TITLE:
Radical Prostatectomy: Indication, Technique and Results at Sylvanus Olympio University Hospital Center of Lomé
AUTHORS:
Messan Semefa Agbedey, Kanowa Gracia Makala, Komi Hola Sikpa, Edoe Viyome Sewa, Gnimdou Botcho, Ngalamulume David Tshimbundu, Kambala Stephane Kangudia, Kanowa Christian Katanga, Moussa Salifou Diallo, Ibrahima Diallo, Tchongwang Pierre Ndengang, Essodina Padja, Essomindelou Leloua, Kodjo Kevin Tengue
KEYWORDS:
Radical Prostatectomy, Sylvanus Olympio
JOURNAL NAME:
Open Journal of Urology,
Vol.13 No.12,
December
29,
2023
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.