Acute intestinal obstruction represents a very frequent admission to surgical emergencies.The aim of our study was to make a descriptive analysis of the management of acute intestinal obstructions at the level of hospital establishments in Ziguinchor.Materials and Methods: This was a retrospective, descriptive, multicenter study from the period of January 1, 2017 to December 31, 2021.Patients over 15 years of age admitted for occlusive syndrome in the two surgical departments of the Ziguinchor regional hospitals were included in the study.Epidemiological, diagnostic, therapeutic and evolutionary data were studied.Results: Acute intestinal occlusions accounted for 8.3% of admissions.A total of 163 patients were enrolled, 61.9% were men, sex ratio of 1.6.The mean age was 48.7 years.The average consultation time was 74.8 hours (3.12 days).The total occlusive syndrome was in 48.5% of the cases.Abdominal pain was present in 87.1%, vomiting in 74.2%, cessation of matter and gas in 60.7% and meteorism in 36.2%.Biological lab tests reported hyperleukocytosis in 28.1% of the cases.Abdominal CT scans were performed in 71.2%, confirming the diagnosis in 90.5% and determining the etiology in 93.1%.The zone of the obstruction in the small bowel was 62.7%, and in the colon in 37.3%.Functional occlusions accounted for 22.7% of cases and mechanical for 77.3%, including 120 cases of strangulation occlusion (95.2%) and 6 cases of obstruction.Etiologies were dominated by adhesions and/or fibrous bands (61.2%).Medical treatment resolved the occlusive syndrome in 9.2% of cases, instrumental treatment in 17.1% and surgical treatment in 77.3%.Adhesiolysis/section of fibrous bands (55.7%), detorsion (14.3%) and resection + anastomosis (11.9%) were the most common surgical procedures.

Background There are paucity data regarding the Covid-19 pandemic on the management of systemic autoimmune rheumatic diseases in sub-Saharan Africa. Objectives The aim of our study was to assess the impact of the Covid-19 pandemic on the follow-up of patients with systemic inflammatory diseases and their adherence to vaccination against SARS-CoV-2. Methods We performed a multicentric cross-sectional study between August 1st and October 31, 2021. The study targeted the patients diagnosed for systemic diseases according to the international criteria. The patients were followed in the departments of Internal Medicine, Rheumatology and Nephrology of 04 hospitals in Dakar (Senegal). The survey was based on records of 13 questions (with responses collected from the patients’ medical records) and was completed by a telephone interview with 38 potential questions. All responses were collected using a web-based application and then exported and analyzed using SPSS 26 software. Results 131 patients were included with a mean age of 41.5 years (+/-12.4) and a sex ratio of 0.08. Inflammatory rheumatic diseases included: Rheumatoid arthritis (47.3%), Systemic lupus erythematosus (22.9%), Autoimmune myositis (10.7%), Sjögren’s syndrome (6.9%), Systemic sclerosis (4.6%), Spondylarthritis (2.3%), Antiphospholipid syndrome (1.5%), ANCA-associated vasculitis (1.5%), Adult-onset Still’s disease (0.8%), Systemic sarcoidosis (0.8%) and Relapsing polychondritis (0.8%). Patients reported missing one or more follow-up appointments in 45%, a drug break (33.6%) regarding particularly the methotrexate (21/44 of patients: 47.7%) and hydroxychloroquine (18/44 patients: 40.9%) with a flare-up of their disease in 31% of cases. Covid-19 infection was confirmed in 11 patients (8.4%). Our survey showed that 47 patients (35.8%) were vaccinated with: Ad.26.COV2.S (40.4%), chAdOx1 nCoV-19 (27.7%) and BBIBP-CorV (31.9%). Side effects were reported by 21 of 47 patients (45%) only after the first dose. 2 of 47 (4.25%) patients had a medically confirmed flare. 84 (64.2%) patients were not vaccinated. Fear of vaccine side effects and the effects of the vaccine on systemic disease were the main reasons for non-adherence to vaccination. Conclusion The covid-19 pandemic has had a significant impact on the follow-up of patients with systemic inflammatory diseases in Dakar. Vaccine hesitancy is a reality in these patients. Reference [1]Akintayo RO, Akpabio AA, Kall AA, Dey D et al. The impact of COVID-19 on rheumatic practice across Africa. Rheumatology (Oxford). 2021; 5 (60): 392-398. Acknowledgements: NIL. Disclosure of Interests None Declared.

