Vaporesección/ vapoenucleación de próstata con láser thulium frente a prostatectomía abierta en próstatas de alto volumen
| dc.contributor.advisor | Salazar Rey, Milton | |
| dc.contributor.advisor | Camacho López, Paul Anthony | |
| dc.contributor.apolounab | Camacho López, Paul Anthony [paul-anthony-camacho-lópez] | |
| dc.contributor.author | Sandoval Ojeda, Juan Manuel | |
| 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.linkedin | Camacho López, Paul Anthony [paulcamachomdepi] | |
| 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.contributor.scopus | Camacho López, Paul Anthony [16047325700] | spa |
| dc.coverage.campus | UNAB Campus Bucaramanga | spa |
| dc.coverage.spatial | Floridablanca (Santander, Colombia) | spa |
| dc.coverage.temporal | 2017-2020 | spa |
| dc.date.accessioned | 2022-07-11T18:26:54Z | |
| dc.date.available | 2022-07-11T18:26:54Z | |
| dc.date.issued | 2022-06-14 | |
| dc.degree.name | Especialista en Urología | spa |
| dc.description.abstract | La hiperplasia prostática benigna (HPB) es un diagnóstico histológico de proliferación de músculo liso y células epiteliales en la zona transicional. Tiene una prevalencia del 50% en hombres de 50 años y hasta 80% a los 80 años. La principal manifestación clínica son los síntomas del tracto urinario inferior (SUOB), alcanzando una prevalencia de 45.2%. La resección transuretral de próstata (RTUP) se consideró el Gold estándar en próstatas de bajo volumen (< 80 cc) y para próstatas de alto volumen (> de 80 cc) fue la prostatectomía abierta (PA), con altas tasas de efectividad y un margen aceptable de seguridad. En la actualidad, existen alternativas endoscópicas con tecnología Láser (Holmium, Green laser, Thulium). En la población colombiana, no se cuenta con datos de efectividad de una técnica frente a otra en pacientes en próstatas de alto volumen. El objetivo del estudio es analizar la efectividad, costos y desenlaces de los pacientes sometidos a procedimientos endoscópicos Laser vs abierto. | spa |
| dc.description.abstractenglish | Benign prostatic hyperplasia (BPH) is a histological diagnosis of smooth muscle and epithelial cell proliferation in the transitional zone. It has a prevalence of 50% in men aged 50 years and up to 80% at the age of 80 years. The main clinical manifestation is lower urinary tract symptoms (LUTS), reaching a prevalence of 45.2%. Transurethral resection of the prostate (TURP) was considered the Gold standard in low-volume prostates (< 80 cc) and for high-volume prostates (> 80 cc) it was open prostatectomy (OP), with high effectiveness rates and an acceptable margin of safety. Currently, there are endoscopic alternatives with laser technology (Holmium, Green laser, Thulium). In the Colombian population, there is no data on the effectiveness of one technique versus another in patients with high volume prostates. The objective of the study is to analyze the effectiveness, costs and outcomes of patients submitted to endoscopic Laser vs. open procedures. | spa |
| dc.description.degreelevel | Especialización | spa |
| dc.description.learningmodality | Modalidad Presencial | spa |
| dc.description.tableofcontents | LISTA DE TABLAS 6 LISTA DE FIGURAS 7 LISTA DE ANEXOS 8 GLOSARIO 9 RESUMEN 10 INTRODUCCIÓN 14 1. DESCRIPCIÓN DEL PROYECTO 15 1.1 Planteamiento del problema y justificación 15 1.2 Pregunta de investigación 16 2.1. Marco Teórico 17 2.2. Estado del Arte 22 2.3. Objetivos 25 2.4.1. Objetivo general 25 2.4.2. Objetivos específicos 25 2.5. Metodología 26 2.5.1. Diseño 26 2.5.2. Universo 26 2.5.3. Población Objeto 26 2.5.4. Criterios de elegibilidad 26 2.5.4.1. Criterios de Inclusión 26 2.5.4.2. Criterios de Exclusión 26 2.5.5. Descripción del procedimiento 27 5 2.5.6. plan de análisis de datos 27 3. CONSIDERACIONES ÉTICAS 29 4. RESULTADOS 31 5. DISCUSIÓN 39 6. CONCLUSIONES 42 7. REFERENCIAS BIBLIOGRÁFICAS 43 | spa |
