SciELO - Scientific Electronic Library Online

vol.33 número4Influencia del empleo de estatinas en el cáncer de próstata clínicamente localizado tratado con prostatectomía radicalGuía clínica del carcinoma urotelial no músculo invasivo de la Asociación Europea de Urología índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados



Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google


Actas Urológicas Españolas

versión impresa ISSN 0210-4806


RAMIREZ CLAROS, Daniel; PEREIRA CORREIA, João Antonio; MUGLIA FERREIRA, Luiz Renato  y  PIRES VAZ, Fernando. Retrospective evaluation of urinary continence in patients submitted to brachytherapy after transurethral resection of the prostate gland. Actas Urol Esp [online]. 2009, vol.33, n.4, pp.356-360. ISSN 0210-4806.

Introduction and Objective: Some candidates for brachytherapy present with a previous history of prostate transurethral resection (TURP). Nonetheless, TURP generates a cavity that may lead to technical difficulties in performing brachytherapy. Such condition make a history of previous TURP a relative contra-indication for brachytherapy. The aim of this study is to evaluate the role of brachytherapy in urinary continence, in a group of patients with previous history of TURP. Materials and Methods: In our study, we analysed a group of 16 patients submitted to TURP pre-brachytherapy. The mean quality of life score from ICSmaleSF questionnaire ranged from 0 to 1 before and after brachytheraphy (average: 0,18 -before; average: 0,20 - after). There was no estatistically significant difference between the former values (p< 0,001). After brachytherapy patients were evaluated for lower urinary tract symptoms. The time interval between TURP and brachytherapy ranged from 30 to 90 days (average: 60 days). Post-brachytherapy follow-up varied between 3 and 60 months (average: 30 months). Results: None of the 16 patients evaluated presented lower urinary tract symptoms nor urinary incontinence. Medical complications observed in patients were: dysuria, erectile dysfunction, scrotal ecchymosis and urinary retention . The cases of dysuria, scrotal ecchymosis and urinary retention observed were of short-duration, the last one with spontaneous resolution after 7 days of vesical catheterism. The patient presenting erectile dysfunction had a good response to oral type 5 fosfodiesterase inhibitor three times a week, after a six month period. Conclusion: In accordance with other studies, we believe that with some strategy TURP should not be considered a relative contra-indication for brachytherapy.

Palabras clave : Brachytherapy; Transurethral resection of prostate; Prostatic; Neoplasms; Prostate; Radiotherapy.

        · resumen en Español     · texto en Español     · Español ( pdf )


Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons