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"apellidos" => "Bestard Vallejo" ] 1 => array:2 [ "nombre" => "Lluís Cecchini" "apellidos" => "Rosell" ] 2 => array:2 [ "nombre" => "Carles Xavier Raventós" "apellidos" => "Busquets" ] 3 => array:2 [ "nombre" => "Enrique Trilla" "apellidos" => "Herrera" ] 4 => array:2 [ "nombre" => "Edmundo Tremps" "apellidos" => "Velázquez" ] 5 => array:2 [ "nombre" => "Juan Morote" "apellidos" => "Robles" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609728992?idApp=UINPBA00004N" "url" => "/02104806/0000003300000009/v2_201304261008/S0210480609728992/v2_201304261008/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480609728979" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)72897-9" "estado" => "S300" "fechaPublicacion" => "2009-10-01" "aid" => "72897" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 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Redorta, Daniel Ruiz-Tagle Philips, Ernesto Cordeiro, Humberto Villavicencio Mavrich" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Óscar Rodríguez" "apellidos" => "Faba" ] 1 => array:2 [ "nombre" => "Antonio Rosales" "apellidos" => "Bordes" ] 2 => array:2 [ "nombre" => "José Salvador" "apellidos" => "Bayarri" ] 3 => array:2 [ "nombre" => "Juan Palou" "apellidos" => "Redorta" ] 4 => array:2 [ "nombre" => "Daniel Ruiz-Tagle" "apellidos" => "Philips" ] 5 => array:2 [ "nombre" => "Ernesto" "apellidos" => "Cordeiro" ] 6 => array:2 [ "nombre" => "Humberto Villavicencio" "apellidos" => "Mavrich" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609728979?idApp=UINPBA00004N" "url" => "/02104806/0000003300000009/v2_201304261008/S0210480609728979/v2_201304261008/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original – HBP</span>" "titulo" => "Eficacia de la fotovaporización prostática con láser verde en el tratamiento de la hiperplasia prostática en pacientes en tratamiento con inhibidores de la 5-alfa-reductasa" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "988" "paginaFinal" => "993" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Joaquín Ulises Juan Escudero, Emilio López Alcina, Macarena Ramos de Campos, Francisco Ramada Benlloch, Francisco Sánchez Ballester, Emilio Marqués Vidal" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Joaquín Ulises Juan" "apellidos" => "Escudero" "email" => array:1 [ 0 => "chimojuan@hotmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "Emilio López" "apellidos" => "Alcina" ] 2 => array:2 [ "nombre" => "Macarena Ramos" "apellidos" => "de Campos" ] 3 => array:2 [ "nombre" => "Francisco Ramada" "apellidos" => "Benlloch" ] 4 => array:2 [ "nombre" => "Francisco Sánchez" "apellidos" => "Ballester" ] 5 => array:2 [ "nombre" => "Emilio Marqués" "apellidos" => "Vidal" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urología, Consorcio Hospital General Universitario de Valencia, Valencia, España" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Green light laser efficacy in patients with prostatic hyperplasia treatment with 5-alpha reductase inhibitors" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-01-28" "fechaAceptado" => "2009-05-12" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec89467" "palabras" => array:3 [ 0 => "Hiperplasia prostática" 1 => "Inhibidores de la 5-alfa-reductasa" 