- Conversion From Cutaneous Ureterostomy to Ileal Conduit in Frail Patients: A Descriptive Case Series. [Case Reports]Arch Esp Urol. 2026 Aug; 79(7):1264-1268.AE
- CONCLUSIONS: Delayed conversion is feasible but is associated with significant morbidity and should remain individualized.
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- Surgical Treatment of Male Genital Lymphedema: A Case Report. [Case Reports]Arch Esp Urol. 2026 Aug; 79(7):1259-1263.AE
- Male 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 iatrogeni…
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- Erectile Function and Genital Self-Perception in Young Adults After Childhood Hypospadias Repair: A Case-Control Study. [Journal Article]Arch Esp Urol. 2026 Aug; 79(7):1249-1258.AE
- CONCLUSIONS: In a predominantly distal cohort, men after childhood hypospadias repair showed statistically significant but clinically modest differences in erectile function scores and lower perceived penile appearance compared with healthy controls, with sexual quality of life preserved. These findings should be interpreted in the context of the small sample size and predominance of distal forms and support consideration of psychosexual assessment within transitional urology programmes. Larger multicentre studies are warranted to further clarify long-term outcomes and risk factors.
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- Associations of Preoperative Neutrophil-to-Lymphocyte Ratio, Leukocyte Count, and Platelet Count With Postoperative Urosepsis in Older Diabetic Patients With Ureteral Calculi. [Journal Article]Arch Esp Urol. 2026 Aug; 79(7):1240-1248.AE
- CONCLUSIONS: Preoperative NLR, leukocyte count, and platelet count were associated with postoperative urosepsis in older adults with T2DM and ureteral calculi. Their combination showed improved discrimination within the matched sample; however, the sample-derived cut-off values and performance measures should not be interpreted as universal screening thresholds without external validation.
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- Comparison of the Diagnostic Performance of Two-Dimensional Ultrasound and Colour Doppler Ultrasound and Associated Sonographic Features in Ureteral Stones of Different Diameters. [Journal Article]Arch Esp Urol. 2026 Aug; 79(7):1231-1239.AE
- CONCLUSIONS: CDFI has advantages over 2D-US in diagnosing ureteral stones, especially for small-diameter stones. Twinkling artifact intensity and abnormal ureteral jet signals at the ureteral orifice are closely associated with stone diameter and can serve as important auxiliary indicators for diagnosing ureteral stones of different diameters.
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- Comparison of Stone-Free Rates and Systemic Inflammatory Response Between Intelligent Pressure-Controlled and Conventional Mini-Percutaneous Nephrolithotomy in Patients With Kidney Stones. [Journal Article]Arch Esp Urol. 2026 Aug; 79(7):1222-1230.AE
- CONCLUSIONS: Intelligent pressure-controlled mini-PCNL was associated with higher immediate stone-free rates, lower SIRS incidence, and better perioperative outcomes than conventional mini-PCNL in this retrospective matched comparison. Causality cannot be inferred due to the retrospective, non-randomised design. Findings warrant confirmation in prospective randomised trials.
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- Effect of Tamsulosin Combined With Flexible Ureteroscopic Holmium Laser Lithotripsy on Renal Function and Postoperative Inflammatory Response in Patients With Renal Calculi. [Journal Article]Arch Esp Urol. 2026 Aug; 79(7):1214-1221.AE
- CONCLUSIONS: In this retrospective study, perioperative tamsulosin combined with FURL was associated with shorter operation times, higher stone clearance, and lower renal function, inflammatory, and complication markers. However, due to potential selection bias, these associations require confirmation via prospective randomized controlled trials.
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- Comparison of Thulium Fibre Laser and Holmium:YAG Laser in Flexible Ureteroscopic Lithotripsy for 1-2 cm Lower Pole Kidney Stones. [Journal Article]Arch Esp Urol. 2026 Aug; 79(7):1207-1213.AE
- CONCLUSIONS: Compared with Ho:YAG laser, TFL was associated with better efficiency and perioperative outcomes in flexible ureteroscopic lithotripsy for 1-2 cm LPSs. TFL may provide more consistent fragmentation efficacy in larger stones and may reduce the risk of stone retropulsion and postoperative complications.
