DOI: 10.36347/sjmcr.2023.v11i02.013

Pages: 146-149

Objective: The aim of this study was to evaluate the epidemiological, para-clinical and histological profile of prostate tumours at the Gabriel Touré University Hospital in Bamako. Patients and Methods: This was a cross-sectional and descriptive retrospective study conducted over 12 years, from 1 November 2005 to 1 November 2017. It covered all patients received and operated on in the Urology Department of the Gabriel Touré University Hospital for prostate tumours and having a complete medical file. Results: Out of a total of 4,250 patients operated on in the urology department, 1,350 cases of prostate tumours were listed, i.e. a frequency of 31.7%. Prostatic adenomyoma was found in 90.9% of patients and prostatic adenocarcinoma in 6.7%. The average age of the patients was 70.5 years with extremes of 51 and 100 years. Pollakiuria was the most frequent reason for consultation (33.8%). TR, renal-vesicoprostatic ultrasound and PSA were essential for the diagnosis. The most frequent germ was Escherichia coli (25.5%), hyper creatinemia was found in 22.3% of patients. PSA was elevated in 33.4% of benign prostate tumours and 2% of prostatic adenocarcinomas were histologically discovered (normal PSA). Transvesical adenomectomy of the prostate (TVAP) was performed in 82.3% of patients and cervicoprostatic evacuation in 17.7%. The postoperative course was simple in 90.2% of patients, an infection of the surgical site (6.8%), bleeding complications (0.6%), we recorded 2% of deaths in the department and 0.4% of transfers to the intensive care unit. Conclusion: Prostate tumours are frequent in Bamako. Prostate tumours are frequent in Bamako, transvesical adenomectomy of the prostate and cervicoprostatic evacuation are the therapeutic means used. Prostatic adenomyoma is the most frequent histological type (90.9%) followed by prostatic adenocarcinoma (6.7%).