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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Radical prostatectomy in the treatment of prostate cancer: About 91 cases
Journal Africain du Cancer, Volume 3, No. 1, Year 2011
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Description
Objective: To study the role of radical prostatectomy in the treatment of prostate cancer. Patients and methods: It was a retrospective multicenter study of 5 years on 91 radical prostatectomies performed at Medico-Surgical Center le Bois of Chaumont in France and at Notre-Dame-de-la-Paix in Burkina Faso. Results: In 5 years, 91 patients underwent radical prostatectomy with curative intent, 85 at Medico-Surgical Center le Bois in France and 6 at Notre-Dame-de-la-Paix in Burkina Faso. Their average age was 66.52 years. Clinically, the patients were classified as stage A (2.2%) or B (98.8%) of Whitemore-Jewett. The average PSA (prostatic specific antigen) was 9.25 ng/ml. Endorectal ultrasound, CTabdominopelvic bone scan, magnetic resonance imaging, and histology of biopsy pieces were able to classify all patients as T1a to T2b N0M0. It was adenocarcinoma, and the average Gleason score was 6. Surgical treatment was radical prostatectomy. After pathologic study of surgical specimens, 2.2% were classified as pT1, 76.92% pT2, 21.92% pT3, and 1.10% pT4. The rate of PSA, six months after radical prostatectomy, was undetectable in 81.32%. In addition to radical prostatectomy, patients received hormone therapy (4 cases), radiation therapy (9 cases), and radiotherapy-hormone therapy (2 cases). The operative mortality was zero. The average length of hospital stay was 8 days. Complications such as seromas (6.60% patients), erectile dysfunction (47.25%), urinary incontinence (32.97%), and acute retention (2.2%) were noted. The 3-year survival rate was 78.33% after radical prostatectomy alone and 100% after radical prostatectomy associated with radiotherapy and/or hormone therapy. Conclusion: Radical prostatectomy allowed to control prostate cancer, and it requires early diagnosis. The addition of radiotherapy and/or hormone therapy optimizes the prognosis. © 2011 Springer Verlag France.
Authors & Co-Authors
Zongo, Nayi
Burkina Faso, Ouagadougou
Centre Hospitalier Universitaire Yalgado Ouedraogo
Sanou, Amadou F.
Burkina Faso, Ouagadougou
Centre Hospitalier Universitaire Yalgado Ouedraogo
Zango, Barnabé
Burkina Faso, Ouagadougou
Chu Yalgado
Bonkoungou, Gilbert Patindé
Burkina Faso, Ouagadougou
Centre Hospitalier Universitaire Yalgado Ouedraogo
Zida, Maurice
Burkina Faso, Ouagadougou
Centre Hospitalier Universitaire Yalgado Ouedraogo
Kontogoume, S.
Burkina Faso, Ouagadougou
Chu Yalgado
Sano, D.
Burkina Faso, Ouagadougou
Centre Hospitalier Universitaire Yalgado Ouedraogo
Traoré, Siméon Simon
Burkina Faso, Ouagadougou
Centre Hospitalier Universitaire Yalgado Ouedraogo
L'Hermitte, J.
France
Centre Médicochirurgical de Chaumont-le-bois
Ouédraogo, T.
Burkina Faso, Ouagadougou
Clinique Notre-dame de la Compassion
Statistics
Citations: 10
Authors: 10
Affiliations: 4
Identifiers
Doi:
10.1007/s12558-010-0134-9
ISSN:
19650817
e-ISSN:
19650825
Research Areas
Cancer
Health System And Policy
Sexual And Reproductive Health
Study Design
Cohort Study
Study Locations
Burkina Faso