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Benign prostatic hyperplasia and prostate carcinoma in native Africans
D Dawam1, A H Rafindadi, G D Kalayi
1Departments of Surgery and Pathology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
BJU International
|June 10, 2000
Summary
Benign prostatic hyperplasia (BPH) and prostate cancer significantly impact African men's health, causing high morbidity and mortality. Early symptom recognition and improved surgical facilities are crucial for better outcomes.
Area of Science:
- Urology
- Public Health
- Oncology
Background:
- Benign prostatic hyperplasia (BPH) and prostate cancer are prevalent conditions affecting aging men.
- African populations may face unique challenges and outcomes related to these diseases.
Purpose of the Study:
- To investigate factors contributing to morbidity and mortality in benign prostatic hyperplasia (BPH) and prostate cancer among native African men.
- To assess the outcomes of surgical interventions for these conditions in the study population.
Main Methods:
- A prospective study conducted over five years (1993-1998) in Nigeria.
- Investigated and treated 686 patients presenting with symptoms of prostatism.
- Followed patients for a mean of 19.5 months, with histological diagnoses for 640 patients.
Main Results:
- Benign prostatic hyperplasia (BPH) diagnosed in 545 patients; prostate cancer in 95 patients.
- Mortality within six months post-surgery was 0.7% for BPH and 26.3% for prostate cancer.
- Two-thirds of prostate cancer patients presented with neurological complications (paraparesis/paraplegia).
Conclusions:
- Benign prostatic hyperplasia (BPH) and prostate cancer are significant causes of morbidity and mortality in African men.
- Emphasizes the need for health education to promote early symptom recognition.
- Recommends improved surgical facilities, such as transurethral prostatectomy, to reduce complications and optimize healthcare resource utilization.