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Revista Cubana de Urología

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2012, Number 1

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RCU 2012; 1 (1)

Prostatitis o hernia lumbosacra

Lemourt OM, Fleites ME, Rubinos RR, Morales GY, Núñez MA
Full text How to cite this article

Language: Spanish
References: 4
Page: 3-15
PDF size: 472.46 Kb.


Key words:

prostate, prostatitis, intervertebral discal protrussion.

ABSTRACT

Objectives: to determine the correspondence between symptoms of prostatitis and hernia lumbosacral.
Methods: we reviewed 129 clinical, from stories of the Central Cira Garcia clinic and Freyre de Andrade Hospital. Qualifying 31 (24 %). Variables: age, race, country, primary and secondary consultation, physical examination (orthopaedic and Urology), nuclear magnetic resonance or computerized axial tomography and treatment. We used the test of proportions.
Results: predominated 4th, 5th and 6th decades. Dominant skin colour: white (58.6 %). Predominant country: Cuba (41 %). A source of main query: perineotesticle (60 %), followed by alterations sexodisfuntions pain. Urological examination: (83 %) showed pain in the prostate and pelvic bone area. Orthopedic: (38 %) lumbar sacral pain and (41 %) manoeuvres January 2010 Orthopaedic positive even though they were apparently uropátics patients only. (80.6 %) Patients, NMR reflected discopathy. Diagnosis 64.5 %: hernias LS, the rest, other discopathy and only 1 (3 %) patient, with prostatitis. Treatment: physical therapy, vitamins and NSAID were applied to 70.9 % of patients.
Conclusions: The majority of patients with perineal symptoms consult the urologist. In patients with perineal symptoms that made the diagnosis of prostatitis and not adequately responded to treatment prevailing definitive diagnoses were lumbosacral disorders.


REFERENCES

  1. Mc.Naughton Cllins M, Mc Donald R,Wilt L. Diagnosis and treatment of chronic abacterial prostatitis: a systematic review. Annals of Internal Medicine 2000;133(5):367. 2.Fall M, Baranowski AP, Elneil S, Engeler D, Hughes J, Messelink EJ, et al. EAU guidelines on chronic pelvic pain. European urology. 2010;57(1):35-48.

  2. Mc.Naughton Collins M, Timothy N. Alopurinol for chronic prostatitis.(Cochrane Review in The Cochrane Library, Issue 1, and 2009.Exfond update.

  3. Yang G, Wei O, Yang Y. The effect of alphadrenergic antagonist in chronic prostatitis chronic pelvic pain, syndrome:a meta-analysis of randomized controlled trials. Journal of andrology 2006;27(6):847-852.

  4. Garriga A, Villas C. Síndrome de cauda equina por hernia discal gigante. Rev. Med. Univ. Navarra 2002;46(3):33-35.




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RCU. 2012;1