dc.contributor.advisor | Salazar Rey, Milton | |
dc.contributor.advisor | Camacho López, Paul Anthony | |
dc.contributor.author | Rodríguez Piedrahita, Héctor Mauricio | |
dc.coverage.spatial | Colombia | spa |
dc.date.accessioned | 2022-07-11T18:42:36Z | |
dc.date.available | 2022-07-11T18:42:36Z | |
dc.date.issued | 2022-06-28 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12749/16893 | |
dc.description.abstract | En la actualidad se considera la resección transuretral de próstata (RTUp) como terapia gold estándar para la HPB, sin embargo, esta técnica presenta una tasa de morbilidad de hasta 30% al 46% en pacientes con anticoagulación. La inversión en la pirámide poblacional conlleva a una elevación en la incidencia de enfermedades crónicas, lo cual incrementa el uso de terapias anticoagulantes o antiagregantes plaquetarios en los pacientes con HPB, lo que genera la necesidad de establecer un lineamiento de manejo en este grupo de pacientes que requiere manejo quirúrgico. La técnica de vapoenucleación de próstata con láser thulium (ThuVARP) debido a sus características, es la técnica recomendada por la EAU en el manejo quirúrgico en este grupo de pacientes, la cual presenta en algunos reportes una menor tasa de complicaciones relacionadas a sangrado. Se encuentra literatura limitada que determinen factores de riesgo asociados a complicaciones en estos pacientes. | spa |
dc.description.tableofcontents | RESUMEN
INTRODUCCIÓN
1. JUSTIFICACIÓN
2. OBJETIVOS
2.1 OBJETIVO GENERAL
2.2 OBJETIVOS ESPECÍFICOS
3. MARCO TEÓRICO Y ESTADO DEL ARTE
4. METODOLOGÍA
4.1 Diseño
4.2 Universo
4.3 Población Objeto
4.4 Muestra
4.5 Criterios de Inclusión y Exclusión
4.6 Variables
4.7 Manejo del paciente y obtención de información.
4.8 Plan de Análisis
5. CONSIDERACIONES ÉTICAS
6. RESULTADOS
7. DISCUSIÓN
8. CONCLUSIONES
9. BIBLIOGRAFÍA | spa |
dc.format.mimetype | application/pdf | spa |
dc.language.iso | spa | spa |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/2.5/co/ | * |
dc.title | Seguridad de la vapoenucleación de próstata con láser Thulium en pacientes anticoagulados, experiencia de 7 años en centro de tercer nivel | spa |
dc.title.translated | Safety of prostate vapoenucleation with Thulium laser in anticoagulated patients, 7-year experience in a tertiary care center | spa |
dc.degree.name | Especialista en Urología | spa |
dc.publisher.grantor | Universidad Autónoma de Bucaramanga UNAB | spa |
dc.rights.local | Abierto (Texto Completo) | spa |
dc.publisher.faculty | Facultad Ciencias de la Salud | spa |
dc.publisher.program | Especialización en Urología | spa |
dc.description.degreelevel | Especialización | spa |
dc.type.driver | info:eu-repo/semantics/masterThesis | |
dc.type.local | Tesis | spa |
dc.type.coar | http://purl.org/coar/resource_type/c_bdcc | |
dc.subject.keywords | Medical sciences | spa |
dc.subject.keywords | Health sciences | spa |
dc.subject.keywords | Urology | spa |
dc.subject.keywords | Medicine | spa |
dc.subject.keywords | Transurethral resection | spa |
dc.subject.keywords | Chronic diseases | spa |
dc.subject.keywords | Anticoagulation | spa |
dc.subject.keywords | Hematologic agents | spa |
dc.subject.keywords | Blood coagulation | spa |
dc.subject.keywords | Hyperplasia | spa |
dc.subject.keywords | Prostate diseases | spa |
dc.identifier.instname | instname:Universidad Autónoma de Bucaramanga - UNAB | spa |
dc.identifier.reponame | reponame:Repositorio Institucional UNAB | spa |
dc.type.hasversion | info:eu-repo/semantics/acceptedVersion | |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
dc.relation.references | 1. Vuichoud C, Loughlin KR. Benign prostatic hyperplasia: epidemiology, economics and evaluation. Can J Urol. 2015;22 Suppl 1:1-6. | spa |
dc.relation.references | 2. Gravas S, Bach T, Bachmann A, Drake M, Gacci M, Gratzke C, et al. Guidelines on the Management of Non-Neurogenic Male Lower Urinary Tract Symptoms (LUTS), incl. Benign Prostatic Obstruction (BPO). | spa |
dc.relation.references | 3. McConnell JD, Roehrborn CG, Bautista OM, Andriole GL, Dixon CM, Kusek JW, et al. The Long-Term Effect of Doxazosin, Finasteride, and Combination Therapy on the Clinical Progression of Benign Prostatic Hyperplasia. N Engl J Med. 2003 Dec 18;349(25):2387–98 | spa |
dc.relation.references | 4. Raber M, Buchholz NNP, Vercesi A, et al. Thulium laser enucleation of the prostate (Thulep): Results, complications, and risk factors in 139 consecutive cases. Arab Journal of Urology. 2018;16(4):411-416. | spa |
