Caracterización de los pacientes que se realizan cirugía prostática con diagnóstico de hiperplasia prostática benigna del Hospital Vicente Corral Moscoso, durante el periodo 2010 a 2014. Cuenca 2015

Abstract

General Objective: To describe the characteristics of patients undergoing prostate surgery and diagnosed with benign prostatic hyperplasia at Vicente Corral Moscoso Hospital during the period from 2010 to 2014. Methodology: Cross-sectional study on 261 medical records of patients undergoing surgery for benign prostatic hyperplasia (BPH); were collected using a form designated for that purpose, demographic variables such as age and marital status, in addition to diagnostic studies, complications and hospital stay, data analysis was carried out using the SPSS statistical package. Results: the average age was 68,87 years old with a standard deviation of 8,53 years; TURP frequency was 6.1 % and 93.9 % conventional prostatectomy. In the group of patients undergoing conventional prostatectomy the following positive results were presented: rectal touch 55,9%; urine test 46,1%; prostate-specific antigen 64,1% and trans-rectal ultrasound 94,3%; in this group the most common complication was infection with 20% and 85.3 % of cases of hospital stay was 4-6 days. In the group that underwent TURP the following positive results were presented: rectal touch 43,8%; urine test 43,8%; prostate-specific antigen (PSA) 43,8% and trans-rectal ultrasound 87,5%; in this group the most common complication was urinary incontinence with 25% and 81.3 % of cases of hospital stay was 4-6 days. Conclusion: The most reliable diagnostic test for a direct examination of the prostate was the ultrasound. The most frequent complication in patients undergoing conventional prostatectomy was surgical site infection which turned out to be higher than the literature reviewed