J.B. Passas-Martínez

Hospital Universitario 12 De Octubre

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ÁT

Á. Tejido Sánchez

Hospital Universitario 12 De Octubre

José Medina‐Polo

Hospital Universitario 12 De Octubre

F. Guerrero-Ramos

Hospital Universitario 12 De Octubre

Raquel Sopeña Sutil

Camilo José Cela University

Felipe Villacampa

Clinica Universidad de Navarra

Manuel Alonso-Isa

Hospital Universitario 12 De Octubre

A. Rodrı́guez-Antolı́n

Hospital Universitario 12 De Octubre

A. Lara-Isla

Hospital Universitario 12 De Octubre

R. Benítez-Sala

Hospital Universitario 12 De Octubre

J. Gil-Moradillo

Hospital Universitario 12 De Octubre

Cooperative Institutions

Hospital Universitario 12 De Octubre

Research Institute Hospital 12 de Octubre

Universidad Complutense de Madrid

HM Hospitales

Hospital Universitario HM Madrid

Hospital Universitario HM Sanchinarro

Madrid Health Service

University Hospital HM Puerta del Sur

Camilo José Cela University

Instituto de Salud Carlos III

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Kidney transplantation with grafts from old donors: Is there a difference in term of complications and survival outcomes?

European Urology Supplements (2017)

José Medina‐Polo Raquel Sopeña Sutil R. Benítez-Sala Federico de la Rosa-Kehrmann M. Pamplona-Casamayor

10.1016/s1569-9056(17)31191-0

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148 Four-year prospective study evaluating healthcare-associated infections (HAIs) in a urology ward: Risk factors, microbiological characteristics, and temporal evolution

European Urology Supplements (2016)

Polo J. Medina Raquel Sopeña Sutil Ana Arrébola‐Pajares S. Pérez-Cadavid R. Benítez-Sala

10.1016/s1569-9056(16)60150-1

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Evolution of primary care referrals to urology. Impact of a protocol on prostate disease and continuing education

Actas Urológicas Españolas (English Edition) (2015)

Raquel Sopeña Sutil Á. Tejido Sánchez M. Galván-Ortiz de Urbina F. Guerrero-Ramos G. García-Álvarez

10.1016/j.acuroe.2015.04.006

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Citations (2)

Perigraft fluid collections after kidney transplantation: Does the type of donor (uncontrolled donation after circulatory death vs. donation after brain death) have a role?

Editor-in-Chief s Voice List of Authors is an Important Element in a Scientific Publication (2017)

F. Guerrero-Ramos Teresa Cavero A. Rodrı́guez-Antolı́n Amado Andrés-Belmonte J.B. Passas-Martínez

Perigraft fluid collection (PFC) is a common complication after kidney transplant. Its etiology is not clear and not all the causes have been identified. The influence of the type of donor has never been evaluated. Our aim was to compare the incidence, severity and management of PFC in recipients of grafts from uncontrolled donors after circulatory death (DCD) with normothermic extracorporeal membrane oxygenation (NECMO) versus recipients of grafts from donors after brain death (DBD).We conducted a retrospective cohort study of 300 kidney transplants performed in our center between 2007 and 2012. Patients were divided in two groups: 150 recipients of Maastricht II DCD graft and 150 recipients of the DBD graft. Incidence, severity according to Clavien scale and management were analyzed in both groups, and comparison was carried out using Chi-square.Of the 300 kidney recipients analyzed, 93 (31.4%) suffered PFC, showing no difference between DBD (32.0%) and DCD (30.8%) groups (p = 0.9). Complicated PFC rate (defined as a PFC generating vascular compression, fever or urinary tract obstruction) was 22.9% in the DBD group versus 22.2% in the DCD group (p = 1); most complicated PFC were due to urinary tract obstruction (81%), with no difference between the groups (p = 1). Concerning Clavien scale, 78.5% of the PFC in our series were Clavien I, 19.4% Clavien IIIa and 2.2% Clavien IIIb, with no difference between both groups (p = 1).PFC is a frequent complication that appears in a third of our patients, showing no difference in the incidence or severity between DBD and uncontrolled DCD graft recipients.

