Morbi-mortalité de la résection trans-urétrale bipolaire de la prostate au Service d´Urologie-Andrologie de l´Hôpital Aristide Le Dantec de Dakar

Ndiath, Abdoulaye; Sarr, Alioune; Diaw, El Hadji Malick; Sow, Ousmane; Ndiaye, Mady; Sine, Babacar; Traoré, A.; Dabo, Ousmane; Diop, Djeynaba Aboubakry; Ndour, Ndiaga Seck; Ondo, Cyrille Zé; Sow, Yaya; Fall, B.; Diao, Bo; Ndoye, Alain Khassim

doi:10.11604/pamj-cm.2021.5.75.27226

Cited by 4 publications

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“…The mortality rate in this series was 2.6% (4 patients). These results differ from those of other authors who report mortality rates of 0.6% and 1% respectively [35] [39].…”

Section: Discussioncontrasting

confidence: 99%

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Bipolar Transurethral Resection of the Prostate (B-TURP) Including Large Prostate Glands in Kinshasa, DR Congo

Molamba,

Koseka,

Tsita

et al. 2023

OJU

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Context: In DR Congo, prostate adenoma was treated solely by open surgery till the practice of minimally invasive surgery in 2012. Surgical management of large prostate glands has greatly improved over the last years. Even if open adenomectomy is indicated for prostate glands > 80 ml, TURP is currently the gold standard. We report the resection time of TURP procedure, quality of life of the patients, the postoperative complications and outcomes of 152 patients with large prostate glands who went under Bipolar TURP from 2021 to 2022. Patients and Methods: This is a prospective and evaluative study of 152 patients who underwent surgery for benign prostatic hyperplasia (BPH) from January 2021 to December 2022 using bipolar transurethral resection of the prostate (TURP). The study variables were age, low urinary tract symptoms (LUTS), paraclinical parameters, prostate volume, resection time, length of hospital stay, results of histopathological analysis of resected tissues (prostate chips), complications and postoperative outcomes of the patients. All the patients underwent saline bipolar TURP. Results: The mean age of the patients was 66.5 ± 9.3 years. Dysuria and acute urinary retention were the most predominant symptoms, 46.1% and 23.03% respectively. Arterial hypertension

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“…The mortality rate in this series was 2.6% (4 patients). These results differ from those of other authors who report mortality rates of 0.6% and 1% respectively [35] [39].…”

Section: Discussioncontrasting

confidence: 99%

“…2% of patients had major complications according to the Clavien Dindo classification (Table 5). Some authors report similar complications including the transfusion rate (1% -3%) [35] [36] [37] [38]. In our series, transfusion rate was more observed at the beginning of learning the procedure of resection.…”

Section: Discussionsupporting

confidence: 69%

Bipolar Transurethral Resection of the Prostate (B-TURP) Including Large Prostate Glands in Kinshasa, DR Congo

Molamba,

Koseka,

Tsita

et al. 2023

OJU

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“…Table 2 shows the various indications requiring endoscopic intervention. The endoscopic intervention was performed for diagnostic purposes in 17.4% (11) of cases, and for therapeutic purposes in 82.2% (51) of cases. The various endoscopic interventions resulted in success in 96.7% of cases.…”

Section: Resultsmentioning

confidence: 99%

“…We note in our study that transurethral resection of the prostate (TURP), was the most performed endoscopic intervention in 43.5% of cases. TURP is considered the gold standard in the surgical management of benign prostatic hyperplasia, with a significant reduction in morbidity and mortality and postoperative stay [10] [11]. Halidou in Niger had found at 0.96% in 2022 [2], and Kambou, 8% in 2006 in Burkina Faso [12].…”

Section: Discussionmentioning

confidence: 99%

Urological Endoscopy: Results of the First 15 Months, in Kara (Togo)

