ARCHIVOS ESPANOLES DE UROLOGIA西班牙泌尿外科文献
ARCHIVOS ESPANOLES DE UROLOGIA(英文缩写 ARCH ESP UROL),ISSN 0004-0614,eISSN 1576-8260,中文译名:西班牙泌尿外科文献 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-11-01 至 2026-10-31，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 0.430 | Q4 |
| 2022 | 0.500 | Q4 |
| 2023 | 0.600 | Q4 |
| 2024 | 0.900 | Q4 |
| 2025 | 1.200 | Q4 |
ARCHIVOS ESPANOLES DE UROLOGIA 最新收录文献
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1. Conversion From Cutaneous Ureterostomy to Ileal Conduit in Frail Patients: A Descriptive Case Series.
PMID:日期:2026-08Cutaneous ureterostomy is frequently selected for frail patients undergoing radical cystectomy due to its reduced operative complexity. However, long-term complications such as urinary tract infections (UTIs), stomal stenosis, and catheter dependence are common. Delayed conversion to ileal conduit has been proposed as a reconstructive strategy after clinical stabilization. Five frail patients underwent radical cystectomy with cutaneous ureterostomy followed by delayed conversion to ileal conduit. Conversion occurred 10-36 months later due to recurrent complications or improvement in clinical status. Postoperative complications occurred in four patients (80%), including UTIs requiring antibiotics (Clavien-Dindo II), urinary fistula (Clavien-Dindo I), and ureteroileal stricture requiring surgical revision (Clavien-Dindo IIIb). Delayed conversion is feasible but is associated with significant morbidity and should remain individualized.
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2. Surgical Treatment of Male Genital Lymphedema: A Case Report.
PMID:日期:2026-08Male genital lymphedema is a rare condition characterized by progressive enlargement of the scrotal and penile tissues. It is associated with substantial physical and psychological morbidity, frequently impairing urinary and sexual function, hygiene, and ambulation. Genital lymphedema may result from secondary lymphatic obstruction to infectious, inflammatory, neoplastic, congenital, or iatrogenic causes. Despite its clinical impact, no standardized diagnostic or therapeutic algorithm has been established to date. Herein, we present our diagnostic approach and describe a surgical technique involving excision of penoscrotal lymphedematous tissue followed by genital reconstruction using local flaps. The management of massive genital lymphedema remains surgically challenging, with multiple reconstructive options available depending on the extent of the disease and patient characteristics. Reconstructive surgery is generally associated with favorable functional and aesthetic outcomes, leading to significant improvements in quality of life.
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3. Transperineal Ultrasound for Preoperative Pelvic Floor Assessment Prior to Radical Prostatectomy: Inter-Operator Reliability and Concordance With Magnetic Resonance Imaging.
PMID:日期:2026-08Post-prostatectomy urinary incontinence (UI) is a major functional complication of radical prostatectomy (RP), and preoperative membranous urethral length (MUL) has been established as an independent predictor of recovery. Magnetic resonance imaging (MRI) remains the standard for MUL measurement; however, access constraints and operator dependency limit its applicability. Transperineal ultrasound (TPUS) represents a promising alternative. This study aimed to evaluate the inter-operator reliability of TPUS-based pelvic floor measurements performed by urologists and their concordance with preoperative MRI in patients scheduled for robot-assisted radical prostatectomy (RARP). A prospective observational cohort study was conducted. Fifty-one patients scheduled for RARP underwent preoperative TPUS performed by two urologists, blinded to each other's measurements. Eight pelvic floor parameters were recorded: MUL, prostatic height (PH), prostatic width (PW), prostatic depth (PD), urethral width (UW), urethra-prostate angle (UPA), prostatic urethral length (PUL), and total urethral length (TUL). Preoperative MRI served as the reference standard. Interoperator reliability and transperineal ultrasound-magnetic resonance imaging (TPUS-MRI) concordance were assessed. Inter-operator reliability for TPUS ranged from moderate to substantial across all variables (intraclass correlation coefficient (ICC) range 0.57 to 0.74), with the strongest agreement observed for PD (ICC 0.74; 95% confidence interval (CI) 0.59 to 0.84) and MUL (ICC 0.73; 95% CI 0.57 to 0.84). Concordance between TPUS and MRI was strongest for MUL (ICC 0.47; 95% CI 0.23 to 0.66) and PH (ICC 0.47; 95% CI 0.22 to 0.66), both in the moderate range; UW and TUL showed statistically significant but only fair concordance, whereas the remaining four parameters showed no significant concordance. TPUS performed by urologists demonstrates reproducible inter-operator agreement for pelvic floor parameters, particularly MUL. Significant, though modest, concordance with MRI (moderate for MUL and PH and fair for UW and TUL) together with small absolute mean differences for the key parameters, suggests that TPUS provides clinically reasonable estimates despite limited individual-level interchangeability with MRI. TPUS is a reproducible tool with acceptable inter-operator reliability for key pelvic floor parameters, particularly MUL, and may serve as a complement to MRI or an accessible alternative. However, its individual-level interchangeability with MRI remains limited, and its predictive value for post-prostatectomy urinary continence has not yet been established and requires confirmation in prospective studies.
