title: [Surgical treatment place in the management of prostate cancer: report of 96 cases].
abstract: BACKGROUND
  The goal of this study is to access the surgical management of the prostate cancer.
  
  
  METHODS
  It was a retrospective study including 96 cases of prostate cancer between June 2002 and December 2004. Parameters studied for every patient was: age, the complaints, results of rectal digital examination, the initial TPSA rate, gleason score, results of extension, the clinical grade according to TNM 2002 classification, the treatment and the future of treated patients.
  
  
  RESULTS
  The mean age of our patients was 70.9 years with extremes of 50 years and 93 years. The complaints at presentation were dominated by prostatism (43.5%) and urine retention (37.7%). At rectal digital examination, the prostate was suspicious of cancer in 42.7%. The majority of our patients (79.8%) had a TPSA rate superior to 20 ng/ml. The examination revealed that the tumour was an adenocarcinoma in all patients. The majority of our patients (50.3%) had a gleason score inferior to 7. The extension outcome revealed: a loco-regional extension in 63 patients, dorso-lombar bone metastases in 19 patients and absence of secondary localisation in 14 patients. The repartition of patients according TNM classification was as following: T1 (1%), T2 (14.6%), T3 (18.8%) and T4 (65.6%). The patients were managed as following: bladder neck resection (surgically or endoscopically), pulpectomy and radical prostatectomy.
  
  
  CONCLUSIONS
  To ameliorate the prostate cancer management, the highlights of radical prostatectomy is imperative as the spreading of endoscopic surgery in the place of opening surgery.
authors.affiliation: Service d'Urologie-Andrologie du Centre Hospitalier Universitaire A. Le Dantec de Dakar, Sénégal.
authors.forename: B
authors.initials: B
authors.lastname: Diao
authors.forename: B
authors.initials: B
authors.lastname: Fall
authors.forename: P A
authors.initials: PA
authors.lastname: Fall
authors.forename: C
authors.initials: C
authors.lastname: Ze Ondo
authors.forename: A
authors.initials: A
authors.lastname: Odzebe
authors.forename: Y
authors.initials: Y
authors.lastname: Sow
authors.forename: A K
authors.initials: AK
authors.lastname: Ndoye
authors.forename: M
authors.initials: M
authors.lastname: Ba
authors.forename: B A
authors.initials: BA
authors.lastname: Diagne
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies