ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ TĂNG SINH LÀNH TÍNH TUYẾN TIỀN LIỆT BẰNG PHẪU THUẬT NỘI SOI CẮT ĐỐT LƯỠNG CỰC QUA ĐƯỜNG NIỆU ĐẠO

Abstract

Purpose: Evaluate the results of laparoscopic bipolar ablation surgery to treat benign prostatic hyperplasia through the urethra at Central Military Hospital 108 from October 2021 to August 2023. Research results: The average age of the study patient group was 69.99 ± 7.94, the age group 60 - 69 was the highest (44.1%); Amount of lavage fluid during surgery: 25.26 ± 7.75 liters, complications during surgery were 1.5% (1 case of capsular perforation); There were no cases showing signs of endoscopic syndrome, most urethral catheterization time was ≤ 3 days (61.8%), average 3.46 ± 0.80 days; The average postoperative treatment day is 5.00 ± 1.57 days, with a minimum of 3 days and a maximum of 14 days; Postoperative complication rates are bleeding (2.9%), urinary tract infection (2.9%), acute urinary retention after catheter removal (7.4%), and urethral obstruction (4.4%), membranous urethral stricture (1.5%), urinary incontinence (2.9%); At the time points after surgery 1 month, 3 months and 6 months, the IPSS, QoL, Qmax and PVR indexes were all improved compared to before surgery, the difference was statistically significant. The success rate of B-TUVP is 100%, 2 patients had average results accounting for 2.9%;