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  1. Article: La desescalada en urología. Recomendaciones de actuación en pandemia COVID-19.

    López-Fando, Luis

    Archivos espanoles de urologia

    2020  Volume 73, Issue 5, Page(s) 325–327

    Abstract: El nuevo coronavirus tipo 2 (SARS-CoV-2)del síndrome respiratorio agudo grave y la enfermedadque produce, enfermedad por coronavirus2019 (COVID-19) fueron descritos por primera vezen la ciudad China de Wuhan en Diciembre de2019 (1). En Marzo de 2020, la ... ...

    Title translation De-escalation urology measures. COVID-19 pandemia stepwise recommendations.
    Abstract El nuevo coronavirus tipo 2 (SARS-CoV-2)del síndrome respiratorio agudo grave y la enfermedadque produce, enfermedad por coronavirus2019 (COVID-19) fueron descritos por primera vezen la ciudad China de Wuhan en Diciembre de2019 (1). En Marzo de 2020, la dispersión mundialde este nuevo patógeno, condujo a la declaraciónde pandemia por parte de la Organización Mundialde la Salud (OMS) (2).
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Humans ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2 ; Urology/trends
    Keywords covid19
    Language Spanish
    Publishing date 2020-06-15
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 211673-x
    ISSN 0004-0614
    ISSN 0004-0614
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: De-escalation urology measures. COVID-19 pandemia stepwise recommendations./ La desescalada en urologia. Recomendaciones de actuacion en pandemia COVID-19

    Lopez-Fando, Luis

    Archivos espanoles de urologia

    Abstract: El nuevo coronavirus tipo 2 (SARS-CoV-2)del sindrome respiratorio agudo grave y la enfermedadque produce, enfermedad por coronavirus2019 (COVID-19) fueron descritos por primera vezen la ciudad China de Wuhan en Diciembre de2019 (1) En Marzo de 2020, la ... ...

    Abstract El nuevo coronavirus tipo 2 (SARS-CoV-2)del sindrome respiratorio agudo grave y la enfermedadque produce, enfermedad por coronavirus2019 (COVID-19) fueron descritos por primera vezen la ciudad China de Wuhan en Diciembre de2019 (1) En Marzo de 2020, la dispersion mundialde este nuevo patogeno, condujo a la declaracionde pandemia por parte de la Organizacion Mundialde la Salud (OMS) (2) El nuevo coronavirus tipo 2 (SARS-CoV-2) del sindrome respiratorio agudo grave y la enfermedadq ue produce, enfermedad por coronavirus 2019 (COVID-19) fueron descritos por primera vez en la ciudad China de Wuhan en Diciembre de 2019 (1) En Marzo de 2020, la dispersion mundial de este nuevo patogeno, condujo a la declaracion de pandemia por parte de la Organizacion Mundial de la Salud (OMS) (2)
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #601530
    Database COVID19

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  3. Article: [De-escalation urology measures. COVID-19 pandemia stepwise recommendations.]

    Lopez-Fando, Luis

    Archivos espanoles de urologia

    Abstract: El nuevo coronavirus tipo 2 (SARS-CoV-2)del sindrome respiratorio agudo grave y la enfermedadque produce, enfermedad por coronavirus2019 (COVID-19) fueron descritos por primera vezen la ciudad China de Wuhan en Diciembre de2019 (1) En Marzo de 2020, la ... ...

    Abstract El nuevo coronavirus tipo 2 (SARS-CoV-2)del sindrome respiratorio agudo grave y la enfermedadque produce, enfermedad por coronavirus2019 (COVID-19) fueron descritos por primera vezen la ciudad China de Wuhan en Diciembre de2019 (1) En Marzo de 2020, la dispersion mundialde este nuevo patogeno, condujo a la declaracionde pandemia por parte de la Organizacion Mundialde la Salud (OMS) (2)
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #601529
    Database COVID19

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  4. Article ; Online: Development of a questionnaire set to evaluate adaptations to COVID era: The ICS TURNOVER project (Transition of fUnctional uRology to New COVID ERa).

    Hajebrahimi, Sakineh / López-Fando, Luis / Arlandis, Salvador / Ghojazadeh, Morteza / Salehi-Pourmehr, Hanieh / Hashim, Hashim

    Neurourology and urodynamics

    2022  Volume 41, Issue 2, Page(s) 643–649

    Abstract: Objectives: Coronavirus disease 2019 (COVID-19) pandemic has caused a massive cutdown in outpatient urological investigations, procedures, and interventions. Female and functional urology (FFU) has been probably the most affected subspecialty in urology. ...

