Articles Vol. 66 No. CĐ11-NCKH 22/08/2025

58. FACTORS ASSOCIATED WITH THE OUTCOMES OF BENIGN PROSTATIC HYPERPLASIA USING BIPOLAR TRANSURETHRAL ENUCLEATION AT 108 MILITARY CENTRAL HOSPITAL

Pham Thanh Hai1,2, Pham Van Duyet3,4, Do Ngoc The5,6
1 Viet Tiep Friendship Hospital
2 Bệnh viện Hữu Nghị Việt Tiệp
3 Hai Phong University of Medicine and Pharmacy
4 Đại học Y Dược Hải Phòng
5 108 Central Military Hospital
6 Bệnh viện Trung ương Quân đội 108
Corresponding author: bshaipham@gmail.com
DOI: 10.52163/yhc.v66iCD11.3041
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Keywords
Benign prostatic hyperplasia bipolar transurethral enucleation associated factors.
Abstract

Objective: To identify factors associated with the outcomes of benign prostatic hyperplasia using bipolar transurethral enucleation at 108 Military Central Hospital from 2024 to 2025.

Methods: A prospective, longitudinal descriptive study was conducted on a case series of 68 patients with benign prostatic hyperplasia who underwent bipolar transurethral enucleation.

Results: The mean operative time was 54.2±17.5 minutes, with a median of 50 minutes (IQR 40-65). Analysis revealed that factors significantly associated with operative time included preoperative prostate volume (p<0.001) and prostate morphology (p<0.001). There were 7 cases of intraoperative complications, accounting for 10.3% of the cohort. The analysis found no statistically significant association between intraoperative complications and patient characteristics such as age, comorbidities, preoperative prostate volume, or operative time (p>0.05).

Conclusion: Preoperative prostate volume is a major predictor of operative time. Additionally, a trilobar enlargement morphology increases the complexity and prolongs the surgical duration.

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