UP-1.099: Prostate Cancer Screening In Ghana

Yeboah, Edward D.; Hsing, En-Wei; Tetteh, Y.; Biritwum, Richard B.; Adjei, Andrew A.; Klufio, G.O.; Attee, S. Gepi; Kyei, Mathew Yamoah; Mensah, James E.; Morton, B; Ankomah, R.; Bentsi, J.; Quist, P.; Gyasi, Richard K.; Akosa, AB

doi:10.1016/j.urology.2009.07.546

Cited by 3 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The risk factors for the development of prostate cancer include men of African ancestry [1] with high incidence rate reported in some sub-Saharan countries including Ghana, 7% in men between 50 yrs and 74 yrs [2] and Nigeria with incidence rate of 127 per 100,000 population [3]. In Ghana, prostate cancer has been found to be the second commonest cause of cancer death in men [4].…”

Section: Introductionmentioning

confidence: 99%

Outcomes after Radical Prostatectomy in Ghanaians: A Surgeon's Early Experience

et al. 2013

View full text Add to dashboard Cite

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.

show abstract

Section: Introductionmentioning

confidence: 99%

Outcomes after Radical Prostatectomy in Ghanaians: A Surgeon's Early Experience

et al. 2013

View full text Add to dashboard Cite

show abstract

“…The Incidence on the African continent vary substantially by sub-region, with rates highest in the east, intermediate in the south, and lowest in the west [ 3 ]. In a study in Ghana, the screen detected rate was about 7% [ 4 , 5 ] and in Nigeria it was 1046/100,000 [ 6 ]. It has been noted that in people of African ancestry, the disease tended to occur at an early age and also tended to be aggressive [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…It has been observed that patients with prostate cancer in the West Africa sub-region present with advanced disease with less than 43% (6.4-43%) reporting with localized prostate cancer [ 7 ], in contrast to higher income countries where 80-90% present with localized prostate cancer [ 7 , 8 ]. There has been an increase in screening for prostate cancer using PSA and digital rectal examination in West Africa in recent times, especially in the urban centers [ 4 ]. This is anticipated to lead to an increase in the detection of localized prostate cancer requiring the need for curative treatment for selected patients with low risk disease and those with an intermediate or high risk disease [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Various publications have indicated the increasing use of curative procedures for localized prostate cancer in the West African sub-region such as radical prostatectomy, external beam radiation therapy and brachytherapy [ 4 , 7 , 10 - 12 ]. The decision-making process leading to the choice of a suitable method for curative treatment could be challenging.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Treatment of localized prostate cancer and use of nomograms among urologists in the West Africa sub-region

et al. 2020

View full text Add to dashboard Cite

Introduction there is a high incidence of prostate cancer among men of African descent. The disease tends to occur at an early age with a tendency to be aggressive. The objective was to determine the practice of urologists in the West African sub-region regarding treatment of localized prostate cancer, the use of nomograms and their perception of the usefulness of nomograms. Methods this was a cross-sectional study that involved urologists practicing in the West African sub-region attending urology and surgery conferences of the “Société Internationale d´Urologie”, West African college of surgeons and the Ghana association of urological surgeons. A structured questionnaire was used that sort to ascertain the treatment modalities used for localized prostate cancer and the use of nomograms in the sub-region. The study period spanned the years 2018 and 2019. Results fifty-six urologists practicing in eleven West African countries responded. Fifty percent had been in practice for less than 5 years. Sixty eight percent (38/56) had been involved in the treatment of localized prostate cancer. Radical prostatectomy was widely available and the treatment modality most used 94.7% (36/38). Nomograms was used by 57.9% of them (22/38) with the Partin tables being the most commonly used nomogram (34.2%). No Locally developed nomogram for treatment of localized prostate cancer was identified. Conclusion radical prostatectomy is the commonest treatment modality used for the management of localized prostate cancer in the West Africa sub-region. Majority of the urologists used nomograms with the Partin tables being the most used.

show abstract

“…The prevalence of moderate to severe lower urinary symptoms due to benign prostate hyperplasia among the Ghanaian population (aged between 50 and 74 years) has been found to be 19.9% 1 and prostate cancer prevalence of 7% among men between 50 and 74 years. 2,3 There are various indigenous terms used to describe the condition when complicated by inability to void or acute retention of urine. Among the Gas in the southern coastal areas of Ghana this condition is referred to as 'Shamo baa' which translated into English means, 'the urine is not flowing'.…”

Section: Introductionmentioning

confidence: 99%

Traditional medicines and alternative practice in the management of prostate diseases in southern Ghana

Kyei

Klufio

Ali

et al. 2017

Ghana Medical Journal

View full text Add to dashboard Cite

Objective: This study was aimed at identifying Ghanaian traditional medicines used for the management of prostate diseases and their constituents. Reviews of studies conducted on them are also presented. Methodology: This was a prospective study. Traditional Medicine samples from consecutive patients with either lower urinary symptoms (LUTS) presenting at the Urology Unit of the Korle Bu Teaching Hospital (KBTH) in Accra from January 2015 to June 2016 and had a prior treatment with traditional medicines, had the samples retrieved. Additionally, all the 58 licensed pharmaceutical shops in Okaishie, a whole sale and retail depot for medicines in the main business district of Accra, were visited and traditional medicines for the management of prostate diseases acquired. The products constituent as labeled were documented and entered once on a proforma. This study was part of a study on the management of benign prostate hyperplasia at the KBTH approved by the Medical Directorate. The findings were analyzed and presented using descriptive statistics and presented as a table. Results: Eleven products were identified with the main indigenous medicinal plant identified being the root extract of Croton membranaceus. This was the constituent in four products (Uro 500 ® , UR-Quick mixture ® , Prostacure® and prostat®60). Although studies on the basic pharmacology and animal studies have confirmed its effect on the prostate, only one clinical study was identified. Conclusion: Croton membranaceus was the indigenous traditional medicine identified for relieving LUTS due to prostate disease. There is the need for empirical evidence on its efficacy in treating Prostate cancer.

show abstract

UP-1.099: Prostate Cancer Screening In Ghana

Cited by 3 publications

References 0 publications

Outcomes after Radical Prostatectomy in Ghanaians: A Surgeon's Early Experience

Outcomes after Radical Prostatectomy in Ghanaians: A Surgeon's Early Experience

Treatment of localized prostate cancer and use of nomograms among urologists in the West Africa sub-region

Traditional medicines and alternative practice in the management of prostate diseases in southern Ghana

Contact Info

Product

Resources

About