The Current Status of Global Urology

Scotland, Kymora B.; Watson, Graham

doi:10.1007/s11884-020-00609-w

Cited by 4 publications

(3 citation statements)

References 29 publications

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“…Lack of basic endourology equipment and a shortage of expertise have limited Africans from the benefits of minimally invasive surgeries, especially in urology [13]. Surgical missions have tried to bridge this gap with unknown impact, as entities vary from individuals to well-organized groups with varying medical equipment availability and expertise [7]. Philanthropic organizations like IVUmed, Intersurgeon, Socie ´te ´Internationale d'Urologie (SIU), Urolink and MediTech Trust have formed an alliance with different hospitals in LMIC and supported them by donating equipment as well as training locals and subsequently assessing the sustainability of service and transference of skill [7,13].…”

Section: Introductionmentioning

confidence: 99%

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Urologist Workforce and Services in Ethiopia

Kifle,

Biyani,

Bogdanowicz

et al. 2023

World j. surg.

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Background Urological conditions are a cause of diminishing quality of life, hence affecting productivity. Despite the need for urological treatment, it was excluded from receiving priority in both United Nation and Lancet commission. Most of the surgeries in sub-Saharan Africa are open surgeries. The lack of basic endourology equipment and a shortage of experts have limited Africans from receiving the privileges of minimally invasive surgeries, especially in urology. This study describes the socio demographics of the urologists in Ethiopia, the field of services they provide and their access to endourology equipment. Methods This study presents data from a survey of urologists in Ethiopia who are members of Urology Society of Ethiopia (USE). Results Thirty-three urologists of the 43 responded, making the response rate 76.5%. Qualification by urology residency in Ethiopia accounted for 66.7% of participants, followed by 21.2% by fellowship training abroad after general surgery training. All respondents practice open surgeries and 75.8% perform endourology. Video endoscope and cystoscopy sets were available to all those practicing endourology, with Direct Visual Internal Urethrotomy (DVIU) sets having the next highest availability and Flexible UreteroRenoScope(URS) and laser lithotripters the least accessible. Conclusions Urology in Ethiopia is in its infancy, where the lack of advanced medical equipment combined with a paucity of qualified urologists have created a huge challenge for the provision of these services.

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Section: Introductionmentioning

confidence: 99%

“…Urological conditions including infection, trauma and malignancy are responsible for significantly diminishing quality and productivity of life [7]. Despite the need, urological treatments were not prioritized in either the United Nation or Lancet commissions [8].…”

Section: Introductionmentioning

confidence: 99%

Urologist Workforce and Services in Ethiopia

Kifle,

Biyani,

Bogdanowicz

et al. 2023

World j. surg.

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“…The populations in sub-Saharan Africa (SSA) have limited access to surgical treatments [1] and most surgical interventions in these low or low-middle income countries (LMICs) are carried out as open procedures [2][3][4][5]. Whilst diagnostic endoscopy is within the training remit and competence of most surgeons in resource-poor environments means many will have a limited ability to utilise those skills therapeutically, due to a lack of training opportunity or access to the technology to be able to translate their diagnostic skills into something of therapeutic benefit [4].…”

Section: Introductionmentioning

confidence: 99%

The feasibility of endourological surgery in low‐resource settings

et al. 2022

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One of the widest variations in contemporary surgical practice between high and low, or low-middle, income countries is the utilisation of endoscopy as a means of treating urological pathology. The endoscopic management of lower urinary tract problems such as benign prostatic hypertrophy, bladder cancer and urethral strictures was established in the UK in the late 1970s, whilst its adoption into everyday practice in sub-Saharan Africa (SSA) has been significantly retarded. It is still neither a major feature of urological training in those countries nor widely available to the patients that established consultants treat. Likewise, the explosion of less invasive technologies for treating upper tract stone disease in the 1980s, particularly the management of renal stone disease, has also lagged behind practice established in the UK over the last 40 years. This is not due to a lack of patients who could be treated endoscopically or restricted by the abilities of the surgeons in SSA. The restraint in assumption of these less-invasive management options is rather due to the physical availability of trained specialist surgeons, their access to basic infrastructure such as electricity and water, access to endoscopes and the peripheral equipment necessary to successfully deploy them, and the ability of patients to afford the disposable items required for less-invasive forms of management. Some endoscopic procedures are viable in resource-poor settings. However, they are largely dependent upon the supply of equipment from non-governmental organisations in highincome countries, frugal innovation to reduce individual procedure costs, adequately skilled mentors, and maintenance and supply chains to make them a durable option in patient management. Urolink and the Medi Tech Trust present their experience of how endoscopic surgery can be taught, and used sustainably, in a resource-poor healthcare environment.

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Urological Surgery Training in Low- and Low-Middle-Resource Settings: a Model for Success!

Trail,

Aslam

2024

Curr Bladder Dysfunct Rep

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The Current Status of Global Urology

Cited by 4 publications

References 29 publications

Urologist Workforce and Services in Ethiopia

Urologist Workforce and Services in Ethiopia

The feasibility of endourological surgery in low‐resource settings

Urological Surgery Training in Low- and Low-Middle-Resource Settings: a Model for Success!

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