Results of a 10 Year Long Practice of Open Trans-Vesical Prostatectomy

Background: Reports on open prostatectomy are uncommon this last decade. Objective: Evaluate open prostatectomy at the former Military Teaching Hospital of Cotonou. Patients and Method: Through medical records, we collected and analyzed data on all open prostatectomies performed at the former Military Teaching Hospital of Cotonou from January 1, 2012 to September 7, 2022, the day our government handed over the hospital to civil administration. Results: 74 patients underwent open prostatectomy. Their mean age was 68.4 years. Comorbidities in them were hypertension (17.6%), diabetes (2.7%), and asthma (1.4%). Surgery indication was acute urinary retention (73%), chronic urinary retention (24.3%), obstructive renal failure (6.8%), and Hemorrhage (1.4%). 18.9% patients had catheter associated preoperative infection, Escherichia coli (38.5%) being the most frequent causative agent. 71 (95.9%) patients had BPH, 3 (4.1%) patients had prostate cancer. The mean PSA level was 16.5ng/mL in the BPH patients and 80.9ng/mL in the prostate cancer patients. Postoperative complications were urinary fistulas (2.7%) and blood transfusion (1.4%). Postoperative inward stay was 5 to 7 days in 94.6% patients and 8 to 14 days in 5.4% patients. Conclusion: 74 open prostatectomies were performed with minimal postoperative complications rate, i.e., 2.7% urinary fistula and 1.4% blood transfusion.