KẾT QUẢ ĐIỀU TRỊ NỘI KHOA BÍ TIỂU DO TĂNG SẢN LÀNH TÍNH TUYẾN TIỀN LIỆT TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Objective: Evaluate the results of medical treatment of urinary retention due to benign prostatic hyperplasia at Thai Binh Provincial General Hospital. Methods: Cross-sectional descriptive study, conducted on 67 patients with urinary retention due to benign hyperplasia who received a urinary catheter combined with medical treatment at Thai Binh Provincial General Hospital from January to June 2023. Record variables: Age, type of urinary retention, amount of residual urine in the bladder, prostate size on ultrasound, IPSS score, QoL-IPSS score and results after catheter removal. Results: The rate of re-urination after catheter removal was 67.2%. There is a statistically significant relationship between re-urination after catheter removal and IPSS score factors, amount of residual urine in the bladder and type of acute urination. After 1 month of treatment, the group who urinated again after removing the catheter had a reduced IPSS score (from 13.73 ± 5.79 to 5.64 ± 4.47); QoL-IPSS score decreased (from 3.64 ± 0.96 to 1.60 ± 1.21). Prostate size decreased statistically significantly at the time of hospital admission and 1 month after catheter removal. Conclusion: Treatment of acute urinary retention in patients with benign prostatic hyperplasia using urinary catheter combined with internal medicine achieved a success rate of 67.2%. Prostate size; IPSS scores and QoL-IPSS scores decreased significantly.