Browsing by Author "Kyei, M."
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Item Early surgical repair of penile fractures(2010-09) Mensah, J. E.; Morton, B.; Kyei, M.OBJECTIVES: To present our experience with diagnosis and surgical management of penile fracture PATIENTS AND METHODS: We present six cases of penile fracture managed at our unit between 2003 and 2008. The diagnosis was based on clinical presentation and physical examination. The treatment was surgical in all cases with Subcoronal circumferential degloving incision, evacuation of hematoma and reconstruction of the rupture with absorbable suture. RESULTS: The clinical diagnosis of penile fracture was accurate in all six cases. All patients had a successful outcome, with preservation of erectile function CONCLUSION: Penile fracture is a clinical diagnosis and immediate surgical repair offers complete recovery of sexual function.Item Evaluation of 4, 672 routine prostate biopsies performed in six African countries(Journal Africain du Cancer, 2013-08) Yegbe, P.; Watya, S.; Kaggwa, S.; Haiman, C.; Henderson, B.E.; Narashimhamurthy, M.; Abuidris, D.; Mohamadani, A.A.; Mohamed, E.; Mansoor, M.; Elgaili, E.M.; Elballal, A.; Zeigler-Johnson, C.M.; Heyns, C.F.; Gueye, S.M.; Rebbeck, T.R.; Jalloh, M.; Friebel, T.M.; Sira Thiam, F.; Niang, L.; Sy, C.; Siby, T.; Fernandez, P.; Mapulanga, V.; Maina, S.; Doodu Mante, S.; Yeboah, E.; Kyei, M.; Ankomah, R.; Amegbor, J.; Adusei, B.Purpose: Prostate cancer (CaP) is the leading cancer diagnosed in Sub-Saharan Africa (SSA). However, relatively little is known about the clinical detection of CaP in SSA. In order to evaluate CaP detection in SSA, we evaluated the outcomes of prostate biopsies under conditions of usual clinical care. Methods: Retrospective data were collected from 4, 672 Black African men, who underwent prostate biopsy in Gaborone, Botswana; Accra, Ghana; Dakar, Senegal Cape Town, South Africa; Wadmedani, Sudan; and Kampala, Uganda. Clinical and pathological characteristics were collected using medical records information for prostate biopsies that were undertaken during the period 2005-2011. Comparison groups of White South Africans (N = 398) who underwent prostate biopsy, and African American (AA; N = 117) and European American (EA; N = 975) men with prostate cancer were also obtained. Results: Usual biopsy practices varied across SSA centers. The mean age at biopsy was 68.1 years (range: 25-100). The percentage of CaP identified was 11%, 36%, 43%, 48%, 87%, and 94% in Sudan, Senegal, South Africa, Ghana, Botswana, and Uganda, respectively. The Gleason scores 6 and 7 were predominant in Botswana, Senegal, and South Africa while the Gleason scores ≥ 8 were predominant in Sudan and Uganda. Compared to AA and EA, SSA and White South African men had substantially higher Gleason grade disease, and initial PSA at diagnosis was strongly associated with disease aggressiveness. Conclusions: The knowledge gained from studies of prostate cancer in Africa may in turn improve our understanding of aggressive prostate cancer diagnosed anywhere in the world. © Springer-Verlag France 2013.Item SIU Scholarship(2011) Kyei, M.