Monopolar Transuretral Resection of Prostate in the Urology Department of the University Hospital Pr Bocar S SALL of Kati

Abstract

Introduction: The objective of this study is to evaluate the results of monopolar TURP in the urology department of the University hospital Pr Bocar Sidy Sall de Kati. Materials and methods: this was a descriptive, cross-sectional and prospective collection study carried out in the urology department of the University hospital Pr Bocar Sidy Sall de Kati. It took place over a period from January 1, 2019 to June 31, 2020, i.e. 25 months. The parameters studied were: the age of the patients, the reason for consultation, the weight of the prostate, the type of gesture, the time of the resection, the duration of hospitalization and the postoperative follow-up. The data was entered and analyzed using Word 2016 and Excel 2016 and SPSS version 21.0 software. Result: we identified 45 cases of monopolar TURP. The age group of 61-80 years was the most represented, i.e. 84.4%. Acute urinary retention was the most common reason for consultation with 31.1%. On digital rectal examination, the prostate looked benign in 66.7% of cases. Escherichia Coli was the most encountered germ, 8 patients or 17.8%. The weight of the prostate was between 30 to 45g or 46.7%. The post-voiding residual between 101ml and 200ml was the most encountered with 31.1%. TURP was the most common type of surgery, 66.7% of cases. The operative time was 45 minutes in 66.7% of cases. The postoperative course was simple in 88.9% of cases. The duration of hospitalization was 3 days in 71.1% of cases. At 3 months after the TURP, the evolution was favorable in 44 patients, i.e. 97.8%. Conclusion: transurethral resection of the prostate is the gold standard in the management of benign prostatic hyperplasia. It has become common practice in our service and is integrated into urological training with satisfactory results.