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
Press freedom & the bearded goat

THE journalist is a hunter. He goes after human rats and grasscutters personified, matters about whom he can salt and spice and present as news. The fatter and juicier the catch, the better, because sensation is essentially our cup of tea.

Our job is to sell news and sell it in grand style.
Because the journalist is a hunter and is created with a special kind of nose for sniffing out news, he is usually not welcome in many places. He is seen as someone who has been born to make people uncomfortable.
The problem is that some people don’t want things written about them even if it is promotional and favourable. When it entails publishing their pictures alongside the story, they are doubly scared.
“Please, don’t use my picture. People will think I’ve got money and come for loan,” someone told me.
Anyhow, journalists are seen as intruders, undesirables, born with plenty of okro in the mouth; maybe some also in the nose. Some of my friends are no longer too close because they fear I’d give them full coverage in the Sikaman Palava column. Ha ha ha! What a funny world!
Well, people like my Uncle, Sir Kofi Jogolo, my former classmate and born-mathematician, Kwame Korkorti, and ex-football star cum human-salamander Kofi Kokotako don’t mind featuring in the hilarious inches of this column. Kofi Owuo alias Death By Poverty is one personality who has to be mentioned in this palaver.
These are people who are going to live long, primarily because they see the world as one big ball of fun. When Kwame Korkorti was told that his dear mother was dead at home, he smiled and asked the bearer of the message whether his mother had cooked the afternoon meal before claiming she was dead. Until her death, Korkorti ate his lunch at his mother’s end.
When my Uncle Kofi Jogolo was picked and lost 1,500 dollars and a good amount of Sikaman currency, he didn’t lament the loss. Instead he was amused. In fact, he was almost glad about it, because he grinned from ear to ear, stroked his delicate moustache and congratulated the thief, adding that “He is smarter than I am.” Yeah, Jogolo is the man who employs a Swedish barber to trim his moustache.
And when Kofi Kokotako was unemployed and was nearly hit by an articulated truck, he called the driver a fool. “The idiot should have killed me,” he said to me. “Didn’t he know I was unemployed and suffering?”
Today, Kokotako is employed as a Reverend and is not doing badly at all. Thanks to the regular silver collection.
And what about Kofi Owuo, the celebrated poor man. His wife left him not because he was poor, but because he swore in front of her that he would never prosper.
The following dawn the wife packed bag and baggage and went back to her parents and told them all about her husband’s alliance with poverty. Her parents were bewildered and called the alliance unholy. They had no option than to send back Owuo’s drinks to end the marriage.
Kofi Owuo alias Death By Poverty did not contest the issue. He was more engrossed thinking about how to become poorer than to contest what he called a frivolous matter. The wife could go to hell, he said. These are people longevity smiles upon. Nothing worries them.
Getting back to talking about journalists. I’d say that anywhere there is journalism, the issue of press freedom is not too far away. Is the press free? That’s one question foreigners want answer to when they are on visit.
Well, journalists celebrate a yearly WORLD PRESS FREEDOM DAY to drum home the idea of press freedom as a very important thing in the practice of journalism.
This year’s was celebrated almost a fortnight ago but people didn’t see much of us because we are normally not good celebrants. We should have mounted a float to roam the entire capital, dancing asaboni to brass band music just like PTC did recently.
Although journalists are known to be very good dancers because they walk very much, on that day, they were all busy writing. It was the Minister of Information, Mr Kofi Totobi Quakyi who saved the day by addressing a forum organised to mark the day.
He is a man I’ve always admired since his radical university days. He spoke much on press freedom, cautioning the press not to abuse the freedom granted by the Fourth Republican constitution, but to use it for the progress of society.
Well, press freedom has been defined by many journalists as the freedom to ‘write nonsense’. This definition is not quite accurate. I asked one staff reporter to define press freedom. It took him fifteen minutes to put up something.
“Press freedom is the freedom that is enjoyed by the press that enables journalists to publish or broadcast any kind of material so long as it is absolutely true, is not libelous and slanderous, and is not against the national interest.”
I gave him eight out of 10, a straight A. I guess every journalist is old enough to know that certain things he or she writes is for or against the national interest. We certainly must guard against writing against the national interest; that is very important.
There is also the question of criticising government. The government can be criticized, so long as the criticisms are genuine and the President and his ministers are not insulted and called names. Let us criticize, but let us do it decently so that the journalistic profession can be revered, and its nobility acknowledged. We are not war mongers, are we?
One area in which journalists are not spoken well of is the complaint that they misquote people. Journalists sometimes misquote people, but in four out of five complaints it turns out that nobody is misquoted after all.
When we interview people they say things unreservedly and we publish unreservedly. When the publication is out and their friends or superiors read it and accuse them of having said too much to the press, then they start claiming they were misquoted.
