Surgical Advances in Treating Benign Prostatic Hyperplasia in Africa: What About the Endoscopic Approach? - Beyond the Abstract

Many African countries, particularly sub-Saharan Africa, face challenges in the endoscopic management of urological pathologies. This is due to political, training, and equipment issues, and, on the other hand, socio-economic factors. This situation translates into a clear imbalance between urology practice in Africa and elsewhere, revealing a notable disparity between practice and standard recommendations in the African centers studied.
Our study indicates that most centers do not have the capacity or expertise to provide individualized treatment options to BPH patients based on specific patient characteristics. According to our survey, two major challenges were identified as bottlenecks to the advancement of care: a lack of expertise and the unavailability of resources.

The modernization of urology is a crucial medical field for the health and well-being of African populations. The MUFA (Modern Urology for Africa) association is conducting a study to highlight the pressing need to strengthen the technical capacities of urological centers on the continent. At a time when robotic surgery and technological advances are revolutionizing patient care, it is essential that African populations also benefit from the latest developments in urology.

The lack of access to modern urological care in Africa is a major challenge. African patients face difficulties in accessing basic endo-urological interventions, compromising their quality of life and overall health. Limited resources and inadequate infrastructure hinder the development of urology on the continent, leaving many patients without effective treatment options.

Investing in the development of urology in Africa has considerable benefits. Firstly, it would improve access to care for millions of people in desperate need. By strengthening the surgical technical capabilities of African urological centers, we could offer more effective and less invasive treatments, thereby reducing morbidity and mortality associated with urological diseases. Furthermore, the development of urology in Africa would help reduce health disparities. Currently, African patients face blatant inequalities in accessing quality urological care. By investing in infrastructure and training programs, we could help bridge these gaps and ensure that all individuals, regardless of their place of residence, have access to equitable and effective healthcare.

Moreover, the development of modern urology in Africa could stimulate innovation and medical research on the continent. By encouraging collaboration between local and international institutions, we could create an environment conducive to the emergence of new technologies and clinical practices tailored to the specific needs of African populations.

TAKE HOME MESSAGES:

  1. Endoscopic treatment for benign prostatic hyperplasia (BPH) is notably overlooked due to socioeconomic and political barriers.
  2. About one-third of urologists perform endoscopic procedures. The preference for TURP and the need for extensive endoscopic training underscore the variability in surgical approaches.
  3. Developing endourology requires addressing training, and resources, and fostering collaboration for establishing regional training centers.
Written by: Ouima Justin Dieudonné ZIBA, MD, Urologist, University Joseph KI-ZERBO of Ouagadougou (Burkina Faso), Teaching Hospital Yalgado Ouedraogo Member of Modern Urology fo Africa Association (MUFA)

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