Author(s)

Komi Hola Sikpa^1*, Gnimdou Botcho², Messan Semefa Agbedey³, Essodina Padja³, Essomindelou Leloua³, Kossi Edem Gueouguede¹, Pwerew Rodolphe Plante¹, Edoe Viyome Sewa³, Kodjo Kevin Tengue³, Matchonna Tchilabalo Kpatcha¹

¹Centre Hospitalier Universitaire Kara, Kara, Togo.
²Centre Hospitalier Regional Sokodé, Sokodé, Togo.
³Centre Hospitalier Universitaire Sylvanus Olympia, Lomé, Togo.

Background: The urology department of the Teaching Hospital of Kara is the 2nd urology department in Togo, Kara being a semi-urban town located 400 km from Lomé the capital. While for a long time only open surgery was used, the acquisition of urological endoscopic equipment in February 2021, has revolutionized the urological management of patients. Objective: Report the results of the first 15 months of urological endoscopy practice at the Kara Teaching Hospital, identify the particularities, announce the prospects. Patients and Methods. This was a retrospective and descriptive study, which took place in the urology department of the Kara Teaching Hospital, from February 2021 to April 2022, i.e. a period of 15 months. The register of operative reports and patient records were used for data collection. The following parameters were studied: age, sex, diagnosis, indication, diagnostic or therapeutic nature of the procedure, and results. EPI INFO 7.2.4.0 software was used for data analysis. Results: A total of 102 urological procedures (endoscopic and non-endoscopic) were performed during the study period; of the 102 interventions, 62 were endoscopic urological interventions, i.e., 60.7% of the interventions. The average age of patients treated was 55.5 years (±16.4) with extremes ranging from 28 to 87 years. Men accounted for 84% of patients treated. Prostatic hypertrophy was the most common urological pathology in our study, requiring endoscopic intervention in 40% of cases. Transurethral resection of the prostate was the most performed endoscopic procedure in our study with 43.5% of cases. The various endoscopic interventions resulted in success in 96.7% of cases. Conclusion: Urology nowadays cannot be done without endoscopy. At the Kara Teaching Hospital, the results are already promising after less than 24 months of endoscopic practice in urology. Advocacy must be made to political decision-makers, so that the situation is even better, for the good of both urologists and patients.

Urological Endoscopy, Results, Kara, Togo

Sikpa, K. , Botcho, G. , Agbedey, M. , Padja, E. , Leloua, E. , Gueouguede, K. , Plante, P. , Sewa, E. , Tengue, K. and Kpatcha, M. (2022) Urological Endoscopy: Results of the First 15 Months, in Kara (Togo). Open Journal of Urology, 12, 492-498. doi: 10.4236/oju.2022.129048.