INFLAMMATION CHRONIQUE ET HYPERPLASIE BÉNIGNE DE LA PROSTATE: FACTEURS PRÉDICTIFS ET CONSÉQUENCES APRÈS CHIRURGIE OUVERTE CHRONIC INFLAMMATION AND BENIGN PROSTATIC HYPERPLASIA: PREDICTIVE FACTORS AND CONSEQUENCES AFTER OPEN SURGERY

Authors

  • Rambel Andrianisa H Service d’Urologie, CHU Morafeno Toamasina
  • Harioly Nirina MOJ Service de Réanimation, CHU Morafeno Toamasina
  • Rasoaherinomenjanahary F Service de Chirurgie Viscérale, CHU-JRA Antananarivo
  • Rakototiana AF Service d’Urologie, CHU-JRA Antananarivo Auteur
  • Rantomalala HYH Service d’Urologie, CHU-JRA Antananarivo Auteur

DOI:

https://doi.org/10.53555/eijmhs.v6i2.137

Keywords:

General Surgery, Prostatic Hyperplasia, Surgical wound infection, Urinary retention

Abstract

Background: Chronic inflammation of the prostate has been observed on prostatic specimen after resection or a biopsy. The aim of this study was to determine the factors that can predict its existence in benign prostatic hyperplasia (BPH) and the consequences after open surgery. Method: We carried out a retrospective, observational, transversal study of patients who underwent prostatic adenomectomy in 2017 and 2018 in our department. Specimen with prostatic adenocarcinoma were excluded.

Results: Of 51 operated patients, 31 (60.78%) had chronic inflammation within BPH. The mean delay between the beginning of symptoms and the surgery was 23.14 ± 35.62 months.

Acute urinary retention was the main reason for consultation (78.43%). The mean duration of bladder catheter wear before surgery was 82.41 ± 220.36 months. Postoperative course was uneventful in 26(50.99%) patients. The mean postoperative stay was 5.86 ± 3.42 days. Surgical treatment delay (p = 0.000001), surgical wound infection (p = 0.002) and the length of postoperative stay (p = 0.002) had a significant correlation with prostatic chronic inflammation.    

Conclusion: The delay in surgical management was the main predictor of chronic inflammation in BPH. This factor increase the risk of surgical wound infection and an extended of postoperative stay.

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Published

2020-06-27

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Vol. 6 No. 2 (2020): EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063)

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