2 => "Láser verde" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec89468" "palabras" => array:3 [ 0 => "Prostatic hyperplasia" 1 => "5-alpha reductase inhibitors" 2 => "Green light laser" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">El progresivo envejecimiento de la población y la elevada prevalencia de la hiperplasia benigna prostática (HBP), unidos a la existencia de tratamientos médicos efectivos para esta afección, produce que cada vez más indiquemos la cirugía en pacientes tratados a largo plazo con inhibidores de la 5-alfa-reductasa (5ARI). En un principio, los pacientes tratados con 5ARI no se consideraban buenos candidatos para la fotovaporización prostática con láser verde.</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">En el siguiente trabajo, mediante un estudio retrospectivo basado en nuestra experiencia, pretendemos dilucidar si el tratamiento a largo plazo (mas de 6 meses) con inhibidores de la 5ARI reduce la eficacia del tratamiento con láser verde en pacientes afectados de HBP.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Entre septiembre de 2005 y enero de 2008 hemos tratado a 102 pacientes mediante fotovaporización prostática con láser verde, de los que 25 (24,5%) se encontraban en tratamiento con 5ARI durante al menos 6 meses; los otros 77 (75,5%) pacientes formaron el grupo control. Realizamos un estudio retrospectivo en el que comparamos los parámetros clínicos y funcionales pre y postoperatorios de los pacientes tratados con 5ARI respecto a los que no lo estaban.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">No encontramos diferencias estadísticamente significativas en cuanto a volumen prostático (50 cc y 49 cc), IPSS (17,6 y 17,8), residuo posmiccional (16% y 18%) o antígeno prostático específico (PSA) (1,4<span class="elsevierStyleHsp" style=""></span>ng/ml y 2,2<span class="elsevierStyleHsp" style=""></span>ng/ml) preoperatorios entre los grupos tratamiento y control, respectivamente. Del mismo modo, si bien existieron diferencias en cuanto a la energía usada (180 kJ y 175 kJ) y el tiempo quirúrgico empleado (63<span class="elsevierStyleHsp" style=""></span>min y 57<span class="elsevierStyleHsp" style=""></span>min), ambas fueron más elevadas en el grupo tratado con 5ARI, estas diferencias no resultaron significativas estadísticamente. Tampoco encontramos diferencias en los parámetros clínicos (IPSS 13,8 y 14 al primer mes) ni flujométricos (Qmáx 13,9<span class="elsevierStyleHsp" style=""></span>ml/s y 14,5<span class="elsevierStyleHsp" style=""></span>ml/s en la revisión al primer mes) entre pacientes tratados y no tratados. Subjetivamente, se apreció una mejor visualización del campo endoscópico atribuida a un menor sangrado durante la intervención.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Nuestros resultados no demuestran diferencias estadísticamente significativas entre pacientes con y sin tratamiento con inhibidores de la 5ARI en cuanto a parámetros intra y preoperatorios, por lo que pensamos que este tratamiento no disminuye la eficacia de la fotovaporización prostática con láser verde.