Reporting the Complications of Open Transvesical Prostatectomy by Using the Clavien Dindo Classification at the Ignace Deen National Hospital, Conakry

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Background: Benign prostatic hyperplasia (BPH) is a condition of the elderly whose incidence is constantly increasing. Open surgery for benign prostatic hypertrophy is still widely used in developing countries. The aims of this study was to report the postoperative complications for BPH using the Clavien Dindo Classification (CDC) in the urology department of Ignace Deen National Hospital. Methods: This was a retrospective, single-center documentary study focusing on post-operative complications after Open prostatic (OP) Surgery, over a period of 2 years (June 1, 2021 to May 31, 2023). A total of 380 patients underwent OP surgery for BPH followed in the urology department during the study period. Results: Among the 630 patients followed during the study period. A total of 76(20%) patients experienced 90 complications. Clavien Dindo grade I and grade II complications were reported in 45.6% and 42.2% respectively. Among grade I complications, bladder clots n=16 (17.8%) and vesicocutaneous fistulas 20 (22.3%) were predominant. Surgical site infection n=25(27.8%) was the main CDC grade II complication treated with antibiotics. Higher grade complications were rarer. Conclusion: post-operative complications for benign prostatic hyperplasia surgery are common in our department. The Clavien Dindo classification is a reproducible tool for reporting postoperative complications in our patients. Complications are mainly grade I and grade II complications.

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