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Id: lil-782844
Autor: Malik, Rena D; Cohn, Joshua A; Fedunok, Pauline A; Chung, Doreen E; Bales, Gregory T.
Título: Assessing variability of the 24-hour pad weight test in men with post-prostatectomy incontinence
Fonte: Int. braz. j. urol;42(2):327-333, Mar.-Apr. 2016. tab, graf.
Idioma: en.
Resumo: ABSTRACT Purpose: Decision-making regarding surgery for post-prostatectomy incontinence (PPI) is challenging. The 24-hour pad weight test is commonly used to objectively quantify PPI. However, pad weight may vary based upon activity level. We aimed to quantify variability in pad weights based upon patient-reported activity. Materials and Methods: 25 patients who underwent radical prostatectomy were prospectively enrolled. All patients demonstrated clinical stress urinary incontinence without clinical urgency urinary incontinence. On three consecutive alternating days, patients submitted 24-hour pad weights along with a short survey documenting activity level and number of pads used. Results: Pad weights collected across the three days were well correlated to the individual (ICC 0.85 (95% CI 0.74–0.93), p<0.001). The mean difference between the minimum pad weight leakage and maximum leakage per patient was 133.4g (95% CI 80.4–186.5). The mean increase in 24-hour leakage for a one-point increase in self-reported activity level was 118.0g (95% CI 74.3–161.7, p<0.001). Pad weights also varied significantly when self-reported activity levels did not differ (mean difference 51.2g (95% CI 30.3–72.1), p<0.001). Conclusions: 24-hour pad weight leakage may vary significantly on different days of collection. This variation is more pronounced with changes in activity level. Taking into account patient activity level may enhance the predictive value of pad weight testing.
Descritores: Prostatectomia/efeitos adversos
Incontinência Urinária por Estresse/etiologia
Incontinência Urinária por Estresse/fisiopatologia
Micção/fisiologia
Tampões Absorventes para a Incontinência Urinária
-Valores de Referência
Fatores de Tempo
Incontinência Urinária por Estresse/cirurgia
Incontinência Urinária por Estresse/diagnóstico
Atividades Cotidianas
Modelos Lineares
Estudos Prospectivos
Reprodutibilidade dos Testes
Técnicas de Diagnóstico Urológico
Autoavaliação Diagnóstica
Autorrelato
Tomada de Decisão Clínica
Pessoa de Meia-Idade
Limites: Humanos
Masculino
Idoso
Responsável: BR1.1 - BIREME


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Id: lil-782861
Autor: Memon, Mazhar A; Ather, M. Hammad.
Título: Relationship between visual prostate score (VPSS) and maximum flow rate (Qmax) in men with urinary tract symptoms
Fonte: Int. braz. j. urol;42(2):321-326, Mar.-Apr. 2016. tab, graf.
Idioma: en.
Resumo: ABSTRACT Objective: To evaluate correlation between visual prostate score (VPSS) and maximum flow rate (Qmax) in men with lower urinary tract symptoms. Material and Methods: This is a cross sectional study conducted at a university Hospital. Sixty-seven adult male patients>50 years of age were enrolled in the study after signing an informed consent. Qmax and voided volume recorded at uroflowmetry graph and at the same time VPSS were assessed. The education level was assessed in various defined groups. Pearson correlation coefficient was computed for VPSS and Qmax. Results: Mean age was 66.1±10.1 years (median 68). The mean voided volume on uroflowmetry was 268±160mL (median 208) and the mean Qmax was 9.6±4.96mLs/sec (median 9.0). The mean VPSS score was 11.4±2.72 (11.0). In the univariate linear regression analysis there was strong negative (Pearson's) correlation between VPSS and Qmax (r=848, p<0.001). In the multiple linear regression analyses there was a significant correlation between VPSS and Qmax (β-http://www.blogapaixonadosporviagens.com.br/p/caribe.html after adjusting the effect of age, voided volume (V.V) and level of education. Multiple linear regression analysis done for independent variables and results showed that there was no significant correlation between the VPSS and independent factors including age (p=0.27), LOE (p=0.941) and V.V (p=0.082). Conclusion: There is a significant negative correlation between VPSS and Qmax. The VPSS can be used in lieu of IPSS score. Men even with limited educational background can complete VPSS without assistance.
Descritores: Próstata/fisiopatologia
Micção/fisiologia
Sintomas do Trato Urinário Inferior/diagnóstico
Sintomas do Trato Urinário Inferior/fisiopatologia
Avaliação de Sintomas/métodos
-Valores de Referência
Fatores de Tempo
Urodinâmica
Índice de Gravidade de Doença
Modelos Lineares
Estudos Transversais
Estudos Prospectivos
Reprodutibilidade dos Testes
Fatores Etários
Técnicas de Diagnóstico Urológico
Escolaridade
Limites: Humanos
Masculino
Idoso
Tipo de Publ: Estudo de Avaliação
Responsável: BR1.1 - BIREME


