Research Article
Evaluation of Postoperative Urinary Tract Infection and Sepsis Rates After Adding Cystolitholapaxy to HoLEP:
A Retrospective Analysis
Federico Agustin Rovegno*
,
Rajiv Pillai,
Zafar Maan,
Soumendra Datta,
Omar Nasir,
Gerald Rix
Issue:
Volume 10, Issue 1, June 2026
Pages:
1-5
Received:
13 October 2025
Accepted:
11 November 2025
Published:
29 January 2026
Abstract: Holmium laser enucleation of the prostate (HoLEP) is an established treatment for benign prostatic hyperplasia (BPH). In patients with concurrent bladder stones, cystolitholapaxy can be performed during the same procedure, but its impact on postoperative infections is unclear. We retrospectively analysed 278 patients who underwent HoLEP alone (n = 205) or HoLEP with cystolitholapaxy (n = 73) between 2017 and 2024. Baseline characteristics including age, prostate size, body mass index (BMI), diabetes mellitus (DM), and postoperative infectious outcomes were compared. Urinary tract infection (UTI) was defined by abnormal urinalysis within 30 days, and sepsis was defined clinically. Independent t-tests and Fisher’s exact test were used, with p < 0.05 considered significant. Baseline demographics were similar between groups (mean age: 73.46 vs. 73.41 years, p = 0.956; prostate size: 106.97 vs. 117.92 mL, p = 0.104; BMI: 27.64 vs. 28.50 kg/m², p = 0.281). The HoLEP + cystolitholapaxy group had more DM patients than HoLEP only (37.7% vs. 22.5%; Odds ratio (OR) = 2.08, 95% CI 1.16–3.74; p = 0.018). Postoperative UTI occurred in 22/205 (10.7%) HoLEP-only and 12/73 (16.4%) combined patients (OR = 0.85, 95% CI 0.43–1.64; p = 0.643). Sepsis was rare (1/205 in HoLEP-only; 0/73 in combined; OR = 0.93; p = 1.000). Despite higher DM prevalence in the HoLEP + cystolitholapaxy group, no significant differences in postoperative UTI or sepsis were observed. Combining HoLEP with cystolitholapaxy appears safe, allowing comprehensive management of BPH and bladder stones in a single session without increasing infectious risk.
Abstract: Holmium laser enucleation of the prostate (HoLEP) is an established treatment for benign prostatic hyperplasia (BPH). In patients with concurrent bladder stones, cystolitholapaxy can be performed during the same procedure, but its impact on postoperative infections is unclear. We retrospectively analysed 278 patients who underwent HoLEP alone (n = ...
Show More
Research Article
Laser Ureteroscopy for Calculi in the Upper Urinary Tract: Bicentric Study, Urology Department of Libreville University Hospital, SOS Medecins Clinic
Mbethe Dimitri*,
Ndang Ngou Milama Steevy,
Adande Menest Elvir,
Ayeme Georges,
Nzalimbaninenou Mboula Pauline,
Allogho Mbouye Gloire,
Bissiriou Izoudine,
Mougougou Adrien
Issue:
Volume 10, Issue 1, June 2026
Pages:
6-9
Received:
31 December 2025
Accepted:
16 January 2026
Published:
9 February 2026
Abstract: Introduction: Urinary lithiasis represents a significant part of urological practice. Today, it is mainly treated endoscopically. The advent of the flexible ureteroscope (FUS) and laser has further improved the treatment of renal stones. In this paper, we report on our experience in terms of indications and results. Patient and methods: This was a retrospective, descriptive, and analytical study conducted between January 1, 2015, and December 31, 2024, in the urology department of the Libreville University Hospital and a partner private clinic (SOS Medecins). The study included the complete records of patients who underwent semi-rigid or flexible ureteroscopy for upper urinary tract stones with laser fragmentation. The parameters studied were gender, age, reason for consultation, medical history, characteristics of the lithiasis, laterality, indication, duration of the procedure, occurrence of any incidents or accidents, length of hospital stay, and outcome. Success was defined as the absence of lithiasis or the presence of lithiasis fragments less than 3 mm in diameter. Data analysis was performed using SPSS version 20.0 software; means, standard deviations, frequencies, and extremes were calculated. Results:88 laser ureteroscopies were performed on 82 patients. There were 55 men and 33 women, giving a sex ratio of 1.7. The average age was 42.97 years (range 21 to 77 years). The main reason for consultation was renal colic in 70 patients (79.54%), followed by chronic low back pain in 12 patients (13.64%). The stones were unilateral in 75 patients (91.5%) and bilateral in 7 (8.5%). The locations were mainly pyelic and middle calyceal (19.3% each). The average size of the stones was 8 mm (ranging from 3 to 35 mm). The overall success rate was 93.9%. Postoperatively, complications were minor according to the Clavien-Dindo classification and occurred in 6.1% of cases. The average length of hospital stay was 3 days. Conclusion: The treatment of upper urinary tract lithiasis by laser ureteroscopy has been effective in Libreville for 10 years, despite its high cost, which limits its use. Its practice is becoming commonplace in view of the advantages it offers compared to conventional surgery.
Abstract: Introduction: Urinary lithiasis represents a significant part of urological practice. Today, it is mainly treated endoscopically. The advent of the flexible ureteroscope (FUS) and laser has further improved the treatment of renal stones. In this paper, we report on our experience in terms of indications and results. Patient and methods: This was a ...
Show More
Research Article
Causes of Death in the Urology Department of the Libreville University Hospital Center
Mbethe Dimitri*,
Mougougou Adrien,
Nzalimbaninenou Mboula Pauline,
Ndang Ngou Milama Steevy,
Allogho Mbouye Gloire,
Nguyen Akendengue Leslie,
Bissiriou Izoudine,
Adande Menest Elvir
Issue:
Volume 10, Issue 1, June 2026
Pages:
10-13
Received:
17 January 2026
Accepted:
27 January 2026
Published:
11 February 2026
Abstract: Introduction: There are many causes of death during hospitalization. Throughout this study, we will examine the main causes of death in the urology department at the Libreville university hospital center (CHUL). Materials and Methods: This is a retrospective, descriptive, single-center study conducted in the urology department of the CHUL from January 2020 to December 2025. All patients hospitalized in the urology department through the emergency room or outpatient consultation were included. The parameters studied were age, sex, medical and surgical history, pathology, treatment received, and length of hospital stay. Data were collected using a survey form based on patient hospitalization records and medical files. Results: A total of 1,265 patients were hospitalized during the study period, including 56 deaths, representing a mortality rate of 4.4%. The average age was 55.4 years. There was a predominance of males (49M/7F). Comorbidity factors dominated by high blood pressure and diabetes were found in 53.6% of patients. Cancer was the leading cause of hospitalization (69.6%), with prostate adenocarcinoma at the top of the list. In the majority of cases (58.9%), patients were admitted with a deterioration in their general condition. The average length of hospital stay was 16.4 days. Conclusion: Although there are many urological conditions, cancer, predominantly prostate cancer, remains the leading cause of death in the urology department of the Libreville University Hospital. Patients were often admitted in a state of general deterioration linked to a disease that was already at an advanced stage. An ongoing awareness and screening program should have an impact on this mortality rate in urology.
Abstract: Introduction: There are many causes of death during hospitalization. Throughout this study, we will examine the main causes of death in the urology department at the Libreville university hospital center (CHUL). Materials and Methods: This is a retrospective, descriptive, single-center study conducted in the urology department of the CHUL from Janu...
Show More
