Research Article | | Peer-Reviewed

Sub-Saharan Aspects for the Benign Prostate Hypertrophy Postoperative Complications

Received: 8 April 2025     Accepted: 27 April 2025     Published: 12 June 2025
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Abstract

Background: Benign prostate hypertrophy (BPH) is mainly characterized by the increase in volume of the prostate gland. It is a frequently encountered pathology in current urological practice. The aim of the study was to evaluate various aspects of the management of postoperative complications, after BPH surgery, in a subsaharan nation. Methodology: This was a retrospective descriptive study carried out at the Douala General Hospital (DGH) and Douala Laquintinie Hospital (DLH) over a period of 5 years (January 1st 2016 to December 31st 2020). The results were compiled from (1st February to 31st May 2021) and data analysed using SPSS 25.0. The confidence interval was set at 95% where a p-value of less than 0.05 was considered statistically significant. Results: There were 151 cases in this study. The mean age was 72.3±11.8 years. Majority of the patients were within 60-69 years (27.83%). Pollakiuria, Nocturia and dysuria were the most common reasons of consultation. The medical management of BPH included alpha-blockers (55%), five alpha-reductase inhibitors (10.6%), phytotherapy (13.2%), and combination therapy (15.9%). With respect to surgical management open simple prostatectomy (OSP) was done in 65.6% of patients and Transurethral Resection of Prostate (TURP) in 34.4%. The rate of intraoperative complications was 15.9%, predominantly hemorrhage at 6.6%. Immediate and early complications acounted for 56% of complications with urinary tract infections making up the majority (22.5%). Late complications accounted for 28.8%. The incidence of intraoperative and late postoperative complications was associated with the type of surgery. This association was statistically significant with p-value of 0.013 and 0.030 for introperative and late complications respectively. The average duration of hospitalisation was 9.69± 3.053days. Conclusion: BPH is common in our setting among men older than 50 years. OSP and TURP are the surgical techniques mostly done in our setting. Hemorrhage, UTI and persistence of pollakiuria were the most common complications of BPH surgeries.

Published in International Journal of Clinical Urology (Volume 9, Issue 1)
DOI 10.11648/j.ijcu.20250901.26
Page(s) 94-100
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

BPH, Postoperative Complications, Management, Sub-Saharan, Aspects

References
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Cite This Article
  • APA Style

    Guy, E. N. F., Quentin, E. A., Oriole, M. L., Thérèse, M. F. V., Aurel, M. A., et al. (2025). Sub-Saharan Aspects for the Benign Prostate Hypertrophy Postoperative Complications. International Journal of Clinical Urology, 9(1), 94-100. https://doi.org/10.11648/j.ijcu.20250901.26

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    ACS Style

    Guy, E. N. F.; Quentin, E. A.; Oriole, M. L.; Thérèse, M. F. V.; Aurel, M. A., et al. Sub-Saharan Aspects for the Benign Prostate Hypertrophy Postoperative Complications. Int. J. Clin. Urol. 2025, 9(1), 94-100. doi: 10.11648/j.ijcu.20250901.26

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    AMA Style

    Guy ENF, Quentin EA, Oriole ML, Thérèse MFV, Aurel MA, et al. Sub-Saharan Aspects for the Benign Prostate Hypertrophy Postoperative Complications. Int J Clin Urol. 2025;9(1):94-100. doi: 10.11648/j.ijcu.20250901.26