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Id: biblio-840796
Autor: Guimaraes, Gustavo Cardoso; Costa, Walter Henriques da; Rosa, Renato Almeida; Zequi, Stênio; Favaretto, Ricardo.
Título: Predictive role of Trimprob associated with multiparametric MRI in the diagnosis of prostate cancer
Fonte: Int. braz. j. urol;43(1):29-35, Jan.-Feb. 2017. tab, graf.
Idioma: en.
Resumo: ABSTRACT Objectives To evaluate the predictive value of TRIMprob test to detect prostate cancer (PCa) in patients referred to prostate biopsy (PB). Material and Methods Patients with PSA <10ng/mL and rectal exam without findings suggestive of prostate cancer were selected for TRIMprob evaluation. Exam was performed by a single operator through transperineal approach. Patients admitted for the study were submitted to TRIMprob and multiparametric magnetic resonance (mpMRI) and posteriorly to PB. Results In total, 77 patients were included. TRIMprob showed evidences of PCa in 25 (32.5%) and was negative in 52 patients (67.5%). The rate of detection of prostate cancer at biopsy was higher in patients with positive TRIMprob (16/25; 64.0%) than in patients with negative TRIMprob (11/52; 21.1%; p<0.001). Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of TRIMprob were respectively 61.5%, 82.0%, 64.0%, 80.3% and 74.0%. ROC curve showed the following areas under the curve values for TRIMprob, mpMRI and combination of TRIMprob + mpMRI: 0.706; 0.662 and 0.741 respectively. At combined analysis, when both TRIMprob and mpMRI were negative for prostate cancer, accuracy was 96.3% or only 1 in 27 PB was positive (3.7%). Conclusions Trimprob had similar predictive value for PCa in patients submitted to PB as mpMRI. Combined TRIMprob and mpMRI showed higher accuracy than when performed singly.
Descritores: Neoplasias da Próstata/diagnóstico por imagem
Imageamento por Ressonância Magnética/métodos
Técnicas de Diagnóstico Urológico/instrumentação
-Próstata/patologia
Próstata/diagnóstico por imagem
Neoplasias da Próstata/patologia
Valores de Referência
Biópsia
Estudos Transversais
Reprodutibilidade dos Testes
Estudos Retrospectivos
Sensibilidade e Especificidade
Antígeno Prostático Específico/sangue
Distribuição por Idade
Gradação de Tumores
Pessoa de Meia-Idade
Limites: Humanos
Masculino
Adulto
Idoso
Tipo de Publ: Estudo de Avaliação
Responsável: BR1.1 - BIREME


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Id: lil-388387
Autor: Santana Sarrhy, Lourdes; Wong Arocha, Haydee.
Título: Criterios actuales para evaluar la conducta a seguir con los pacientes que padecen de hiperplasia prostática benigna / Present criteria to evaluate the conduct to be followed with patients suffering from bening prostatic hyperplasia
Fonte: Rev. cuba. cir;43(1), ene.-mar. 2004. tab.
Idioma: es.
Resumo: El progreso de la biología y de la medicina en los últimos 20 años ha permitido avanzar en el conocimiento de la fisiopatología, morfología, sintomatología e incluso de nuevas alternativas terapéuticas en los pacientes con hiperplasia prostática benigna (HPB). Se llevó a cabo la presente investigación con el objetivo de evaluar los pacientes que asisten a nuestra consulta y que presentaban HPB a la luz de los nuevos criterios clínico-terapéuticos, e identificar la correlación existente entre estos criterios en dichos pacientes. Se realizó un estudio descriptivo de 56 pacientes con edades comprendidas entre los 50 y los 80 años de edad. A todos los casos se les llenó una encuesta donde se recogieron los síntomas urinarios, el examen físico, el resultado de la uroflujometría y la medición del residuo vesical. Los datos recogidos fueron analizados por métodos paramétricos y los resultados fueron llevados a tablas para una mejor comprensión de éstos. El 66,6 (por ciento) de los pacientes que tenían un tacto rectal normal presentaban un flujo máximo obstructivo importante y el 50 (por ciento) de los casos con próstata al tacto grado III tenían flujo no obstructivo. Del total de pacientes con flujo máximo por debajo de 10 mL/s, el 89,2 (por ciento) tenía un residuo importante. El examen físico es útil para verificar la benignidad del proceso, pero el crecimiento de la glándula a través de la palpación digital no es proporcional al grado de obstrucción; que los síntomas obstructivos e irritativos aparecen con mayor frecuencia en los pacientes con un flujo urinario máximo menor de 10mL/seg. y que la medición del residuo vesical por ultrasonido abdominal nos es muy necesario para completar el estudio de estos pacientes(AU)