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- Clinical Characteristics and Modifiable Factors of Urinary Tract Infections in Infants and Toddlers: A Case-Control Study. [Journal Article]Arch Esp Urol. 2026 Aug; 79(7):1199-1206.AE
- CONCLUSIONS: UTIs in infants and toddlers often present with non-specific symptoms; therefore, standardised urine specimen collection combined with comprehensive testing is crucial for early identification. Low birth weight, non-exclusive breastfeeding, constipation, and improper perineal hygiene were associated with UTI, among which feeding pattern, bowel habits, and perineal care are potentially modifiable. For empirical anti-infective therapy, cephalosporins or nitrofurantoin may be preferred. Further imaging evaluation should be individualised, with ultrasonography as the first-line assessment and voiding cystourethrography or dimercaptosuccinic acid scintigraphy reserved for selected children with recurrent febrile UTI, abnormal ultrasound findings, poor treatment response, or suspected renal scarring. Strengthening breastfeeding, constipation management, and perineal care may help reduce UTI occurrence.
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- Comparisons of Clinical Outcomes Between the Three-Lobe and Two-Lobe Techniques in Holmium Laser Enucleation of the Prostate for Elderly Patients With Benign Prostatic Hyperplasia. [Journal Article]Arch Esp Urol. 2026 Aug; 79(7):1191-1198.AE
- CONCLUSIONS: Compared with the three-lobe technique, the two-lobe HoLEP technique has certain advantages in terms of operation time, hospital stay and postoperative urodynamic parameters when treating elderly BPH. There was no statistical significance in intraoperative blood loss and complication rate. Further verification is needed in the future.
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- The Application of WeChat Platform-Integrated Continuous Nursing Care in Patients Discharged With a Single-J Stent Following Radical Cystectomy. [Journal Article]Arch Esp Urol. 2026 Aug; 79(7):1179-1190.AE
- CONCLUSIONS: In this single-centre retrospective cohort study, WeChat-based continuous nursing care was associated with improved self-management and quality of life, as well as lower complication rates in selected patients with single-J stents. This study used WeChat exclusively as the nursing protocol platform. The applicability of this nursing model to other mobile health tools remains hypothetical and requires future research. Causal inferences cannot be drawn due to study design limitations.
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- Structured Bladder Function Training Added to Usual Glycaemic Management for Preventing Urinary Tract Infection in Patients With Type 2 Diabetes Mellitus and Neurogenic Bladder: A Retrospective Study. [Journal Article]Arch Esp Urol. 2026 Aug; 79(7):1171-1178.AE
- CONCLUSIONS: In this retrospective cohort, adding structured bladder function training to usual glycaemic and urological management was associated with improved voiding function and reduced UTI in patients with T2DM and neurogenic bladder.
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- Identification of Risk Factors and Development of a Prediction Model for Postoperative Urinary Retention Following Radical Hysterectomy for Cervical Cancer Based on Preoperative Urodynamic Profiling. [Journal Article]Arch Esp Urol. 2026 Aug; 79(7):1162-1170.AE
- CONCLUSIONS: A nomogram incorporating preoperative urodynamic parameters and clinical features was successfully developed and validated. This model demonstrated good discrimination, calibration, and clinical utility for predicting the risk of POUR following radical hysterectomy for cervical cancer. It may facilitate the early identification of high-risk patients and support personalized management strategies.
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- Depressive Symptoms and Cognitive Function in Late-Stage Prostate Cancer: Transformer-Based Survival Modeling From the CHARLS 2011-2015 Big Data Cohort. [Journal Article]Arch Esp Urol. 2026 Aug; 79(7):1153-1161.AE
- CONCLUSIONS: Depressive symptoms and cognition may provide urology-relevant prognostic signal for near-term mortality among men with late-stage PCa. An attention-based discrete-time survival model demonstrated good discrimination and calibration in CHARLS; external validation in clinically staged advanced PCa cohorts is needed before clinical use.
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- Research on Ultrasound Image-Assisted Diagnosis of Prostate Cancer Based on Machine Learning. [Journal Article]Arch Esp Urol. 2026 Aug; 79(7):1142-1152.AE
- CONCLUSIONS: A machine learning fusion model based on whole-gland TRUS radiomics features and combined with clinical indicators demonstrates good performance in estimating patient-level risk for prostate cancer. It may serve as a potential non-invasive decision support tool for risk stratification, but its clinical utility requires further external validation.
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