Pablo Abad-López

• MD MSc
• Consultant Urologist at Hospital Universitario La Paz

Background: The IDENTIFY study developed a model to predict urinary tract cancer using patient characteristics from a large multicentre, international cohort of patients referred with haematuria. In addition to calculating an individual's cancer risk, it proposes thresholds to stratify them into very-low-risk (<1%), low-risk (1-<5%), intermediate-r...

Background and objective The treatment landscape of metastatic prostate cancer (mPCa) has evolved significantly over the past two decades. Despite this, the optimal therapy for patients with mPCa has not been determined. This systematic review identifies available predictive models that assess mPCa patients’ response to treatment. Methods We criti...

Aim Risk-stratification for patients referred with haematuria is important in diagnosing cancer early and for health resource efficiency. A recent prediction model developed from the IDENTIFY study created a cancer risk calculator that aimed to help clinicians with their decision-making in the investigation of patients with haematuria. We aimed to...

BACKGROUND Renal cysts are the most frequently occurring incidental renal lesions. They are asymptomatic, which explains why they tend to be diagnosed incidentally as a result of imaging tests. In cases where malignancy is suspected, there are various therapeutic alternatives. OBJECTIVE The objective of this study is to review the diagnostic and t...

Introduction The European Urology guidelines recommended until 2020 to re-biopsy patients with ASAP in prostate tissue, given the high possibility of detecting cancer in a biopsy (approximately 30%), however the second rate of clinically significant prostate cancer is relatively low (reported between 5 and 20% of these biopsies). The role of mpMRI...

Introduction The British Urology Researchers in Surgical Training (BURST) collaborative group developed a urothelial cancer risk calculator based on the IDENTIFY study, in patients with gross or microscopic hematuria. Our objective is the validation of this calculator in our environment. Methods Descriptive and ambispective study of 88 patients wi...

Prostate cancer is the most common cancer amongst men, and one of its treatments in the localized stage is radical prostatectomy (RP). This technique achieves a high success rate regarding oncological results, but one of its main drawbacks are sexual disorders, especially erectile dysfunction, ranging from 14-90% of the cases. Therefore, surgery ad...

Introduction Prostate cancer (PCa) has been recognized as an androgen-sensitive disease since the investigations from Huggins and Hodges in 1941. Thanks to these findings, they received the Nobel Prize in 1966. This was the beginning of the development of androgen deprivation therapy (ADT) as treatment for patients with PCa. Objective To summarize...

Resumen Introducción El cáncer de próstata (CaP) se ha reconocido como una enfermedad sensible a los andrógenos desde las investigaciones de Huggins y Hodges en 1941, quienes, gracias a estos hallazgos, recibieron el Premio Nobel en 1966. Aquí se originó el desarrollo de la terapia de privación de andrógenos (TPA) como tratamiento para los pacient...

Simple Summary Oligometastatic prostate cancer is an intermediate stage between localised and metastatic disease. Today, there are many advances in the diagnosis of this stage of the disease, with the appearance of new imaging techniques and treatments, thanks to the development of new modalities, both local and systemic therapies, the emergence of...

Testicular cancer (TC) represents 1% of male neoplasms and 5% of urological tumors. Most of seminoma patients and about 55% of patients with nonseminoma TC have stage I disease at diagnosis. TC usually presents with a palpable testicular mass incidentally found by the patient himself or its partner by palpation. It shows excellent cure rates based...

Objective: To analyze, in a urology ward, the prevalence and characteristics of healthcare-associated infections (HAIs) due to multidrug-resistant organisms (MDRO). Methods: We carried out an observational study from 2012 to 2019, evaluating MDRO among patients with HAIs, who were hospitalized in the urology ward. MDRO include Pseudomonas spp., res...

Introduction: Negative ureteroscopy (NURS) is "a ureteroscopy in which no stone is found during the procedure." We aimed to determine the association between the surgical waiting list time (WLT) and the NURS rate. Methods: We retrospectively analyzed all patients scheduled for ureteroscopy in our center between January 2017 and July 2019. The in...

Introduction and objective Radical cystectomy is a complex surgery with a high rate of complications including infections, which lead to increased morbidity and mortality, longer hospital stay and higher costs. The aim of this work is to evaluate health care-associated infections (HAIs) in these patients, as well as associated microorganisms, antib...