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4. Turkish Translation, Validation, and Clinical Utilization of the Peyronie's Disease Questionnaire.
PMID:日期:2026-08This study aimed to adapt the peyronie's disease (PD) questionnaire into Turkish, psychometrically evaluate its validity, and explore its correlations with patient demographics and disease-specific characteristics. The PD questionnaire (PDQ) is a 15-item, self-administered, disease-specific, and multidimensional tool developed to quantify the psychosexual symptoms of PD. This observational study enrolled 95 patients from four healthcare centers in Türkiye. Following translation according to the consensus-based standards for the selection of health measurement instruments, all participants were asked to complete the PDQ during two separate visits. The test-retest reliability of the PDQ and the internal consistency of its subscales were assessed. The intraclass correlation coefficients were 0.96, 0.95, and 0.98 for the psychological and physical symptoms, symptom bother, and penile pain subscales, respectively. Exploratory factor analysis was conducted to evaluate construct validity. The factor analysis revealed a three-factor structure, explaining 70.34% of the total variance. A penile curvature angle >60° was associated with PDQ symptom scores and International Index of Erectile Function-5 scores ( = 0.047 and = 0.001, respectively). A body mass index <25 kg/m and the absence of comorbidities were also associated with PDQ scores. The Turkish translation and validation of the PDQ were found to be a reliable and useful assessment tool for Turkish individuals with PD. The introduction of the Turkish PDQ may facilitate treatment initiation and follow-up by providing a more reliable and comprehensive evaluation of patients with PD. The study was registered at clinicaltrials.gov after ethical approval (NCT06621420; https://clinicaltrials.gov/study/NCT06621420).
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5. Extra-Anatomical Urinary Stent for Complex Ureteral Strictures: A Systematic Review and Narrative Synthesis.
PMID:日期:2026-08Complex ureteral strictures, irrespective of their aetiology, constitute a therapeutic challenge in everyday clinical practice. They are usually managed with antegrade or retrograde ureteral stent or double-J stent insertion, or the placement of a nephrostomy tube. The Detour® extra-anatomical stent (EAS) is a subcutaneous pyelovesical bypass proposed as an alternative solution for urinary diversion. The aim of this systematic review and narrative synthesis was to evaluate the safety and effectiveness of Detour EAS. A literature search of MEDLINE, Scopus and Web of Science databases was performed using the following terms: Ureter* AND ("Subcutaneous pyelovesical bypass" OR "Extra-anatomical stent*" OR "Detour" OR "Artificial ureter" OR "Nephrovesical bypass"). Published observational and interventional studies evaluating the efficacy of Detour subcutaneous pyelovesical bypass placement in the management of complex ureteral stenosis were included. The primary outcome was functional stent success, whereas secondary outcomes included complications. Of 182 records identified, 25 studies including 344 unique patients were analysed. Functional success rate in most of the studies exceeded 85% at follow-up, ranging from 0% in a cohort of patients with ileal conduits to 100% in case reports and poor-quality case series. The most common complications included urinary tract infections, encrustation, infection of the overlying skin and dislodgement of the stent's vesical end. The EAS had to be removed in a total of 50 patients, while five deaths occurred, three due to prosthesis-related septic events, one due to palliative care cessation and one due to abdominal abscess-related sepsis. Despite these risks, Detour placement seemed to improve both renal function and quality of life in most cases. In selected patients Detour EAS might be considered as an alternative but its safety and efficacy need further investigation. Careful patient selection and surgical procedure optimisation are essential to improve its safety-related results.
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6. Recurrent Invasive Clear Cell Subtype of Upper Tract Urothelial Carcinoma Responding to Enfortumab Vedotin and Pembrolizumab After Chemotherapy: A Case Report.
