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

Open Journal of Urology 2023年第12期13卷 565-571页

作者： 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 Urology Departement Kpalime Prefectural Hospital Kpalime Togo General Surgery Departement Sino-Congolese Friendship Hospital N’Djili Democratic Republic of the Congo General Surgery Departement Kinshasa University Clinics Kinshasa Democratic Republic of the Congo Urology Departement Kara Teaching Hospital Kara Togo Department of Urology University Teaching Hospital of Lomé Lomé Togo Department of Urology University of Lomé Lomé Togo Urology Departement Sokode Regional Hospital Sokode Togo General Surgery Department Otto-Girard Polyclinic of Kananga Katanga Democratic Republic of the Congo General Surgery Departement Kabinda General Referal Hospital Kinshasa Democratic Republic of the Congo General Surgery Departement Bocar Sidi Sall University Hospital Center Kati Mali Urology Departement Regional Hospital Ziguinchor Senegal General Surgery Departement Bonamoussadi Ad Lucem Hospital Douala Cameroon Urology Department Sylvanus Olympio Teaching Hospital Center Lomé Togo

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.

关键词： Radical Prostatectomy Sylvanus Olympio

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

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Open Journal of Urology（泌尿学期刊） 2023年第12期

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