Morbidity and mortality of endoscopic surgery of the lower urinary tract: 293 cases at the University Clinic of Urology Andrology CNHU-HKM

Abstract

Introduction: Endoscopic surgery carries the risk of complications that can be life-threatening. The aim of this study was to evaluate the complications secondary to endoscopic surgery of the lower urinary tract.

Patients and method: The study was retrospective descriptive. Patients who had undergone endoscopic surgery of the lower urinary tract were included. Endoscopic procedures and postoperative complications were classified according to according to Clavien and Dindo.

Results: The mean age of the patients was 55.72 years. TURP was the most common procedure in 62.45% of cases, followed by endoscopic internal urethrotomy (19.80%). We recorded 4 cases of false route and 1 case of haemorrhage during endoscopic internal urethrotomy and 3 cases of haemorrhage and 1 case of lesion of the prostatic capsule during TURP. Immediate postoperative were marked by 2 cases of false tract during endoscopic internal uretrotomy with scrotal oedema classified grade 2 according to Clavien and Dindo. The death rate was 1.3%.

Conclusion: Endoscopic surgery procedures, although more efficient, are responsible of significant morbidity and mortality. Optimal management requires perfect proficiency of the technique.