Etiology

10.5173/ceju.2017.1255

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Survey of satisfaction in hospitalized patients at a urology department.

PubMed (2014)

Ana Arrébola‐Pajares Á. Tejido Sánchez E. Jiménez-Alcaide José Medina‐Polo S. Pérez-Cadavid

To assess the level of satisfaction with the care provided to hospitalized patients in the Department of Urology at 12 de Octubre Hospital and analyze demographic and clinical factors influencing satisfaction.A cross-sectional study was carried out using the SERVQHOS questionnaire, delivered at the time of discharge. A data sheet for each patient was collected, which included if they undergone surgery, type of surgery and whether or not presented postoperative complications, rated by the Clavien scale.479 surveys were collected, with a participation of 92%. 95.4% of patients rated their overall level of satisfaction with the care received as "satisfied" or "very satisfied". Top-rated aspects were the kindness of the staff and personalized attention. The worst rated issue was the condition of the rooms, but this did not influence perceived quality. Variables related to greater overall satisfaction were male gender, shorter hospital stay, knowing the name of the nurse, the information received and subjective factors such as personalized service and willingness to help.Our patients show a high level of satisfaction, which is mainly dependent on subjective factors. The negative issues related to the facilities do not mean lower satisfaction.

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Uso de la onabotulinumtoxina A en pacientes con vejiga hiperactiva idiopática con falta de eficacia, intolerancia o contraindicación para los anticolinérgicos

Revista Urología Colombiana / Colombian Urology Journal (2015)

Irma Ospina-Galeano José Medina‐Polo Susana de la Rosa-Kerhmann Felipe Villacampa F. Guerrero-Ramos

Evaluar la eficacia y seguridad de onabotulinumtoxina A en pacientes con vejiga hiperactiva idiopática (VHI) con falta de eficacia, intolerancia o contraindicación para el uso de anticolinérgicos. Se realizó un estudio observacional, prospectivo, abierto en un único centro entre 2008 y 2013, en pacientes consecutivos con vejiga hiperactiva idiopática con falta de eficacia o intolerancia a los anticolinérgicos. Las 73 pacientes fueron mujeres con edad de 58,9 ± 12,9 años. Se administraron 100 y 200 unidades de toxina en 89 y 5 casos, respectivamente. Diecinueve pacientes recibieron una segunda inyección, 8 pacientes 3 inyecciones y un paciente 4. Clínicamente se observó que inicialmente un 98% de las pacientes tenían incontinencia urinaria de urgencia y después del tratamiento solo un 42%; el número de absorbentes por día, pasó de 2,8 al inicio a 0,5 después del tratamiento. Respecto a los parámetros urodinámicos, el volumen del primer deseo miccional mejoró de 97 ± 63 ml a 139 ± 81 ml. Se obtuvieron resultados similares en capacidad cistométrica y el volumen de la primera contracción involuntaria del detrusor. Una paciente tuvo urocultivo positivo, resolviéndose con un régimen de antibiótico oral convencional. El cateterismo intermitente fue necesario en 5 pacientes durante la primera semana. Las inyecciones de onabotulinumtoxina A mejoraron significativamente no solo los síntomas clínicos, sino también los parámetros urodinámicos en pacientes con vejiga hiperactiva idiopática inadecuadamente manejados con anticolinérgicos. Esta es una técnica simple, con efectos adversos mínimos y generalmente bien tolerada. To assess the efficacy and safety of onabotulinum toxin A in patients with idiopathic overactive bladder inadequately managed with anticholinergics. A prospective, open-label, single centre, and interventional study was conducted, from 2008 to 2013, on consecutive patients with idiophatic overactive bladder that showed lack of efficacy or intolerance to anticholinergic agents. The study included 73 female patients aged 58.9 ± 12.9 years. A dose of 100 and 200 units of toxin were administered in 89 and 5 cases, respectively. Nineteen patients received a second injection, 8 patients received 3, and one patient was treated 4 times. Clinically, it was observed that 98% patients had urge urinary incontinence at baseline, as compared with 42% under treatment. Similar results were obtained regarding the number of pads used per day, from 2.8 at baseline to 0.5 after treatment. as regrads the urodynamic parameters, the first desire to void volume improved from ml 97 ± 63 to 139 ± 81 ml. Similar results were obtained as regards cystometric capacity and the volume of the first involuntary detrusor contraction. One patient had a positive urine culture resolved using a conventional oral antibiotic regimen. Intermittent catheterisation was required in 5 patients during the first week. Onabotulinum toxin A injections significantly improved, not only the clinical symptoms, but also the urodynamic parameters in patients with idiopathic overactive bladder inadequately managed with anticholinergic drugs. This is a simple technique with minimal adverse effects and generally well tolerated.

