Features
The Prostate …a ‘powerhouse’ that needs to be protected
![• Mr Brobbey](https://thespectatoronline.com/wp-content/uploads/2024/07/a.png)
Mr Brobbey
The prostate is a vital but often overlooked organ in the male reproductive system. This small gland plays a crucial role in men’s health, yet issues such as prostate cancer, benign prostatic hyperplasia (BPH), and prostatitis can affect its function and overall well-being.
The prostate is a walnut-sized gland located below the bladder next to the rectum. Its primary function is to produce fluid that nourishes and protects sperm, aiding in sperm motility and fertility.
The prostate also plays a role in controlling urine flow and ejaculation. Maintaining a healthy prostate is essential for overall male reproductive health and quality of life.
Prostate health can be affected by various conditions, with the most common being prostate cancer.
Prostate cancer is the second most common cancer among men worldwide. Early detection through regular screenings, such as the prostate-specific antigen (PSA) test and digital rectal examination, is crucial for timely diagnosis and treatment.
Prevalence
According to the National Library of Medicine (NLM) in the United States of America (USA), Prostate cancer is the second most commonly diagnosed cancer and the fifth leading cause of cancer death among men worldwide, with an estimated 1,414,000 new cancer cases and 375,304 deaths in 2020.
It also said, in Africa, Southern Africa has the highest incidence rates of 64.1 per 100,000, followed by Northern Africa with 35.9 per 100,000 while Western Africa recorded 31.9 per 100,000, whereas Eastern and Western 23.9 per 100,000 and 13.2 per 100,000, respectively.
According to NLM prostate cancer is the second leading cause of cancer deaths in men of African descent.
In Ghana, evidence from population-based screening showed a prevalence of seven per cent in men between 50 and 74 years with the chance of having prostate cancer going up with age.
According to recent GLOBOCON data, it is the leading cause of cancer deaths among Ghanaian men and accounted for over 2000 new cases in 2020 alone.
Also the chairman of the Taussig Cancer Institute, Professor Alex Adjei, at an annual public lecture on cancer last year said 82 per cent of men with prostate cancer in Ghana die annually.
This, he said indicated that the mortality rate of prostate cancer in the country was higher than deaths related to breast and cervical cancers.
“This is a worrying situation because comparing Ghana to other countries such as US and the UK, they recorded more cases of prostate cancer annually, but have lower mortality rates while the majority survived.
According to Prof. Adjei, Ghana which had three times lower incidence of prostate cancer cases, however, had higher mortality compared to those countries due to late reporting.
Symptoms
An oncology nurse at Korle-Bu Teaching Hospital, Mr Eric Brobbey, said early prostate cancer usually causes no symptoms, while more advanced prostate cancer can cause symptoms such as trouble urinating, blood in urine or semen.
Also, he said persons suffering from the disease will have the urge to urinate more often especially at night, have erectile dysfunction, decreased force in the stream of urine, discomfort in the pelvic, pain in the hips, back (spine), chest (ribs), or other areas from cancer that has spread to bones.
He mentioned that they also have weakness or numbness in legs or feet, due to spread of cancer to the spine and loss of bladder or bowel control from cancer pressing on the spinal cord.
Risk Factors
Mr Brobbey said the chance of having prostate cancer goes up quickly after the age of 50 while men with a first degree male relative (father, brother) who had prostate cancer before age 65 have twofold risk of developing the disease compared with men who do not have a first degree relative with the disease.
“Also, the disease is more common in men of African descent compared with men of other races,” he said.
Screening and early detection
Mr Brobbey said cancer screening was aimed at detecting cancer before any symptoms appear adding that the method used depended on the cancer being screened for.
The benefits of screening, he said included early detection of disease and early treatment possibly for cure.
He mentioned that prostate cancer screening can be done with Prostate Specific Antigen (PSA) test, this is a simple blood test.
Mr Brobbey explained that the antigen was specific to the prostate but not specific for prostate cancer and urged that men should make an informed decision on whether they would like to be screened every year with the PSA test.
Treatment
The oncology nurse said the treatment of the disease depended on the stage of the disease and there were different options for its treatment, stating that sometimes two or more treatment options were needed to be combined and not all treatments were for cure.
“Prostate cancers are treated based on stage, grade and age of the patient,” he added.
Mr Brobbey said that the stage describes the extent of spread of the disease, explaining that stage one is early prostate cancer while stage IV is advance prostate cancer where the tumour has spread to other parts of the body.
“The grade of the disease refers to the appearance of the cancer cells when examined by a pathologist and this is an indication of how quickly and aggressively a cancer is growing,” he stated.
