Table 2 Costs for screening, diagnosis and treatment of prostate cancer

Screening

Consultation fee

41

Prostate Specific Antigen (PSA)

16

Digital rectal examination (DRE)

32

Diagnosis

Pathology

TRUS guided Biopsy

147

Radiology

Computed Tomography (CT scan)- to rule out chest, abdomen and pelvis metastasis

862

Magnetic resonance imaging scan (MRI)

1,034

X-ray to rule out effusion

28

Bone scan in locally advanced prostate cancer

607

Ultrasound scan

103

Treatment

Watchful Waiting (WW) cost include PSA test every three months and follow up consultation fee

PSA plus follow-up consultation fee

58

Surgery

Radical prostatectomy

5,726

Orchiectomy

5,726

Radiotherapy

Administered at 5 function of a 5-week period

16,647

Chemotherapy (Brachytherapy or external beam radiation

Administered in 5 cycles over 5-week period

7,498

Androgen Deprivation Therapy (ADT)

Mostly Zoladex o.8 mg intramuscular (IM) for every 3 months

1,268

Symptoms relieving procedures (TURP/TURB)

Transurethral resection of the prostate or bladder (TURP/TURB)

5,872

Other direct costs

Hospitalization costs (local)

Admitted for symptoms management procedures including transurethral resection of the prostate (TURP) and orchidectomy

5,872

Hospital admission in step down facility for late stage treatment (In South Africa)

Patient who require close monitoring following radiotherapy or surgery in hospital outside Eswatini

1,206

Transport and lodging cost in South Africa

All patients who received treatment in South Africa

5,959

Follow-up care (Year 1 following completing treatment) Follow-up is done using PSA testing, symptomology and clinical examination for metastatic cancer twice in a year

Follow up consultation, PSA tests.

94

Total

58,796