Prevalencia de estenosis uretral en pacientes adultos de 45 a 85 años sometidos a prostatectomía transuretral en el Hospital General del Norte de Guayaquil IESS Los Ceibos, durante el periodo 2018-2020.

Abstract

Introduction: Transurethral prostatectomy is considered the standard surgical procedure for the management of benign prostatic hyperplasia. There is evidence on urethral stricture as a complication of transurethral prostatic resection. To determine the prevalence of urethral stricture in patients undergoing transurethral prostatectomy. Materials and Method: This descriptive, observational, retrospective and crosssectional study was made over mens between 45 and 85 years of age who underwent transurethral prostatectomy at the General Hospital of the North of Guayaquil IESS Los Ceibos during the period 2018-2020. Results: The prevalence of urethral stricture after transurethral prostatectomy (TURP) was 68.9% with a mortality of 6%, strictures was presented as a weak voiding stream (n=67; 75.3%) in most cases, leading to urinary tract infection (n=72; 80.9%) as most frequent complicaction. Symptomatic treatment of urethral dilatation prevailed (n=58; 65.2%). 62% of the entire study population had recurrences, with fewer cases occurring in internal urethrotomy (n=6/13; 46.2%). Conclusions: performing transurethral prostatectomy will have the presence of urethral stenosis as a complication, either in the long or short term, coinciding with the prevalence obtained in this thesis. It is considered that this study is important, because it will help to have statistics in Ecuador on urethral stenosis.