Mr Brobbey urged men to get screened and have their PSA test done to help detect the disease early before symptoms begin to show.
Recommendation
In an attempt to fight the disease at an early stage, a national intervention is needed to create maximum awareness of the disease and also encourage men to go through screening just as breast cancer.
Also lack of coverage for prostate cancer treatment under the National Health Insurance Scheme (NHIS) in Ghana makes it difficult for the less privileged to access and sustain cancer care at any stage of the disease.
Just as some aspects of treatment such as surgery, chemotherapy and some targeted therapies for breast cancers are catered for under NHIS, it is time some aspects of prostate cancer treatment was included in the scheme to give relief to patients.
With the current rate of the disease among men in the country, it is time Ghana embarks on a concerted effort to develop a better strategy for cancer control and invest in the setting up of well-equipped cancer treatment centres for early detection, diagnosis, treatment and research.
Conclusion
The prostate plays a vital role in men’s health and well-being, and protecting this powerhouse is essential for a fulfilling and healthy life.
By adopting a proactive approach to prostate health, making informed lifestyle choices, and seeking timely medical care, men can reduce their risk of prostate-related conditions and maintain optimal prostate function.
It is therefore important to prioritise its protection and care as a healthy prostate is a cornerstone of a man’s overall well-being.
By Jemima Esinam Kuatsinu
Features
The Prophet part 4
Antobam woke up with a terrible headache. He checked the time on his mobile phone, 2:30 am. “What! Where is the money?” He asked aloud. “Where are those girls? Why did I drink so much of that whisky? What were those two girls up to?” He sat up on the bed and noticed a bulge close to the pillow.
He lifted the mattress and picked up the newspaper wrappers with the neatly arranged notes. He saw the neatly written record of the value of the notes. No, those girls are not thieves.
“It was my mistake. If I hadn’t drank myself to sleep they would be here in bed with me, giving me the time of my life. Pretty girls, those two. And so loyal and honest. Tomorrow will be different.”
“I will not drink any whisky, and I will show them that I am a real man. Just then he heard the whispers. Very soon it will be time, they seemed to be saying. This is an important day.”
The gold dealer will bring lots of money. Give him some of the liquid to drink, and we will prepare him. He will do very big business, and he will give you anything you ask for. There will be more miracles and testimonies today.
Antobam smiled to himself. “I am going to be a very rich man in only a few days man. Money, power, and women. Wow! Antobam got to the grounds at 5, but there were quite a number of people waiting.
Mr Kwame Dofu was among them. He greeted them all, and they came around to shake his hand. “My brothers and sisters, I assure you that whatever your problem is, you will not go home without a solution.” Shouts of “Amen” “thank” you Osofo and “you are a true man of God” responded.
“Please take your seats, and start talking to the great one about whatever bothers you. Before the service is over, there will be a solution.” He waved Mr Dofu over, and went with him to the wooden structure that serves as a temporary office.
“My brother, I have done quite a lot of work on the issue you came to see me about. I have prepared a special, powerful package for you. Take this, drink it, and go back to your business. I want to see you in two weeks.”
Beaming with smiles, Mr Dofu drank the foul smelling liquid in two gulps, said a big thank you to Antobam and took his leave. “I believe you, Papa Osofo. And I assure you that I will reward you, big time.”
Just when Osofo Antubam finished with Mr Dofu, Mary and Suzzie went over to him. “Good Morning ladies. I am very sorry about yesterday. I drank too much of the stuff you gave me. Today will be different, I assure you.”
“Don’t worry, Osofo. Since you are now setting things up, our main concern now is to help you to put things in place, and to make you comfortable. We are always there to serve you. This morning, Osofo, we want to go and clean up your place, and prepare something nice for you when you close.
And before coming to church, we will pass by the bank and collect the forms. After you have signed them, the account will be open. You can check the payments anytime and, of course, issue cheques whenever you need money.”
“Suzzie and Mary, I am happy I picked the two of you from the very start. Listen, I will take good care of you, okay? Here is some money. Buy whatever you need for the errands you have mentioned.
And here is the key. Please come back as early as you can. You know I need you here.” The service was very lively. The lively singing of praise songs was followed by one and a half hours of testimonies.
Most of them related to money – big sales, new jobs and overdue debts paid. But there were also testimonies about healing. Barren women had taken seed, and, of course, several men who had lost their bedroom authority had regained them, to the delight of their partners.
As he had promised, Antobam preached for only 30 minutes, exhorting the congregation to attend church regularly, pay their tithes and offerings, and strictly follow his ‘directions’ for securing solutions to their problems.
