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Experience with Open Prostatectomy in Lomé, Togo

Open Journal of Urology 2016年第5期6卷 73-79页

作者： 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 Department of Urology the University Teaching Hospital of Lomé Togo Departement of Surgery the University Teaching Hospital of Lomé Togo Department of Pathology the University Teaching Hospital of Lomé Togo Department of Pediatric Surgery the University Teaching Hospital of Lomé Togo

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.

关键词： Open Prostatectomy Benign Prostate Hyperplasia Good Outcome Complications Lomé Togo

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Epidemiological Profile of Diagnosed Disorders in Urological Consultation at Sylvanus Olympio Teaching Hospital in Lome

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Open Journal of Urology 2017年第10期7卷 167-172页

作者： Tchilabalo Matchonna Kpatcha Essomindedou Adolphe Léloua Essodina Padja Kodjo Tengué Komi Hola Sikpa Akomola Kossi Sabi Edoe Viyome Séwa Gnimdou Botcho Obube Amégayibor tsipa anoukoum Ekoue David Dosseh Department of Urology The University Teaching Hospital of Lomé Lomé Togo Department of Surgery The University Teaching Hospital of Kara Kara Togo Department of Nephrology The University Teaching Hospital of Lomé Lomé Togo Department of Surgery Regional Hospital of Dapaong Dapaong Togo Department of Surgery The University Teaching Hospital of Lomé Lomé Togo

Context: Thanks to the increase in the number of urologists in Togo, urological activity is improving rapidly. Objective: This study aims at presenting the epidemiological aspects of the diseases diagnosed in urology consultation at the Sylvanus Olympio Teaching Hospital in Lome. Materials and Methods: This research was a two-year retrospective and descriptive study. The data for the analysis were collected from the records of patients received in consultation for urological pathology. The parameters taken into account are: frequency, age, sex, occupation, patient history and diagnosis. Results: 602 patients were admitted at the department of urology within two years, with an annual frequency of 301. The average age of the patients was 48.63 ± 19.69 years;the sex ratio (M/F) was equal to 12.08. Patients over 60 years of age accounted for 33.3% of the patients seen. The medical history of 88 cases showed that the bladder catheterization was most frequent (22 cases) followed by hypertension (15 cases). Benign prostatic hyperplasia was the most frequently diagnosed pathology accounting for 24.9% of the consultations. Conclusion: Benign prostatic hyperplasia is the most frequent pathology in urology consultation at the Sylvanus Olympio Teaching Hospital in Lome.

关键词： Epidemiology Consultation Urology Sylvanus Olympio Teaching Hospital Lome

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