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">High prevalence of BPH and gradual ageing of the population, combined with the existence of effective medical treatments for this condition, has led to an increasing use of surgery in patients on long-term treatment with 5-alpha reductase inhibitors (5-ARIs). Initially, patients treated with 5-ARIs were not considered good candidates for photoselective vaporization of the prostate with green laser.</p> <span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To assess, using a retrospective study based on our experience, wheter long-term treatment (longer than 6 months) with 5-alpha reductase inhibitors decreases effectivenes of photoselective vaporization of the prostate with green light laser in BPH.</p> <span class="elsevierStyleSectionTitle">Materials and methods</span><p class="elsevierStyleSimplePara elsevierViewall">From September 2005 to January 2008, 102 patients underwent photoselective vaporization of the prostate with green light laser. Of these, 25 patients (24.5%) had been treated with 5-ARIs for at least 6 months, and the remaining 77 patients (75.5%) were used as controls. A retrospective study was conducted to compare the pre- and postoperative clinical and functional parameters of patients with and without prior 5-RAI therapy.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">No statistically significant differences were found between the treated and control groups in preoperative prostatic volume (50<span class="elsevierStyleHsp" style=""></span>mL vs 49<span class="elsevierStyleHsp" style=""></span>mL), IPSS (17.6 vs 17.8), postvoiding residue (16% vs 18%), or PSA (1.4<span class="elsevierStyleHsp" style=""></span>ng/mL vs 2.2<span class="elsevierStyleHsp" style=""></span>ng/mL). Similarly, while differences were seen in energy spread (180 kJ vs 175 kJ for the treated and control groups respectively) and operating time (63<span class="elsevierStyleHsp" style=""></span>min vs 57<span class="elsevierStyleHsp" style=""></span>min), these were not statistically significant. No between-group differences were found either in clinical or flow rate parameters one month after surgery (IPSS 13.8 vs 14 and Qmax 13.9mL/s vs 14.5 nL/s in the treated and control groups respectively). Surgeons reported a better visualization of the endoscopic field that was attributed to less bleeding during the procedure.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Our results show no statistically significant differences in peroperative and preoperative parameters between patients with and without treatment with 5-alpha reductase inhibitors. We therefore think that photoselective vaporization of the prostate with green light laser is a safe and effective technique in patients treated with 5-ARIs.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:20 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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año/Mes | Html | Total | |
---|---|---|---|
2024 Octubre | 0 | 11 | 11 |
2024 Septiembre | 0 | 7 | 7 |
2024 Agosto | 0 | 3 | 3 |
2024 Julio | 0 | 7 | 7 |
2024 Junio | 0 | 10 | 10 |
2024 Mayo | 0 | 6 | 6 |
2024 Abril | 0 | 28 | 28 |
2024 Marzo | 0 | 32 | 32 |
2024 Febrero | 0 | 10 | 10 |
2024 Enero | 0 | 19 | 19 |
2023 Diciembre | 0 | 31 | 31 |
2023 Noviembre | 0 | 35 | 35 |
2023 Octubre | 0 | 46 | 46 |
2023 Septiembre | 0 | 24 | 24 |
2023 Agosto | 0 | 15 | 15 |
2023 Julio | 0 | 41 | 41 |
2023 Junio | 0 | 15 | 15 |