    Abstract Objectives: Coronavirus disease 2019 (COVID-19) pandemic has caused a massive cutdown in outpatient urological investigations, procedures, and interventions. Female and functional urology (FFU) has been probably the most affected subspecialty in urology. Several scientific societies have published guidelines to manage this new situation, providing general recommendations. The aim of this study was to devise a robust questionnaire covering every different aspect of FFU to obtain recommendations on COVID-19 adaptations.
    Methods: Delphi methodology was adapted to devise the survey questionnaires for male/female lower urinary tract symptoms (LUTS), pelvic organ prolapse (POP), chronic pelvic pain (CPP), and neuro-urological disease. Content validity, face validity, and internal consistence were assessed to establish the final questionnaire. This study was ethically approved by the Local Research Ethics Committee.
    Results: A total 97, 59, 79, 85, and 84 items for female and male LUTS, POPs, CPP, and neuro-urology respectively were approved by the participants. Content validity over 0.70 was obtained which seemed reasonable content validity scores. Internal consistency obtains values of Cronbach's alpha was between 0.70 and 0.90 which was acceptable.
    Conclusions: The collective wisdom obtained through a global survey using validated questionnaires covering every different aspect of FFU patient management is necessary. We have developed a robust and validated tool consisting of five questionnaires covering the most prevalent pathologies in FFU.
    MeSH term(s) COVID-19 ; Female ; Humans ; Male ; Reproducibility of Results ; SARS-CoV-2 ; Surveys and Questionnaires ; Urologic Surgical Procedures/methods ; Urology
    Language English
    Publishing date 2022-01-10
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 604904-7
    ISSN 1520-6777 ; 0733-2467
    ISSN (online) 1520-6777
    ISSN 0733-2467
    DOI 10.1002/nau.24867
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Comparative anatomy of the ovine and human pelvis for laparoscopic sacrocolpopexy: evaluating the effectiveness of the ovine model.

    Viegas Madrid, Vanessa / Casado Varela, Javier / Enciso, Silvia / Gómez de Vicente, José Miguel / Sánchez Margallo, Francisco Miguel / López-Fando, Luis

    International urogynecology journal

    2023  Volume 34, Issue 9, Page(s) 2301–2306

    Abstract: Introduction and hypothesis: Laparoscopic sacrocolpopexy (LSC) is a functional reconstructive surgery used to treat pelvic organ prolapse (POP) in middle-aged women. Although LSC is widely used, its implementation is hindered by perceived technical ... ...

    Abstract Introduction and hypothesis: Laparoscopic sacrocolpopexy (LSC) is a functional reconstructive surgery used to treat pelvic organ prolapse (POP) in middle-aged women. Although LSC is widely used, its implementation is hindered by perceived technical difficulties and surgical learning curves. Surgeons require adequate experience with LSC prior to performing the procedure on patients to improve their quality of life. This study is aimed at demonstrating the effectiveness of the ovine model (OM) for training and research in LSC, while also comparing anatomical differences between ovine and human models during the procedure.
    Methods: The animal model and training were provided by the Jesús Usón Minimally Invasive Surgery Centre. Urologists and gynecologists with experience in LSC participated in a course and their findings were recorded and documented.
    Results: Differences in patient positioning, trocar placement, and reperitonealization were identified between the ovine and human models. Hysterectomy is always performed in the ovine model, whereas it is not mandatory in humans. There are also differences in the dissection of the levator ani muscle and attachment point of the posterior mesh to the uterus between the two models. Despite differences in some areas, the ovine pelvic structure and vagina are similar in size to those of humans.
    Conclusions: The ovine model is a valuable tool for surgeons in their learning curve for LSC, allowing for safe and effective practice prior to performing the procedure on patients. The use of the OM can help to improve the quality of life for women affected by pelvic organ prolapse.
    MeSH term(s) Middle Aged ; Humans ; Female ; Sheep ; Animals ; Laparoscopy/methods ; Gynecologic Surgical Procedures/methods ; Quality of Life ; Anatomy, Comparative ; Treatment Outcome ; Vagina/surgery ; Pelvic Organ Prolapse/surgery ; Pelvic Organ Prolapse/etiology ; Pelvic Floor ; Surgical Mesh
    Language English
    Publishing date 2023-05-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 1050631-7
    ISSN 1433-3023 ; 0937-3462
    ISSN (online) 1433-3023
    ISSN 0937-3462
    DOI 10.1007/s00192-023-05549-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Correction to: Comparative anatomy of the ovine and human pelvis for laparoscopic sacrocolpopexy: evaluating the effectiveness of the ovine model.

