Características clínicas, ecográficas y correlación del peso prostático ecográfico frente al peso postquirúrgico en pacientes con hiperplasia prostática benigna, sometidos a prostatectomia abierta, según edad y procedencia en el Hospital Vicente Corral Moscoso. Cuenca 2006-2013.

Abstract

BACKGROUND: Benign prostatic hyperplasia (BPH) is considered a common condition in adulthood which affects the quality of life of people. BPH produces a progressive bladder outflow obstruction. The manifested signs and symptoms are the guide to the diagnosis. OBJECTIVE: Identify the clinical and sonographic charachteristics of the prostate according to age and origin, and determine the correlation of ultrasound prostate weight compared to postoperative weight in patients with BPH who underwent open prostatectomy. MATERIALS AND METHODS: The method used for this retrospective descriptive study was the non-participant observation. The information was gathered through: forms, recording medical histories of patients with BPH who underwent open surgery in the time frame between January 2006 and December 2013 at the Vicente Corral Moscoso Hospital. Finally, the results were analyzed with Microsoft EXCEL and IBM SPSS Statistics 22.0. RESULTS: 173 patients participated in the study. The analysis shows that: the mean age was 67.95 years, 80.3% patients were from Azuay. The most frequent irritative symptoms were pollakiuria with 67.6% and decreased obstructive urinary stream with 69.9%. The most important sonographic features were regular margins 56.1%, heterogeneous texture 65.9%; calcifications 74.6% and nodules 76.9%. The mean weight on ultrasound was 86.9 grams and pathologically was 82.75 grams; according to the T test there were not statistically different means. CONCLUSION: Sonographic evaluation of prostate weight is appropiate. This is confirmed by the reduced differences with the pathological weight which are nonsignificant statistically.