[Endoscopic myocapsulotomy. Evaluation of the short-term clinical and urodynamic results].
Clinical and urodynamic evaluation of a series of 35 patients aged between 49 and 85 years. Clinical symptoms presented post-miocapsulotomy reduction both in obstructive and irritative signs and symptoms in 97.2% and 91.6% cases, respectively. Likewise, a decrease in peak flow and peak flow percentile was shown in 80.5% and 80% of cases, respectively. Vesical instability was seen in 90.9% and 55.5% of cases in pre- and post-operative studies respectively. An statistically significant post-operative drop (p < 0.05) in the detrusor's peak pressure during miction, (76.6 vs. 56 cm H2O), was confirmed. From our results it may be concluded that MC is a useful surgical technique in the treatment of prostatic obstruction, with the advantage versus other techniques that very frequently it preserves the proximal urinary continence mechanism and the sexual sphincter.
Resel Estévez
L
L
Cátedra de Urología, Hospital Universitario San Carlos, Ciudad Universitaria, Madrid.
Salinas Casado
J
J
Silmi Moyano
A
A
Moreno Sierra
J
J
Chicharro Almarza
J
J
Blazquez Izquierdo
J
J
Gómez Ruiz
J J
JJ
Espinosa Fernández
B
B
D000368:Aged; D000369:Aged, 80 and over; D004724:Endoscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D011300:Preoperative Care; D011470:Prostatic Hyperplasia / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D013997:Time Factors; D001743:Urinary Bladder / Q000000981:diagnostic imaging; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D014563:Urodynamics