We have encountered these ‘misquotation palaver’ every now and then and reporters are usually accused of this transgression. However, when they bring out their note-books or recorders, it is realised that they wrote nothing out of the way. “Book no lie”.
My advice to people who deal with the press is that if they do not want anything written, they shouldn’t say it. What they want to say is OFF-RECORD, then of course, there is no reason to say it. When you say it, you’re taking a risk. In that instance, you can’t also claim to have been misquoted or words put into your mouth.
And it isn’t every journalist who would be circumspect in matters that are supposed to be off-record, because journalists often want to be as sensational as possible to make their stories saleable. So say just what you want to see published and you won’t later regret it and claim you were misquoted.
Well, I’m not holding brief for journalists, because a few of us are notorious for colouring our reports sometimes sand-papering the words so much that they look very bright in front of readers.
As I once said, when the police tells one such notorious pressman that the thief stole a brown goat, the pressman would want to know whether the goat was bearded. Of course, the police would say ‘Yes’.
However, in the press report, it appears, “A gang of notorious goat-thieves were apprehended in the early hours of yesterday. In the car in which they were riding was a brownish-red goat having a long beard. Upon further examination, it was realised that the goat also had a greyish moustache.”
When the story appears, the police are naturally disturbed. A single thief turns out to be a gang of thieves. The goat also becomes a chameleon and changes colour to brownish-red. And a moustacheless goat overnight wears a greyish moustache whether you like it or not. Luckily the journalist does not add that the moustache was trimmed by a Swedish barber.
Yes, we have a few of such mischief-creating, chronically notorious journalists. But they are one in a hundred. In any case, we make the world. And we shall always do our best to make it a happy place to live in.
This article was first publish on Saturday, May, 20, 1995
Features
Mindset change: The Greater Works factor- Part 2
When I hear of people who are of the opinion that they cannot make it in life unless they travel abroad, l become sad.
Whenever I see on TV, news of people, that is migrants who have drowned in the Mediterranean Sea, while attempting to cross to Europe, l become filled with sadness and then anger.
The underlying factor is desperation born out of loss of hope, in life. When an individual tends to believe that his only hope of making it in life is to travel abroad, the risk of dying at sea, does not deter him or her.
The role of some pastors on shaping the mindset of people, especially the youth, leaves much to be desired. You hear them declaring on various media platforms how they can pray for you to get a visa to travel abroad, instead of encouraging them to find something to do to improve their lives as the Bible teaches that God will bless the work of their hands.
The GREATER WORKS CONFERENCE is geared towards renewing the minds of people with a specific focus on people of African descent to rid themselves of the negative perception of lack of capacity to excel in life.
Pastor Mensa Otabil believes that every human being, no matter the skin colour, was created in the exact image of God and therefore has the capacity to do exploits.
The whiteman was not created in the image of God while the Blackman was created in the image of something other than God. The Black person therefore can achieve whatever the whiteman can achieve.
The development in terms of industrialisation that is lacking which has generated unemployment for the youth, is due to lack of effective leadership. The lack of moral integrity in society, is what is causing the lack of job opportunities, which is as a result of corrupt acts which drive away private investment.
A culture of inferiority complex exists which needs to be dealt with, so the African can develop the self worth necessary for personal development which can then result in capacity deployment to avhieve personal goals.
Success in life begins with the individual’s recognition that he or she is capable of achieving the dreams he or she has conceived in his or her mind. The Bible teaches that the fear of the Lord is the beginning of wisdom, and the knowledge of the holy is understanding according to Proverbs 9:10.
Christianity was the driving force behind the development of Europe because no society can sustain development without high moral values. GREATER WORKS therefore is a deliberate project to shape the minds of people, especially the youth, who will become the leaders of our future, to prioritise morality in their daily lives.
This is the only way to see a massive transformation in every aspect of our lives as Ghanaians and Africans in Ghana and the rest of the continent.
Since the inception of the GREATOR WORKS CONFERENCE, it has made a lot of impact in the lives of many people from the youth up to the senior citizens level. I recall the testimony of a church member who was motivated and pursued higher education and became one of the youngest Chartered Accountants in this country. Year after year, the impact of the conference has been enormous and lives in Ghana and across the continent, are being transformed.
Black people have started regaining their self confidence and the youth have started getting into areas that previously were considered out of bounds. At a personal level, certain ideas that some years ago, l would have not dreamt about suddenly has become realistic dreams.
The Christian lifestyle has impacted on my children and those close to me. Mindset change starts with one individual, then another and then gradually it spreads like a viral infection until a critical mass is attained and them a massive impact. There is hope for the future.
By Laud Kissi-Mensah




