Urology care in South Africa: A call for collaboration

John, J; Adam, A; Mutambirwa, S

doi:10.7196/samj.2024.v114i4.2107

Cited by 2 publications

(3 citation statements)

References 10 publications

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“…Achieving good uptake and participation in such a programme, especially in the black South African male population, will require an in-depth understanding of cultural and gender-specific beliefs within the different communities, especially in rural areas, where these ideas are even more entrenched. [2,39] The dearth of urological services to treat increased numbers of PCa patients, especially in the public sector, [42,43] leaves us with ethical questions regarding the initiation of a more robust screening programme. The inevitable increased burden of disease may, on the other hand, place greater focus on the severely under-resourced men's health sector in our country.…”

Section: Discussionmentioning

confidence: 99%

The South African Prostate Cancer Screening Guidelines

John,

Adam,

Kaestner

et al. 2024

S Afr Med J

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Prostate cancer (PCa) is the most widespread solid organ malignancy in males and ranks as the fifth leading cause of death globally. Identifying and treating men with clinically significant disease while avoiding the over-diagnosis and over-treatment of indolent disease remains a significant challenge. Several professional associations have developed guidelines on screening and early diagnosis of asymptomatic men with prostate-specific antigen testing. With recent updates from several large randomised prospective trials, the South African Urological Association and the Prostate Cancer Foundation of South Africa have developed these evidence-based recommendations to guide clinicians on PCa screening and early diagnosis for South African men.

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Section: Discussionmentioning

confidence: 99%

The South African Prostate Cancer Screening Guidelines

John,

Adam,

Kaestner

et al. 2024

S Afr Med J

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“…SA currently has only 347 active urologists registered with the Health Professions Council of South Africa, a dire urologist-to-population ratio of 0.56 per 100 000. [1] Furthermore, 52 million people who fall outside the medical aid net [2] are dependent on just 50 full-time urologists in the public sector across the country. [1] Waiting lists continue to grow, and the status quo is inadequate to meet the demand.…”

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confidence: 99%

“…[1] Furthermore, 52 million people who fall outside the medical aid net [2] are dependent on just 50 full-time urologists in the public sector across the country. [1] Waiting lists continue to grow, and the status quo is inadequate to meet the demand. However, these issues are not unique to SA.…”

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confidence: 99%

Urology pathways for the primary care physician

John

2024

S Afr Med J

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Urology provides critical medical treatment that has the potential to save lives and greatly improve quality of life. Although there is a growing need for urological care, South Africa (SA) now faces an unmet need for these services, and junior doctors have limited exposure to urology. SA has a total of 347 urologists who are actively practising and registered with the Health Professions Council of South Africa. This means that there is a ratio of only 0.56 urologists per 100 000 people in the population. The ratio is even more dire if we only include urologists in the public sector. This article offers pragmatic strategies for addressing common urological conditions. These guidelines adhere to international standards and can be adopted at all levels of healthcare, with the exception of a few advanced imaging needs.

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Urology care in South Africa: A call for collaboration

Abstract: -

Cited by 2 publications

References 10 publications

The South African Prostate Cancer Screening Guidelines

The South African Prostate Cancer Screening Guidelines

Urology pathways for the primary care physician

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