Features
The Prostate …a ‘powerhouse’ that needs to be protected

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
Monsieur’s daughter —(Part 2)
David rose and opened the door to the spare room. It was neat, as everything else in the house. He sank into the bed and stared at the ceiling. He had never hoped or expected his life to turn out that way.
Until some 12 hours ago, all seemed to be going well. He had already made a huge impact on his students, and the school. He was doing some extra-curricular work which was bringing in decent, regular income.
He had married a great looking, responsible young lady, and they had been blessed with a beautiful daughter. The future could only be bright.
Yet all that had come crashing down. Gladys had been having an affair with her ex-boyfriend, during her pregnancy when he came to Ghana briefly, and over the last few days, when he returned.
He confronted her with the evidence, and her denial was pathetic. It was over. He had pointed that out to her. Over the next hour he did a systematic review of the changes he would make.
The marriage was certainly over. And sadly, so was the Aboso SSS job. He would take a new major step in the next three months. As he was drifting off to sleep, his wife brought Sarah into the hall to breastfeed her. He woke up to rock her to sleep as usual, and went off to sleep.
The following morning, he left early for Agona Nkwanta, and informed his parents about the latest developments. They were devastated, but promised to back him in every steps he took. He got back to school during the first break and carried on with his work.
He stayed on at work till after seven, renewing application procedures for a Master’s Degree programme in Germany which he had deferred. When he got back home his wife’s parents were waiting. His father-in-law wasted no time to get to the point.
“My son, we came here with a simple, though difficult, task. Our daughter has confessed to us that she has offended you greviously. She went behind your back and had, er, an affair, with a young man with whom she was previously in a relationship. She admits that she was foolish.
She says that her actions do not reflect a lack of respect for you as her husband, or her love for you. We are on our knees, my son, pleading with you to have mercy on her, take her back into your arms and get on with your life as man and wife. I have great confidence in you, that a great future awaits you. I’m humbly asking for your forgiveness, my son.”
“You have spoken well, Daddy. I have great respect for you and Mummy. You have been very kind and helpful to me, since I met Gladys. I regret, however, that I cannot be reconciled to her.
You see, Gladys resumed the relationship with Simon when he returned to Ghana some months ago. She was spending time with him at the hotel at a time when, as far as I know, she was carrying my child. And since he returned to Ghana a few days ago, they have continued to spend time at the hotel.
So this is not a one-off thing. It is a relationship. I’m not going to say or do anything publicly, but the relationship is over. I will give her my fullest cooperation to give our daughter the best of care, but I will certainly move on with my life.”
“I have heard you, my son. Your reaction is both predictable and justified. Here’s what I will do. I will give you a little time to think about my humble petition, and I will pray that God himself will touch your heart to tamper justice with mercy, and save this marriage.”
After this, two delegations from Gladys’s family went to engage David’s family to plead for restoration of the marriage, but he was adamant. They continued to live in the flat, apparently as man and wife, but although he didn’t disclose his plans to her, she knew that he would eventually move out. One morning, as they were leaving for work, Gladys issued an emphatic threat.
“David, my parents and relatives have been to see you, and virtually fallen at your feet, begging you to forgive me for my mistake, and allow us to move forward as man and wife, and take care of Sarah.
But it appears that you are a perfect human being who does not make mistakes, and will, therefore, not forgive mistakes. Okay, you can take whatever step you want to take, but remember I also have an option. I will teach you a very bitter lesson, a lesson which you will never forget till you die.”
David smiled and eased himself out.
A couple of days later, David got home to find that Sarah was not around.
“Where’s Sarah?” he asked her.
“Ah, David” she said with mock politeness, “there’s something I need to tell you. You see, Sarah is not actually yours. She is Simon’s baby. I’m very sorry for misleading you. Really sorry. I’m sure that being a young man, you will be able to find a nice young woman who will give you children as beautiful as Sarah.”
David stood and stared at her for a very long time while she laughed herself into stitches. Then he stormed out and took a taxi to his parents’ house. After listening to him, his father told him his blunt, hard opinion.
“My son, I want you to brace yourself for a tough time. It is obvious Gladys wants to punish you for rejecting her. She must have thought out her plan well before coming out to tell you.
You may want us to report to the police, social welfare or what have you, but my feeling is that if you play her game, she will string you round her finger for a long time. Therefore, I think you should call her bluff. Ignore her, difficult as it may seem. No matter how long it takes, the child will come back to us.”
“Mama, what do you think?”
“I agree with your dad. Of course, there’s always the possibility that Sarah will actually be Simon’s, but it is highly unlikely. She has just connived with him to steal your child. Let’s ignore her. She will expect you to confront her and so on, but leave her alone.”
