiz, Demirhan Orsan Demir, Yusuf Gokkurt, Alp Bardakci, Omer Furkan Erbay, Bugra Bilge Keseroglu, Tolga Karakan","doi":"10.56434/j.arch.esp.urol.20267904.71","DOIUrl":"10.56434/j.arch.esp.urol.20267904.71","url":null,"abstract":"<p><strong>Background: </strong>This study aims to evaluate whether urinating by pulling down the trousers vs. unzipping the trousers only has an effect on maximum flow rate (Qmax), average flow rate (Qave), voiding time and post-void residual urine (PVR) in patients with lower urinary tract symptoms (LUTS) secondary to benign prostate obstruction (BPO).</p><p><strong>Methods: </strong>Patients receiving alpha-blocker therapy and habitually voiding in a standing position were prospectively enrolled. Each participant underwent uroflowmetry (UF) in two separate sessions, with one session involving voiding by pulling the trousers down to the knees and the other involving voiding by unzipping the trousers only. Qmax, Qave, voiding time and PVR volume were recorded and compared between the two positions.</p><p><strong>Results: </strong>A total of 74 patients were included in the analysis. The mean Qmax was 10.80 ± 3.20 mL/s in the unzipping position and 13.10 ± 4.04 mL/s in the pulling-down position. The Qave, voiding time and PVR in the unzipping position were 5.01 ± 2.57 mL/s, 70.80 ± 50.40 s and 63.99 ± 38.11 mL, respectively, and those in the pulling-down position were 5.89 ± 3.09 mL/s, 58.20 ± 26.90 s and 53.38 ± 38.96 mL, respectively. Statistically significant differences were observed in Qmax (<i>p</i> < 0.001), Qave (<i>p</i> < 0.001), PVR volume (<i>p</i> < 0.001) and voiding time (<i>p</i> = 0.006).</p><p><strong>Conclusions: </strong>In patients with LUTS secondary to BPO who void in a standing position, the specific subposition (pulling down trousers vs. unzipping) significantly affects UF parameters and PVR volumes. These findings demonstrate that standing voiding should not be considered as a single, uniform posture.</p><p><strong>Clinical trial registration: </strong>ClinicalTrials.gov identifier: NCT06260917; available at https://clinicaltrials.gov/study/NCT06260917.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"79 4","pages":"606-613"},"PeriodicalIF":0.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213022","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":"A Retrospective Follow-up Study on the Effects of Different Intravesical Treatments on Recurrence Control and Quality of Life in Patients With Non-Muscle-Invasive Bladder Cancer After Transurethral Resection of Bladder Tumour.","authors":"Fangming Liu, Xinyi Hu, Xi Zhu, Tiandong Han, Lang Feng","doi":"10.56434/j.arch.esp.urol.20267904.74","DOIUrl":"10.56434/j.arch.esp.urol.20267904.74","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to compare the mid-to long-term effects of pirarubicin chemotherapy and Bacillus Calmette-Guérin (BCG) immunotherapy on recurrence control, bladder function and health-related quality of life in patients with non muscle-invasive bladder cancer (NMIBC) after transurethral resection of bladder tumour (TURBT).</p><p><strong>Methods: </strong>This retrospective cohort study comprised 126 patients with NMIBC who underwent TURBT followed by intravesical therapy between January 2018 and December 2023. Patients received either pirarubicin (n = 68) or BCG (n = 58). Propensity score matching was performed to reduce baseline imbalance, yielding 48 matched patients in each group. Recurrence outcomes, recurrence-free survival (RFS), bladder function parameters, quality-of-life scores and adverse events were compared.</p><p><strong>Results: </strong>After matching,the recurrence rate was lower in the BCG group than in the pirarubicin group (18.75% vs 37.50%, <i>p</i> = 0.041). Time to first recurrence was longer with BCG than with pirarubicin (28.47 ± 8.31 vs 20.96 ± 7.84 months, <i>p</i> = 0.016), and Kaplan-Meier analysis showed improved RFS (median RFS: 45 [34-56] vs 31 [22-40] months; log-rank <i>p</i> = 0.011). At 12 months,the BCG group had lower post-void residual urine volume, higher maximum urinary flow rate,higher European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Core 30 (QLQ-C30) global health and functional scores and lower symptom and Quality of Life Questionnaire-Bladder Cancer Module 30 (QLQ-BLM30) urinary symptom scores than the pirarubicin group (all <i>p</i> < 0.05). Subgroup analysis showed that the benefit of BCG was evident in patients with high-grade tumours.No severe treatment-related adverse events occurred in either group.</p><p><strong>Conclusions: </strong>In patients with NMIBC after TURBT, intravesical BCG was associated with better recurrence control and more favourable mid-to long-term functional and quality-of-life outcomes than pirarubicin, particularly in high-grade disease.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"79 4","pages":"632-640"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212929","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":"Bladder Foreign Body of Gastrointestinal Origin: A Case Report and Literature Review.","authors":"Longtu Ma, Yongfeng Lao, Qingchao Li, Long Cheng, Zhilong Dong","doi":"10.56434/j.arch.esp.urol.20267904.82","DOIUrl":"10.56434/j.arch.esp.urol.20267904.82","url":null,"abstract":"<p><strong>Background: </strong>Gastrointestinal-origin urinary foreign bodies are rare and often overlooked, particularly because early Computed Tomography (CT) scans may be inconclusive, especially in cases involving wooden materials.</p><p><strong>Case presentation: </strong>A 19-year-old man presented with lower-abdominal pain and gross hematuria one week after accidentally ingesting a toothpick. Initial local CT scans were negative. At our center, bedside ultrasonography revealed a linear hyperechoic tract crossing the bladder wall, while thin-slice non-contrast CT only detected a punctate hyperdensity at the bladder dome. Cystoscopy confirmed the presence of a wooden toothpick partially penetrating the bladder; ureteroscopic extraction successfully removed the intact 6-cm toothpick, followed by an uneventful recovery.</p><p><strong>Conclusions: </strong>A detailed ingestion history along with thin-slice non-contrast CT and high-frequency ultrasonography can help identify subtle wooden foreign bodies. These diagnostic tools should prompt early cystoscopy, and selective gastrointestinal endoscopy is warranted when suspicion remains high. Endoscopic removal is preferred, with escalation reserved for cases of complex extraluminal migration.</p>","PeriodicalId":48852,"journal":{"name":"Archivos Espanoles De Urologia","volume":"79 4","pages":"700-708"},"PeriodicalIF":1.2,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213019","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}