Background. Laparoscopic surgery has become an integral part of the therapeutic means in surgery. This practice has been expanding rapidly in developing countries for more than 30 years. Objective. The aim of this study was to assess the first 18 months of laparoscopic surgery activities in Ziguinchor, Senegal. Materials and methods. This was a retrospective, monocentric, descriptive study of 18 months conducted at the Peace Hospital of Ziguinchor (HPZ). All patients operated by laparoscopy in the visceral, urological and gynecological surgery departments were included. Results. A total of 122 patients were operated, the mean age was 42.93 years with a male predominance (69 cases) and a prevalence of 24.6%. Most patients were recruited in the elective surgery (76.40%). Digestive surgery was predominated by hernia pathologies (30.3%) followed by appendicular pathology (17.9%) and biliary lithiasis (11.5%). Hernia repair using the totally extra peritoneal technique (TEP) was the most common procedure performed in 24.4% (30 cases). The mean operating time was 76.75 minutes, 8 cases (6.5%) of conversion to laparotomy. Morbidity was 7.3% and mortality 0.8%. The average hospital stay was 3.20 days. Conclusion. With the numerous advantages offered by this technique, laparoscopy is an approach to be developed and perpetuated in Senegal and in Casamance.

Introduction: Transurethral resection of the prostate is still the most popular procedure that use for the surgical treatment of lower urinary tract symptoms due to benign prostatic obstruction in developed countries. Bipolar transurethral resection of the prostate (B-TURP) is a recent technique in our urological practice. The aim of this study was to evaluate our preliminary results on the use of a B-TURP in Kolda (Senegal) in a benign prostatic hyperplasia (BPH). Materials and Methods: This was a 15-month, retrospective and descriptive study from June 2021 to August 31, 2022. It examined the records of patients who had BPH requiring surgical treatment and who received Bipolar transurethral resection of the prostate (B-TURP) during the study period at the Kolda Regional Hospital in Senegal. We used a Karl STORZ bipolar endoscopy column with a 26 sheath and 30˚ optics. The parameters studied were the civil status of the patients, the clinical and para-clinical data as well as the operative indications. The data were entered and analyzed using Epi-info 3.5.1.1. Results: A total of 31 patients underwent bipolar transurethral resection of the prostate during the study period. The mean age of patients was 68.5 ± 12.6 years (range, 56 - 77 years). The mean total PSA was 4 ± 2.3 ng/ml (range, 0.5 - 11 ng/ml). The mean prostate size assessed by ultrasound was 54 ± 12.3 ml (range, 30 - 90 ml). The operative indication was dominated by BPH with impact on the upper urinary tract. The mean of bladder irrigation time was 21.4 ± 3.9 hours (range, 12 - 26 hours). In the immediate post-operative period, blood transfusions were performed in 2 patients (6.5%). In the medium-term follow-up, we noted one 1 (3.2%) case of urine retention requiring bladder catheterization. Conclusion: Bipolar Transurethral resection of the prostate B-TURP in saline system is efficacious and safe. The results of this preliminary study of B-TURP are satisfactory with a low complication rate. B-TURP decreases the duration of the hospitalization and the port of the probe. Our perspectives are oriented towards endoscopy of the upper urinary tract.

