Research Article
Preliminary Carcinological Results of Radical Prostatectomies at Treichville University Hospital from 2019 to 2023 (Abidjan, Cote D’Ivoire)
Issue:
Volume 9, Issue 1, June 2025
Pages:
1-6
Received:
9 December 2024
Accepted:
18 December 2024
Published:
16 January 2025
DOI:
10.11648/j.ijcu.20250901.11
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Abstract: Background: Radical prostatectomy (RP) is the gold standard treatment for localised prostate cancer. It is performed at a low rate because of the difficulty in selecting patients. Patients are generally diagnosed at the metastatic stage. In the Ivorian literature, there are few reports on RP. We propose to describe an initial series. Objective: The aim of our study was to report the carcinological results of radical prostatectomy at Treichville University Hospital. Methods: We conducted a retrospective cohort from August 2019 to March 2023 at the Urology Department of Treichville University Hospital. We included all patients who had radical prostatectomy after being diagnosed with localised prostate cancer. Results: A total of 20 cases were selected. The mean age was 61.5 years. The most common Gleason score was 6 (3+3). 50% of patients were classified as pT3 and had a positive resection margin. Biological recurrence was observed in 75% of cases with positive resection margins after 6 months' follow-up. A 12-month recurrence-free survival analysis curve of the Klaplan Meier type was performed. Conclusion: The pT3 stage was associated with a positive resection margin and favoured biological recurrence. Later, we will expand the cohort. We are considering a research protocol on long-term functional outcomes.
Abstract: Background: Radical prostatectomy (RP) is the gold standard treatment for localised prostate cancer. It is performed at a low rate because of the difficulty in selecting patients. Patients are generally diagnosed at the metastatic stage. In the Ivorian literature, there are few reports on RP. We propose to describe an initial series. Objective: The...
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Case Report
Operative Technique and Short-term Outcome of Re-do Failed Hypospadias Repair: A Case Report
Issue:
Volume 9, Issue 1, June 2025
Pages:
7-12
Received:
3 December 2024
Accepted:
31 December 2024
Published:
21 January 2025
DOI:
10.11648/j.ijcu.20250901.12
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Abstract: Introduction: A failed hypopadias repair is a difficult case to treat considering the poor quality of surrounding tissues arising from disruption of normal vasculature associated with the underlying disorder as well as scaring from previous repairs. In this case report we describe our experience with the management of late presentation of failed hypospadias repair in a 12 year old boy. Case report: Our patient is a twelve year old ‘small for age’ who presented to our center with failed mid-penile hypospadias repair. He first presented at the age of eight to another hospital where he was evaluated and a diagnosis of mid-penile hypospadias with significant chordee was made. He had the first repair at the age of eight but the repair failed two weeks after surgery. Two years later he had a second repair in same facility which also failed after approximately two weeks. They consequently presented to our center two years later at the age of twelve. Following appropriate evaluation and counseling, he had the 3rd repair during which we ensured a preoperative sterile urine culture, created a urinary diversion via suprapubic cystostomy, the use of a monofilament (monocryl) suture, complete release of chordee after excision of scar tissues, a second intervening layer over the repair, the use of an improvised stent instead of a urethral catheter and appropriate anchorage of the stent to the suprapubic skin using a nylon suture. Patient did well post-operatively and was discharged home 14 days after the repair. Subsequent outpatient visits were uneventful and he was discharged after three months to see us only when necessary. Conclusion: This case report suggests recurrent ventral chordee and wound dehiscence as the possible risk factors for re-operation, while detailing complete release of chordee and appropriate tubularization urethroplasty technique as tips for success.
Abstract: Introduction: A failed hypopadias repair is a difficult case to treat considering the poor quality of surrounding tissues arising from disruption of normal vasculature associated with the underlying disorder as well as scaring from previous repairs. In this case report we describe our experience with the management of late presentation of failed hy...
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Research Article
Short-Term Quality of Life Outcomes: A Comparative Analysis of Thulium Laser Vaporization (ThuVap) vs. Transurethral Resection of the Prostate (TURP)
Issue:
Volume 9, Issue 1, June 2025
Pages:
13-19
Received:
23 December 2024
Accepted:
13 January 2025
Published:
24 January 2025
DOI:
10.11648/j.ijcu.20250901.13
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Abstract: Objective: This study aimed to compare short-term quality of life (QOL) outcomes and perioperative parameters between transurethral resection of the prostate (TURP) and thulium laser vaporization of the prostate (ThuVap) in patients with benign prostatic hyperplasia (BPH). Materials and Methods: A retrospective analysis was conducted on 106 patients with BPH who underwent either TURP (n = 58) or ThuVap (n = 48) at our institution between April 2021 and August 2024. Preoperative and postoperative evaluations included the International Prostate Symptom Score (I-PSS), Overactive Bladder Symptom Score (OABSS), QOL index, and uroflowmetry. Perioperative outcomes, including operative time, catheterization duration, and hemoglobin (Hb) reduction, were also analyzed. Results: Both TURP and ThuVap showed sustained improvements in I-PSS, OABSS, and QOL index during the 3-month follow-up period, with no significant differences between the groups. ThuVap demonstrated a significantly lower rate of Hb reduction on the first postoperative day compared to TURP (5.9% vs. 8.5%, P < 0.05), likely due to reduced intraoperative bleeding. Although ThuVap had a shorter mean operative time (82.3 vs. 99.3 minutes), this difference was not statistically significant (P = 0.1). Discussion: The findings indicate that both TURP and ThuVap effectively improve postoperative QOL. ThuVap's reduced bleeding may provide advantages in patients with higher cardiovascular or bleeding risks. However, variations in operative time between studies may be influenced by factors such as surgeons' experience and institutional protocols. Conclusion: Both TURP and ThuVap are effective surgical options for improving QOL in BPH patients. However, surgical efficiency and outcomes may be influenced by the surgeon's expertise and the preoperative condition of the patients. ThuVap offers additional benefits of reduced intraoperative bleeding, which may support its use in selected cases.
Abstract: Objective: This study aimed to compare short-term quality of life (QOL) outcomes and perioperative parameters between transurethral resection of the prostate (TURP) and thulium laser vaporization of the prostate (ThuVap) in patients with benign prostatic hyperplasia (BPH). Materials and Methods: A retrospective analysis was conducted on 106 patient...
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Gnakouri Alain Pacome Gnabro
