Research Article | | Peer-Reviewed

Open Retropubic Radical Prostatectomy: Experience in Cameroon

Received: 8 October 2025     Accepted: 27 October 2025     Published: 31 December 2025
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Abstract

Introduction: Prostate cancer is a slow-growing hormone-dependent malignant tumor that can have negative impacts at short or long term. There are many treatment options for localized prostate cancer, but most of them are of limited access in sub-Saharan Africa. Open retropubic radical prostatectomy presents a challenge in terms of early diagnosis of prostate cancer. The aim of our study was to share our experience in the field and to report patient outcomes on short and medium term. Methodology: Our study was retrospective, covering all patients who underwent open retropubic radical prostatectomy in the urology departments of Yaounde Central Hospital, Douala General Hospital, and Catholic Hospital of the Love of Our Lady in Douala over a 10-year period (2013-2023). We studied the progression of the disease and quality of life after surgery. This assessment was mainly carried out using validated self-administered questionnaires, the ICIQ (International Consultation Incontinence Questionnaire) for urinary incontinence and the IIEF 5 (International Index of Erectile Function) for erectile dysfunction. Results: We selected five patients who had undergone Open Retropubic Radical Prostatectomy (ORRP). The average age was 62.8 years. Total PSA was the postoperative biologic follow-up parameter. One patient had received hormone therapy and salvage radiotherapy, while two others were in remission. In terms of lower urinary function, three patients had urinary incontinence (UI). All of these disorders were treated with appropriate perineal physiotherapy and an anticholinergic agent. In terms of erectile function, three patients had erectile dysfunction. Anastomotic site stenosis was found in three patients. Conclusion: Surgical treatment of localized prostate cancer allows for cancer control and, in some cases, sexual and urinary function impairment is observed. We were thus able to evaluate the short- and medium-term cancer and functional outcomes in patients who underwent ORRP in two cities in Cameroon.

Published in International Journal of Clinical Urology (Volume 9, Issue 2)
DOI 10.11648/j.ijcu.20250902.30
Page(s) 219-225
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Prostate Cancer, Radical Prostatectomy, Retropubic, Cameroon

References
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Cite This Article
  • APA Style

    Guy, E. N. F., Barthelemy, M. M. J., Cedrick, F. J., Dorcas, W. M. P., Marcel, N. J., et al. (2025). Open Retropubic Radical Prostatectomy: Experience in Cameroon. International Journal of Clinical Urology, 9(2), 219-225. https://doi.org/10.11648/j.ijcu.20250902.30

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    ACS Style

    Guy, E. N. F.; Barthelemy, M. M. J.; Cedrick, F. J.; Dorcas, W. M. P.; Marcel, N. J., et al. Open Retropubic Radical Prostatectomy: Experience in Cameroon. Int. J. Clin. Urol. 2025, 9(2), 219-225. doi: 10.11648/j.ijcu.20250902.30

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    AMA Style

    Guy ENF, Barthelemy MMJ, Cedrick FJ, Dorcas WMP, Marcel NJ, et al. Open Retropubic Radical Prostatectomy: Experience in Cameroon. Int J Clin Urol. 2025;9(2):219-225. doi: 10.11648/j.ijcu.20250902.30

