DOI: 10.36347/sjmcr.2024.v12i06.044

Pages: 1143-1149

Objective: To study the management of benign prostatic hypertrophy in the urology unit of the Reference Health Center of commune I of Bamako. Patients and Methods: This is a descriptive study with cross-sectional data collection, carried out in the urology unit of the Reference Health Center of commune I of Bamako from June 1, 2022 to June 1, 2023 (12 months). Results: Out of a total of 986 patient files, 124 patients were admitted for BPH, representing a frequency of 12.57. The average age of the patients was 62 years ± 12.5 years with extremes of 51 and 92 years. Urinary frequency with 29% was the main reason for consultation. The average IPSS score was 20 with extremes of 5 and 30. Urinary schistosomiasis was the main pathological antecedent with 29.8% of cases. In 18.5% of cases, patients had a transurethral bladder catheter preoperatively. On rectal examination the prostate was enlarged to a firm, painless size with a regular contour in 32.3% of cases. Hypercreatinine was observed in 16.93% of patients and a urinary infection in 37.1% of them with the main germs isolated: Escherichia coli followed by Klebsiella pneunomiae with 15.3% and 9.7% respectively. The PSA level was normal in 66.9% of our patients with an average level of 5.5ng/ml. The average ultrasound weight of the prostate was 70.2g with extremes of 32 and 226g. The average post-void bladder residual was 96.8 ml. The majority of our patients had pure adenofibromyomatous medical was the main indication for surgery (28.6%). Trans-vesical adenomectomy of the prostate according to FREYER HRYNTCHAK was performed in all our operated patients. A hernia repair was in 10.7% of cases, a cystolithotomy and a diverticulum repair in 8.9 and 5.4% of cases respectively. The average duration of catheter wearing was 8.2 days with extremes of 7 and 32 days. The postoperative course was simple in 78.6% of cases. Conclusion: Benign prostatic hypertrophy is the most common urological pathology in elderly men. ...........