dc.relation.references | 5. Sener TE, Butticè S, Macchione L, et al. Thulium laser vaporesection of the prostate: Can we operate without interrupting oral antiplatelet/anticoagulant therapy? Investig Clin Urol. 2017;58(3):192 | spa |
dc.relation.references | 6. S. Gravas (Chair), J.N. Cornu, M. Gacci, C. Gratzke, T.R.W. Herrmann, C. Mamoulakis, M. Rieken, M.J. Speakman, K.A.O. Tikkinen. Management of Non-neurogenic Male LUTS. EAU Guidelines. Edn. presented at the EAU Annual Congress Milan 2021. ISBN 978-94-92671-13-4. | spa |
dc.relation.references | 7. Foster HE, Barry MJ, Dahm P, et al. Surgical management of lower urinary tract symptoms attributed to benign prostatic hyperplasia: AUA guideline. J Urol 2018; 11: 43201–43206 | spa |
dc.relation.references | 8. Heiman J, Large T, Krambeck A. Best practice in the management of benign prostatic hyperplasia in the patients requiring anticoagulation. Ther Adv Urol. 2018, Vol. 10(12) 431–436 | spa |
dc.relation.references | 9. Musi G, Mistretta FA, Marenghi C, et al. Thulium laser treatment of upper urinary tract carcinoma: a multi-institutional analysis of surgical and oncological outcomes. Journal of Endourology. 2018;32(3):257-263. | spa |
dc.relation.references | 10. Traxer, O.;Corrales,M. Managing Urolithiasis with Thulium Fiber Laser: Updated Real-Life Results—A Systematic Review. J. Clin. Med.2021,10,3390. https://doi.org/ 10.3390/jcm10153390 | spa |
dc.relation.references | 11. Michalak J, Tzou D, Funk J. HoLEP: the gold standard for the surgical management of BPH in the 21(St) Century. Am J Clin Exp Urol. 2015;3(1):3642. | spa |
dc.relation.references | 12. Zhang F, Shao Q, Herrmann TRW, Tian Y, Zhang Y. Thulium laser versus holmium laser transurethral enucleation of the prostate: 18-month follow-up data of a single center. Urologuny. 2012;79(4):869-874 | spa |
dc.relation.references | 13. Xia SJ, Zhang YN, Lu J, Sun XW, Zhang J, Zhu YY, et al. Thulium laser resection of prostate-tangerine technique in treatment of benign prostate hyperplasia. Zhonghua yi xue za zhi. 2005 Nov;85(45):3225-3228 | spa |
dc.relation.references | 14. Maruccia, S., Fulgheri, I., Montanari, E. et al. Nomenclature in thulium laser treatment of benign prostatic hyperplasia: it’s time to pull the rabbit out of the hat. Lasers Med Sci (2021) | spa |
dc.relation.references | 15. Bach T, Xia SJ, Yang Y, Mattioli S, Watson GM, Gross AJ, et al. Thulium:YAG 2 μm cw laser prostatectomy: where do we stand? World J Urol. 2010 Apr 5;28(2):163–8. | spa |
dc.relation.references | 16. Hauser S, Rogenhofer S, Ellinger J, Strunk T, Müller SC, Fechner G. Thulium laser (Revolix) vapoenucleation of the prostate is a safe procedure in patients with an increased risk of hemorrhage. Urol Int. 2012;88(4):390-394 | spa |
dc.relation.references | 17. DANE –Departamento Administrativo Nacional de Estadística– (2018). Censo General 2018 [documento en línea]. Disponible en https://www.dane.gov.co/index.php/estadisticas-por-tema/demografia-ypoblacion/censo-nacional-de-poblacion-y-vivenda-2018/informacion-tecnica [Consultado el 01 de septiembre de 2021]. | spa |
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dc.relation.references | 19. Critical review of lasers in benign prostatic hyperplasia (BPH). Stavros Gravas, Alexander Bachmann, Oliver Reich et al. BJU International Volume 107, Issue 7, Version of Record online: 25 MAR 2011. Reviewed 26-02-2018 | spa |
dc.relation.references | 20. Fried NM. High-power laser vaporization of the canine prostate using a 110 W Thulium fiber laser at 1.91 microm. Lasers Surg Med 2005;36:52-6. | spa |
dc.relation.references | 21. Cornu JN. Bipolar, Monopolar, Photovaporization of the Prostate, or Holmium Laser Enucleation of the Prostate. How to Choose What’s Best?. Urol Clin N Am 43. 2016; 377–84 | spa |
dc.relation.references | 22. Netsch C, Herrmann TRW, Bozzini G, Berti L, Gross AJ, Becker B. Recent evidence for anatomic endoscopic enucleation of the prostate (Aeep) in patients with benign prostatic obstruction on antiplatelet or anticoagulant therapy. World J Urol. Published online March 15, 2021 | spa |
dc.relation.references | 23. Taylor K, Filgate R, Guo DY, et al. A retrospective study to assess the morbidity associated with transurethral prostatectomy in patients on antiplatelet or anticoagulant drugs. BJU Int 2011; 108 (Suppl. 2): 45–50 | spa |