Dans un contexte mondial de réchauffement climatique, les espaces côtiers sont de plus en plus menacés par les risques de submersion. La modélisation de ces submersions marines, compte tenu du danger qu’elles représentent, constitue une étape importante avant toute initiative de protection côtière des zones à fort enjeux socio-économiques. L’objectif de cette contribution est de faire une modélisation des niveaux d’eau extrêmes sur les plages sableuses de Malibu, de Gadaye et de Malika à partir de la tempête du 19 novembre 2018 à Dakar. Pour ce faire, un modèle empirique a été utilisé pour reconstituer l’extension spatiale de l’onde de tempête sur les plages. Les résultats révèlent d’une part, que les niveaux d’eau extrêmes sont sensiblement les mêmes sur les trois plages, et d’autre part, que ces niveaux extrêmes n’ont pas excédé la crête maximale de trait de côte des trois plages. Quand bien même l’extension spatiale du jet de rive (runup et setup) sur les plages est sensiblement la même, la sensibilité des plages à cet évènement morphogène est différente où des formes d’ablation (microfalaise) ont été observées sur la partie haute de Gadaye et Malika. Cela peut être expliqué par les différentes caractéristiques morphologiques des plages un mois avant la tempête, en octobre 2018. En définitive, les résultats laissent apparaître clairement une hétérogénéité dans les ajustements morphologiques et sédimentaires trois mois après le passage de la tempête de février 2019. Toutefois, une certaine résilience de la zone est notée en raison de la présence de dunes qu’il faut impérativement éviter leur dénaturalisation pour une protection naturelle et durable de la zone. In a global context of global warming, coastal areas are increasingly threatened by the risk of flooding. The modeling of these marine submersions, because of the danger they represent, is an important step before any coastal protection initiative for areas with high socio-economic stakes. The objective of this scientific contribution is to model the extreme water levels on the sandy beaches of Malibu, Gadaye and Malika from the storm of 19 November 2018 in Dakar. To do so, an empirical model was used to reconstruct the spatial extension of the storm surge on the beaches. The results show that the modeled extreme water levels are approximately the same on the three beaches, and that their extreme levels did not exceed the maximum coastline crest of the three targeted beaches. Even though the spatial extension of the run-up on the beaches is almost homogeneous, the sensitivity of the beaches to this morphogenic event is different or forms of ablation (micro-cliffs) have been observed on the upper part of Gadaye and Malika beaches. This can be explained by the different morphological characteristics of the beaches one month before the storm, in October 2018. Finally, the results clearly show heterogeneity in the morphological and sedimentary adjustments three months after the storm of February 2019. However, a certain resilience of the area is noted due to the presence of dunes that must be avoided for a natural and sustainable protection of the area.

INTRODUCTION : Le but était d’étudier le profil épidémiologique et d’évaluer la prise en charge des cancers urologiques en milieu périphérique semi-urbain sénégalais. MATERIELS ET METHODES : Etude rétrospective descriptive dans deux centres hospitaliers régionaux périphériques du Sénégal sur une période de deux ans (2013 et 2014). Ont été étudiés les paramètres épidémiologiques, cliniques et thérapeutiques. RESULTATS : Cent-et-cinquante-six cas ont été enregistrés durant la période d’étude. Les cancers de prostate (61,5%) et de vessie (17,9%) prédominaient. L’âge moyen des patients était de 54 ans. Les circonstances de découverte du cancer de prostate étaient dominées par les troubles urinaires (38% des cas) et les douleurs rachidiennes dans 14%. La masse lombaire douloureuse constituait la circonstance de découverte du cancer du rein (54%) et pour les tumeurs de vessie une masse hypogastrique était retrouvée dans 34%. La cryptorchidie était associée au cancer du testicule dans 50%. La mortalité globale était de 24,3%. Par ailleurs, 26% étaient perdus de vue et 49% étaient vivants après un suivi moyen de 28 mois. CONCLUSION : Les cancers urogénitaux concernent des patients relativement jeunes comparés aux patients des séries occidentales faisant penser à l’existence de facteurs de risques génétiques et environnementaux. Le retard diagnostique considérable justifiant un traitement essentiellement palliatif et une mortalité élevée.

INTRODUCTION : Le but était d’évaluer les résultats oncologiques et la morbidité de la cystoprostatectomie totale (CPT). MATERIELS ET METHODES : Il s’agissait d’une étude rétrospective et descriptive, colligeant 19 patients sur une période allant de Septembre 2011 à Mai 2018, dans le service d'Urologie du CHU Aristide le Dantec. RESULTATS : La moyenne d'âge était de 58 ans avec des extrêmes de 32 et 77 ans. Le sex-ratio était de deux. La CPT avait consisté en une pelvectomie antérieure suivie d’une urétérostomie cutanée trans-iléale selon Bricker chez six femmes, en une cystoprostatectomie radicale associée à une urétérostomie cutanée trans-iléale selon Bricker chez 12 hommes et à une entérocystoplastie de remplacement selon Studer chez un homme. La morbidité postopératoire précoce consistait en un cas de suppuration pariétale (grade I), deux cas d'éviscération (grade IIIb), un cas de fistule digestive (grade IIIb), et un cas de péritonite urinaire (grade IIIb) secondaire à un lâchage de suture de l'anastomose urétéro-iléale chez le patient avec la néovessie de Studer. Ce patient était décédé en réanimation après la réfection chirurgicale de l'anastomose urétéro-iléale. Les complications tardives étaient un cas de pyélonéphrite aiguë, trois mois après la cystectomie et un cas d’occlusion intestinale aigüe. Deux patients atteints de carcinome urothélial avaient reçu une chimiothérapie adjuvante en utilisant le protocole M-VAC. Après un suivi moyen de 15 mois nous avons enregistré 13 décès, trois patients ont été perdus de vue et trois autres ont respectivement vécu 50, 68 et 80 mois après la cystectomie. La survie globale moyenne était de 15 mois (4,2 à 25,8 mois) avec une survie médiane de six mois. Le seul patient qui avait une néovessie selon Studer était décédé une semaine après cystectomie. La survie globale moyenne après pelvectomie précédente était de 17,2 mois et celle après cystoprostatectomie était 15,18 mois. CONCLUSION : Ce travail mettait en évidence le très mauvais pronostic des cancers de la vessie dans notre contexte lié au stade avancé des tumeurs au moment du diagnostic.

