Research Article

Cosmetic Appeal, HRQoL, and Effectiveness of Simple and Pseudotesticular Techniques of Orchidectomy in Prostate Cancer

Table 1

Costs of various hormonal therapies for prostate cancer, in and around UCH Ibadan (informal market survey in 2015 and 2018 ^).

TreatmentCost per patient (₦)SOP cost (₦)Recurrent costs per yearTotal cost per year (₦)Total cost by 30-month minimum treatment period (₦)Cost of serum testosterone assay (₦)Cost of serum PSA assay (₦)Total cost per year (₦)

Orchidectomy in the main theatre under LA39,50012,500No39, 500 or 12, 50039, 500 or 12, 5004000 (+4000 post-op)3,000 (x2 = 6000 per year)66,000 or 26, 500 first year; 6000 in subsequent years
Orchidectomy in the main theatre under LA^83,50022,500No83, 500 or 22, 50083, 500 or 22, 5004500 (+4500 post-op)3,500 (x2 = 7,000 per year)99,500 or 38,500 first year; 7,000 in subsequent years
SC goserelin (monthly dose)18,000Yes216, 000540, 0004000 (x3-4 = 12,000–16,000 per year)3,000 (x2 = 6,000 per year)238,000
SC goserelin (monthly dose)^56,000Yes672, 0001,680,0004500 (x3-4 = 13,500–18,000 per year)3,500 (x2 = 7,000 per year)692,500–697,500
SC goserelin (3 monthly doses)54,000Yes216,000540,0004000 (x3-4 = 12–16,000 per year)3,000 (x2 = 6000 per year)238,000
SC goserelin (3 monthly doses)^85,000–110,000Yes340,000–440,0002,550,000–3,300,0004500 (x3-4 = 13,500–18,000 per year)3,500 (x2 = 7,000 per year)360,500–465,000
Bicalutamide (monthly dose)24,000Yes288,000720,0004000 (x3-4 = 12,000–16,000 per year)3,000 (x2 = 6000 per year)319,000
Bicalutamide (monthly dose)^28,000Yes336,000840,0004500 (x3-4 = 13,500–18,000 per year)3,500 (x2 = 7,000 per year)356,500–361,000

₦360: 1 USD. Some of the patients may benefit from the use of the surgical outpatient (SOP) theatre, at cheaper rates. LA : local anaesthetic; SC : subcutaneous.