PATIENT CHARACTERISTIC OF SURGICAL TREATMENT OF BENIGN PROSTATIC HYPERPLASIA IN THE CITY Of SEMEY SITY: A COHORT STUDY
Aim: The study was done to evaluate pre-operative factors, which influence the post-operative outcome in patients undergoing surgery for Benign Prostatic Hyperplasia (BPH)
Materials and methods: Setting and Design: It was carried out retrospectively at Semey city East Kazakhstan region.
Retrospective cohort study of outcomes of 782 patients with BPH who underwent surgical treatment in the Semei Kidney Center, East Kazakhstan region from 2017 to 2019. All the information was collected from case files of patients. Descriptive statistics were used to analyze the data. For qualitative data Pearson’s Chi-square was used.
Results: Most of the patients were admitted to hospital by emergency ambulance, half of the patients had received conservative treatment before, the majority of the patients had delay between the first symptoms and the first present in hospital, patients had one – two diseases as comorbid condition, overweight. The average length of stay in hospital was 10-15 days. Half of patients (53.2%) after treatment recovered, condition improved at 35.8% patients, condition deteriorated at 7.2% patients, without changes were 3.8% patients. Our study defined significant difference between age group (p=0.005), way of admission to hospital (p=0.003), self-referral (p=0.000), severity of condition (p=0.000), comorbid condition (p=0.000), length of hospital stay (p=0.000) and surgical treatment outcomes. There was no significant difference between nationality (p=0.052), rural / urban status (p=0.146), social position (p=0.146), BMI (p=0.411) history of conservative treatment (p=0.064) and surgical treatment outcomes
Conclusion: Aged patients, patients who were admitted to hospital through the unplanned emergency way, self-referral patients had worse outcomes after surgery. Delaying intervention can lead to BPH progression and poorer outcomes. Condition was not changed and deteriorated in patients whom delay was more than a month
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Kussainov A.M., Shalgumbayeva G.M., Bulegenov T.A., Акимжанов К.Д., Salmenbaeva A.B., Musulmanbek M.E. Patient Characteristic of surgical treatment of benign prostatic hyperplasia in the city of Semey: a cohort study // Nauka i Zdravookhranenie [Science & Healthcare]. 2023, (Vol.25) 3, pp. 121-127. doi 10.34689/SH.2023.25.3.016Related publications:
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