Incidencia, mortalidad y supervivencia al cáncer de próstata en Cali, Colombia, 1962-2011 / Prostate cancer in Cali, Colombia, 1962-2011: incidence, mortality and survival

Objetivo. Analizar la tendencia de las tasas de incidencia, mortalidad y supervivencia al cáncer de próstata (CP) en el periodo 1962-2011. Material y métodos. Con base en el Registro Poblacional de Cáncer en Cali (Colombia) y los registros de mortalidad de la Secretaría de Salud Pública Municipal se analizaron las tendencias de las tasas de incidencia, mortalidad y supervivencia por CP en Cali durante el periodo 1962-2011. Resultados. La incidencia de cáncer de próstata aumentó vertiginosamente entre 1986 y 2002 (Annual Percent Change APC 6.2%) y se estabilizó posteriormente. La mortalidad disminuyó desde 1997 en los mayores de 70 años, mientras que en el grupo de 50-69 años fue a partir de 1981. La supervivencia relativa a cinco años fue 69.8% (IC95% 67.5-72.0) y se asoció de manera significativa con la edad, periodo de diagnóstico y estrato socioeconómico. Conclusión. El incremento en la incidencia del CP coincide temporalmente con la implementación del antígeno específico de próstata (PSA por sus siglas en inglés) en Cali; hay evidencia de mejoría en la supervivencia en el CP y disminución en su mortalidad.

Objective. To analyze the trend in prostate cancer survival, incidence and mortality rates in Cali, Colombia from 1962 to 2011. Materials and methods. Based on the Cancer Registry of Cali, Colombia and the mortality registry of the City's Public Health Secretary, incidence, mortality age-standardized rates and relative survival were calculated during 1962-2011. Results. Prostate cancer incidence rates increased sharply between 1986 and 2002 (APC: 6.21%) and then leveled off. Mortality diminished in 1997 in men older than 70 years-old while in men aged 50-69 years declined since 1981. The 5-year-relative-survival was 69.8% (CI95% 67.5-72.0) and it was significantly associated with age, quinquennial period of diagnosis and socioeconomic strata. Conclusion. The increase in incidence rates of prostate cancer in time coincides with the implementation of the PSA in Cali. There is evidence of improvement in prostate cancer survival, and decreased prostate cancer mortality.

[Prostate cancer in Cali, Colombia, 1962-2011: incidence, mortality and survival]. / Incidencia, mortalidad y supervivencia al cáncer de próstata en Cali, Colombia, 1962-2011.

OBJECTIVE: To analyze the trend in prostate cancer survival, incidence and mortality rates in Cali, Colombia from 1962 to 2011. MATERIALS AND METHODS: Based on the Cancer Registry of Cali, Colombia and the mortality registry of the City's Public Health Secretary, incidence, mortality age-standardized rates and relative survival were calculated during 1962-2011. RESULTS: Prostate cancer incidence rates increased sharply between 1986 and 2002 (APC: 6.21%) and then leveled off. Mortality diminished in 1997 in men older than 70 years-old while in men aged 50-69 years declined since 1981. The 5-year-relative-survival was 69.8% (CI95% 67.5-72.0) and it was significantly associated with age, quinquennial period of diagnosis and socioeconomic strata. CONCLUSION: The increase in incidence rates of prostate cancer in time coincides with the implementation of the PSA in Cali. There is evidence of improvement in prostate cancer survival, and decreased prostate cancer mortality.

Transperitoneal laparoscopic management of urinary tract stone disease: experience in a third level hospital.

