Resumen

CONDORI, Humberto, MEDINA, Raúl y LOZA, Cesar. Relación del residuo post-miccional, grado de "trabeculación" vesical y el flujo urinario en pacientes con hiperplasia prostática benigna sintomática.. Rev Med Hered, jul./set. 2012, vol.23, no.3, p.148-153. ISSN 1018-130X.

Objective: To determine the relationship between the degree of bladder trabeculation, post mictional residue and degree of urinary outflow obstruction in patients with benign prostatic hyperplasia (BPH). Methods: Retrospective case series of 37 ambulatory patients with symptomatic BPH attended at the Urology Service of Hospital Nacional Cayetano Heredia in 2009. The degree of bladder trabeculation was determined by cystoscopy, post-mictional residue was measured by ultrasound, and the degree of outflow obstruction was measured by uroflowmetry. Results: Mean (SD) age of patients was 68.2 ± 7.9 years. Mean (SD) values for prostatic volume, percentage of post-mictional residue and maximum flow were 46.4 ± 20.6 ml; 33.4 ± 20.7% y 6.7 ± 2.1 ml/seg, respectively. No correlation between the percentage of post-mictional residue and maximum urinary flow (rs = -0.07; p = 0.67), and between prostatic volume and maximum urinary flow was found (rs = 0.05; p = 0.7). There were also no correlations between the degree of bladder trabeculation and maximum urinary flow (Kappa = 0.0034; p = 0.5), and between the percentage of post-mictional residue and the degree of bladder trabeculation Kappa = 0.18; p = 0.06). Conclusions: No relationship was found between the maximum urinary flow, percentage of post-mictional residue and degree of trabeculation in patients with symptomatic BPH.

Palabras llave: Prostate; cystoscopy; Urinary bladder neck obstruction.