PMID:日期:2026-07Urothelial carcinoma (UC) with clear cell subtype is a malignant neoplasm characterized by a distinctive morphological pattern featuring a glycogen-rich cytoplasm. Due to its extremely rare occurrence in the upper urinary tract, an optimal treatment has not yet been established. This study reports the case of an 81-year-old woman diagnosed with upper tract urothelial carcinoma (UTUC) with clear cell subtype located in the right renal pelvis. The patient underwent laparoscopic radical nephroureterectomy, and pathological findings showed that clear-cell morphology accounted for more than 90% of the tumor. Gemcitabine and carboplatin were administered as adjuvant chemotherapy. However, 3 months after completing adjuvant chemotherapy, the patient developed severe pain, and imaging examinations revealed metastasis to the para-aortic lymph nodes and retroperitoneum. Subsequently, the patient underwent systemic therapy with enfortumab vedotin (EV) and pembrolizumab (EV-P). Following a single cycle of EV-P, the patient exhibited substantial improvement in symptoms, and metastatic lesions decreased notably. Immunohistochemical testing confirmed strong expression of Nectin-4 in the tumor tissue. This is the first report to demonstrate the efficacy of EV-P for recurrent UTUC with clear cell subtype. In tumors exhibiting rare histological variants, the identification of biomarkers such as nectin-4 suggests their potential to guide effective treatment selections.
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7. Development and Validation of A Nomogram for Prostate Cancer Diagnosis Based on Inflammatory Ratios and PSA Derived Indicators.
7. 基于炎症比值和PSA衍生指标的前列腺癌诊断列线图的开发与验证PMID:日期:2026-07This study aimed to investigate the diagnostic value of the C-reactive protein/albumin ratio (CAR) and platelet/albumin ratio (PAR) combined with prostate-specific antigen (PSA)-derived indicators for prostate cancer (PCa) and to develop a visualised nomogram for PCa diagnosis. This retrospective study included 354 patients undergoing initial prostate biopsy between January 2023 and December 2025. Patients were randomly assigned to a training set (n = 248, 70%) and a validation set (n = 106, 30%). The training set included 106 patients with PCa and 142 patients with benign prostatic hyperplasia (BPH). Clinical characteristics and laboratory data were collected to calculate CAR, PAR and PSA-derived indicators. Independent risk factors of PCa were identified using univariate and multivariate logistic regression analyses and incorporated into a nomogram. Model performance was assessed by receiver operating characteristic (ROC) curves, calibration curves, bootstrap internal validation (1000 resamples) and decision curve analysis (DCA). Compared with patients with BPH, those with PCa had older age, lower free/total prostate-specific antigen ratio (f/tPSA), and higher prostate-specific antigen density (PSAD), CAR and PAR (all < 0.05). Multivariate analysis confirmed these five indicators as independent predictors of PCa (all < 0.05). The combined model yielded an area under the curve (AUC) of 0.882, significantly outperforming single indicators ( < 0.05), with a sensitivity of 92.45% and a specificity of 73.94%. The nomogram achieved AUCs of 0.886 (training) and 0.850 (validation), with an AUC difference of 0.036 and no significant overfitting. Patients with intermediate- to high-risk PCa (Gleason score ≥ 7) showed lower f/tPSA and higher PSAD, CAR, PAR than those with low-risk PCa (all < 0.05). Calibration curves showed good agreement between predicted and actual observed probabilities, and DCA indicated favourable clinical net benefit. Age, f/tPSA, PSAD, CAR and PAR are independent risk factors of PCa. Internal validation of the nomogram incorporating these variables showed no significant overfitting and high preoperative diagnostic value. The nomogram may assist in tumour malignancy assessment, but external multicentre validation is needed to confirm its generalisability.
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8. Risk Factors and Nomogram for Predicting Urosepsis Following Laparoscopic Urological Surgery and Its Association With Acute Kidney Injury.
PMID:日期:2026-07This study aimed to investigate the incidence and risk factors of urosepsis following laparoscopic urological surgery, develop a predictive nomogram, and evaluate the association between postoperative urosepsis and acute kidney injury (AKI). This retrospective analysis was performed on 426 consecutive patients who underwent laparoscopic urological surgery between March 2020 and August 2025. Patients were divided into a sepsis group (n = 42) and a non-sepsis group (n = 384) based on the occurrence of postoperative urosepsis. Demographics, disease and surgical characteristics, laboratory parameters, and the incidence of AKI were compared between the two group. Independent risk factors were identified using multivariable logistic regression and incorporated into a predictive nomogram. Model performance was assessed by receiver operating characteristic (ROC) curve, calibration plot, and decision curve analysis (DCA). Postoperative urosepsis occurred in 9.86% (42/426) of patients, of whom 83.33% (35/42) had positive urine cultures. Independent risk factors included positive preoperative urine culture, prolonged operative time, elevated urinary heparin-binding protein (HBP), and elevated white blood cell (WBC) count (all < 0.05). The nomogram achieved an area under the ROC curve of 0.812 (95% confidence interval [CI]: 0.739-0.885), sensitivity of 0.810, specificity of 0.677, accuracy of 0.690, good calibration (Hosmer-Lemeshow test, = 0.388), and net clinical benefit on DCA. The incidence of AKI was higher in the sepsis group than in the non-sepsis group (30.95% vs. 6.25%, < 0.05), with greater severity observed in the sepsis group. After adjustment for age, diabetes mellitus, intraoperative blood loss, and baseline creatinine, urosepsis remained an independent risk factor for AKI (odds ratio [OR] = 5.623, 95% CI: 2.847-11.106; < 0.05). Urosepsis after laparoscopic urological surgery is an independent risk factor for AKI. The developed nomogram, incorporating preoperative urine culture, operative time, urinary HBP, and WBC count, demonstrated good performance in identifying patients at high risk of postoperative urosepsis.