10.1016/j.uroco.2015.10.009

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Citations (0)

Five-year prospective study evaluating healthcare-associated infections (HAIs) in a urology ward: Risk factors, microbiological characteristics and resistance patterns

European Urology Supplements (2017)

José Medina‐Polo Raquel Sopeña Sutil R. Benítez-Sala A. Lara-Isla Manuel Alonso-Isa

10.1016/s1569-9056(17)30147-1

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La survie des transplantations rénales des donneurs à cœur non battant incontrôlés sous la protection normothermique : sont-ils aussi bons que les reins des donneurs à cœur battant ?

Progrès en Urologie (2017)

F. Guerrero-Ramos T. Cavero-Escribano Federico de la Rosa-Kehrmann A. Rodrı́guez-Antolı́n M. Pamplona-Casamayor

10.1016/j.purol.2017.07.081

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Use of onabotulinum toxin A in patients with idiopathic overactive bladder and a lack of efficacy, intolerance or contraindication with anticholinergics

Revista Urología Colombiana / Colombian Urology Journal (2016)

Irma Ospina-Galeano José Medina‐Polo Susana de la Rosa-Kerhmann Felipe Villacampa F. Guerrero-Ramos

Objective To assess the efficacy and safety of onabotulinum toxin A in patients with idiopathic overactive bladder inadequately managed with anticholinergics. Materials and Methods A prospective, open-label, single centre, and interventional study was conducted, from 2008 to 2013, on consecutive patients with idiophatic overactive bladder that showed lack of efficacy or intolerance to anticholinergic agents. Results The study included 73 female patients aged 58.9 ± 12.9 years. A dose of 100 and 200 units of toxin were administered in 89 and 5 cases, respectively. Nineteen patients received a second injection, 8 patients received 3, and one patient was treated 4 times. Clinically, it was observed that 98% patients had urge urinary incontinence at baseline, as compared with 42% under treatment. Similar results were obtained regarding the number of pads used per day, from 2.8 at baseline to 0.5 after treatment as regards the urodynamic parameters, the first desire to void volume improved from 97 ± 63 mL to 139 ± 81 mL. Similar results were obtained as regards cystometric capacity and the volume of the first involuntary detrusor contraction. One patient had a positive urine culture resolved using a conventional oral antibiotic regimen. Intermittent catheterisation was required in 5 patients during the first week. Conclusions Onabotulinum toxin A injections significantly improved, not only the clinical symptoms, but also the urodynamic parameters in patients with idiopathic overactive bladder inadequately managed with anticholinergic drugs. This is a simple technique with minimal adverse effects and generally well tolerated.

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Regimen

10.1016/j.uroco.2015.10.010

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Citations (3)

72 Kidney transplantation from donors after circulatory determination of death: Evaluation prognostic factors for delayed graft function and graft survival

European Urology Supplements (2016)

José Medina‐Polo L. García-González J. Justo-Quintas J. Gil-Moradillo F. Guerrero-Ramos

10.1016/s1569-9056(16)60074-x

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