Post-Operative Complications of Transvesical Prostatic Adenomectomy at Bouake Teaching Hospital: Epidemiological, Diagnostic and Therapeutic Aspects

Abstract

Introduction: The treatment of benign prostatic hyperplasia (BPH) responds to a medical aspect at first, the effectiveness of which is indisputable. However, the curative treatment is surgery. Trans-urethral resection of the prostate (TURP) represents the reference surgical technique when the technical platform is correct. In Bouaké, the FREYER HRYNTCHACK trans vesical approach is the technique used in our department. It sometimes leads to complications that can be life-threatening. The general objective of this work was to describe the morbidity and mortality of trans-bladder adenomectomy and their management at the Bouaké University Hospital. Material and Methods: This is a retrospective descriptive study carried out at the Bouaké Teaching Hospital over a period of 5 years from January 2016 to December 2022. It involved 150 patients operated on for BPH by the trans vesical route and who experienced postoperative complications. The parameters studied were age, postoperative complications, treatment, and mortality. Results: The mean age of the patients was 67.2 ± 7.37 years. Hemorrhage was the main immediate complication. Parietal suppuration, in 48% of cases, was the most common secondary complication, followed by vesicocutaneous fistula (18%), orchiepididymitis (15.33%) and urinary leakage (3.33). Late complications were: retrograde ejaculation in 73.33%, urethral stricture (10.66%) and sclerosis of the compartment (6.66%). Mortality was 1.33%. Conclusion: Post-operative complications of adenomectomies according to Freyer Hrynstchak remain dominated by infections. However, postoperative hemorrhage remains the surgeon’s fear because it can cause the death of the patient.