La Symptomatologie du Bas Appareil Urinaire de l’Homme à l’Hôpital Central de Yaoundé. À Propos de 329 Cas

esume : OBJECTIFS La symptomatologie du bas appareil urinaire [SBAU] a fait l’objet de nombreuses etudes dans beaucoup de pays mais tres peu dans notre milieu. Le but de cette etude etait d’evaluer la prevalence de la SBAU dans notre milieu ainsi que la pathologie tumorale prostatique associee. METHODES : Il s’agit d’une etude transversale realisee a l’occasion d’une campagne de depistage volontaire des tumeurs prostatiques. Les parametres etudies etaient l’âge des patients, le statut professionnel, le score IPSS, le score de gene, le resultat du toucher rectal et le celui des dosages de PSA. Etait considere porteur d’une HBP symptomatique tout patient avec un score IPSS superieur a 8, un score de gene superieur ou egal a 3 et une HBP au toucher rectal. Tous les patients avec un toucher rectal suspect et ou des PSA eleves beneficiaient d’une biopsie prostatique. Nous avons enfin note la prise en charge. RESULTATS Nous avions recrute 329 patients âges de 45 a 79 ans [moyenne 56 ans]. La moyenne d’âge des patients porteurs d’une hypertrophie benigne de la prostate etait de 61.6 ans. 181 patients [56.9%] avaient un score IPSS jugee moderee a severe, 200 patients [60,8%] avaient un score de gene superieur a 3. Il y avait une correlation entre l’IPSS et l’âge, l’IPSS et le score de gene. 184 patients etaient porteurs d’une HBP dont 118 avaient une HBP symptomatique parmi lesquels 17 avaient ete operes, 66 avaient eu un traitement medical et 35 avaient ete perdus de vue. 10 patients avaient un cancer de la prostate. CONCLUSION La SBAU de l‘homme est frequente dans notre milieu. Elle survient dans une population plus jeune que celle decrite dans la litterature. Peu de patients en parlent a leur Medecin malgre les risques de complications pouvant grever le pronostic vital. Il est par consequent important d’informer les patients et de sensibiliser les medecins sur la SBAU et les pathologies associees. OBJECTIVES The low urinary symptoms have been studied in many countries but very little in our. The objective of this study was to evaluate the prevalence of the low urinary symptoms and related prostatic tumors associated in our country. METHODS This cross sectional study was part of a screening outreach for detection of prostatic tumors. The criteria retained were age, professional status, IPSS score, life’s quality score and results of PSA. The rectal examination was also recorded. The patients with abnormal rectal examination or elevated PSA needed prostatic biopsy with pathological examination. Patients with IPSS score over 8, lie’s quality score from 3, and BPH at the rectal examination were considered symptomatic. RESULTS We recruited 329 patients aged from 45 to 79 years [mean 56 years]. The mean age for BHP patients was 61.6. Considering IPSS, 181 patients [56.9%] had moderated to severe score. 200 patients [60.8%] had a life’s quality score from 3 to 6. There were correlation between IPSS score and age, IPSS score and gene score. We had BPH in 184 patients from whom 118 were symptomatic. Among those who were symptomatic, 17 were operated, 66 had medical treatment, and 35 were lost to follow up. We diagnosed prostatic cancer in 10 patients. CONCLUSION The low urinary symptoms and BPH associated are frequent in our country. They have tendency to be severe. The population concerned is younger than what is reported in the literature. Few patients talk to their doctors about it instead of complications related to pathologies able to cause death. So it is necessary to inform patients and to sensitise medical Doctors about it.