Comparative Study of Transvesical and Retropubic Prostatic Adenomectomies in the Urology-Andrology Department of Ignace Deen University Hospital Center

Abstract

<b>Objective: </b>To compare the results of transvesical and retropubic prostatic adenomectomies at the Urology-Andrology Department of Conakry University Hospital. <b>Methodology:</b> This was a prospective multi-operator analytical study lasting 6 months. It included 70 patients operated on for benign prostatic hypertrophy (BPH), divided into 2 groups of 35 according to the retropubic or transvesical technique. The data was collected using a questionnaire and entered into the Epi info application. The analysis was initially descriptive and then univariate. To identify confounding factors, a multivariate analysis was performed. The application conditions of each test were checked before their application. A p-value < 0.05 was considered statistically significant. <b>Results:</b> Upper adenomectomies represented 53.6% of surgeries performed for BPH. The average age was 73.2 years. The mean prostate volume was 117 &#177; 51.6 cc and the mean total PSA was 9.2 &#177; 11.4 ng/ml. The majority of patients had an ASA1 (60%) and ASA2 (37.1%) score. Spinal anesthesia, a double-current silicone probe with hinged hinge 22, and drainage of the prevesical space were carried out in all patients, <i>i.e</i>. 100%. The average overall blood loss was 229 &#177; 98.2 ml. It was lower in the group of patients operated via the retropubic route (187 &#177; 60.4 ml). The same was true for the duration of intervention (49.1 &#177; 7.17 vs 55.4 &#177; 7.9 min), the catheter wearing time (5.14 &#177; 0.97 vs 9.29 &#177; 2 .9 days) and the length of hospitalization (=6.26 &#177; 1.15 vs 12.1 &#177; 5.74 days). <b>Conclusion: </b>The retropubic technique has advantages over the transvesical one. These advantages are translated by a gain in the duration of the intervention, blood loss, catheter wearing time and length of hospitalization.