Outcomes after Radical Prostatectomy in Ghanaians: A Surgeon's Early Experience. (24th April 2013)

• Record Type: Journal Article
• Authors: Kyei, Mathew Yamoah; Mensah, Edward James; Gepi-Attee, Samuel; Kwami, Devine; Ampadu, Kwabena; Asante, Emmanuel; Klufio, George Oko; Yeboah, Edward Donkoh
• Other Names: Ku J. H. Academic Editor.; Tsui K. H. Academic Editor.
• Is Part Of: ISRN urology. Volume 2013(2013)
• Publication Date: 2013-04-24
• Subjects: Urology -- Periodicals; Urologic Diseases; Urology; Periodical; Periodicals; Fulltext; Internet Resources; Periodicals; Electronic journals; 616.6
• DOI: 10.1155/2013/832496
• Languages: English
• ISSNs: 2090-5807

Abstract

Abstract : Background . There is a lack of expertise in the procedure of open radical retropubic prostatectomy in West Africa therefore necessitating the training of urologists in the subregion in this procedure. Aim . This report looks at the early outcomes of a single surgeon in this procedure after an SIU fellowship. Methodology . A prospective study of the initial twenty consecutive patients with clinically localized prostate cancer that underwent open radical retropubic prostatectomy at the Korle Bu Teaching hospital, Accra. Results . The mean followup was 19.5 months (range 7 months–36 months). The mean age was 62.7 yrs. For the clinical stage, 60% were T1c and 40% T2a with a mean Gleason score of 6.5. The mean estimated blood loss was 1140.0 mLs with a transfusion rate of 70%. For the pathologic stage, pT2 cancers formed 60%, pT3 25%, and pT4 5% with a mean Gleason score of 6.8. No lymph node involvement was noted. The perioperative complications rate was 15%, a postoperative potency recovery rate of 78.6% with all the patients being continent of urine. The tPSA of 95% of the patients had remained less than 0.4 ng/mL. Conclusion . The SIU scholarship offers an avenue for training in radical prostatectomy for sub-Saharan Africa.