title: Outcomes after Radical Prostatectomy in Ghanaians: A Surgeon's Early Experience.
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.
authors.affiliation: Department of Surgery and Urology, University of Ghana Medical School, P.O. Box 4236, Accra, Ghana.
authors.forename: Mathew Yamoah
authors.initials: MY
authors.lastname: Kyei
authors.forename: Edward James
authors.initials: EJ
authors.lastname: Mensah
authors.forename: Samuel
authors.initials: S
authors.lastname: Gepi-Attee
authors.forename: Devine
authors.initials: D
authors.lastname: Kwami
authors.forename: Kwabena
authors.initials: K
authors.lastname: Ampadu
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Asante
authors.forename: George Oko
authors.initials: GO
authors.lastname: Klufio
authors.forename: Edward Donkoh
authors.initials: ED
authors.lastname: Yeboah