Rare and severe complications of benign prostatic hyperplasia (BPH) surgery are poorly documented in the literature. Our purpose was to make an inventory of severe and unexpected complications of BPH faced by urologists of the French Association of Urology (AFU).
A declarative 13-question survey was sent by e-mail 2 months before the 108th French Congress of Urology to the urologist's members of the AFU. Complications were split in complications due to material and complications directly related to the surgery.
Overall, 216 (16. 2%) urologists surveyed but only 85 forms were usable. Complications related to the material was divided into: excessive temperature of the serum irrigation leading to urethral and bladder burns (n=5), material default leading to interruption of the procedure (n=1) or incomplete hemostasis (n=2) and endoscope rupture (n=1). Peroperative complications related to surgery were divided into surgical complications: haemorrhage (n=7), urethral wounds (n=6), perforation and/or explosion (n=16), rectal wounds (n=11), obstructive renal failure (n=1); and medical complications: TURP syndrome (n=2), cardiovascular (n=5) and septic shock (n=6).
This is the first French declarative study having allowed the identification of severe and unexpected complications of BPH surgery. The recorded occurred complications were very eclectic and secondary to all types of techniques used.
5.
Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie. 2015 Jul 07 [Epub]
V Misraï, N Barry Delongchamps, S Lebdai, A R Azzouzi, A Benchikh, J N Cornu, O Dumonceau, M Fourmarier, O Haillot, B Lukacs, R Mathieu, G Robert, A de La Taille, A Descazeaud
Service d'urologie, clinique Pasteur, 40, avenue de Lombez, 31300 Toulouse, France. Service d'urologie, CHU Cochin, 75014 Paris, France. , Service d'urologie, CHU d'Angers, 49933 Angers cedex 9, France. , Service d'urologie, CHU d'Angers, 49933 Angers cedex 9, France. , Service d'urologie, hôpital privé de Versailles, 78000 Versailles, France. , Service d'urologie, hôpital Tenon, université Paris VI, 75020 Paris, France. , Service d'urologie, clinique Turin, 75008 Paris, France. , Service d'urologie, centre hospitalier d'Aix-en-Provence, 13616 Aix-en-Provence, France. , Service d'urologie, CHU de Tours, 37044 Tours, France. , Service d'urologie, hôpital Tenon, université Paris VI, 75020 Paris, France. , Service d'urologie, hôpital Pontchaillou, CHU de Rennes, 35000 Rennes, France. , Service d'urologie, CHU de Bordeaux, université de Bordeaux, 33000 Bordeaux, France. , Service d'urologie, CHU Henri-Mondor, 94010 Créteil, France. , Service de chirurgie urologique, CHU de Limoges, 87042 Limoges, France.