%0 Journal Article
%T Prostate Cancer Screening by General Practitioners in Lomé, Togo
%A Tchilabalo Matchonna Kpatcha
%A Tchin Darr¨¦
%A Edoe Viyome Sewa
%A Komi Hola Sikpa
%A Gnimdou Botcho
%A Essodina Padja
%A Essomendedou Adolphe Leloua
%A Kodjo Tengue
%J Open Journal of Urology
%P 27-36
%@ 2160-5629
%D 2022
%I Scientific Research Publishing
%R 10.4236/oju.2022.121003
%X Background: Prostate cancer is a common disease in men over 50 years. Only early detection by screening can guarantee a favourable outcome. Objective: The objective of the study is to report on the practice of prostate cancer screening by general practitioners in Lom¨¦. Material and Method: This was a practice survey. A questionnaire administered to general practitioners allowed to examine the following parameters: the practitioner¡¯s years of practice, the screening criteria, the screening tools and the factors motivating the request for urological advice. The data were analysed using the software Epi info 7.1.5. The P value was considered significant below 0.05. Results: One hundred and eighty (180) physicians average-aged 29 were administered among whom one hundred and fifty-seven (157) males and twenty-three (23) females. The average duration of the medical practice was 35.2 months (6 months - 204 months). The screening criteria were age (47.2%), family history of cancer (17.8%), and age over 50 years associated with symptoms of the low urinary tract (35%). The practitioner¡¯s experience did not affect these criteria (p = 0.12). The screening tools were the digital rectal examination (DRE) associated with prostate specific antigen (PSA) assay (20.5%), PSA alone (29.5%), DRE alone (6.6%), suprapubic ultrasound (32.3%) and endorectal ultrasound (11.1%). The choice of the screening tool was related to the practitioner¡¯s experience (p = 0.03). The determining factor for a urological consultation was a high PSA (>4 ng/ml) independent of the DRE. Conclusion: Prostate cancer screening is largely done by general practitioners in Lom¨¦. However, the use of some criteria and tools for the screening is not optimal.
%K Prostate Cancer
%K Screening
%K Survey
%K Lomé
%K Togo
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=114608