Introducción: El cáncer de próstata es la forma más común de cáncer en el hombre. En el Perú es frecuente el diagnóstico de cáncer de próstata en estadios avanzados metastásicos, siendo el tratamiento principal la terapia de privación de andrógenos (ADT). Dada la necesidad de nuevas herramientas que puedan predecir la progresión y la supervivencia de pacientes con cáncer avanzado en el momento del diagnóstico, se desarrolló un sistema de estratificación de riesgo en pacientes que son tratados con ADT primaria, llamado J CAPRA score. Este puntaje utiliza la escala de gleasson, el PSA y el TNM, clasificando a los pacientes en grupos de riesgo, ofreciendo una estimación en la supervivencia sin progresión de enfermedad, sobrevida cáncer específica y sobrevida global del cáncer de próstata. Objetivos: Evaluar la capacidad discriminativa diagnóstica del JCAPRA score pa...

Objective: To describe clinical and urodynamic features in males with bladder underactive (DU) and bladder outlet obstruction (BOO). Methods: A retrospective, cross-sectional, and exploratory case series among males with lower urinary tract symptoms. Group 1 were patients without BOO or unequivocal in the International Continence Society (ICS) nomogram but with DU diagnosis in the Scäafer’a nomogram. Group 2, patients with BOO in the ICS nomogram. A logistic regression model was conducted to identify the predictive variables of DU. Results: 95 patients were included, 36 with DU in group 1 and 59 with BOO in group 2. There was no difference in age and frequency of symptoms between groups. Age ≥ 56 years correlated with absence of DU [OR: 0.03 (0.01 – 0.26); p = 0.001], while DM [OR: 4.84 (1.21 – 19.34); p = 0.025] and DHIC [OR: 24.093 (6.66 – 87.10); p = 0.025] correlated with ...

Objective: To  report the findings of laparoscopic nephrectomies in patients with malignant, benignant and donor conditions. Methods: A retrospective case series carried-out at Cayetano Heredia Hospital between August 2013 and May 2019. Patients with non-functioning kidneys of any etiology and contra lateral kidney functioning were included. Patients with severe pionephrosis were excluded. Demographic, clinical, body mass index, etiology of the nonfunctioning kidney, conversion rate, laterality, operating time, histopathology of the resected kidneys, complications, need for blood transfusion, hospital stay and clinical evolution. Results: 70 patients were evaluated; in 39 (55.8%) a simple laparoscopy for benign entities was performed; in 23 (32.8%) a radical nephrectomy for cancer was performed and in 8 (11.4%) a laparoscopy was performed for living donors. In 7 patients the laparos...