<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852018000400283</article-id>
<article-id pub-id-type="doi">10.24245/revmexurol.v78i4.2023</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Incidencia y factores de riesgo de estenosis de la anastomosis vesicouretral en pacientes operados de prostatectomía radical extraperitoneal videoendoscópica]]></article-title>
<article-title xml:lang="en"><![CDATA[Incidence of and risk factors for vesicourethral anastomotic stricture in patients that underwent video-endoscopic extraperitoneal radical prostatectomy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera-Ledesma]]></surname>
<given-names><![CDATA[José David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sandoval]]></surname>
<given-names><![CDATA[Fátima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres-Aguilar]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Juárez de México  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<volume>78</volume>
<numero>4</numero>
<fpage>283</fpage>
<lpage>289</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852018000400283&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852018000400283&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852018000400283&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  ANTECEDENTES:  La estenosis de la anastomosis vesicouretral es una complicación importante de la prostatectomía radical, a mediano y largo plazos, con incidencia y causalidad heterogénea.  OBJETIVO:  Analizar y determinar las causas relacionadas con la estenosis de la anastomosis vesicouretral, incluidas las características propias del paciente y los factores clínicos pre, trans y posoperatorios.  MATERIALES Y MÉTODOS:  Estudio de casos y controles, retrospective efectuado con base en la información de los expedientes de pacientes admitidos en el servicio de Urología del Hospital Juárez de México, entre los años 2010 a 2016, con diagnóstico de cancer de próstata y prostatectomía radical extraperitoneal videoendoscópica. Para el análisis estadístico se calculó el riesgo relativo y se utilizaron las pruebas de &#43859;2 y t de Student.  RESULTADOS:  Se registraron 74 pacientes. En 31/74 se estableció el diagnóstico de estenosis durante el seguimiento mínimo de 3 años, quienes requirieron un nuevo tratamiento endoscópico o dilataciones. Factores de riesgo: diabetes mellitus (p = 0.003), técnica de sutura interrumpida de anastomosis (p = 0.03), volume prostático menor (media de 53 g; p = 0.02) y radioterapia posoperatoria (p = 0.001).  CONCLUSIONES:  La incidencia de estenosis de la anastomosis vesicouretral es elevada. Los factores de riesgo asociados incluyen: diabetes mellitus, técnica de sutura interrumpida, radioterapia coadyuvante y volumen prostático menor (53 g).]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  BACKGROUND:  Vesicourethral anastomotic stricture is an important medium-term and long-term complication of radical prostatectomy and its incidence and causality are heterogeneous.  OBJECTIVES:  To analyze and determine the causes related to vesicourethral anastomotic stricture, including patient characteristics and preoperative, intraoperative, and postoperative factors.  MATERIALS AND METHODS:  A retrospective case-control study was conducted that reviewed the case records of patients admitted to the Urology Service of the Hospital Juárez de México within the time frame of 2010 to 2016 that were diagnosed with prostate cancer and underwent video-endoscopic extraperitoneal radical prostatectomy. For the statistical analysis, the relative risk was calculated, and the chi-square test and Student&#8217;s t test were performed.  RESULTS:  Seventy-four patients were registered. Thirty-one of them were diagnosed with vesicourethral anastomotic stricture during their minimum 3-year follow-up period. Risk factors were diabetes mellitus (p = 0.003), anastomotic interrupted suture technique (p = 0.03), lower prostate volume (53 g) (p = 0.02), and postoperative radiotherapy (p = 0.001).  CONCLUSIONS:  The incidence of vesicourethral anastomotic stricture was high. Diabetes mellitus, the use of interrupted sutures in the anastomosis, adjuvant radiotherapy, and lower prostate volume (53 g) had a statistically significant relation to the presence of stricture.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Estenosis de la anastomosis vesicouretral]]></kwd>
<kwd lng="es"><![CDATA[prostatectomía radical]]></kwd>
<kwd lng="es"><![CDATA[cáncer de próstata]]></kwd>
<kwd lng="en"><![CDATA[Vesicourethral junction stricture]]></kwd>
<kwd lng="en"><![CDATA[Radical prostatectomy]]></kwd>
<kwd lng="en"><![CDATA[Prostate cancer]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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