Background Hypospadias is the second most frequent congenital condition in boys after cryptorchidism, with an incidence of 0.3–0.7% compared to 2–4% for cryptorchidism. Since the 1980s, single-stage operations, such as the one described by Duckett, have been adopted by some authors. To assess the results of hypospadias surgery by tubed pedicled preputial island flap (DUCKETT’s procedure) in a West African reference hospital. Methods This is a retrospective and descriptive study that includes 41 patients with hypospadias who underwent DUCKETT procedure by a tubed pedicled preputial island flap during a period of 12 years. After penile degloving, the curvature has been corrected by skin bridging with or without Nesbit’s plication. The urethroplasty was done according to the DUCKETT procedure. Results The patients mean age was 11 ± 8.5 years. All of them had posterior foreskin and a ventral curvature of the penis. The urethral meatus was posterior in 37%. Six of them had a previous hypospadias repair. The complication rate was 58.5%. Wound infection and meatal stenosis occurred in 14.6% and 19.6% of cases, respectively. After a mean follow-up of 20 ± 9 months, total success, relative success and failure rates were 63%, 27% and 10%, respectively. Conclusion The DUCKETT procedure is associated with a high complication rate in our daily practice.

AIM:to evaluate the results of two-level urethroplasty in the treatment of complex urethral strictures in our clinical center.PATIENTS AND METHOD:Thiswas a retrospective cross sectional study from January 2012 to September 2015 in our clinical center. Patients operated according to Bengt Johanson technique were included. The parameters studied were age, the urological history, consultation reasons, duration of evolution, stenosis characteristics and treatment outcomes.RESULTS:twelve patients were enrolled in our study. The mean age was 48 ± 20 years. The main reason consultation reason is urine retention. The mean duration of evolution was 30 ± 25 months. The most common etiology identified was scleroinflammatory one . All the patients already had at least one medical background. The physical examination showed a periurethral gangue in 10 patients. The mean length of the urethral stricture was 6.3 ± 2.2 cm. After an average follow-up of 3.8 ± 2.3 months; the treatment outcomes were considered satisfactory in 8 patients and bad in 4 patients.CONCLUSION:Bengt Johanson's two level urethoplasty gives good outcomes in the treatment of complex urethral strictures.

La résection trans-urétrale de la prostate est le gold standard de la chirurgie de l´hypertrophie bénigne de la prostate. Elle permet une réduction de la morbi-mortalité par rapport à la chirurgie ouverte. L´objectif est d´évaluer les complications postopératoires de la résection trans-urétrale de la prostate bipolaire en utilisant une classification standardisée. Nous avons inclus tous les patients ayant une hypertrophie bénigne de la prostate (HBP), opérés par résection trans-urétrale de la prostate bipolaire au service d´urologie de l´Hôpital Aristide Le Dantec entre le 1er janvier 20018 et le 31 décembre 2018. Les paramètres étudiés étaient : l´état civil des patients, les données cliniques et paracliniques, les indications opératoires et enfin les complications per et postopératoires classées selon la classification de Clavien-Dindo. Cinquante (50) patients ont été inclus dans cette étude avec un âge moyen de 67,3 ans [43 ans et 86 ans]. L´indication opératoire était une rétention d´urines chez 38 patients (76%). Dix-huit pour cent des patients avaient au moins une complication. Trois patients avaient une hémorragie postopératoire massive et un était décédé d´hémorragie. Les complications postopératoires étaient dominées par la persistance des symptômes du bas appareil urinaire (10%). La majorité des patients (78 %) avaient des complications de grade 1 ou 2. Le résultat fonctionnel de l´intervention était jugé bon chez 48 de nos patients soit 96%. Les avantages de la résection trans-urétrale de la prostate bipolaire sont indiscutables car ils sont moins délabrants, avec une réduction des complications post-opératoires.