The progress of biology and medicine in the last years has allowed to advance in the knowldege of physiopathology, morphology, symptomatology and even of new therapeutic alternatives in patients with bening prostatic hyperplasia (BPH). The present research was carried out aimed at evaluating those patients visiting our office and who presented BPH to the light of the new clinicotherapeutic crtieria, and at identifying the correlation existing among these criteria in such patients. A descriptive study of 56 patients aged 50-80 was conducted. All the patients were surveyed and data on the urinary sytem, the physical examination, the result of the uroflowmetry and the measurement of the vesical residual were collected. These data were analyzed by parametric methods and the results were shown in tables for their better comprehension. 66.6 percent of the patients with normal rectal touch had an important maximum obstructive flow and 50 percent of the cases with degree III prostate to the touch had nonobstructive flow. Of the total of patients with maximum flow under 10 mL/sec, 89.2 percent had an important residual. It was concluded that the physical examination is useful to verify the benignancy of the process, that the growth of the gland through digital palpation is not proportional with the obstruction degree, that the obstructive and irritative symptoms appear more frequently in patients with a maximum urinary flow under 10 mL/sec and that the measurement of the vesical residual by abdominal ultrasound is very necessary to complete the study of these patients(AU)
Descritores: Doenças Prostáticas/cirurgia
Hiperplasia Prostática/diagnóstico
Hiperplasia Prostática/tratamento farmacológico
Técnicas de Diagnóstico Urológico/efeitos adversos
Limites: Humanos
Masculino
Pessoa de Meia-Idade
Responsável: CU1.1 - Biblioteca Médica Nacional


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Id: biblio-1119383
Autor: Daza, Marcial; Betancourt, Carlos; Vásquez, Juan; Lugo, Carlos; Llaque, Guillermo.
Título: Carcinoma urotelial del tracto urinario superior: a propósito de un caso y revisión de la literatura / Upper urinary tract urothelial carcinoma: case report and review of the literature
Fonte: Bol. méd. postgrado;36(1):56-59, jul.2020. ilus.
Idioma: es.
Resumo: El carcinoma urotelial (CU) del tracto urinario superior es infrecuente y representa solo del 5%-10% de todos los CU. Estas neoplasias crecen a partir del urotelio de los cálices renales hasta el tercio distal del uréter. Se reporta el caso de un paciente masculino de 68 años de edad quien presenta enfermedad actual de 3 meses de evolución caracterizada por dolor lumbar izquierdo, tipo cólico, de leve a moderada intensidad, el cual atenúa parcialmente con el uso de AINES, asociado a hematuria visible total de predominio nocturno. El uroanálisis mostró hematuria macroscópica y la citología urinaria evidenció atipias sugerentes de carcinoma. La TAC abdomino-pélvica contrastada evidenció un defecto de llenado en relación al cáliz inferior de riñón izquierdo y plastrón ganglionar paraaórtico izquierdo. Se practicó nefroureterectomía radical izquierda evidenciando tumor de 3 x 3 x 1 cm en relación a pelvis renal extensiva a cáliz inferior invadiendo parénquima renal. El estudio histopatológico mostró un carcinoma urotelial papilar infiltrativo de alto grado con márgenes sin lesiones y ganglios linfáticos con metástasis. El paciente evoluciona satisfactoriamente durante el período postoperatorio y actualmente recibe terapia adyuvante. A pesar de ser una patología poco frecuente, puede presentarse y el urólogo debe estar en capacidad para poder enfrentarla(AU)

