Resumen

SANTANA SARRHY, Lourdes  y  WONG AROCHA, Haydee. Criterios actuales para evaluar la conducta a seguir con los pacientes que padecen de hiperplasia prostática benigna. Rev Cubana Cir [online]. 2004, vol.43, n.1. ISSN 0034-7493.

The progress of biology and medicine in the last years has allowed to advance in the knowldege of physiopathology, morphology, symptomatology and even of new therapeutic alternatives in patients with bening prostatic hyperplasia (BPH). The present research was carried out aimed at evaluating those patients visiting our office and who presented BPH to the light of the new clinicotherapeutic crtieria, and at identifying the correlation existing among these criteria in such patients. A descriptive study of 56 patients aged 50-80 was conducted. All the patients were surveyed and data on the urinary sytem, the physical examination, the result of the uroflowmetry and the measurement of the vesical residual were collected. These data were analyzed by parametric methods and the results were shown in tables for their better comprehension. 66.6 % of the patients with normal rectal touch had an important maximum obstructive flow and 50 % of the cases with degree III prostate to the touch had nonobstructive flow. Of the total of patients with maximum flow under 10 mL/sec, 89.2 % had an important residual. It was concluded that the physical examination is useful to verify the benignancy of the process, that the growth of the gland through digital palpation is not proportional with the obstruction degree, that the obstructive and irritative symptoms appear more frequently in patients with a maximum urinary flow under 10 mL/sec and that the measurement of the vesical residual by abdominal ultrasound is very necessary to complete the study of these patients

Palabras clave : HYPERPLASIA, PROSTATIC [diagnosis]; HYPERPLASIA, PROSTATIC [chemotherapy]; HYPERPLASIA, PROSTATIC [surgery]; PROSTATE DISEASES.