| Revue: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000296419 |
| ISSN: | 1677-5538 |
| Autores: | Lima, Marcelo L. de1 Netto-Junior, N. Rodrigues |
| Instituciones: | 1Universidade Estadual de Campinas, División de Urologia, Campinas, Sao Paulo. Brasil |
| Año: | 2003 |
| Periodo: | Sep-Oct |
| Volumen: | 29 |
| Número: | 5 |
| Paginación: | 418-422 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | OBJECTIVE: We compared the clinical and urodynamic outcome of men with lower urinary tract symptoms with and without previous urodynamic evaluation submitted to transurethral resection of the prostate. MATERIALS AND METHODS: A prospective and randomized study was performed in 315 patients who underwent transurethral resection of the prostate. In 151 patients (group A) with a mean age of 63 years, transurethral resection of the prostate was performed without a prior urodynamic study, and group B, 164 patients with a mean age of 61 years, underwent a urodynamic study prior to surgical procedure. In group B, only obstructed patients were selected for surgery. All patients had I-PSS higher than 15 and underwent at least 2 uroflowmetry and flow was lower than 10 ml/sec. At 6-month follow up, patients in both groups underwent the I-PSS questionnaire and pressure / flow study. RESULTS: The symptomatology and uroflowmetry did not display different behavior between the groups. The mean postoperative score for group A was 8.87 + 3.27 and for group B was 9.32 + 3.14 (p = 0.22). The mean postoperative uroflow for group A was 17.0 + 2.1 mL/s and for group B was 16.6 + 2.2 mL/s (p = 0.15). Postoperative, in group A, 27 patients (17.8%) were obstructed and in group B, 16 patients (9.75%) were obstructed (p = 0.03). CONCLUSION: The study suggests that the previous urodynamic study is not the only factor related to the success of surgical outcome; and therefore, the symptomatology and uroflowmetry associated would be enough during the preoperative |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Terapéutica y rehabilitación, Hiperplasia prostática benigna, Urodinámica, Semiología |
| Keyword: | Medicine, Surgery, Therapeutics and rehabilitation, Benign prostatic hyperplasia, Urodynamics, Semiology |
| Texte intégral: | Texto completo (Ver HTML) |
