Epidemiological-clinical and therapeutic profiles of benign prostatic hypertrophy at the General Reference Hospital of N’djili, Democratic Republic of Congo
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Abstract
Background and aims: Benign prostatic hypertrophy is a urological pathology specific to the male gender. This study was aimed at describing the epidemiological-clinical and therapeutic aspects of benign prostatic hypertrophy at the N’djili General Reference Hospital (DRC).
Methods: This was a retrospective and documentary study on BPH in the Surgery Department of the N’djili General Reference Hospital from January 1, 2016 to December 31, 2017, a period of 2 years.
Results: Out of a total of 127 patients admitted in the urology service, BPH came first with 56% (n = 71) of urological pathologies undergoing surgery. The most represented age group is 60 to 69 years old with a percentage of 46.5% (n = 33). The average age was 68 years with extremes at 46 and 99 years. Acute urinary retention (AUR) was the main symptom with 42.2% (n = 30). Rectal examination allowed us to find an enlarged prostate that was firm and regular and not painful in the majority of cases. The average prostate volume was 88.89 cc on ultrasound with a majority having a volume between 70 and 109g. Among 28 patients who had performed the Prostate-specific antigen (PSA) examination, the majority, 43% (n = 12), had a PSA ranging from 5 to 14 with an average of 18.89 ng/mL. 84.5% (n = 60) of patients benefited from treatment based on an alpha blocker; and only 25% (n = 18) of our patients benefited from surgical treatment which consisted of a trans-vesical resection according to the technique of Hryntschak. Hemorrhage and catheter clots were the 2 complications observed postoperatively. The lethality was 1.4%.
Conclusion: BPH is a common pathology in urology and whose frequency increases with aging and improved life expectancy. Its treatment is medico-surgical, making it possible to improve the quality of life of patients. The technique of Hryntschak is the most commonly used surgical technique.