TITLE:
Experience with Open Prostatectomy in Lomé, Togo
AUTHORS:
Tchilabalo M. Kpatcha, Boyodi Tchangai, Kodjo Tengue, Fousséni Alassani, Gnimdou Botcho, Tchin Darre, Essomindedou Leloua, Komi H. Sikpa, Edoe V. Sewa, Tsipa Anoukoum, Komlan Gnassingbe
KEYWORDS:
Open Prostatectomy, Benign Prostate Hyperplasia, Good Outcome, Complications, Lomé, Togo
JOURNAL NAME:
Open Journal of Urology,
Vol.6 No.5,
May
11,
2016
ABSTRACT: Background: Open prostatectomy is the most
commonly available surgical procedure for benign prostatic hyperplasia and this
is the case in most countries in West African even with all the limitations of
the procedure. Objective: The objective is to determine the pattern and
outcomes of open prostatectomy in Lomé. Patients & Methods: From December
2011 to November 2012, we conducted a descriptive cross-sectional study on a
series of patients treated for prostate adenoma. Dysuria was assessed using the
International Prostate Symptom Score (IPSS). The history of each patient was
recorded, as well as paraclinical data. All patients were surgically treated
via abdominal incision procedure. The data obtained included the patients’
demographics, clinical features, the IPSS scores, investigations, type of open
prostatectomy, outcome and follow-up. The data were analyzed for means and frequencies
using Epi Info version 3.5.3. Results: Fifty-four consecutive patients
underwent surgery consecutively, their ages ranging from 40 to 92 years, with
an average of 67.27 ± 12.50 years. In all, 46 (85.2%) patients presented with
obstructive symptoms and 26 (48.1%) presented with urinary retention. The
average prostate volume was 114.31 ± 20.11 cm3 with a range of 31 - 485 cm3.
The average blood loss at surgery was 425.92 ± 38.2 ml with an average
operating time of 66.05 ± 15.75 mins and the main complications were
hemorrhaging and clot retention in 7 (13%), epididymo-orchitis in 9 (16.7%),
and urinary incontinence in 6 (11.1%) patients. IPSS scores were under 7 in 92%
of patients three months after surgery and the mortality rate was 3.7%.
Conclusion: This study has shown that open prostatectomy in our environment is
still the commonest surgical option for benign prostatic hyperplasia with good
outcomes though with manageable complications.