“I will do as you say, Mama and Dada, even though it is very difficult. I will ask her to move out of my house. I will stay the night, and go back to Aboso tomorrow morning.”
There was no evidence of Gladys when he got home. She had cleared the house of virtually everything. David replaced some basic stuff whilst focusing on his next move. He found a replacement teacher for the school, and resigned.
Although, he tried to leave quietly, the students, teachers and parents organised a party for him. There was great outpouring of grief as most people had learnt about the circumstances under which he was leaving. As a token of appreciation for his passion for work, the school authorities named the playground Monsieur Park after him. He left for Germany, promising himself to work hard to put the last bitter experience behind him.
By Ekow de Heel
Features
Migraines: Understanding the causes, symptoms, and treatment options
Migraines are a type of neurological disorder characterised by recurrent episodes of severe headaches, often accompanied by sensitivity to light, sound, and nausea.
According to the American Migraine Foundation, (AMF) over 39 million people in the United States suffer from migraines, with women being three times more likely to experience them than men.
In this article, we will delve into the causes, symptoms, and treatment options of migraines, as well as provide tips on how to manage and prevent them.
What are migraines?
Migraines are a complex neurological disorder that affects not only the brain but also the nervous system and blood vessels. During a migraine episode, the blood vessels in the brain expand, leading to inflammation and pain.
Symptoms of migraines
The symptoms of migraines can vary from person to person, but common symptoms include:
1. Severe headache: A throbbing or pulsating headache, usually on one side of the head.
2. Sensitivity to light and sound: Increased sensitivity to light, sound, and sometimes even touch.
3. Nausea and vomiting: Feeling queasy or vomiting, which can lead to dehydration.
4. Dizziness and vertigo: Feeling lightheaded or experiencing spinning sensations.
5. Aura symptoms: Some people experience aura symptoms, such as flashing lights, zigzag patterns, or numbness, before the headache begins.
Causes and triggers of migraines
While the exact cause of migraines is still unknown, research suggests that a combination of genetic, environmental, and hormonal factors contribute to their development. Common triggers of migraines include:
1. Genetics: Family history plays a significant role in migraine development.
2. Hormonal changes: Fluctuations in estrogen levels, such as during menstruation or menopause.
3. Stress: Physical or emotional stress can trigger migraines.
4. Sensory stimuli: Bright lights, loud noises, or strong smells.
5. Food and drink: Certain foods, such as aged cheeses, citrus fruits, or foods containing MSG or tyramine.
6. Sleep patterns: Changes in sleep patterns, such as insomnia or oversleeping.
7. Environmental factors: Changes in weather, altitude, or exposure to chemicals.
Treatment and management options
While there is no cure for migraines, various treatment options can help alleviate symptoms and prevent future episodes. These include:
1. Medications: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, or prescription medications, such as triptans or ergotamines.
2. Lifestyle changes: Maintaining a consistent sleep schedule, staying hydrated, and avoiding triggers.
3. Relaxation techniques: Stress-reducing activities, such as meditation, yoga, or deep breathing exercises.
4. Chiropractic care: Spinal manipulation and other chiropractic techniques may help alleviate migraine symptoms.
5. Alternative therapies: Acupuncture, massage, or herbal supplements, such as feverfew or butterbur.
Preventing migraines
While migraines can be unpredictable, there are steps you can take to reduce their frequency and severity:
1. Keep a headache diary: Tracking your migraines can help you identify patterns and triggers.
2. Maintain a consistent sleep schedule: Irregular sleep patterns can trigger migraines.
3. Stay hydrated: Dehydration is a common migraine trigger.
4. Avoid triggers: Identify and avoid triggers, such as certain foods or sensory stimuli.
5. Manage stress: Engage in stress-reducing activities, such as meditation or yoga.
When to seek medical attention
While migraines can be debilitating, some symptoms require immediate medical attention:
1. Severe or frequent migraines: If you experience more than 15 headache days per month.
2. Increasing frequency or severity: If your migraines worsen over time.
3. Aura symptoms: If you experience aura symptoms, such as numbness, weakness, or difficulty speaking.
4. Headache with fever: If you have a headache accompanied by a fever, confusion, or stiff neck.
5. Recent head trauma: If you have experienced a recent head injury.
Conclusion
Migraines are a complex and debilitating neurological disorder that affects millions of people worldwide. While there is no cure, various treatment options and lifestyle changes can help alleviate symptoms and prevent future episodes.
By understanding the causes, symptoms, and treatment options of migraines, you can take control of your condition and improve your quality of life.
By Robert Ekow Grimmond Thompson
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