After another round of praises during which the congregation danced to the floor to drop their offering, he closed the service, grabbed the big bowl which was full to the brim with money, and moved to his desk. A long queue was quickly formed at the desk.
Meanwhile, Mary and Suzzie had gone to give Antobam’s place quite a decent look. A new bedsheet and pillows, a secondhand carpet and four plastic chairs placed in the verandah had done the trick.
They also prepared two fish and chicken stews. After all these, they rushed to the National Savings Bank and collected application forms for opening current and savings accounts.
They joined the service a few minutes before the main session closed. Antobam looked round and saw, to his relief, Mary and Suzzie moving towards him. “Hello ladies. What have you been up to?” “Quite a bit, Osofo. We’ve just collected your drink. Here you are. We’ve made a few changes at your place. I think you will like it. You will also have something nice to eat. Now, here are the forms for the savings and current accounts.
If you will sign them, the bank will open the account. From today, we can pay all monies direct into the account.” ‘How can I thank you, ladies?” “You don’t need to thank us,” Suzzie said. “It is our duty to help a man of God succeed.” “Okay, my ladies, please take the offerings and count them as you did yesterday.
You can add the payments made after the consultations. Will it be possible to pay them into the account today?” “Yes,” Mary said. “The bank closes at four. If we leave here at three, we would be there just in time.”
The two friends started counting, as Osofo Antobam gave his clients his directions for solving their problems. On quite a few occasions he closed his eyes as if he was receiving direction from above on what to do.
But as the fetish priest at the Nana Kofi Broni shrine and the dwarfs had assured him, the solutions would certainly be provided. Having heard the huge testimonies earlier in the day, the clients parted with substantial sums of money in expectation.
By Ekow de Heer
Features
The issue of spiritual father in our churches
A student was supposed to go to school as the natural cause of events should be when universities or schools in general opens but this was not the case in a certain young man’s life.
He decided to postpone his trip because apparently he could not get to meet his pastor, his spiritual father. The question is, should this spiritual father die, will the young man’s life come to an end?
Does it mean in such an instance, he is going to curtail his education? This is a worrying trend in a lot of churches where the pastors use this notion of spiritual father to manipulate members especially the youth.
Some unscrupulous pastors utilise this spiritual father concept to have affairs with gullible young ladies in their churches.
Now with homosexuality gradually making inroads into some of the churches, young men are becoming vulnerable to pastors who have hidden homosexual inclinations.
This spiritual father concept is a Biblical concept that runs through both the Old Testament as well as the New Testament. We see it in 2 Kings 4:12 where Gehazi is serving Elisha and also in the New Testament we see Paul relating to Timothy in 1 Timothy 1:2 as a Spiritual Father.
In fact, the concept of spiritual father is a good thing if executed according to the word of God since it helps in guiding the younger ones. However, it becomes problematic when it is being executed by unscrupulous wolves in sheepskins as described by Jesus in Mathew 7:15.
I see it as a way that these unscrupulous so-called men of God maintain their hold on the congregants so they do not question their unchristian actions.
One of the things I have observed since I got born again many years ago is that, any pastor who often insists that members recognise that he is their spiritual father is a warning sign that he is doing some wrong things or is about to indulge in some wrong things.
A parent complained about how his daughter was being influenced by a pastor of the church she attends and how worried he was. I am sure there are many parents out there with stories to tell about how their wards are being made to see their pastors almost like their Jesus.
These pastors have managed to make their congregants so loyal to them and to believe in them so much that it is terrifying, as a parent.
The way things are going, an immediate intervention is required otherwise I am not a prophet of doom but I forsee unfortunate instances where parents burst into church auditoriums and star shooting some Pastors out of frustration and anger.
We cannot look on unconcerned as a society and allow unscrupulous fraudsters using the name of God to create problems for families. My recommendation is for a certain amount of regulation in order to bring some sanity in religious practices.
I agree that ordinarily regulating religious practices makes it a bit restrictive in terms of freedom of worship as enshrined in our constitution but given the way things are going, a bit of regulation will not be out of place.
Disgusting stuff are being attributed to some men of God. There are cases of manipulation of young ladies and sometimes married women by so called men of God and it is bringing Christianity and therefore the name of the Lord into disrepute.
Christianity is gradually losing its attractiveness as a result of the negative reportage resulting from disgusting stuff happening in Christian circles. The way some pastors have been manipulating congregants to take money from them leaves much to be desired to the point where they are convincing some of the youth to give out their phones. May God help us.
By Laud Kissi-Mensah