The purpose of this study was to assess outcomes of radical prostatectomy in patients with prostate cancer. We conducted a retrospective single-center study in the Department of Urology and Andrology at the Aristide Le Dantec Hospital in Dakar from June 1, 2010 to May 31, 2016. We collected data of 60 patients undergoing radical retropubic prostatectomy associated with dissection of the iliac and obturator nodes. After radical prostatectomy, prostate specific antigen (PSA) levels were undetectable (<0.1 ng/mL) in 20 patients (33.3%). Eleven patients (18.3%), who had biochemical relapse, received complementary hormone therapy. Patients achieved a response after initiation of treatment, and total PSA became undetectable again after an 8-month follow-up period. Mean overall survival was 17.5 months, with a median of 9.49. Cumulative overall survival rates at 1 year, 3 years and 4 years were 42.4, 13.6 and 6.8%, respectively. Mean relapse-free survival was 17.3 months, with a median biochemical relapse-free survival of eleven (11) months. The mean duration of specific survival was 8.1 months, with a median of 3 months. Seven patients had positive resection margins (11.6%). Four patients had lymph node involvement. Radical prostatectomy, suggested in some patients with prostate cancer in our practice, has been shown to be an effective therapeutic method leading to good outcomes.

Introduction: Les tumeurs renales mixtes epitheliale et stromale (TMES) constituent une nouvelle entite dans la classification OMS des tumeurs du rein. Nous rapportons un cas de TMES maligne chez un homme de 32 ans revelee par une pyonephrose sur lithiase renale coralliforme.Observation: Il s’agissait d’un patient de 32 ans adresse pour une prise en charge d’une masse renale et d’une alteration de l’etat general. L’examen avait conclu a une pyonephrose sur lithiase renale droite coralliforme. L’examen anatomo-pathologique de la piece de nephrectomie avait mis en evidence une TMES maligne. L’evolution a ete marquee par la survenue de metastases et le deces du patient.Conclusion: La TMES maligne est une entite rare. Du fait de sa potentielle agressivite, des criteres diagnostiques doivent etre mis sur pied afin d’avoir un traitement bien codifie.

In the management of metastatic kidney cancer, enlarged nephrectomy is part of a multimodal approach with systemic treatment. The lack of data on its place in the management of metastatic kidney cancer in Africa and particularly in Senegal motivated this study. Aim: to assess the place of cytoreductive nephrectomy in the management of metastatic kidney cancer in our daily practice. Patients and methods: This was a retrospective, descriptive and analytical study from January 2010 to December 2014 on patients aged 18 years and over operated for metastatic kidney cancer. The variables studied were prognostic: Performance Status, tumor stage, sites and number of metastatic sites, prognosis group according to Heng's model, histological type and Furhman grade of the nephrectomy specimen, follow-up postoperative course and overall survival. Results: A total of 12 patients were included. The mean size of the largest axis of the tumors was 14.06±5.3 cm with extremes of 8.2 and 23.8 cm and the tumor was graded T3 in 6 cases. The majority of patients had a single metastatic site and the lung was the most common metastatic site in 9 cases. In half of the cases the ECOG-PS score was 1. In 6 cases the patients were classified in the Heng intermediate prognosis group. Lymph node dissection was associated with nephrectomy in 4 cases. Renal adenocarcinoma was the most common histologic type in 8 cases and Furhman's grade was only specified in 6 cases. The mean duration of follow-up was 10.1±13.4 months (range 1 and 39 months), overall survival at 2 years was poor and only 2 patients were alive 3 years and 4 years after their nephrectomy. Conclusion: metastatic kidney cancer is uncommon in our context, most of our patients consult with advanced stage tumors. Systemic treatment remains difficult for our populations to access. Nephrectomy remains the main weapon at our disposal.