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  • @article{10.11648/j.ijcu.20250902.30,
      author = {Epoupa Ngalle Frantz Guy and Mekeme Mekeme Junior Barthelemy and Fouda Jean Cedrick and Wafo Menewa Philippe Dorcas and Ngandeu Jerry Marcel and Kpanou Yellem Achille and Kuwong Mbonyam Patrick and Fouda Pierre Joseph},
      title = {Open Retropubic Radical Prostatectomy: Experience in Cameroon},
      journal = {International Journal of Clinical Urology},
      volume = {9},
      number = {2},
      pages = {219-225},
      doi = {10.11648/j.ijcu.20250902.30},
      url = {https://doi.org/10.11648/j.ijcu.20250902.30},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20250902.30},
      abstract = {Introduction: Prostate cancer is a slow-growing hormone-dependent malignant tumor that can have negative impacts at short or long term. There are many treatment options for localized prostate cancer, but most of them are of limited access in sub-Saharan Africa. Open retropubic radical prostatectomy presents a challenge in terms of early diagnosis of prostate cancer. The aim of our study was to share our experience in the field and to report patient outcomes on short and medium term. Methodology: Our study was retrospective, covering all patients who underwent open retropubic radical prostatectomy in the urology departments of Yaounde Central Hospital, Douala General Hospital, and Catholic Hospital of the Love of Our Lady in Douala over a 10-year period (2013-2023). We studied the progression of the disease and quality of life after surgery. This assessment was mainly carried out using validated self-administered questionnaires, the ICIQ (International Consultation Incontinence Questionnaire) for urinary incontinence and the IIEF 5 (International Index of Erectile Function) for erectile dysfunction. Results: We selected five patients who had undergone Open Retropubic Radical Prostatectomy (ORRP). The average age was 62.8 years. Total PSA was the postoperative biologic follow-up parameter. One patient had received hormone therapy and salvage radiotherapy, while two others were in remission. In terms of lower urinary function, three patients had urinary incontinence (UI). All of these disorders were treated with appropriate perineal physiotherapy and an anticholinergic agent. In terms of erectile function, three patients had erectile dysfunction. Anastomotic site stenosis was found in three patients. Conclusion: Surgical treatment of localized prostate cancer allows for cancer control and, in some cases, sexual and urinary function impairment is observed. We were thus able to evaluate the short- and medium-term cancer and functional outcomes in patients who underwent ORRP in two cities in Cameroon.},
     year = {2025}
    }
    

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  • TY  - JOUR
    T1  - Open Retropubic Radical Prostatectomy: Experience in Cameroon
    AU  - Epoupa Ngalle Frantz Guy
    AU  - Mekeme Mekeme Junior Barthelemy
    AU  - Fouda Jean Cedrick
    AU  - Wafo Menewa Philippe Dorcas
    AU  - Ngandeu Jerry Marcel
    AU  - Kpanou Yellem Achille
    AU  - Kuwong Mbonyam Patrick
    AU  - Fouda Pierre Joseph
    Y1  - 2025/12/31
    PY  - 2025
    N1  - https://doi.org/10.11648/j.ijcu.20250902.30
    DO  - 10.11648/j.ijcu.20250902.30
    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
    SP  - 219
    EP  - 225
    PB  - Science Publishing Group
    SN  - 2640-1355
    UR  - https://doi.org/10.11648/j.ijcu.20250902.30
    AB  - Introduction: Prostate cancer is a slow-growing hormone-dependent malignant tumor that can have negative impacts at short or long term. There are many treatment options for localized prostate cancer, but most of them are of limited access in sub-Saharan Africa. Open retropubic radical prostatectomy presents a challenge in terms of early diagnosis of prostate cancer. The aim of our study was to share our experience in the field and to report patient outcomes on short and medium term. Methodology: Our study was retrospective, covering all patients who underwent open retropubic radical prostatectomy in the urology departments of Yaounde Central Hospital, Douala General Hospital, and Catholic Hospital of the Love of Our Lady in Douala over a 10-year period (2013-2023). We studied the progression of the disease and quality of life after surgery. This assessment was mainly carried out using validated self-administered questionnaires, the ICIQ (International Consultation Incontinence Questionnaire) for urinary incontinence and the IIEF 5 (International Index of Erectile Function) for erectile dysfunction. Results: We selected five patients who had undergone Open Retropubic Radical Prostatectomy (ORRP). The average age was 62.8 years. Total PSA was the postoperative biologic follow-up parameter. One patient had received hormone therapy and salvage radiotherapy, while two others were in remission. In terms of lower urinary function, three patients had urinary incontinence (UI). All of these disorders were treated with appropriate perineal physiotherapy and an anticholinergic agent. In terms of erectile function, three patients had erectile dysfunction. Anastomotic site stenosis was found in three patients. Conclusion: Surgical treatment of localized prostate cancer allows for cancer control and, in some cases, sexual and urinary function impairment is observed. We were thus able to evaluate the short- and medium-term cancer and functional outcomes in patients who underwent ORRP in two cities in Cameroon.
    VL  - 9
    IS  - 2
    ER  - 

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Author Information
  • Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon

  • Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon

  • Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon

  • Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon

  • Catholic Hospital of the Love of Our Lady (CHLOL), Douala, Cameroon

  • Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon

  • Catholic Hospital of the Love of Our Lady (CHLOL), Douala, Cameroon

  • Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Yaounde, Cameroon

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