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Radical Prostatectomy: Indication, Technique and Results at Sylvanus Olympio University Hospital Center of Lomé

¹ Urology Departement, Kpalime Prefectural Hospital, Kpalime, Togo
² General Surgery Departement, Sino-Congolese Friendship Hospital, N’Djili, Democratic Republic of the Congo
³ Urology Departement, Kara Teaching Hospital, Kara, Togo
⁴ Department of Urology, University Teaching Hospital of Lomé, Lomé, Togo
⁵ Department of Urology, University of Lomé, Lomé, Togo
⁶ Urology Departement, Sokode Regional Hospital, Sokode, Togo
⁷ General Surgery Department, Otto-Girard Polyclinic of Kananga, Katanga, Democratic Republic of the Congo
⁸ General Surgery Departement, Kinshasa University Clinics, Kinshasa, Democratic Republic of the Congo
⁹ General Surgery Departement, Kabinda General Referal Hospital, Kinshasa, Democratic Republic of the Congo
¹⁰ General Surgery Departement, Bocar Sidi Sall University Hospital Center, Kati, Mali
¹¹ Urology Departement, Regional Hospital, Ziguinchor, Senegal
¹² General Surgery Departement, Bonamoussadi Ad Lucem Hospital, Douala, Cameroon
¹³ Urology Department, Sylvanus Olympio Teaching Hospital Center, Lomé, Togo
¹⁴ Urology Department, Sylvanus Olympio Teaching Hospital Center, Lomé, Togo
¹⁵ Urology Department, Sylvanus Olympio Teaching Hospital Center, Lomé, Togo

Open Journal of Urology·Volume 13 (2023)·Pages 565–571·Published 7 December 2023·DOI10.4236/oju.2023.1312062

Abstract

Aim: Radical prostatectomy started in TOGO for nearly a decade. We purposed to evaluate the indications, technique and result obtained by this practical in our context. Methods: Descriptive retrospective study over 6 years, involves patients who underwent radical prostatectomy in the urology andrology department of the Sylvanus Olympio University Hospital in Lomé. Results: In 6 years, 24 radical prostatectomies were performed on 209 patients with prostate cancer (prevalence 12.92%). The average age of the patients was 63.8 ± 4.2 years. The average PSA rate was 27.9 ± 21.2 ng/ml. 58.3% were at high risk for d’Amico. The retropubic route with ilio-obturator lymph node dissection was the technique used for all patients. 80.9% of patients were continent and 33.3% had a satisfactory erection 12 months after the surgery. Recurrence-free survival at 1 year was 62.5% and 3 deaths or 12.5% were recorded in the first year in high-risk patients. Conclusion: Radical prostatectomy maintains its place of choice in the treatment of localized or locally advanced prostate cancer. It improves recurrence-free survival.

KeywordsRadical ProstatectomySylvanus Olympio

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Radical Prostatectomy: Indication, Technique and Results at Sylvanus Olympio University Hospital Center of Lomé

Abstract

References (15)