Objectives: To assess the practices, trends, and challenges associated with the use of
endoscopic techniques in Africa related to the surgical treatment of benign prostatic hyperplasia
Methods: The questionnaire, which was based on Google Forms, assessed several points
related to the surgical management of benign prostatic hyperplasia.
Results: In 67.4% of the centers, BPH was the primary pathology requiring surgical
management.In all 43 centers, approximately 1/3 of the urologists (n = 41) are able to perform
an endoscopic procedure for the management of prostatic hypertrophy. Of the 43 centers, 30
had a block equipped with endourology equipment, and 56.6% (n = 17) performed
endourological surgery exclusively for the surgical management of BPH. TURP is the most
widely used endoscopic technique. Open prostatectomy was the only surgical technique used
in 14 centers (32.5 %).In the remaining centers, both procedures (endoscopy and open surgery)
were used depending on the surgeon’s skills.Twenty-six (60.5%) centers expressed the need for
training in endoscopic management of BPH.
Conclusion: The main challenges encountered relate to the lack of competent personnel, the
unavailability of equipment and materials, and the high cost to patients. It is essential to develop
modern urology in Africa, particularly in terms of endourological practices.

Benign prostatic hyperplasia; Minimally invasive surgical treatments; Endourology; Africa; Modern Urology For Africa