| dc.format.mimetype | application/pdf | spa |
| dc.identifier.instname | instname:Universidad Autónoma de Bucaramanga - UNAB | spa |
| dc.identifier.reponame | reponame:Repositorio Institucional UNAB | spa |
| dc.identifier.repourl | repourl:https://repository.unab.edu.co | spa |
| dc.identifier.uri | http://hdl.handle.net/20.500.12749/16888 | |
| dc.language.iso | spa | spa |
| dc.publisher.faculty | Facultad Ciencias de la Salud | spa |
| dc.publisher.grantor | Universidad Autónoma de Bucaramanga UNAB | spa |
| dc.publisher.program | Especialización en Urología | spa |
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| dc.relation.references | 42. Liu, C., Zheng, S., Li, H., & Xu, K. (2010). Transurethral enucleation and resection of prostate in patients with benign prostatic hyperplasia by plasma kinetics. The Journal of urology, 184(6), 2440– 2445. https://doi.org/10.1016/j.juro.2010.08.037 | spa |
| dc.relation.references | 43. Noble, S. M., Ahern, A. M., Worthington, J., Hashim, H., Taylor, H., Young, G. J., Brookes, S., Abrams, P., Johnson, L., Khan, R., Page, T., Swami, K. S., & Lane, J. A. (2020). The cost-effectiveness of transurethral resection of the prostate vs thulium laser transurethral vaporesection of the prostate in the UNBLOCS randomised controlled trial for benign prostatic obstruction. BJU international, 126(5), 595–603. https://doi.org/10.1111/bju.15138 | spa |
| dc.relation.references | 44. Jiang, H., & Zhou, Y. (2016). Safety and Efficacy of Thulium Laser Prostatectomy Versus Transurethral Resection of Prostate for Treatment of Benign Prostate Hyperplasia: A Meta-Analysis. Lower urinary tract symptoms, 8(3), 165–170. https://doi.org/10.1111/luts.12092 | spa |
| dc.relation.references | 45. Zhu, Y., Zhuo, J., Xu, D., Xia, S., & Herrmann, T. R. (2015). Thulium laser versus standard transurethral resection of the prostate for benign prostatic obstruction: a systematic review and meta-analysis. World journal of urology, 33(4), 509–515. https://doi.org/10.1007/s00345-0141410-6 | spa |
| dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
| dc.rights.creativecommons | Atribución-NoComercial-SinDerivadas 2.5 Colombia | * |
| dc.rights.local | Abierto (Texto Completo) | spa |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/2.5/co/ | * |
| 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 | Thulium | spa |
| dc.subject.keywords | ThuVep | spa |
| dc.subject.keywords | huVap | spa |
| dc.subject.keywords | Open prostatectomy | spa |
| dc.subject.keywords | Prostate diseases | spa |
| dc.subject.keywords | Hyperplasia | spa |
| dc.subject.keywords | Cell pathology | spa |
| dc.subject.keywords | Urethroscopy | spa |
| dc.subject.lemb | Urología | spa |
| dc.subject.lemb | Medicina | spa |
| dc.subject.lemb | Ciencias médicas | spa |
| dc.subject.lemb | Enfermedades de la próstata | spa |
| dc.subject.lemb | Hiperplasia | spa |
| dc.subject.lemb | Patología celular | spa |
| dc.subject.lemb | Uretroscopia | spa |
| dc.subject.proposal | Ciencias de la salud | spa |
| dc.subject.proposal | HPB | spa |
| dc.subject.proposal | Prostatectomía abierta | spa |
| dc.subject.proposal | Láser | spa |
| dc.title | Vaporesección/ vapoenucleación de próstata con láser thulium frente a prostatectomía abierta en próstatas de alto volumen | spa |
| dc.title.translated | Vaporesection/ vapoenucleation of the prostate with thulium laser versus open prostatectomy in high-volume prostates | spa |
| dc.type.coar | http://purl.org/coar/resource_type/c_bdcc | |
| dc.type.coarversion | http://purl.org/coar/version/c_ab4af688f83e57aa | spa |
| dc.type.driver | info:eu-repo/semantics/masterThesis | |
| dc.type.hasversion | info:eu-repo/semantics/acceptedVersion | |
| dc.type.local | Tesis | spa |
| dc.type.redcol | http://purl.org/redcol/resource_type/TM |
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