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  • @article{10.11648/j.ijcu.20250901.26,
      author = {Epoupa Ngalle Frantz Guy and Essomba Armel Quentin and Mbouché Landry Oriole and Mokam Fotso Victoire Thérèse and Mbassi Achille Aurel and Moby Mpah Hervé Edouard and Fouda Pierre Joseph},
      title = {Sub-Saharan Aspects for the Benign Prostate Hypertrophy Postoperative Complications
    },
      journal = {International Journal of Clinical Urology},
      volume = {9},
      number = {1},
      pages = {94-100},
      doi = {10.11648/j.ijcu.20250901.26},
      url = {https://doi.org/10.11648/j.ijcu.20250901.26},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20250901.26},
      abstract = {Background: Benign prostate hypertrophy (BPH) is mainly characterized by the increase in volume of the prostate gland. It is a frequently encountered pathology in current urological practice. The aim of the study was to evaluate various aspects of the management of postoperative complications, after BPH surgery, in a subsaharan nation. Methodology: This was a retrospective descriptive study carried out at the Douala General Hospital (DGH) and Douala Laquintinie Hospital (DLH) over a period of 5 years (January 1st 2016 to December 31st 2020). The results were compiled from (1st February to 31st May 2021) and data analysed using SPSS 25.0. The confidence interval was set at 95% where a p-value of less than 0.05 was considered statistically significant. Results: There were 151 cases in this study. The mean age was 72.3±11.8 years. Majority of the patients were within 60-69 years (27.83%). Pollakiuria, Nocturia and dysuria were the most common reasons of consultation. The medical management of BPH included alpha-blockers (55%), five alpha-reductase inhibitors (10.6%), phytotherapy (13.2%), and combination therapy (15.9%). With respect to surgical management open simple prostatectomy (OSP) was done in 65.6% of patients and Transurethral Resection of Prostate (TURP) in 34.4%. The rate of intraoperative complications was 15.9%, predominantly hemorrhage at 6.6%. Immediate and early complications acounted for 56% of complications with urinary tract infections making up the majority (22.5%). Late complications accounted for 28.8%. The incidence of intraoperative and late postoperative complications was associated with the type of surgery. This association was statistically significant with p-value of 0.013 and 0.030 for introperative and late complications respectively. The average duration of hospitalisation was 9.69± 3.053days. Conclusion: BPH is common in our setting among men older than 50 years. OSP and TURP are the surgical techniques mostly done in our setting. Hemorrhage, UTI and persistence of pollakiuria were the most common complications of BPH surgeries.
    },
     year = {2025}
    }
    

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  • TY  - JOUR
    T1  - Sub-Saharan Aspects for the Benign Prostate Hypertrophy Postoperative Complications
    
    AU  - Epoupa Ngalle Frantz Guy
    AU  - Essomba Armel Quentin
    AU  - Mbouché Landry Oriole
    AU  - Mokam Fotso Victoire Thérèse
    AU  - Mbassi Achille Aurel
    AU  - Moby Mpah Hervé Edouard
    AU  - Fouda Pierre Joseph
    Y1  - 2025/06/12
    PY  - 2025
    N1  - https://doi.org/10.11648/j.ijcu.20250901.26
    DO  - 10.11648/j.ijcu.20250901.26
    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
    SP  - 94
    EP  - 100
    PB  - Science Publishing Group
    SN  - 2640-1355
    UR  - https://doi.org/10.11648/j.ijcu.20250901.26
    AB  - Background: Benign prostate hypertrophy (BPH) is mainly characterized by the increase in volume of the prostate gland. It is a frequently encountered pathology in current urological practice. The aim of the study was to evaluate various aspects of the management of postoperative complications, after BPH surgery, in a subsaharan nation. Methodology: This was a retrospective descriptive study carried out at the Douala General Hospital (DGH) and Douala Laquintinie Hospital (DLH) over a period of 5 years (January 1st 2016 to December 31st 2020). The results were compiled from (1st February to 31st May 2021) and data analysed using SPSS 25.0. The confidence interval was set at 95% where a p-value of less than 0.05 was considered statistically significant. Results: There were 151 cases in this study. The mean age was 72.3±11.8 years. Majority of the patients were within 60-69 years (27.83%). Pollakiuria, Nocturia and dysuria were the most common reasons of consultation. The medical management of BPH included alpha-blockers (55%), five alpha-reductase inhibitors (10.6%), phytotherapy (13.2%), and combination therapy (15.9%). With respect to surgical management open simple prostatectomy (OSP) was done in 65.6% of patients and Transurethral Resection of Prostate (TURP) in 34.4%. The rate of intraoperative complications was 15.9%, predominantly hemorrhage at 6.6%. Immediate and early complications acounted for 56% of complications with urinary tract infections making up the majority (22.5%). Late complications accounted for 28.8%. The incidence of intraoperative and late postoperative complications was associated with the type of surgery. This association was statistically significant with p-value of 0.013 and 0.030 for introperative and late complications respectively. The average duration of hospitalisation was 9.69± 3.053days. Conclusion: BPH is common in our setting among men older than 50 years. OSP and TURP are the surgical techniques mostly done in our setting. Hemorrhage, UTI and persistence of pollakiuria were the most common complications of BPH surgeries.
    
    VL  - 9
    IS  - 1
    ER  - 

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Author Information
  • Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon

  • Faculty of Medicine and Pharmaceutic Sciences, University of Douala, Douala, Cameroon

  • Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon

  • Department of Surgery, University of Mountain, Bagangté, Cameroon

  • Department of Surgery, University of Mountain, Bagangté, Cameroon

  • Faculty of Medicine and Pharmaceutic Sciences, University of Douala, Douala, Cameroon

  • Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon

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