Upper urinary tract urothelial carcinoma (UC) is infrequent and represents only 5%-10% of all UCs. These neoplasms grow from the urothelium of renal calyces to the distal third of the ureter. A case of UC of the upper urinary tract is reported in a 68-year-old male patient with a 3-month history of left lumbar mild to moderate pain, which partially mitigates with the use of NSAIDs associated with visible total predominantly nocturnal hematuria. Macroscopic hematuria was evident and urinary cytology reported carcinoma suggestive atypias. Contrasted CT of abdomen and pelvis showed filling defect in relation to lower calyx of the left kidney and left para-aortic ganglion plastron. Radical left nephroureterectomy was performed showing a 3 x 3 x 1 cm tumor in relation to the renal pelvis extending to the lower cavity and invading renal parenchyma. Histopathology showed high grade infiltrative papillary CU with margins without lesions and lymph nodes with metastasis. Patient evolves satisfactorily in the postoperative period and is currently in adjuvant therapy. Although this pathology is rare, it can occur and the urologist must be able to face it(AU)
Descritores: Neoplasias da Bexiga Urinária
Neoplasias Urogenitais
Técnicas de Diagnóstico Urológico
-Tabagismo
Carcinógenos
Urotélio/fisiopatologia
Limites: Humanos
Masculino
Idoso
Tipo de Publ: Relatos de Casos
Responsável: VE1.1 - Biblioteca Humberto Garcia Arocha


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Id: biblio-842707
Autor: Silva, Juliana Cristina Pereira da; Soler, Zaida Aurora Sperli Geraldes; DominguesWysocki, Anneliese.
Título: Associated factors to urinary incontinence in women undergoing urodynamic testing / Factores asociados con la incontinencia urinaria en mujeres sometidas al estudio urodinámico / Fatores associados à incontinência urinária em mulheres submetidas ao exame urodinâmico
Fonte: Rev. Esc. Enferm. USP;51:e03209, 2017. tab, graf.
Idioma: en; pt.
Resumo: Abstract OBJECTIVE Analyzing factors associated with urinary incontinence (UI) among women submitted to urodynamic testing. METHOD A cross-sectional study of 150 women attended at a urological center. Data were analyzed using univariate and multivariate statistics. RESULTS White women (79.3%), overweight (45.3%), menopausal (53.3%), who drink coffee (82.7%), sedentary (65.3%), who had vaginal birth (51.4%), with episiotomy (80%), and who underwent the Kristeller maneuver (69%). 60.7% had Urethral Hypermobility (UH). A statistical association was found between: weight change and UH (p = 0.024); menopause, Intrinsic Sphincter Deficiency (ISD) and Detrusor Instability (DI) (p = 0.001); gynecological surgery, ISD and DI (p = 0.014); hysterectomy and all types of UI (p = 0.040); physical activity and mixed UI (p = 0.014). CONCLUSION Interventions and guidance on preventing UI and strengthening pelvic muscles should be directed at women who present weight changes, who are sedentary menopausal women, and those who have undergone hysterectomy or other gynecological surgery. Studies on pelvic strengthening methods are needed in order to take into account the profile of the needs presented by women.

Resumen OBJETIVO Analizar los factores asociados con la Incontinencia Urinaria (IU) entre mujeres sometidas al estudio urodinámico MÉTODO Estudio transversal llevado a cabo con 150 mujeres atendidas en un centro urológico. Los datos fueron analizados por medio de estadística uni y multivariada. RESULTADOS Mujeres blancas (79,3%), con sobrepeso (45,3%), en la menopausia (53,3%), que ingerían café (82,7%), sedentarias (65,3%), que tuvieron parto normal (51,4%), con episiotomía (80%), que sufrieron Maniobra de Kristeller (69%), el 60,7% presentaban Hipermovilidad Uretral (HU). Hubo asociación estadística entre: cambio de peso e HU (p = 0,024); menopausia, Deficiencia Intrínseca del Esfínter (DIE)e Inestabilidad del Detrusor (ID) (p = 0,001); cirugía ginecológica, DIE e ID (p = 0,014); histerectomía y todos los tipos de IU (p = 0,040); realización de actividad física e IU mixta (p = 0,014). CONCLUSIÓN Intervenciones y orientaciones en cuanto a la prevención de la IU y al fortalecimiento de la musculatura pélvica deben dirigirse a mujeres que presentan cambio de peso, sedentarias, que se hallan en la menopausia y las que realizaron histerectomía u otra cirugía ginecológica. Son necesarios estudios sobre métodos de fortalecimiento pélvico, de modo a contemplar el perfil de las necesidades presentadas por las mujeres.

