Practice of Transurethral Resection of the Prostate in Burkina Faso: A Retrospective Study of 168 Cases at the Yalgado Ouédraogo University Hospital
- 1 Urology Division, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso
- 2 Urology Division, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso
- 3 Urology Division, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso
- 4 Urology Division, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso
- 5 Urology Division, Souro Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso
- 6 Urology Division, Souro Sanou University Teaching Hospital, Bobo-Dioulasso, Burkina Faso
- 7 Urology Division, Yalgado Ouedraogo University Teaching Hospital, Ouagadougou, Burkina Faso
Abstract
Introduction: Benign Prostatic Hyperplasia (BPH) is one of the most common urological conditions in men over the age of fifty. Among the available therapeutic options, Transurethral Resection of the Prostate (TURP) has been established for decades as the “gold standard” in the surgical treatment of symptomatic or complicated BPH. This study aims to evaluate the practice of bipolar TURP at the Yalgado Ouédraogo University Hospital (CHU-YO) in Ouagadougou. Materials and Methods: A retrospective, descriptive, single-center study was conducted over 24 months (June 2022 to June 2024), including 168 patients who underwent bipolar TURP. Patients were selected from 203 initial cases based on the following criteria: inclusion criteria were male patients with obstructive prostatic conditions (BPH or prostate cancer) treated by bipolar TURP, with complete medical records including preoperative, operative, and at least 3 months postoperative follow-up data; exclusion criteria were monopolar TURP, incomplete medical records, and follow-up less than 3 months. Demographic, clinical, paraclinical, and therapeutic data were analyzed. Data collection was supplemented by telephone interviews to gather missing information on postoperative symptoms, complications, and functional outcomes. To minimize recall bias, a structured questionnaire was used and responses were cross-referenced with available medical records. Results: The mean age was 69.63 ± 8.99 years. Lower Urinary Tract Symptoms (LUTS) were predominant (91.07%). The mean duration of symptoms was 20.59 ± 11.96 months. The mean PSA (Prostate-Specific Antigen) was 57.13 ± 220.17 ng/ml. Final histopathological examination revealed benign prostatic hyperplasia in 140 patients (83.33%) and prostate adenocarcinoma in 28 patients (16.67%). The mean prostate volume was 60.65 ± 17.41 g. A median lobe was present in 45.23% of patients. The mean operative time was 78.82 ± 18.71 minutes. The postoperative course was uncomplicated in 91.07% of cases. The mean IPSS (International Prostate Symptom Score) decreased from 21.75 ± 6.70 preoperatively to 5.40 ± 1.75 postoperatively (p < 0.0001). The maximum urinary flow rate (Qmax) increased from 9.8 ± 3.80 ml/s to 25.8 ± 7.67 ml/s (p < 0.0001). Conclusion: Bipolar TURP is a well-established technique at CHU-YO, providing excellent functional outcomes and a favorable safety profile. Its expansion requires adequate equipment and continuous training for practitioners.
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