Status, Needs, and Perspectives on the Practice of Endourology in Africa: a Continental Survey of 21 Reference Centers
Abstract
Endourology occupies an important place in modern urological practice. Compared with conventional surgery, it
offers improved safety and patients experience less severe postoperative effects. Its use requires a certain level of
equipment and technical skills. In many developed countries, it has been established for years and its practice has
become routine. In Africa, it is still not very practical or even non-existent in certain reference centers. This survey
conducted among the heads of urology departments or training coordinators in African referral centers defines the
current practice of endourology. According to the needs and perspectives identified, it is important, if not essential, to
create services or reference centers specializing in endourology. The role of these centers will be to take care of patients
and train urologists in technical skills. The creation of a sub-regional and international network could contribute to
the development of this practice. Multi-stakeholder cooperation (inter-state, with non-governmental organizations,
companies or corporations) is also necessary.
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