Eficacia del índice de protrusión prostática en la evaluación de la severidad de síntomas urinarios obstructivos bajos en hiperplasia prostática benigna
Fecha
2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
INTRODUCCIÓN: El incremento de la esperanza de vida, ocasiona crecimiento de la consulta
por síntomas del tracto urinario inferior en la población masculina aumentando así gastos en el
sistema sanitario. Para su diagnóstico se ha implementado múltiples pruebas clínicas e
imagenológicas muchas de las cuales son invasivas y costosas para el paciente. OBJETIVO:
Demostrar que el índice de protrusión prostática (IPP), se relaciona estrechamente con la severidad
de síntomas obstructivos urinarios bajos al correlacionarlo con el IPSS. MATERIALES Y
MÉTODOS: Un estudio analítico correlacional a 34 pacientes con HPB sintomática que se
acudieron a consulta externa de Urología Hospital Ceibos. Se realizó ecografía pélvica y
mediciones prostáticas del IPP a partir de una imagen sagital de la línea media de la próstata (a un
volumen de vejiga ≥150 ml) utilizando transductor abdominal de 3,5 MHz. El IPP se dividió en
tres grados (grado I: 0-5 mm, grado II: 5-10.0 mm y grado III: ≥10.0 mm). RESULTADOS: el
50% reveló un nivel de calidad de vida severo (IPSS), 41,2% moderado y 8,8% leve, al igual que
el índice de protrusión prostática (IPP) el 58,8% arrojaron una severidad >10 mm, 32,3% moderado
y 8,8% leve. CONCLUSIÓN: la relación entre el IPP y IPSS como factores predictivos para
diagnosticar la calidad de vida del paciente son efectivos dado que ambas herramientas revelaron
el volumen de la próstata y la severidad de los síntomas.
PALABRAS CLAVE: Hiperplasia prostática benigna; IPP (Índice de protrusión prostática), IPSS
(Índice Internacional de Síntomas Prostáticos.)
INTRODUCTION: The increase in life expectancy causes growth in consultation for lower urinary tract symptoms in the male population of our country, thus increasing expenses in the health system. Multiple clinical and imaging tests have been implemented for its diagnosis, many of which are invasive and costly for the patient. Measurement of PPI. OBJECTIVE: To show that the prostate protrusion index (PPI) is closely related to the severity of lower urinary obstructive symptoms when correlated with the IPSS. MATERIALS AND METHODS: A correlational analytical study of patients with symptomatic BPH who came to the outpatient clinic of Urology Hospital Ceibos with prior informed consent, pelvic ultrasound and prostate PPI measurements were performed from a sagittal image of the midline of the prostate (a a bladder volume ≥150 ml) using a 3.5 MHz abdominal transducer. The IPP was divided into three grades (grade I: 0-5 mm, grade II: 5-10.0 mm, and grade III: ≥10.0 mm). RESULTS: 50% revealed a severe level of quality of life (IPSS), 41.2% moderate and 8, 8% mild, as well as the prostatic protrusion index (PPI), 58.8% showed a severity> 10 mm, 32.3% moderate and 8.8% mild. CONCLUSION: the relationship between IPP and IPSS as predictive factors to diagnose the quality of life of the patient are effective since both tools revealed the volume of the prostate and the severity of the symptoms. KEYWORDS: Benign prostatic hyperplasia; IPP (Prostate Protrusion Index), IPSS (International Prostate Symptom Index.)
INTRODUCTION: The increase in life expectancy causes growth in consultation for lower urinary tract symptoms in the male population of our country, thus increasing expenses in the health system. Multiple clinical and imaging tests have been implemented for its diagnosis, many of which are invasive and costly for the patient. Measurement of PPI. OBJECTIVE: To show that the prostate protrusion index (PPI) is closely related to the severity of lower urinary obstructive symptoms when correlated with the IPSS. MATERIALS AND METHODS: A correlational analytical study of patients with symptomatic BPH who came to the outpatient clinic of Urology Hospital Ceibos with prior informed consent, pelvic ultrasound and prostate PPI measurements were performed from a sagittal image of the midline of the prostate (a a bladder volume ≥150 ml) using a 3.5 MHz abdominal transducer. The IPP was divided into three grades (grade I: 0-5 mm, grade II: 5-10.0 mm, and grade III: ≥10.0 mm). RESULTS: 50% revealed a severe level of quality of life (IPSS), 41.2% moderate and 8, 8% mild, as well as the prostatic protrusion index (PPI), 58.8% showed a severity> 10 mm, 32.3% moderate and 8.8% mild. CONCLUSION: the relationship between IPP and IPSS as predictive factors to diagnose the quality of life of the patient are effective since both tools revealed the volume of the prostate and the severity of the symptoms. KEYWORDS: Benign prostatic hyperplasia; IPP (Prostate Protrusion Index), IPSS (International Prostate Symptom Index.)
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Indice de protrusión prostática, Signos y síntomas, Evaluación clínica, Hiperplasia prostática, Indice internacional de síntomas prostáticos, Epidemiología analítica, Hospital IESS Los Ceibos, Cantón Guayaquil, Cantón Guayaquil