2023 Mayo | 0 | 6 | 6 |
2023 Abril | 0 | 9 | 9 |
2023 Marzo | 2 | 9 | 11 |
2023 Febrero | 0 | 6 | 6 |
2023 Enero | 0 | 3 | 3 |
2022 Diciembre | 0 | 5 | 5 |
2022 Noviembre | 0 | 9 | 9 |
2022 Octubre | 0 | 4 | 4 |
2022 Septiembre | 0 | 12 | 12 |
2022 Agosto | 0 | 16 | 16 |
2022 Julio | 0 | 5 | 5 |
2022 Junio | 0 | 4 | 4 |
2022 Mayo | 0 | 4 | 4 |
2022 Abril | 0 | 8 | 8 |
2022 Marzo | 0 | 4 | 4 |
2022 Febrero | 0 | 4 | 4 |
2022 Enero | 0 | 3 | 3 |
2021 Diciembre | 0 | 4 | 4 |
2021 Noviembre | 0 | 3 | 3 |
2021 Octubre | 0 | 2 | 2 |
2021 Septiembre | 0 | 3 | 3 |
2021 Agosto | 0 | 1 | 1 |
2021 Julio | 0 | 4 | 4 |
2021 Junio | 0 | 3 | 3 |
2021 Mayo | 0 | 3 | 3 |
2021 Abril | 0 | 1 | 1 |
2021 Marzo | 0 | 2 | 2 |
2021 Febrero | 0 | 4 | 4 |
2021 Enero | 0 | 2 | 2 |
2020 Diciembre | 0 | 2 | 2 |
2020 Noviembre | 0 | 4 | 4 |
2020 Octubre | 0 | 0 | 0 |
2020 Septiembre | 0 | 4 | 4 |
2020 Agosto | 0 | 12 | 12 |
2020 Julio | 0 | 4 | 4 |
2020 Junio | 0 | 4 | 4 |
2020 Mayo | 0 | 5 | 5 |
2020 Abril | 0 | 6 | 6 |
2020 Marzo | 0 | 11 | 11 |
2020 Febrero | 0 | 5 | 5 |
2020 Enero | 0 | 8 | 8 |
2019 Diciembre | 0 | 14 | 14 |
2019 Noviembre | 0 | 6 | 6 |
2019 Octubre | 0 | 6 | 6 |
2019 Septiembre | 0 | 7 | 7 |
2019 Agosto | 0 | 1 | 1 |
2019 Julio | 0 | 7 | 7 |
2019 Junio | 0 | 6 | 6 |
2019 Mayo | 0 | 53 | 53 |
2019 Abril | 0 | 35 | 35 |
2019 Marzo | 0 | 5 | 5 |
2019 Febrero | 0 | 19 | 19 |
2019 Enero | 0 | 3 | 3 |
2018 Diciembre | 0 | 15 | 15 |
2018 Noviembre | 0 | 12 | 12 |
2018 Octubre | 0 | 14 | 14 |
2018 Septiembre | 0 | 2 | 2 |
2018 Agosto | 0 | 1 | 1 |
2018 Julio | 0 | 1 | 1 |
2018 Junio | 0 | 3 | 3 |
2018 Mayo | 0 | 4 | 4 |
2018 Abril | 0 | 1 | 1 |
2018 Marzo | 0 | 1 | 1 |
2018 Febrero | 2 | 3 | 5 |
2018 Enero | 3 | 2 | 5 |
2017 Diciembre | 0 | 4 | 4 |
2017 Noviembre | 5 | 4 | 9 |
2017 Octubre | 2 | 3 | 5 |
2017 Septiembre | 3 | 9 | 12 |
2017 Agosto | 8 | 6 | 14 |
2017 Julio | 3 | 5 | 8 |
2017 Junio | 8 | 6 | 14 |
2017 Mayo | 10 | 3 | 13 |
2017 Abril | 9 | 1 | 10 |
2017 Marzo | 11 | 39 | 50 |
2017 Febrero | 6 | 10 | 16 |
2017 Enero | 2 | 1 | 3 |
2016 Diciembre | 5 | 13 | 18 |
2016 Noviembre | 12 | 10 | 22 |
2016 Octubre | 19 | 21 | 40 |
2016 Septiembre | 14 | 4 | 18 |
2016 Agosto | 9 | 1 | 10 |
2016 Julio | 9 | 6 | 15 |
2016 Junio | 32 | 22 | 54 |
2016 Mayo | 21 | 23 | 44 |
2016 Abril | 21 | 14 | 35 |
2016 Marzo | 25 | 16 | 41 |
2016 Febrero | 13 | 15 | 28 |
2016 Enero | 15 | 14 | 29 |
2015 Diciembre | 12 | 20 | 32 |
2015 Noviembre | 18 | 11 | 29 |
2015 Octubre | 22 | 9 | 31 |
2015 Septiembre | 17 | 4 | 21 |
2015 Agosto | 19 | 7 | 26 |
2015 Julio | 14 | 6 | 20 |
2015 Junio | 7 | 4 | 11 |
2015 Mayo | 14 | 10 | 24 |
2015 Abril | 26 | 17 | 43 |
2015 Marzo | 16 | 20 | 36 |
2015 Febrero | 15 | 12 | 27 |
2015 Enero | 25 | 7 | 32 |
2014 Diciembre | 54 | 14 | 68 |
2014 Noviembre | 65 | 8 | 73 |
2014 Octubre | 66 | 9 | 75 |
2014 Septiembre | 45 | 2 | 47 |
2014 Agosto | 53 | 2 | 55 |
2014 Julio | 52 | 2 | 54 |
2014 Junio | 50 | 5 | 55 |
2014 Mayo | 40 | 1 | 41 |
2014 Abril | 26 | 6 | 32 |
2014 Marzo | 34 | 1 | 35 |
2014 Febrero | 27 | 6 | 33 |
2014 Enero | 24 | 2 | 26 |
2013 Diciembre | 30 | 2 | 32 |
2013 Noviembre | 17 | 8 | 25 |
2013 Octubre | 24 | 5 | 29 |
2013 Septiembre | 24 | 8 | 32 |
2013 Agosto | 24 | 3 | 27 |
2013 Julio | 8 | 3 | 11 |
2009 Septiembre | 1660 | 0 | 1660 |