ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ TĂNG SINH LÀNH TÍNH TUYẾN TIỀN LIỆT TRÊN BỆNH NHÂN ĐÁI THÁO ĐƯỜNG TÝP 2 BẰNG PHƯƠNG PHÁP CẮT ĐỐT NỘI SOI TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ VÀ BỆNH VIỆN TRƯỜNG ĐẠI HỌC Y DƯỢC CẦN THƠ

Abstract

Background: Benign prostatic hyperplasia is a benign growth of the prostate obstructing the flow of urine from the bladder. Medical diseases in general, and diabetes in particular, significantly affect the rate of complications, as well as the patient's postoperative treatment process. On the other hand, many urologists are not really reassured with surgeries on diabetic patients. Starting from those objective facts, we conducted this study. Objectives: To describe clinical, laboratory characteristics and to evaluate the treatment for benign prostatic hyperplasia by transurethral resection of the patient with type 2 diabetes. Materials and methods: A prospective, cross-sectional study was conducted on 30 patients with type 2 diabetes were treated by transurethral resection of the prostate from 3/2022 to 1/2024 at Can Tho Central General Hospital and Can Tho University of Medicine and Pharmacy Hospital. Results: Common reasons for hospitalization were dysuria 46,7% and acute urinary retention 46.7%. There were 86.7% of cases having diabetes and 13.3% of cases still do not know they have the disease. Average blood sugar upon admission was 10.64±4.44 mmol/L, average HbA1c value upon admission was 7.98±0.73%. Three months after surgery: Average IPSS was 12.77±4.26 and average QoL was 2.60±0.86. Complications included 3.3% bleeding and 10.0% urinary retention. Good results were 86.7% and moderate results was 13.3%. Conclusion: Endoscopic ablation proliferative benign prostate in humans with type 2 diabetes achieves good results, clinical symptoms and quality of life improve with diabetic conditions good glycemic control before, during and after surgery.