dc.relation.references | 24. Tang K, Xu Z, Xia D, Ma X, Guo X, Guan W, et al. Early Outcomes of Thulium Laser Versus Transurethral Resection of the Prostate for Managing Benign Prostatic Hyperplasia: A Systematic Review and Meta-Analysis of Comparative Studies. J Endourol. 2014 Jan;28(1):65–72. | spa |
dc.relation.references | 25. Lourenco T, Pickard R, Vale L, Grant A, Fraser C, MacLennan G, et al. Alternative approaches to endoscopic ablation for benign enlargement of the prostate: systematic review of randomised controlled trials. BMJ. 2008 Jun 30;337(jun30 1):a449–a449 | spa |
dc.relation.references | 26. Hartung FO, et al. Holmium Versus Thulium Laser Enucleation of the Prostate: A Systematic Review and Meta-analysis of Randomized Controlled Trials. Eur Urol Focus (2021). Article in press. https://doi.org/10.1016/j.euf.2021.03.024 | spa |
dc.relation.references | 27. Castellani D, Di Rosa M, Gasparri L, Pucci M, Dellabella M. Thulium laser vapoenucleation of the prostate (Thuvep) in men at high cardiovascular risk and on antithrombotic therapy: a single-center experience. JCM. 2020;9(4):917. | spa |
dc.relation.references | 28. Charbonneau H, Pasquié M, Peyronnet B, et al. Stopping or maintaining oral anticoagulation in patients undergoing photoselective vaporization of the prostate (Soap) surgery for benign prostate obstruction: study protocol for a multicentre randomized controlled trial. Trials. 2018;19(1):705. | spa |
dc.relation.references | 29. Tiret L, Hatton F, Desmonts JM, Vourc’h G. Prediction of outcome of anaesthesia in patients over 40 years: A multifactorial risk index. Stat Med. 1988;7:947–54 | spa |
dc.relation.references | 30. Netsch C, Stoehrer M, Brüning M, et al. Safety and effectiveness of Thulium VapoEnucleation of the prostate (Thuvep) in patients on anticoagulant therapy. World J Urol. 2014;32(1):165-172 | spa |
dc.contributor.cvlac | Salazar Rey, Milton [0001489804] | spa |
dc.contributor.cvlac | Camacho López, Paul Anthony [0000323578] | spa |
dc.contributor.googlescholar | Camacho López, Paul Anthony [u8d7_QAAAAJ] | spa |
dc.contributor.orcid | Salazar Rey, Milton [0000-0002-1316-4149] | spa |
dc.contributor.orcid | Camacho López, Paul Anthony [0000-0002-6233-9582] | spa |
dc.contributor.researchgate | Salazar Rey, Milton [Milton-Salazar-Rey-31568627] | spa |
dc.contributor.researchgate | Camacho López, Paul Anthony [Paul_Camacho_Lopez] | spa |
dc.subject.lemb | Urología | spa |
dc.subject.lemb | Medicina | spa |
dc.subject.lemb | Ciencias médicas | spa |
dc.subject.lemb | Agentes hematológicos | spa |
dc.subject.lemb | Coagulación sanguinea | spa |
dc.subject.lemb | Hiperplasia | spa |
dc.subject.lemb | Enfermedades de la próstata | spa |
dc.identifier.repourl | repourl:https://repository.unab.edu.co | spa |
dc.description.abstractenglish | It is currently considered transurethral Resection of the prostate to be a gold standard therapy for benign prosthetic hyperplasia, however this technique presents a morbidity rate of up to 30% to 46% In patients with anticoagulation. The inversion of the population pyramid brings with it an elevation in the incidence of chronic diseases, which in turn increases the use of anticoagulant therapy or antiplatelet aggregation in patients with benign prostatic hyperplasia thus generating a need to stablish a pattern of treatment in these patients which requires surgical treatment. Due to its characteristics, vapoenucleation of the prostate using thulium laser is the technique recommended by the EAU when surgically handling these groups of patients, which in some reports present a lower rate of complications related to bleeding. There isn’t enough written material on the topic to fully determine the risk factors associated with these complications in these patients. | spa |
dc.subject.proposal | Ciencias de la salud | spa |
dc.subject.proposal | Resección transuretral | spa |
dc.subject.proposal | Enfermedades crónicas | spa |
dc.subject.proposal | Anticoagulación | spa |
dc.type.redcol | http://purl.org/redcol/resource_type/TM | |
dc.rights.creativecommons | Atribución-NoComercial-SinDerivadas 2.5 Colombia | * |
dc.type.coarversion | http://purl.org/coar/version/c_ab4af688f83e57aa | spa |
dc.coverage.campus | UNAB Campus Bucaramanga | spa |
dc.description.learningmodality | Modalidad Presencial | spa |