Introduction: Transurethral resection of the prostate is still the most popular procedure that use for the surgical treatment of lower urinary tract symptoms due to benign prostatic obstruction in developed countries. Bipolar transurethral resection of the prostate (B-TURP) is a recent technique in our urological practice. The aim of this study was to evaluate our preliminary results on the use of a B-TURP in Kolda (Senegal) in a benign prostatic hyperplasia (BPH). Materials and Methods: This was a 15-month, retrospective and descriptive study from June 2021 to August 31, 2022. It examined the records of patients who had BPH requiring surgical treatment and who received Bipolar transurethral resection of the prostate (B-TURP) during the study period at the Kolda Regional Hospital in Senegal. We used a Karl STORZ bipolar endoscopy column with a 26 sheath and 30˚ optics. The parameters studied were the civil status of the patients, the clinical and para-clinical data as well as the operative indications. The data were entered and analyzed using Epi-info 3.5.1.1. Results: A total of 31 patients underwent bipolar transurethral resection of the prostate during the study period. The mean age of patients was 68.5 ± 12.6 years (range, 56 - 77 years). The mean total PSA was 4 ± 2.3 ng/ml (range, 0.5 - 11 ng/ml). The mean prostate size assessed by ultrasound was 54 ± 12.3 ml (range, 30 - 90 ml). The operative indication was dominated by BPH with impact on the upper urinary tract. The mean of bladder irrigation time was 21.4 ± 3.9 hours (range, 12 - 26 hours). In the immediate post-operative period, blood transfusions were performed in 2 patients (6.5%). In the medium-term follow-up, we noted one 1 (3.2%) case of urine retention requiring bladder catheterization. Conclusion: Bipolar Transurethral resection of the prostate B-TURP in saline system is efficacious and safe. The results of this preliminary study of B-TURP are satisfactory with a low complication rate. B-TURP decreases the duration of the hospitalization and the port of the probe. Our perspectives are oriented towards endoscopy of the upper urinary tract.
References
[1]
Lim, K.B. (2017) Epidemiology of Clinical Benign Prostatic Hyperplasia. Asian Journal of Urology, 4, 148-151. https://doi.org/10.1016/j.ajur.2017.06.004
[2]
Xiong, Y., Zhang, Y., Li, X., Qin, F. and Yuan, J. (2020) The Prevalence and Associated Factors of Lower Urinary Tract Symptoms Suggestive of Benign Prostatic Hyperplasia in Aging Males. The Aging Male: The Official Journal of the International Society for the Study of the Aging Male, 23, 1432-1439. https://doi.org/10.1080/13685538.2020.1781806
[3]
Issa, M.M. (2008) Technological Advances in Transurethral Resection of the Prostate: Bipolar versus Monopolar TURP. Journal of Endourology, 22, 1587-1595. https://doi.org/10.1089/end.2008.0192
[4]
Ghozzi, S., Ghorbel, J., Ben Ali, M., Dridi, M., Maarouf, J., Khiari, R. and Ben Rais, N. (2014) Résection transuréthrale de la prostate bipolaire versus monopolaire: Etude prospective randomisée [Bipolar versus Monopolar Transurethral Resection of the Prostate: A Prospective Randomized Study]. Progrès en Urologie, 24, 121-126. https://doi.org/10.1016/j.purol.2013.08.307
[5]
Michielsen, D.P., Coomans, D., Braeckman, J.G. and Umbrain, V. (2010) Bipolar Transurethral Resection in Saline: The Solution to Avoid Hyponatraemia and Transurethral Resection Syndrome. Scandinavian Journal of Urology and Nephrology, 44, 228-235. https://doi.org/10.3109/00365591003720275
[6]
Mamoulakis, C. and de la Rosette, J.J.M.C.H. (2015) Bipolar Transurethral Resection of the Prostate: Darwinian Evolution of an Instrumental Technique. Urology, 85, 1143-1150. https://doi.org/10.1016/j.urology.2015.01.003
[7]
Kane, R., Ndiaye, A. and Ogougbemy, M. (2013) Transurethral Resection of Prostate. Experience of Main Hospital in Dakar. Médecine d’Afrique Noire, 60, 110-114
[8]