Objectives To propose a clear definition and management pathway of patients with analgesic refractory colic pain (ARCP). Patients and methods Prospective cohort study from February 2018 to February 2019 including patients with ARCP defined as ongoing renal colic pain after one dose of IV NSAID, IV paracetamol, and a parenteral opioid, given sequen...

Introduction The SARS-CoV-2 pandemic has changed the urological practice around the world. Our objective is to describe the outcomes presented by patients undergoing surgery in the urology department of a tertiary hospital, across the pandemic phases. Methods Observational, cohort study including all patients undergoing surgery from March 1 to May...

Introduction: The SARS-CoV-2 pandemic has changed the urological practice around the world. Our objective is to describe the outcomes presented by patients undergoing surgery in the urology department of a tertiary hospital, across the pandemic phases. Methods: Observational, cohort study including all patients undergoing surgery from March 1 to Ma...

Cancer appearance after kidney transplant has become currently one of the main causes of death in this population, being prostate cancer (PCa) a relevant problem. The management of PCa in renal transplant recipients is challenging due to their immunosuppressed condition and the location of kidney graft in pelvic cavity. Our objective is to identify...

Objectives: Identify the age at which a group of kidney transplant patients developed prostate cancer based on immunosuppressive therapy. To know the changes in the immunosuppressive treatment that the oncological diagnosis conditioned and the complications that resulted. Additionally, obtain data on renal evolution and survival of the graft. Mater...

Introduction and objective: Radical cystectomy is a complex surgery with a high rate of complications including infections, which lead to increased morbidity and mortality, longer hospital stay and higher costs. The aim of this work is to evaluate health care-associated infections (HAIs) in these patients, as well as associated microorganisms, ant...

Objectives: Urological patients usually come up with risk factors for developing infections. Some of these are caused by multidrug-resistant microorganisms like Pseudomonas aeruginosa, whose notable resistance rates to antibiotics and aggressiveness make its treatment a challenge in clinical practice. Our objective was to analyze Pseudomonas aerug...

Objective To assess the perioperative outcomes of holmium laser enucleation of the prostate (HoLEP) in real‐life practice and investigate the factors influencing the safety and effectiveness of the technique. Patients and Methods Critical analysis of patients with benign prostate hyperplasia (BPH) treated with HoLEP over 10 years of routine practi...

Purpose Our purpose is to present the results of our working group, with a view to reduce the incidence and improve the management of healthcare-associated infections (HAIs) in a urology ward. Methods The study consists on an observational database designed with the view to analyse the incidence and characteristics of HAIs in Urology. Based on the...

Objectives: Since the implementation of EAU19 Guidelines on Prostate Cancer, systematic biopsy is only an acceptable approach if multiparametric magnetic resonance (mpMRI) is unavailable. Even though mpMRI is increasingly implemented in centres all over Europe, software fusion for prostate biopsies is not widely extended.We present the results of o...

Objectives: One-stop clinic in patients with macroscopic haematuria could lead to an early diagnosis and management of bladder neoplasm. Aim: comparison of demographic data in the sample of patients diagnosed in one-stop clinic versus patients assessed through the regular pathway and evaluation of intervals of delay from the initial consultation du...

Hypothesis / aims of study Clean intermittent catheterization (CIC) is the gold standard treatment for chronic urinary retention due to neurogenic and non-neurogenic causes. Compared to a long-term indwelling catheter, the CIC aims to provide patients with more independence, fewer complications and a better quality of life. The intention of this...

Objectives: To assess the impact of transrectal versus transperineal prostate biopsy on erectile function. Methods: This was a single-center, observational, prospective study of consecutive patients who underwent a prostate biopsy (transrectal or transperineal/fusion biopsy). Study participants completed the International Index of Erectile Funct...

INTRODUCCIÓN Desde la expansión de la donación en muerte encefálica en la década de los 70, ha existido cierta reticencia al empleo de órganos de asistolia. Sin embargo, en las últimas dos décadas se ha vuelto a popularizar el empleo de riñones de asistolia para reducir las listas de espera de trasplante. En el año 2006 iniciamos en el Hospital Uni...