    Viegas Madrid, Vanessa / Casado Varela, Javier / Enciso, Silvia / Gómez de Vicente, José Miguel / Sánchez Margallo, Francisco Miguel / López-Fando, Luis

    International urogynecology journal

    2023  Volume 34, Issue 9, Page(s) 2307

    Language English
    Publishing date 2023-07-07
    Publishing country England
    Document type Published Erratum
    ZDB-ID 1050631-7
    ISSN 1433-3023 ; 0937-3462
    ISSN (online) 1433-3023
    ISSN 0937-3462
    DOI 10.1007/s00192-023-05599-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Female LUTS adaptations to COVID era: Lessons learned from the ICS TURNOVER (Transition of fUnctional uRology to New COVID ERa).

    López-Fando, Luis / Calleja Hermosa, Paola / Hajebrahimi, Sakineh / Plata, Mauricio / Padilla Fernández, Bárbara / Cruz, Francisco / Hashim, Hashim / Arlandis, Salvador

    Continence (Amsterdam, Netherlands)

    2022  Volume 4, Page(s) 100521

    Abstract: Introduction: The COVID-19 pandemic has dramatically affected the Female and Functional Urology (FFU) practice, leading to massive waiting lists, while patients' quality of life remains severely impaired. The aim of the present study is to develop ... ...

    Abstract Introduction: The COVID-19 pandemic has dramatically affected the Female and Functional Urology (FFU) practice, leading to massive waiting lists, while patients' quality of life remains severely impaired. The aim of the present study is to develop consensual recommendations to guide clinicians on the management of FFU patients. The present paper focuses on female LUTS.
    Methods: The authors used the Delphi methodology to develop a robust survey questionnaire, covering the principal topics in FFU, based on literature review and expert opinions. Regarding female LUTS, a 98-question survey was distributed among FFU specialists to obtain optimized recommendations, under the auspicious of the International Continence Society (TURNOVER, ICS project). A quantitative analysis of the data was performed, categorizing the mean value from 0-10. Consensus achievement was defined as attaining
    Results: 98 ICS members completed the F-LUTS survey. Recommendations for the diagnosis and management of female LUTS are summarized. Video-consultation should be used for initial assessment, sending questionnaires and bladder diaries in advance to the patient to be filled out before the consultation. However, face-to-face visits are mandatory if POP or continuous incontinence are suspected, and prior to any surgical procedure, regardless of the health alert. Moreover, prescribing medications such as anticholinergics or
    Conclusions: During a pandemic, telemedicine offers a novel way of communication, maintaining medical care while preventing viral transmission. Non-urgent procedures should be postponed until the pandemic curve flattens. Ambulatory procedures under regional or local anaesthesia should be prioritized, aiming to reduce bed occupancy and risk of transmission.
    Language English
    Publishing date 2022-11-17
    Publishing country Netherlands
    Document type Journal Article
    ISSN 2772-9737
    ISSN (online) 2772-9737
    DOI 10.1016/j.cont.2022.100521
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Dropped abdominal pressure at void in women.

    Valdevenito, Juan Pablo / Mercado-Campero, Alejandro / López-Fando, Luis / Calvo, Carlos Ignacio / Manríquez, Valentín / Medina, Loreto

    International urogynecology journal

    2022  Volume 33, Issue 11, Page(s) 3275–3281

    Abstract: Introduction and hypothesis: "Dropped p: Methods: Retrospective cross-sectional study of non-neurological consecutive symptomatic women. The following definitions were used: "dropped p: Results: A total of 360 women were analyzed. Ninety-five ... ...

    Abstract Introduction and hypothesis: "Dropped p
    Methods: Retrospective cross-sectional study of non-neurological consecutive symptomatic women. The following definitions were used: "dropped p
    Results: A total of 360 women were analyzed. Ninety-five percent of the women had a variation in p
    Conclusions: Approximately one-quarter of women had "dropped p
    MeSH term(s) Cross-Sectional Studies ; Female ; Humans ; Retrospective Studies ; Urinary Bladder Neck Obstruction/complications ; Urinary Incontinence, Stress/complications ; Urination ; Urodynamics
    Language English
    Publishing date 2022-04-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 1050631-7
    ISSN 1433-3023 ; 0937-3462
    ISSN (online) 1433-3023
    ISSN 0937-3462
    DOI 10.1007/s00192-022-05202-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Situación actual de la urología en España durante la pandemia Covid-19.