Ndiath, A., Sarr, A., Sow, O., Ndiaye, M., Sine, B., Traoré, A., et al. (2021) Morbimortalité de la résection trans-urétrale bipolaire de la prostate au Service d’Urologie-Andrologie de l’Hôpital Aristide Le Dantec de Dakar. PAMJ-Clinical Medicine, 5, Article 75. https://doi.org/10.11604/pamj-cm.2021.5.75.27226
[9]
Gomes, C.M., Moromizato, J.K.M. and Brandão, T.B.V. (2021) Bipolar and Monopolar Transurethral Resection of the Prostate Are Equally Effective and Safe in This High Quality Randomized Controled Trial. International Brazilian Journal of Urology, 47, 145-148. https://doi.org/10.1590/s1677-5538.ibju.2019.0766.1
[10]
Alexander, C.E., Scullion, M.M.F., Omar, M.I., Yuan, Y., Mamoulakis, C., N’Dow, J.M.O., Chen, C. and Lam, T.B.L. (2020) Reprint—Bipolar vs. Monopolar Transurethral Resection of the Prostate for Lower Urinary Tract Symptoms Secondary to Benign Prostatic Obstruction: A Cochrane Review. Canadian Urological Association Journal, 14, 423-430. https://doi.org/10.5489/cuaj.6464
[11]
Rassweiler, J., Teber, D., Kuntz, R. and Hofmann, R. (2006) Complications of Transurethral Resection of the Prostate (TURP)—Incidence, Management, and Prevention. European Urology, 50, 969-980. https://doi.org/10.1016/j.eururo.2005.12.042
[12]
Teo, J.S., Lee, Y.M. and Ho, H.S.S. (2017) An Update on Transurethral Surgery for Benign Prostatic Obstruction. Asian Journal of Urology, 4, 195-198. https://doi.org/10.1016/j.ajur.2017.06.006
[13]
Miernik, A. and Gratzke, C. (2020) Current Treatment for Benign Prostatic Hyperplasia. Deutsches Ärzteblatt International, 117, 843-854. https://doi.org/10.3238/arztebl.2020.0843
[14]
Afandiyev, F. and Ugurlu, O. (2022) Factors Predicting the Development of Urethral Stricture after Bipolar Transurethral Resection of the Prostate. Revista da Associacao Medica Brasileira, 68, 50-55. https://doi.org/10.1590/1806-9282.20210550
[15]
Diagana, M., Tfeil, Y., Boya, M. M. and Essalem, M.B. (2021) Transurethral Resection of the Prostate (TURP): About 146 Cases at Sheikh Zayed Hospital in Nouakchott Mauritania. Open Journal of Urology, 11, 518-524. https://doi.org/10.4236/oju.2021.1112052
[16]
Abdallah, M.M. and Badreldin, M.O. (2014) A Short-Term Evaluation of the Safety and the Efficacy of Bipolar Transurethral Resection of the Prostate in Patients with a Large Prostate (>90 g). Arab Journal of Urology, 12, 251-255. https://doi.org/10.1016/j.aju.2014.10.003
[17]
Mbaeri, T.U., Abiahu, J.A., Obiesie, E.A., Odo, C., Oranusi, K.C., Nwofor, A.M.E. and Orakwe, J.C. (2020) Assessment of Complications of Transurethral Resection of the Prostate Using Clavien-Dindo Classification in South Eastern Nigeria. Nigerian Journal of Surgery, 26, 142-146.
[18]
Shrestha, B.M., Prasopshanti, K., Matanhelia, S.S. and Peeling, W.B. (2008) Blood Loss during and after Transurethral Resection of Prostate: A Prospective Study. Kathmandu University Medical Journal (KUMJ), 6, 329-334. https://doi.org/10.3126/kumj.v6i3.1707
[19]
Tang, Y., Li, J., Pu, C., Bai, Y., Yuan, H., Wei, Q. and Han, P. (2014) Bipolar Transurethral Resection versus Monopolar Transurethral Resection for Benign Prostatic Hypertrophy: A Systematic Review and Meta-Analysis. Journal of Endourology, 28, 1107-1114. https://doi.org/10.1089/end.2014.0188
[20]
Mamoulakis, C., Schulze, M., Skolarikos, A., Alivizatos, G., Scarpa, R.M., Rassweiler, J.J., de la Rosette, J.J. and Scoffone, C.M. (2013) Midterm Results from an International Multicentre Randomised Controlled Trial Comparing Bipolar with Monopolar Transurethral Resection of the Prostate. European Urology, 63, 667-676. https://doi.org/10.1016/j.eururo.2012.10.003
[21]
Blatt, A.H., Brammah, S., Tse, V. and Chan, L. (2012) Transurethral Prostate Resection in Patients with Hypocontractile Detrusor—What Is the Predictive Value of Ultrastructural Detrusor Changes? Journal of Urology, 188, 2294-2299. https://doi.org/10.1016/j.juro.2012.08.010
[22]
Kamadjou, C., Kuitche, J., Eyongeta, D.E., Mbassi, A. and Angwafor, F. (2022) Bipolar Transurethral Prostate Resection: A Study of 112 Cases. Open Journal of Urology, 12, 117-128. https://doi.org/10.4236/oju.2022.122012
