Kyei Mathew Yamoah, Mensah Edward James, Gepi-Attee Samuel, Kwami Devine, Ampadu Kwabena, Asante Emmanuel, Klufio George Oko, Yeboah Edward Donkoh
Department of Surgery and Urology, University of Ghana Medical School, P.O. Box 4236, Accra, Ghana.
ISRN Urol. 2013 Apr 24;2013:832496. doi: 10.1155/2013/832496. Print 2013.
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.
背景。西非地区在开放性耻骨后根治性前列腺切除术方面缺乏专业技术，因此有必要对该次区域的泌尿科医生进行该手术的培训。目的。本报告探讨了一名外科医生在国际泌尿外科学会（SIU）进修后进行该手术的早期结果。方法。对在阿克拉的科勒布教学医院接受开放性耻骨后根治性前列腺切除术的连续20例临床局限性前列腺癌患者进行前瞻性研究。结果。平均随访时间为19.5个月（范围7个月至36个月）。平均年龄为62.7岁。临床分期方面，60%为T1c期，40%为T2a期，平均Gleason评分为6.5。平均估计失血量为1140.0毫升，输血率为70%。病理分期方面，pT2期癌症占60%，pT3期占25%，pT4期占5%，平均Gleason评分为6.8。未发现淋巴结受累。围手术期并发症发生率为15%，术后性功能恢复率为78.6%，所有患者均能自主控制排尿。95%患者的总前列腺特异抗原（tPSA）仍低于0.4纳克/毫升。结论。国际泌尿外科学会奖学金为撒哈拉以南非洲地区提供了根治性前列腺切除术的培训途径。