Resumo OBJETIVO Analisar os fatores associados à Incontinência Urinária (IU) entre mulheres submetidas a estudo urodinâmico. MÉTODO Estudo transversal realizado com 150 mulheres atendidas em um centro urológico. Os dados foram analisados por meio de estatística uni e multivariada. RESULTADOS Mulheres brancas (79,3%), com sobrepeso (45,3%), na menopausa (53,3%), que ingeriam café (82,7%), sedentárias (65,3%), que fizeram parto normal (51,4%), com episiotomia (80%), que sofreram Manobra de Kristeller (69%). 60,7% apresentavam HipermobilidadeUretral (HU).Houve associação estatística entre: mudança de peso e HU (p=0,024); menopausa,Deficiência Esfincteriana Intrínseca (DEI) e Instabilidade Detrusora (ID) (p=0,001); cirurgia ginecológica, DEI e ID (p=0,014); histerectomia etodos os tipos de IU (p=0,040); realização de atividade física eIU mista (p=0,014). CONCLUSÃO Intervenções e orientações quanto à prevenção da IU e ao fortalecimento da musculatura pélvica devem ser voltadas amulheres que apresentam mudança de peso, sedentárias, que se encontram na menopausa e àquelas que realizaram histerectomia ou outra cirurgia ginecológica. São necessários estudos sobre métodos de fortalecimento pélvico, de modo a contemplar o perfil dasnecessidades apresentadaspelas mulheres.
Descritores: Incontinência Urinária
Urodinâmica
Fatores de Risco
-Estudos Transversais
Saúde da Mulher
Técnicas de Diagnóstico Urológico
Limites: Humanos
Feminino
Adulto
Pessoa de Meia-Idade
Idoso
Idoso de 80 Anos ou mais
Tipo de Publ: Estudo Observacional
Responsável: BR41.1 - Biblioteca Wanda de Aguiar Horta


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Id: lil-528843
Autor: Feitosa, Danielle Cristina Alves; Silva, Márcia Guimarães da; Parada, Cristina Maria Garcia de Lima.
Título: Accuracy of simple urine tests for diagnosis of urinary tract infections in low-risk pregnant women / La exactitud del examen de orina simple para diagnosticar infecciones del tracto urinario en gestantes de bajo riesgo / Acurácia do exame de urina simples para diagnóstico de infecções do trato urinário em gestantes de baixo risco
Fonte: Rev. latinoam. enferm;17(4):507-513, July-Aug. 2009. tab.
Idioma: en; es; pt.
Projeto: FAPESP.
Resumo: Anatomic and physiological alterations during pregnancy predispose pregnant women to urinary tract infections (UTI). This study aimed to identify the accuracy of the simple urine test for UTI diagnosis in low-risk pregnant women. Diagnostic test performance was conducted in Botucatu, SP, involving 230 pregnant women, between 2006 and 2008. Results showed 10 percent UTI prevalence. Sensitivity, specificity and accuracy of the simple urine test were 95.6 percent, 63.3 percent and 66.5 percent, respectively, in relation to UTI diagnoses. The analysis of positive (PPV) and negative (NPV) predictive values showed that, when a regular simple urine test was performed, the chance of UTI occurrence was small (NPV 99.2 percent). In view of an altered result for such a test, the possibility of UTI existence was small (PPV 22.4 percent). It was concluded that the accuracy of the simple urine test as a diagnostic means for UTI was low, and that performing a urine culture is essential for appropriate diagnosis.

Las alteraciones anatómicas y fisiológicas de la gravidez predisponen a las gestantes a infecciones del tracto urinario (ITU). El objetivo de este estudio fue identificar la exactitud del examen de orina simple para diagnosticar ITU en gestantes de bajo riesgo. Se hizo uso del estudio de desempeño de prueba de diagnóstico realizado en Botucatu, San Pablo, con 230 gestantes, entre 2006 y 2008. Los resultados muestran que la prevalencia de ITU fue de 10 por ciento. La sensibilidad fue 95,6 por ciento, la especificidad 63,3 por ciento y la exactitud 66,5 por ciento del examen de orina simple, en relación al diagnóstico de ITU. El análisis de los valores de predicción positivo y negativo (VPP y VPN) mostró que, en la vigencia de examen de orina simple normal, la probabilidad de haber ITU fue pequeña (VPN 99,2 por ciento). Frente al resultado alterado de ese examen, la probabilidad de haber ITU fue baja (VPP 22,4 por ciento). Se concluye que la exactitud del examen de orina simple como medio de diagnóstico de ITU fue baja, siendo indispensable la realización de urocultura para el diagnóstico.

Alterações anatômicas e fisiológicas da gravidez predispõem gestantes a infecções do trato urinário (ITU). O objetivo deste estudo foi identificar a acurácia do exame de urina simples para diagnóstico de ITU em gestantes de baixo risco. Fez-se uso do estudo de desempenho de teste diagnóstico realizado em Botucatu, SP, com 230 gestantes, entre 2006 e 2008. Os resultados mostram que a prevalência de ITU foi de 10 por cento. A sensibilidade foi 95,6 por cento, especificidade 63,3 por cento e acurácia 66,5 por cento do exame de urina simples, em relação ao diagnóstico de ITU. A análise dos valores preditivos positivo e negativo (VPP e VPN) mostrou que, na vigência de exame de urina simples normal, a chance de haver ITU foi pequena (VPN 99,2 por cento). Frente ao resultado alterado desse exame, a probabilidade de haver ITU foi baixa (VPP 22,4 por cento). Conclui-se que a acurácia do exame de urina simples como meio diagnóstico de ITU foi baixa, sendo indispensável a realização de urocultura para o diagnóstico.
Descritores: Complicações Infecciosas na Gravidez/diagnóstico
Complicações Infecciosas na Gravidez/urina
Infecções Urinárias/diagnóstico
Infecções Urinárias/urina
-Técnicas de Diagnóstico Urológico/normas
Reprodutibilidade dos Testes
Fatores de Risco
Limites: Feminino
Humanos
Gravidez
Responsável: BR1.1 - BIREME


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Id: biblio-1088038
Autor: Carneiro, Arie; Wroclawsk, Marcelo Langer; Nahar, Bruno; Soares, Andrey; Cardoso, Ana Paula; Kim, Nam Jin; Carvalho, Fabricio Torres.
Título: Impact of the COVID-19 pandemic on the urologist's clinical practice in Brazil: a management guideline proposal for low- and middle-income countries during the crisis period
Fonte: Int. braz. j. urol;46(4), 2020.
Idioma: en.
Resumo: This letter to the Editor aims to provide suggestions and recommendations for the management of urological conditions in times of COVID-19 crisis in Brazil and other low- and middle-income countries. It is important to highlight that one of the main characteristics of this pandemic is the oversaturation of the health system capacity, mostly due to a high demand for personal protective equipment (PPE), Hospital/ICU beds, as well as ventilators. In places with limited resources and where the health care systems are already saturated, such consideration is even more worrisome. Therefore, most worldwide authorities are recommending to avoid, as much as possible, patient's elective visits to hospitals, as well as a judicious use of the operating room in order to mitigate the strain put on the health system. While efforts should be directed to the care of COVID-19 patients, other conditions (especially urgencies and oncological cases) must continue to be assisted. Thus, through a panel of experts, we have prepared a practical guide for urologists based on the recommendations from the main Urologic Associations, as well as data from the literature to support the suggested management. We will try to follow the standard guideline recommendations from the American Urological Association (AUA) and European Association of Urology (EAU), with the aim of pursuing the best outcomes possible. However, some recommendations were based on the consensus of the panel, taking into consideration the reality of developing countries and the unprecedented situation caused by the COVID-19 crisis. Most importantly, all recommendations on this manuscript are based on the expectancy of a maximum 3-month duration of the crisis. If this period shall extended, these recommendations will be revised and updated. The format of the text will be given through questions and answers.(AU)
Descritores: Procedimentos Cirúrgicos Urológicos/normas
Infecções por Coronavirus/epidemiologia
Países em Desenvolvimento
Técnicas de Diagnóstico Urológico/normas
Pandemias
-Brasil
Tipo de Publ: Entrevista
Responsável: BR1.1 - BIREME


