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Date Published: 04/03/2024
Abstract Views: 84
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DOI: https://doi.org/10.51298/vmj.v536i1.8682
Issue
Vol. 536 No. 1 (2024)
Section
Các bài báo
How to Cite
Trần , Q. H. ., & Trịnh , N. S. . (2024). RESULTS OF TRANSURETHURAL RESECTION OF THE PROSTATE OF BENIGN PROSTATE HYPERPLASIA WITH SIZE 80 GRAMS OR MORE AT VIET DUC HOSPITAL AND HANOI MEDICAL UNIVERSITY HOSPITAL PERIOD 01/2018 - 01/2020. Vietnam Medical Journal, 536(1). https://doi.org/10.51298/vmj.v536i1.8682

RESULTS OF TRANSURETHURAL RESECTION OF THE PROSTATE OF BENIGN PROSTATE HYPERPLASIA WITH SIZE 80 GRAMS OR MORE AT VIET DUC HOSPITAL AND HANOI MEDICAL UNIVERSITY HOSPITAL PERIOD 01/2018 - 01/2020

Quốc Hòa Trần , Nam Sơn Trịnh

Main Article Content

Abstract

Benign prostatic hypertplasia is a common disease, causing lower urinary tract symptoms, directly affecting quality of life. Transurethral Resection of the Prostate (TURP) is considered the standard surrgery in surgical intervention. Thanks to the advancement of equipment, irrigation fluids, technical developments of surgeons and anesthesia resuscitation, the TURP procedure to remove benign prostatic hypertplasia of with the size 80 grams or more is widely applicable. The study was conducted on 88 patients from January 2018 to January 2020 at Viet Duc Hospital and Hanoi Medical University Hospital. The average age of the study was 75.18 ± 8.44 years. Before surgery, IPSS and QoL scores were both moderate and severe. The average preoperative prostate size was 105.78 ± 24.96g. The average preoperative PSA levels was 14.31 ± 1.32 ng/ml. The average surgery time is 65.79 ± 18.44 minutes, surgery time increases with gland size. There was 1 case of endoscopic syndrome (1.13%). The postoperative time is mainly 5-7 days (64.78%). There is 1 patient who has to have bladder neck sclerosis surgery. Good surgical results account for 61.36%, average results account for 35.23. % and poor results accounted for 3.4%. Surgical results are not related to gland volume and surgery time.

Article Details

References

1. McVary KT, Roehrborn CG, Avins AL, et al. Update on AUA guideline on the management of benign prostatic hyperplasia. The Journal of urology. 2011;185(5):1793-1803.
2. Roehrborn CG, McConnell JD. Benign prostatic hyperplasia: etiology, pathophysiology, epidemiology, and natural history. Campbell-Walsh Urology. 2012;10:2570-2613.
3. Hội Tiết Niệu - Thận học Việt Nam. Hướng dẫn xử trí Tăng sinh lành tính tuyến tiền liệt. NXB Y học, Hà Nội. 2014
4. Gravas S, Cornu J, Drake M, et al. EAU guidelines on management of non-neurogenic male lower urinary tract symptoms (LUTS), incl. Benign prostatic obstruction (BPO). 2017:22-25.
5. Nguyễn Bửu Triều. Kết quả điều trị u phì đại lành tính tuyến tiền liệt bằng cắt nội soi trong 15 năm (6/1981-6/1996) tại Bệnh viện Việt Đức. Y học Việt Nam. 1996. 4, 5, 6:5-11.
6. Rohrmann S, Katzke V, Kaaks R. Prevalence and progression of lower urinary tract symptoms in an aging population. Urology. 2016;95:158-163.
7. Barry M. and the Measurement Committee of the American Urological Association: The American Urological Association symptom index for benign prostatic hyperplasia. J Urol. 1992;148:1549-1557.
8. Nguyễn Công Bình, Bùi Văn Chiến, Lê Quang Hùng, Nguyễn Mạnh Thắng, Bùi Văn Tùng, Phạm Thanh Hải, Đỗ Minh Tùng. Kết quả điều trị u phì đại lành tính tuyến tiền liệt bằng phẫu thuật nội soi qua niệu đạo tại bệnh viện Việt Tiệp - Hải Phòng. Y học Tp. Hồ Chí Minh. 2012. 16(3):532-539.
9. Al-Hammouri F, Qamar A. Monopolar transurethral resection of the big prostate, experience at Prince Hussein Bin Abdullah Urology Center. JPMA-Journal of the Pakistan Medical Association. 2011;61(7):628.
10. Yucel M, Aras B, Yalcinkaya S, Hatipoglu NK, Aras E. Conventional monopolar transurethral resection of prostate in patients with large prostate (≥80 grams). Central European Journal of Urology. 2013;66(3):303.