Một số yếu tố liên quan đến kết quả phẫu thuật bóc nhân tuyến tiền liệt lành tính bằng dao lưỡng cực qua nội soi niệu đạo tại Bệnh viện Trung ương Quân đội 108

Benign prostatic hyperplasia (BPH) represents a prevalent condition among aging men, frequently leading to bothersome lower urinary tract symptoms (LUTS) that significantly diminish quality of life. While transurethral resection of the prostate (TURP) has long been the gold standard, its limitations, particularly for larger prostate volumes and potential complications, necessitate the exploration of advanced surgical modalities. Bipolar transurethral enucleation (B-TUEP) has emerged as a promising alternative, offering enhanced safety profiles and reduced intraoperative risks. This study aims to investigate and identify the key associated factors influencing the outcomes of bipolar transurethral enucleation for benign prostatic hyperplasia, thereby contributing to a better understanding and optimization of this surgical approach.

Urologists, general surgeons, medical researchers, and residents specializing in urology or benign prostatic hyperplasia treatment.

This prospective, longitudinal descriptive study meticulously examined the associated factors influencing outcomes of bipolar transurethral enucleation (B-TUEP) for benign prostatic hyperplasia (BPH) in 68 patients. Conducted at 108 Military Central Hospital, the research aimed to provide insights into this advanced endoscopic surgical technique. The methodology involved a detailed analysis of operative time and intraoperative complications, correlating them with various patient and prostate characteristics. Key findings revealed that the mean operative time was 54.2 ± 17.5 minutes. Critically, preoperative prostate volume (p<0.001) and prostate morphology, particularly trilobar enlargement (p<0.001), were identified as statistically significant predictors, demonstrating a direct correlation with increased surgical complexity and duration. These factors suggest that a larger prostate volume and more intricate trilobar enlargement significantly prolong the procedure. While intraoperative complications were observed in 10.3% of the cases, no significant association was found between these complications and patient age, comorbidities, preoperative prostate volume, or operative time. The study concludes that preoperative prostate volume is a primary predictor of operative time, and a trilobar enlargement morphology further increases surgical complexity. These findings are pivotal for surgical planning and patient counseling, allowing clinicians to better anticipate the challenges and optimize the application of bipolar transurethral enucleation for benign prostatic hyperplasia, ultimately improving patient outcomes and refining surgical strategies.