Sikpa¹,

Botcho²,

Agbedey³

et al. 2022

OJU

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Background: The urology department of the Teaching Hospital of Kara is the 2nd urology department in Togo, Kara being a semi-urban town located 400 km from Lomé the capital. While for a long time only open surgery was used, the acquisition of urological endoscopic equipment in February 2021, has revolutionized the urological management of patients. Objective: Report the results of the first 15 months of urological endoscopy practice at the Kara Teaching Hospital, identify the particularities, announce the prospects. Patients and Methods. This was a retrospective and descriptive study, which took place in the urology department of the Kara Teaching Hospital, from February 2021 to April 2022, i.e. a period of 15 months. The register of operative reports and patient records were used for data collection. The following parameters were studied: age, sex, diagnosis, indication, diagnostic or therapeutic nature of the procedure, and results. EPI INFO 7.2.4.0 software was used for data analysis. Results: A total of 102 urological procedures (endoscopic and non-endoscopic) were performed during the study period; of the 102 interventions, 62 were endoscopic urological interventions, i.e., 60.

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“…From a therapeutic and evolutionary point of view in our series the duration of intervention is 41 minutes with an average duration of hospitalization and catheterization of 48 hours, the complication is the TURP Syndrome in 3.57%. Abdoulaye Ndiath in Senegal [3] and Zango [6] in Burkina found respectively a longer duration of intervention with an average of 63 minutes and 68 minutes then a hospitalization and catheterization time of 72 hours and 144 hours (6 days), t andis that Diakité [10] in Mali found a shorter intervention time and no cases of TURP syndrome. Mahamat, M. A in the University Hospital of National Reference of N'Djamena (TCHAD) found a longer duration of intervention with 54 minutes an hospitalization 96 hours and catheterization time of 72 hours [11][12][13].…”

Section: H 48 Hmentioning

confidence: 99%

Transurethral Monopolar Resection of the Prostate: Experience of Amirou Boubacar Hospital in Niamey, Niger

Moussa,

Josué,

Amadou

et al. 2023

AJRIMPS

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Introduction: Benign prostatic hypertrophy (BPH) is a very common urological pathology and occurs in men in their fifties. The clinical manifestation is manifested by symptoms of the lower urinary tract such as dysuria and pollakiuria. Surgical management has been revolutionized by the advent of trans-urethral resection of the prostate (TURP), which is a reference treatment. Objective: The objective of this work was to evaluate the results of the first cases of transurethral resection of the prostate at Amirou Boubacar hospital in Niamey. Patients and Methods: This was a descriptive study conducted at Amirou Boubacar Hospital in Niamey over the period from December 5, 2021 to June 5, 2022 and involved patients admitted to the urology department of Amirou Boubacar Hospital in Niamey. The variables studied were: age, profession, level of education, marital status, clinical and therapeutic aspect. The data was collected on an individual collection form from hospital records. To analyze the data, spss version 20 software was useful and allowed us to obtain our results. Results: During our study period we had 28 cases of TURP out of a prevalence of 9.20% of all emergencies. The most represented age group is that of 60 – 69 years with 60.72%. Farmers represented (71.43%), civil servants (21.43%). Shopkeepers (7.14%). From a clinical point of view, all our patients consulted for dysuria and pollakiuria, an average IPSS score (International Prostate Symptom Score) of 22.33. The average total PSA (Prostate Specific Antigen) was 3 ng / ml, an average prostate volume of 45.20 g. The average duration of intervention was 41 min. a catheterization of 48 hours, as a complication we note 3.57% a type of severe hyponatremia Conclusion: Benign prostatic hypertrophy is a frequent pathology in urology whose surgical management has been revolutionized by TURP (Transurethral Resection of the Prostate) being the gold standard. This shortens the hospitalization period with a good improvement in the patient's quality of life and micturition.

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Morbi-mortalité de la résection trans-urétrale bipolaire de la prostate au Service d´Urologie-Andrologie de l´Hôpital Aristide Le Dantec de Dakar

Cited by 4 publications

References 0 publications

Bipolar Transurethral Resection of the Prostate (B-TURP) Including Large Prostate Glands in Kinshasa, DR Congo

Bipolar Transurethral Resection of the Prostate (B-TURP) Including Large Prostate Glands in Kinshasa, DR Congo

Urological Endoscopy: Results of the First 15 Months, in Kara (Togo)

Transurethral Monopolar Resection of the Prostate: Experience of Amirou Boubacar Hospital in Niamey, Niger

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