%0 Journal Article
%T An¨¢lisis retrospectivo de la continencia urinaria en pacientes sometidos a braquiterapia post-resecci¨®n transuretral prost¨¢tica
%A Ramirez Claros
%A Daniel
%A Pereira Correia
%A Jo£¿o Antonio
%A Muglia Ferreira
%A Luiz Renato
%A Pires Vaz
%A Fernando
%J Actas Urol¨®gicas Espa£¿olas
%D 2009
%I Scientific Electronic Library Online
%R 10.4321/S0210-48062009000400004
%X 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.
%K brachytherapy
%K transurethral resection of prostate
%K prostatic
%K neoplasms
%K prostate
%K radiotherapy.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0210-48062009000400004&lng=en&nrm=iso&tlng=en