OBJECTIVES: The aim of this paper is to describe the clinical-surgical characteristics of patients who underwent laparoscopic procedures for the management of urinary tract stone disease when performing extracorporeal, percutaneous or endourological procedures was not available. METHODS: A descriptive study based on information from the medical records of patients who underwent surgical laparoscopic management of urinary stone disease between January 2001 and May 2010 at a third level hospital. Epidemiological, clinical and procedure-related variables were taken from the medical records. Univariate analysis was performed with the statistical software STATA 10.1. RESULTS: There were 29 procedures (27 patients) for treatment of urinary stone disease in adults. The average age was 45 years. 55% of patients were men. 17 stones were found on the right side, 5 were pyelic, 19 of the proximal ureter, 4 of the medium ureter and 1 distal. All patients underwent laparoscopic surgery as first surgical option. Average operative time was 142 ± 32 minutes. Three procedures were defined as failures. Hospital stay presented a median of 2 days. There were seven complications. CONCLUSION: Laparoscopic surgery is a good surgical option for the management of urinary tract stone disease in adults.

Utilidad de la ecografía vésico-prostática en el diagnóstico de obstrucción/hiperactividad en varones con HBP / Usefulness of bladder-prostate ultrasound in the diagnosis of obstruction/hyperactivity in males with BPH

OBJETIVO: El objetivo principal del presente artículo fue describir las características clínicoquirúrgicas de los pacientes que fueron llevados a procedimientos laparoscópicos como manejo de enfermedad litiásica del tracto urinario cuando no se dispone de equipamiento para la realización de procedimientos extracorpóreos, percutáneos ni endourológicos.MÉTODOS: Se realizó un estudio observacional descriptivo basado en la información de las historias clínicas de los pacientes que fueron llevados a cirugía laparoscópica como manejo de enfermedad litiásica entre enero de 2001 y mayo de 2010 en el Hospital Universitario del Valle. Se tuvieron en cuenta variables epidemiológicas, clínicas y relacionadas a los procedimientos. Se realizó un análisis univariado con el programa estadístico STATA 10.1.RESULTADOS: Se encontraron 29 procedimientos (27 pacientes) para manejo de enfermedad litiásica en adultos. La edad promedio fue 45 años. 55% de los pacientes fueron hombres. 17 cálculos se encontraron al lado derecho y de la totalidad de ellos 5 eran piélicos, 19 proximales, 4 en uréter medio y 1 distal. Todos los pacientes fueron llevados a cirugía laparoscópica como primera opción quirúrgica. La duración promedio del acto quirúrgico fue 142 ± 32 minutos. Tres procedimientos fueron definidos como fallidos. El tiempo de hospitalización presentó una mediana de 2 días. Se presentaron 5 complicaciones.CONCLUSION: La cirugía laparoscópica es una buena opción quirúrgica para manejo de la enfermedad litiásica del tracto urinario en adultos(AU)

OBJECTIVES: The aim of this paper is to describe the clinical-surgical characteristics of patients who underwent laparoscopic procedures for the management of urinary tract stone disease when performing extracorporeal, percutaneous or endourological procedures was not available.METHODS: A descriptive study based on information from the medical records of patients who underwent surgical laparoscopic management of urinary stone disease between January 2001 and May 2010 at a third level hospital. Epidemiological, clinical and procedure-related variables were taken from the medical urirecords.Univariate analysis was performed with the statistical software STATA 10.1.RESULTS: There were 29 procedures (27 patients) for treatment of urinary stone disease in adults. The average age was 45 years. 55% of patients were men. 17 stones were found on the right side, 5 were pyelic, 19 of the proximal ureter, 4 of the medium ureter and 1 distal. All patients underwent laparoscopic surgery as first surgical option. Average operative time was 142 ± 32 minutes. Three procedures were defined as failures. Hospital stay presented a median of 2 days. There were seven complications.CONCLUSION: Laparoscopic surgery is a good surgical option for the management of urinary tract stone disease in adults(AU)

Clinical experience in the management of penile fractures at Hospital Universitario del Valle (Cali--Colombia).

SUMMARY OBJECTIVES: The main objective of this study was to describe the clinical characteristics of patients diagnosed with penile fracture in the Hospital Universitario del Valle (Cali, Colombia). METHODS: A descriptive study, reviewing all the medical records of patients diagnosed with penile fracture from January 2001 to December 2008 at Hospital Universitario del Valle (.HUV).in Cali. It took into account variables related to urological history, etiology, diagnosis, the surgical treatment and follow-up. Univariate analysis was performed with the statistical program STATA v. 10.1 RESULTS: There were 18 cases of penile fracture with an average age of 30 years. 11 patients (.61%). had episodes related to intercourse. Patients presented swelling, pain and popping or cracking sound. The diagnosis was done by history and physical examination in 100%. Surgery was performed with a subcoronal incision in most of the patients. The right corpus cavernosum was frequently injured and corrected with absorbable suture. The patients had an average of 1.5 days of postoperative hospital stay. CONCLUSIONS: Penile fracture is an entity the diagnosis of which is straightforward and can be reliable by history and physical examination. Surgical repair is the treatment of choice preventing complications, allowing the patient to return to satisfactory sexual life.

Experiencia clínica en el manejo de fracturas de pene en el Hospital Universitario del Valle (Cali-Colombia) / Clinical experience in the management of penile fracture at Hospital Universitario del Valle (Cali-Colombia)

OBJETIVO: El objetivo principal del presente estudio fue describir las características clínicas de los pacientes con diagnóstico de fractura de pene en el Hospital Universitario del Valle (Cali, Colombia).MÉTODOS: Se realizó un estudio descriptivo, en el que se revisaron todas las historias clínicas de los pacientes con diagnóstico de fractura de pene entre enero de 2001 a diciembre de 2008 en el Hospital Universitario del Valle (HUV) en la ciudad de Cali. Se tuvieron en cuenta variables relacionadas con los antecedentes urológicos, la etiología, el diagnóstico de la fractura, el procedimiento quirúrgico y el seguimiento. Se realizó un análisis univariado con el programa estadístico STATA v. 10.1RESULTADOS: Se encontraron 18 casos de fractura de pene con un promedio de edad de 30 años. 11 pacientes (61%) presentaron el episodio secundario a la relación sexual. Se presentó edema, dolor y chasquido más frecuentemente. El diagnóstico fue clínico en el 100% de los casos. El abordaje quirúrgico se realizó con una incisión circunferencial en la mayoría de los pacientes. El cuerpo cavernoso derecho fue el más frecuentemente lesionado y en la mayoría de los casos la lesión fue corregida con una sutura absorbible de forma continua. Los pacientes tuvieron una hospitalización posquirúrgica en promedio de 1.5 días.CONCLUSIONES: La fractura de pene es una entidad cuyo diagnóstico es clínico, debe realizarse de forma precoz y la reparación quirúrgica es el tratamiento de elección para evitar complicaciones y permitir que el paciente retorne a su actividad sexual satisfactoria de manera temprana(AU)

OBJECTIVES: The main objective of this study was to describe the clinical characteristics of patients diagnosed with penile fracture in the Hospital Universitario del Valle (Cali, Colombia).METHODS: A descriptive study, reviewing all the medical records of patientsdiagnosed with penile fracture from January 2001 to December 2008 at Hospital Universitario del Valle (HUV) in Cali. It took into account variables related to urological history, etiology, diagnosis, the surgical treatment and follow-up. Univariate analysis was performed with the statistical program STATA v. 10.1. RESULTS: There were 18 cases of penile fracture with an average age of 30 years. 11 patients (61%) had episodes related to intercourse. Patients presented swelling, pain and popping or cracking sound. The diagnosis was done by history and physical examination in 100%. Surgery was performed with a subcoronal incision in most of the patients. The right corpus cavernosum was frequently injured and corrected with absorbable suture. The patients had an average of 1.5 days of postoperative hospital stay.CONCLUSIONS: Penile fracture is an entity the diagnosis of which is straightforward and can be reliable by history and physical examination. Surgical repair is the treatment of choice preventing complications, allowing the patient to return to satisfactory sexual life(AU)