ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ TĂNG SINH TUYẾN TIỀN LIỆT BẰNG PHƯƠNG PHÁP CẮT ĐỐT NỘI SOI TRÊN BỆNH NHÂN CÓ BỆNH MẠN TÍNH TẠI BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ VÀ BỆNH VIỆN ĐA KHOA THÀNH PHỐ CẦN THƠ

Abstract

Background: Benign prostatic hyperplasia is a common disease in ageing men. Treatment for benign prostatic hyperplasia by transurethral resection of the prostate is still the “gold standard”. Nowadays, the rate of chronic diseases in the elderly is increasing, especially hypertension, diabetes, chronic obstructive pulmonary disease... These diseases also affect a lots tothe indications for transurethral resection as well as to the outcome of the treatment. That is reasonwhy we have proceeded this research. Objectives: To describe clinical, laboratory characteristics and evaluate the treatment for benign prostatic hyperplasia by transurethral resection of the patient with chronic diseases. Materials and methods: This was a prospective, cross-sectional study, 40 patients with chronic diseases were treated by transurethral resection of the prostate from 3/2021 to 7/2022 in Can Tho University of Medicine and Pharmacy Hospital and Can Tho General Hospital. Results: The most common reason for admission was dysuria 62.5%. Chronic diseases: 1 disease (82.5%), 2 diseases (17.5%), the most common was hypertension (90%). Before surgery, average IPSS was 28.21±4.49, average QoL was 5.38±0.67, average prostate volume was 44.83±14.49ml. After surgery, average IPSS decreased 14.4, average QoL decreased 3.95. Complications: 5% bleeding, 2.5% urinary incontinence, 2.5% urinary retention, 2.5% obstruction of the urethra, 87.5% good results, 12.5% moderate results. Conclusion: Transurethral resection of the prostate achieved good results of treatment; clinical symptoms and quality of life were improved on patients with chronic diseases