@Article{,
AUTHOR = {Albert Ruenes Jr, Serigne M. Gueye},
TITLE = {Teaching radical prostatectomy in sub-Saharan Africa},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {15},
YEAR = {2008},
NUMBER = {1},
PAGES = {3886--3889},
URL = {http://www.techscience.com/CJU/v15n1/62328},
ISSN = {1488-5581},
ABSTRACT = {In the United States alone, approximately 220000 new
cases of prostate cancer will be detected in 2007, and
27000 men will die of that disease. African American
men will suffer disproportionately, having a prostate
cancer incidence that is nearly 60% higher than their
Caucasian counterparts. In fact, it is widely accepted
that African American men have the highest incidence
of prostate cancer in the world. This observation has led
investigators to study the prostate cancer risk among
African men in an effort to identify factors responsible
for the high incidence of prostate cancer that plagues the
African American population. Findings suggest that the
public health burden of prostate cancer to native African
men is substantial.<br/>
Effective management of prostate cancer depends on early
detection of the disease and its definitive treatment. Cost-effective management can be elusive. Radical prostatectomy
can cure clinically localized disease and may offer long-term
cancer control in patients with stage T3 disease. Of the
various forms of radical prostatectomy, radical perineal
prostatectomy is ideally suited to accomplish these goals in
sub-Saharan Africa.<br/>
A program to teach radical perineal prostatectomy has
begun in Dakar, Senegal. It is a system based on graded
surgical responsibility. High-quality audiovisual guides
familiarize surgeons with the procedure’s unique
anatomic concerns. They then observe live procedures,
assist in live procedures and eventually begin
performing the live procedures under direct supervision.
Repeated performance of the operation with
simultaneous critique is the hallmark of this program,
the goal of which is to establish a center of excellence
where surgeons throughout the continent can come to
learn this technique.},
DOI = {}
}