title: [Serious and unexpected complications of benign prostatic obstruction surgery: Results of the LUTS Committee survey from urologists of the French Urological Association].
abstract: OBJECTIVE
  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).
  
  
  METHODS
  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.
  
  
  RESULTS
  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).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Service d'urologie, clinique Pasteur, 40, avenue de Lombez, 31300 Toulouse, France. Electronic address: v.misrai@clinique-pasteur.com.
authors.forename: V
authors.initials: V
authors.lastname: Misraï
authors.affiliation: Service d'urologie, CHU Cochin, 75014 Paris, France.
authors.forename: N
authors.initials: N
authors.lastname: Barry Delongchamps
authors.affiliation: Service d'urologie, CHU d'Angers, 49933 Angers cedex 9, France.
authors.forename: S
authors.initials: S
authors.lastname: Lebdai
authors.affiliation: Service d'urologie, CHU d'Angers, 49933 Angers cedex 9, France.
authors.forename: A R
authors.initials: AR
authors.lastname: Azzouzi
authors.affiliation: Service d'urologie, hôpital privé de Versailles, 78000 Versailles, France.
authors.forename: A
authors.initials: A
authors.lastname: Benchikh
authors.affiliation: Service d'urologie, hôpital Tenon, université Paris VI, 75020 Paris, France.
authors.forename: J N
authors.initials: JN
authors.lastname: Cornu
authors.affiliation: Service d'urologie, clinique Turin, 75008 Paris, France.
authors.forename: O
authors.initials: O
authors.lastname: Dumonceau
authors.affiliation: Service d'urologie, centre hospitalier d'Aix-en-Provence, 13616 Aix-en-Provence, France.
authors.forename: M
authors.initials: M
authors.lastname: Fourmarier
authors.affiliation: Service d'urologie, CHU de Tours, 37044 Tours, France.
authors.forename: O
authors.initials: O
authors.lastname: Haillot
authors.affiliation: Service d'urologie, hôpital Tenon, université Paris VI, 75020 Paris, France.
authors.forename: B
authors.initials: B
authors.lastname: Lukacs
authors.affiliation: Service d'urologie, hôpital Pontchaillou, CHU de Rennes, 35000 Rennes, France.
authors.forename: R
authors.initials: R
authors.lastname: Mathieu
authors.affiliation: Service d'urologie, CHU de Bordeaux, université de Bordeaux, 33000 Bordeaux, France.
authors.forename: G
authors.initials: G
authors.lastname: Robert
authors.affiliation: Service d'urologie, CHU Henri-Mondor, 94010 Créteil, France.
authors.forename: A
authors.initials: A
authors.lastname: de La Taille
authors.affiliation: Service de chirurgie urologique, CHU de Limoges, 87042 Limoges, France.
authors.forename: A
authors.initials: A
authors.lastname: Descazeaud
mesh_terms: D000368:Aged; D005602:France / Q000453:epidemiology; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D011470:Prostatic Hyperplasia / Q000601:surgery; D012955:Societies, Medical; D011795:Surveys and Questionnaires; D020728:Transurethral Resection of Prostate / Q000009:adverse effects*
keywords: Benign prostatic obstruction; Chirurgie; Complications; Hyperplasie bénigne de la prostate; Laser; Lasers; Résection transurétrale de la prostate; Surgery; Transuretral resection of the prostate