Background: In Africa, lithogenesis was initially considered rare and it was mostly caused by infections. Recent studies suggest that obesity, change in dietary habits (milk, dairy products) and hot climate can contribute to an increase of the condition in the region. Over the past decades, the management of upper urinary tract urolithiasis has evolved significantly with minimally invasive techniques. The challenge for sub-Saharan countries is related with the acquisition and the training for minimally invasive treatment. In fact, open surgery has less indications in the management of urolithiasis. The aim of this study is to evaluate the preliminary results of ureteroscopic laser treatment for upper urinary tract lithiasis in our hospital. Methods: This was a prospective, descriptive study realized between June 2016 and December 2018. The patients included were those who had ureteroscopic laser treatment for upper urinary tract lithiasis. The treatment was performed under general anesthesia by two surgeons. The studied parameters were: age, sex, patient medical history, comorbidities, renal function, cytobacteriological examination of urine, characteristics of lithiasis, intra and postoperative complications (using the Clavien–Dindo classification), ureteroscopic laser failures (frequency and causes). Success of treatment was defined by: the absence of a residual fragment at the renal and ureteral level or of a residual fragment <4 mm at the renal level on the control imaging. Data analysis was done with IBM SPSS Statistic 23 software. Statistical significance was considered when P < 0.05. Results: This study involved 43 patients. The mean age was 40.84 years ± 15.33 years. The age group between 30 and 39 years was predominant. The sex ratio was 1.26. Nephritic colic was the circumstance of discovery in 93.02%. The Uro-CT scan performed in all our patients, revealed kidney stones in 16.3% and ureteral stones in 83.7%. The right side was the most involved in 55.8%. The mean size of the stones was 12.2 mm ± 4.89 at the renal level and 12.05 mm ± 5.54 at the ureteral level. The semi-rigid ureteroscope was used in 88.37% and the flexible ureteroscope in 11.63%. The lithiasis was visualized in 74.4% of cases. Laser fragmentation was performed in 69.77% of cases. A J stent was placed after 72.1% of cases. Pelvic ureteral stripping and pelvic ureteral aspiration were realized in one case each. Acute pyelonephritis (ANP) was observed in 25.6% of patients. There were 75% fragment free at postoperative control. Any factors associated with treatment failure were not found.

The kidney's primary squamous cell carcinoma is a rare tumor, representing 0.5-0.8% of malignant renal tumors and 4% of upper urinary tract tumors. This pathology often occurs after a long past history of renal lithiasis and repeated untreated or poorly treated urinary tract infections. The delay in diagnosis resulting from an insidious symptomatology, without specific signs, often leads to a pejorative development, especially in poor countries. A seventy-nine-year-old Senegalese woman, with no past history of lithiasis nor recurrent urinary tract infection and urinary schistosomiasis, was received for a recurrent total hematuria associated with left lumbar pain. Clinical examination revealed a mobile tender left lumbar mass, with lumbar contact and renal sloshing. The left renal tumor´s diagnosis was retained on clinical and scannographic arguments, justifying an enlarged left total nephrectomy, by laparotomy. The anatomopathological examination of the surgical sample made it possible to make the diagnosis of primary invasive squamous cell carcinoma of the left kidney and to find foci of carcinoma in-situ on squamous metaplasia in the calyxes. Unlike the typical case of primary squamous cell carcinoma of the kidney, our patient did not have a long past history of renal lithiasis nor untreated or poorly treated recurrent urinary tract infections and urinary schistosomiasis. Primary squamous cell carcinoma of the kidney may not be related to a past history of recurrent urinary tract infections and lithiasis, but to any other cause of squamous metaplasia of the urothelium. Surgery remains the best option for this entity.

Buts: Rapporter les aspects epidemiologiques, cliniques et therapeutiques de l'HBP geante.Patients et methode: Il s'agissait d'une etude retrospective descriptive colligeant les patients ayant une prise en chargechirurgicale d'une HBP geante le 1er janvier 2012 au 30 novembre 2017. Les parametres etudies etaient: l'âge, les aspectscliniques et paracliniques, les donnees peroperatoires, la duree de port de la sonde et la duree d'hospitalisation et les complications.Resultats: L'âge moyen des patients etait de 70.9 ± 9.2 ans. La majorite des patients (13/18) avaient consulte pour une retentioncomplete d'urine (RCU). Le volume prostatique moyen mesure par echographie sus pubienne etait de 246.9 ± 46.1 cc. Laretention complete d'urine (RCU) associee a une vessie de lutte (VL) et la RCU avec echec a l'epreuve d'ablation de la sondeetaient les indications operatoires les plus observees. L'adenomectomie prostatique avait ete realisee par voie transvesicalechez 15 patients et par voie retropubienne chez trois patients. La moyenne du volume prostatique enuclee etait de 148 ± 68 cc(40-299cc). La duree moyenne d’hospitalisation etait de 6.77 jours (3-12 jours).Conclusion: Les progres de la chirurgie mini-invasive dans la prise en charge de l'HBP sont incontestables mais la chirurgieconventionnelle demeure le traitement de reference de cette entite.Auteur correspondant: Ndeye Aissatou Bagayogo, Service d’Urologie-Andrologie du CHU Aristide Le Dantec, Dakar,Senegal, Email: bagaaicha12@yahoo.fr,