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Id: biblio-1093047
Autor: Sanín-Ramírez, Daniel; Calle-Meneses, Cristian; Jaramillo-Mesa, Carolina; Nieto-Restrepo, Julián Alfredo; Marín-Pineda, Diana Marcela; Campo-Campo, María Nazareth.
Título: Etiological prevalence of urinary tract infections in symptomatic pregnant women in a high complexity hospital in Medellín, Colombia, 2013-2015 / Prevalencia etiológica de infección del tracto urinario en gestantes sintomáticas, en un hospital de alta complejidad de medellín, colombia, 2013-2015
Fonte: Rev. colomb. obstet. ginecol;70(4):243-252, oct.-dic. 2019. tab, graf.
Idioma: es.
Resumo: RESUMEN Objetivo: determinar la prevalencia de infección del tracto urinario (ITU), el perfil microbiológico y la resistencia a los antibióticos en mujeres gestantes con sospecha de infección del tracto urinario. Materiales y métodos: estudio de corte transversal. Ingresaron gestantes con sospecha de infección del tracto urinario adquirida en la comunidad, remitidas a consulta externa desde su control prenatal o atención por urgencias, y hospitalizadas entre agosto de 2013 y septiembre de 2015 en un hospital universitario de referencia ubicado en Medellín, Colombia. Se excluyeron gestantes que hubieran recibido antibióticos el día anterior a la admisión. Muestreo aleatorio simple. Variables medidas: sociodemográficas, clínicas y bacteriológicos. Se aplicó estadística descriptiva. Resultados: la prevalencia de infección del tracto urinario fue del 29 %. Predominaron los aislamientos de bacterias Gram negativas, principalmente E. coli y K. pneumoniae en un 57,7 y 11,4 % respectivamente. Se observó resistencia a trimetoprim-sulfametoxazol en el 19,5 % y ampicilina-sulbactam en el 17,5 % de los aislamientos. Conclusiones: se requieren estudios de base poblacional para una mejor aproximación a la resistencia de las bacterias causantes de la ITU en la comunidad. Por otra parte, la alta resistencia observada podría sugerir que algunos antibióticos expuestos no sean incluidos en las guías locales de manejo de la ITU.

ABSTRACT Objective: To determine the prevalence of urinary tract infections (UTIs), the microbiological profile and antibiotic resistance in pregnant women with suspected urinary tract infection. Materials and methods: Cross-sectional study of pregnant women with suspected community- acquired urinary tract infection referred to the outpatient clinic by prenatal care practitioners or seen in the emergency room, and hospitalized between August 2013 and September 2015 in a referral teaching hospital located in Medellin, Colombia. Pregnant women who had received antibiotics on the day before admission were excluded. Random sampling. Measured variables: sociodemographic, clinical and bacteriological. Descriptive statistics were applied. Results: The prevalence of urinary tract infections was 29%. Gram negative bacteria isolates were found predominantly, the main ones being E. coli and K. pneumoniae at 57.7 and 11.4%, respectively. Resistance to trimethoprim- sulfamethoxazole and to ampicillin-sulbactam was observed in 19.5% and 17.5% of isolates, respectively. Conclusions: Population-based studies are needed to provide a better approach to bacterial resistance in community-acquired UTIs. On the other hand, the high resistance observed may suggest that some of the exposed antibiotics might not be included in the local guidelines for the management of UTIs.
Descritores: Complicações Infecciosas na Gravidez
-Infecções Urinárias
Urinálise
Técnicas de Diagnóstico Urológico
Limites: Humanos
Feminino
Gravidez
Responsável: CO76


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Id: biblio-1016646
Autor: Galano Vázquez, Karell; Sagaró del Campo, Nelsa María; Zamora Matamoros, Larisa; Lambert Matos, Yuber; Mingui Caronell, Eduviges.
Título: Análisis estadístico implicativo en la identificación de factores pronósticos de mortalidad del cáncer renal / Análise estatística implicativa na identificação de fatores prognósticos da mortalidade por câncer renal / Statistical analysis implicative in the identification of prognostic factors of renal cancer mortality
Fonte: Rev. inf. cient;98(2):157-170, 2019. ilus.
Idioma: es.
Descritores: Análise Estatística
Técnicas e Procedimentos Diagnósticos/mortalidade
Técnicas de Diagnóstico Urológico/mortalidade
Neoplasias Renais/mortalidade
-Estudos de Casos e Controles
Estudos Observacionais como Assunto
Limites: Humanos
Tipo de Publ: Artigo Clássico
Responsável: CU419.1 - Centro Provincial de Información de Ciencias Médicas de Guantánamo



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