Comparación de la valoración posquirúrgica de la resección transuretral versus la vaporización laser en pacientes con hiperplasia prostática benigna en el Hospital Teodoro Maldonado Carbo durante el año 2019.

Abstract

Objective: To compare the postsurgical status in patients with benign prostatic hyperplasia who underwent transurethral resection versus photoselective vaporization. Methods and Results: A retrospective, relational, observational and longitudinal study was carried out, which included 126 patients registered at the Teodoro Maldonado Carbo Hospital in 2019. Considering age, prostate volume, surgical technique used, pre- and postoperative symptoms and complications after each surgery. Frequency, percentage and mean were used for the analysis variables and chi-square to discriminate the interaction of the modified IPSS cross tables for both surgeries. The mean age of this study population was 70.3 ± 8.3 years. The mean prostate volume of the operated patients according to rectal examination was 59.59 ± 18.19 gr; and according to transrectal ultrasound, 58.57 ± 23.52 ml. 66.7% of the population underwent TURP and the remaining 33.3% VLAP. Of both surgeries, 28.57% presented postoperative complications; and the predominant ones were hematuria, urinary tract infections and urinary retention. 50% of those who underwent TURP and the other 50% from VLAP developed hematuria. Dysuria obtained a high percentage in the pre- and postoperative period, with values of 34.15% in TURP and 41.38% in VLAP. No statistical significance was found (p <0.05) when comparing the modified IPSS of both surgeries. Conclusion: Both surgical techniques have a favorable clinical evolution when compared through the modified IPSS, although there was no statistically significant difference (p <0.05) with chi-square.