- Tytuł:
- Gasto por drenaje en postoperados de prostatectomía radical como factor pronóstico en el desarrollo de fibrosis de cuello vesical. (Spanish)
- Autorzy:
- Temat:
-
SURGICAL drainage
PROGNOSIS
BLADDER obstruction
SURGICAL complications
RETROPUBIC prostatectomy - Źródło:
- Boletin del Colegio Mexicano de Urologia; may-ago2008, Vol. 23 Issue 3, p56-59, 4p, 1 Chart, 3 Graphs
- Abstract (English):
- Objective: To determine if the postoperative Penrose drainage is a prognostic factor in developing bladder neck contracture in patients with radical retropubic prostatectomy . Material and Methods: Retrospective, descriptive and observative study. 80 medical files from patients with radical prostatectomy from 2004-2006 in La Raza National Medical Center were checked. The Penrose drainage from the first three postoperative days and the patients who developed bladder neck contracture were captured. Results: Bladder neck contracture was found with a 21.3% frequency. The Penrose drainage in patients who developed bladder neck contracture showed a mean of 1675.88 mL, and the mean for those who did not developed bladder neck contracture was 165.11 mL, with a 1,510 mL difference (p < 0.01). The analysis under de ROC curve showed that the bladder neck contracture can be predicted in 97.8% of the patients. The cut point was 232 ml with a 90% sensitivity and a 94% specificity. Conclusions: Bladder neck contracture in patients with radical prostatectomy was found with a frequency similar than those showed in other series. The developing of this postoperative complication can be predicted in 97.8% of the patients and by doing this we could give them an early treatment. [ABSTRACT FROM AUTHOR]
- Czasopismo naukowe
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