Urology in Guadeloupe: benign and malignant prostatic pathology - abstract

ABSTRACT

This study reports on the surgical experience for prostatic pathology in the urological department of the Centre Hospitalier Universitaire (CHU) of Guadeloupe for the period August 1, 1992 to June 30, 1993. There were 202 surgical interventions comprising 95 (48 percent) benign prostatic hypertrophies, 104 (52 percent) adenocarcinomas and 3 (1.5 percent) doubtful. The diagnostic efficiency of Prostatic Specific Antigen (PSA) was studied in terms of specificity and sensitivity to discriminate between benign and malignant diseases and the usefulness of scintigraphy. From the 104 adenocarcinomas, only 7 radical prostatectomies were performed. Other patients were either too old for surgery or presented bone metastasis. These results give evidence of a dramatically high percentage of adenocarcinomas in Guadeloupe (AU)