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9. Effects of General Versus Regional Anaesthesia on Surgical Outcomes and Early Postoperative Sequelae in Minimally Invasive Surgery for Urinary Calculi: A Meta-analysis of Randomized Controlled Trials.
PMID:日期:2026-07To systematically compare general anaesthesia (GA) and regional anaesthesia in patient undergoing minimally invasive surgery for urinary calculi, focusing on operative outcomes (e.g., operative time, length of hospital stay, stone-free rate [SFR]) and early postoperative outcomes (e.g., pain measured by the visual analog scale [VAS] and complication rate), and to provide evidence to guide anaesthetic selection. PubMed, Embase, and the Cochrane Library were searched from database inception to December 2025 for randomized controlled trials (RCTs) comparing GA with regional anaesthesia in minimally invasive urinary stone procedures. Study quality was assessed using the Cochrane Risk of Bias tool. Meta-analyses were conducted using RevMan 5.4. Heterogeneity was quantified using the I statistic; fixed-effects models were used when I < 50% and random-effects models when I ≥ 50%. Sensitivity analyses were conducted to evaluate the robustness of pooled estimates. The analysis included seven RCTs (525 participants) with regional anaesthesia administered to n = 257 and GA to n = 268. Regional anaesthesia was associated with a shorter operative time compared with GA (weighted mean difference [WMD] = -8.90 minutes, 95% confidence interval [CI] = -14.53 to -3.27; = 0.002). After excluding studies that contributed to heterogeneity, the effect remained consistent (I2= 43%; = 0.004). No statistically significant between-group differences were observed for length of hospital stay or SFR ( > 0.05). In the primary analyses, postoperative 4-8 hours VAS scores and complication rates showed no significant differences ( > 0.05). Sensitivity analyses suggested that, after exclusion of influential studies, regional anaesthesia was associated with higher VAS scores (WMD = 1.11, 95% CI: 0.59 to 1.64; < 0.001), and one sensitivity model suggested a higher complication rate in the regional anaesthesia group (odds ratio [OR] = 2.79, 95% CI = 1.49 to 5.20; = 0.001). Risk-of-bias assessment varied across domains, with concerns mainly related to performance bias and incomplete reporting in some trials. Regional anaesthesia may shorten overall procedure-related time in minimally invasive surgery for urinary calculi. However, its effects on postoperative pain and complications remain uncertain, and the complication outcome was sensitive to individual studies. Length of hospital stay and SFR do not appear to substantially differ between anaesthesia strategies. The PROSPERO Registration: The protocol for this meta-analysis was registered in the International Prospective Register of Systematic Reviews (PROSPERO) (CRD420261326142, https://www.crd.york.ac.uk/PROSPERO/view/CRD420261326142).
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10. Clinical Outcomes of CTA-Assisted Transarterial Embolization in Emergency Patients With Urologic Tumours Complicated by Gross Haematuria: A Retrospective Cohort Study.
PMID:日期:2026-07Gross haematuria constitutes a life-threatening complication of urologic tumours, demanding urgent and precise identification of the responsible bleeding vessels, along with immediate and effective haemostatic intervention to avert hemodynamic collapse. This retrospective cohort study included 120 emergency patients with urologic tumours and gross haematuria between January 2020 and December 2023. All patients underwent preprocedural computed tomography angiography (CTA) to evaluation bleeding vessels and tumour blood supply, followed by transarterial embolization (TAE). Clinical characteristics, procedural outcomes, and follow-up data were analysed. Preprocedural CTA identified target vessels in 112 of 120 patients (93.3%). Postoperative complications occurred in 23 patients (19.2%) and were predominantly Clavien-Dindo grade I-II, including embolization syndrome (9.2%), transient recurrent haematuria (5.0%), and urinary tract infection (3.3%), all of which were managed conservatively. Multivariate Cox regression analysis identified tumour node metastasis (TNM) stage III-IV, multiple tumour foci, and hypovascular supply as independent risk factors for haematuria recurrence and poor overall survival rate (all < 0.05). CTA-assisted TAE shows high immediate haemostatic efficacy and acceptable short-term safety, supporting its clinical feasibility as a rescue approach for urologic tumour-related gross haematuria. TNM stage III-IV, multiple foci, and hypovascular supply predict poorer outcomes. Prospective multicentre controlled studies are warranted.