    López-Fando, Luis / Santiago, Marta / Ruiz, Mercedes / Sánchez, Álvaro / Jiménez, Miguel

    Archivos espanoles de urologia

    2020  Volume 73, Issue 5, Page(s) 336–344

    Abstract: Introduction: On 11th March 2020the WHO declared COVID19 a global pandemic, a challenge previously unseen for sanitary systems, including the activity in Urology departments.: Material and methods: Web and PubMed searchusing the keywords "SARS-CoV-2", ...

    Title translation Current situation in Urology practice in Spain during the COVID-19 pandemic.
    Abstract Introduction: On 11th March 2020the WHO declared COVID19 a global pandemic, a challenge previously unseen for sanitary systems, including the activity in Urology departments.
    Material and methods: Web and PubMed searchusing the keywords "SARS-CoV-2", "COVID19", "COVID Urology", "COVID surgery", "consensus methods","nominal group", "Delphi method". A narrative revision of the literature until the 20th May 2020, including articles and documents in English and Spanish.;RESULTS: Medical practice in Spain has been forced to rapidly adapt to the pandemic, dedicating most ofits material and human resources to the care of patients infected by SARS-CoV-2. This has meant a significant reduction of the routine practice in Urology, as in other medical specialities, limiting the medical attention tourgent and emergent cases. Programmed activity has been reserved for selected cases in which a delayed attention could compromise survival. Different scientific associations have made a significant effort to adapt their recommendations to the pandemic, prioritizing high-risk oncologic cases, and reducing the use of ventilators and hospital stays to the minimum. These restrictions must be dynamic, adapting to the de-escalating phases as the pandemic is more controlled, widening the range of services available. In this de-escalate there is an additional challenge, being the difficulty in generating quality scientific evidence. In order to obtain such evidence, consensus methods have been used, such as the nominal group technique or the Delphi method.
    Conclusions: The COVID19 pandemic has meant a complete disruption in the routine activity in Urologyin Spain, with a need for prioritizing the attention of urgent and high-risk oncologic pathology. These restrictions must be progressively modified according to the de-escalating process in the general population.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Spain/epidemiology ; Urology/trends
    Keywords covid19
    Language Spanish
    Publishing date 2020-06-15
    Publishing country Spain
    Document type Journal Article
    ZDB-ID 211673-x
    ISSN 0004-0614
    ISSN 0004-0614
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: [Current situation in Urology practice in Spain during the COVID-19 pandemic.]

    Lopez-Fando, Luis / Santiago, Marta / Ruiz, Mercedes / Sanchez, Alvaro / Jimenez, Miguel

    Archivos espanoles de urologia

    Abstract: INTRODUCTION: On 11th March 2020the WHO declared COVID19 a global pandemic, a challenge previously unseen for sanitary systems, including the activity in Urology departments MATERIAL AND METHODS: Web and PubMed searchusing the keywords "SARS-CoV-2", " ... ...

    Abstract INTRODUCTION: On 11th March 2020the WHO declared COVID19 a global pandemic, a challenge previously unseen for sanitary systems, including the activity in Urology departments MATERIAL AND METHODS: Web and PubMed searchusing the keywords "SARS-CoV-2", "COVID19", "COVID Urology", "COVID surgery", "consensus methods","nominal group", "Delphi method" A narrative revision of the literature until the 20th May 2020, including articles and documents in English and Spanish ;RESULTS: Medical practice in Spain has been forced to rapidly adapt to the pandemic, dedicating most ofits material and human resources to the care of patients infected by SARS-CoV-2 This has meant a significant reduction of the routine practice in Urology, as in other medical specialities, limiting the medical attention tourgent and emergent cases Programmed activity has been reserved for selected cases in which a delayed attention could compromise survival Different scientific associations have made a significant effort to adapt their recommendations to the pandemic, prioritizing high-risk oncologic cases, and reducing the use of ventilators and hospital stays to the minimum These restrictions must be dynamic, adapting to the de-escalating phases as the pandemic is more controlled, widening the range of services available In this de-escalate there is an additional challenge, being the difficulty in generating quality scientific evidence In order to obtain such evidence, consensus methods have been used, such as the nominal group technique or the Delphi method CONCLUSIONS: The COVID19 pandemic has meant a complete disruption in the routine activity in Urologyin Spain, with a need for prioritizing the attention of urgent and high-risk oncologic pathology These restrictions must be progressively modified according to the de-escalating process in the general population
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #601551
    Database COVID19

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