Efectividad de la resección transuretral y adenomectomía abierta en el manejo del crecimiento prostático obstructivo
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2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Introducción: La resección transuretral de la próstata se considera el estándar de oro para el tratamiento de hiperplasia obstructiva de próstata, sin embargo, por el tamaño de la glándula requerirá de adenomectomía abierta. Objetivo: Determinar la efectividad de la resección transuretral y adenomectomía abierta en el manejo del crecimiento prostático obstructivo Metodología: El diseño de la investigación es no experimental, de tipo analítica, transversal, retrospectiva y con nivel correlacional. Resultados: No se encontraron diferencias significativas en los niveles de sodio sérico (p=0,406), se halló diferencia significativa en los días de estancia hospitalaria y uso de catéter (p=0,00). Los síntomas más frecuentes en adenomectomía fue la hemorragia (99%) y dolor intenso, que requirió uso de analgésicos narcóticos en 73% de los casos. El 86% de los pacientes sometidos a adenomectomía sufrió complicaciones y reingresos de emergencia. Las complicaciones más significativas para los pacientes sometidos a resección transuretral fue la estenosis (p=0,00) y la disuria (p=0,34) Conclusiones: La resección transuretral presenta menores complicaciones que la adenomectomia y es un método mayormente recomendado, con excepciones de hiperplasia de próstata grado 3 y grado 4
Introduction: Transurethral resection of the prostate is considered the gold standard for the treatment of obstructive prostate hyperplasia, however, due to the size of the gland, it will require open adenomectomy. Objective: To determine the effectiveness of transurethral resection and open adenomectomy in the management of obstructive prostatic growth. Methodology: The research design is nonexperimental, analytical, cross-sectional, retrospective and with a correlational level. Results: No significant differences were found in serum sodium levels (p = 0.406), a significant difference was found in the days of hospital stay and catheter use (p = 0.00). The most frequent symptoms in adenomectomy were bleeding (99%) and intense pain, which required the use of narcotic analgesics in 73% of the cases. 86% of patients undergoing adenomectomy suffered complications and emergency readmissions. The most significant complications for the patients who underwent transurethral resection were stenosis (p = 0.00) and dysuria (p = 0.34). Conclusions: Transurethral resection presents fewer complications than adenomectomy and is a highly recommended method, with exceptions of grade 3 and grade 4 prostate hyperplasia
Introduction: Transurethral resection of the prostate is considered the gold standard for the treatment of obstructive prostate hyperplasia, however, due to the size of the gland, it will require open adenomectomy. Objective: To determine the effectiveness of transurethral resection and open adenomectomy in the management of obstructive prostatic growth. Methodology: The research design is nonexperimental, analytical, cross-sectional, retrospective and with a correlational level. Results: No significant differences were found in serum sodium levels (p = 0.406), a significant difference was found in the days of hospital stay and catheter use (p = 0.00). The most frequent symptoms in adenomectomy were bleeding (99%) and intense pain, which required the use of narcotic analgesics in 73% of the cases. 86% of patients undergoing adenomectomy suffered complications and emergency readmissions. The most significant complications for the patients who underwent transurethral resection were stenosis (p = 0.00) and dysuria (p = 0.34). Conclusions: Transurethral resection presents fewer complications than adenomectomy and is a highly recommended method, with exceptions of grade 3 and grade 4 prostate hyperplasia
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RESECCION TRANSURETRAL DE LA PROSTATA, PROSTATECTOMIA, HIPERPLASIA PROSTATICA, EPIDEMIOLOGIA ANALITICA, ESTUDIOS RETROSPECTIVOS, HOSPITAL IESS LOS CEIBOS, CANTON GUAYAQUIL, ECUADOR