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Updated: Jun 20, 2025

Ultrasonography of the Adult Male Urinary Tract for Urinary Functional Testing
Published on: August 14, 2019
Urology pathways for the primary care physician
1Division of Urology, Department of Surgery, Frere Hospital and Faculty of Medicine and Health Sciences, Walter Sisulu University, East London, South Africa; Division of Urology, Department of Surgery, Faculty of Health Sciences, University of Cape Town, South Africa. jeffveenajohn@gmail.com.
South Africa faces a critical shortage of urologists, with only 0.56 per 100,000 people. This article provides practical strategies for managing common urological conditions to improve care access.
Area of Science:
- Urology
- Public Health
- Healthcare Access
Background:
- Urology offers life-saving treatments and improves quality of life.
- South Africa experiences a significant unmet need for urological services.
- Junior doctors have limited exposure to urology, exacerbating the shortage.
Purpose of the Study:
- To provide pragmatic strategies for managing common urological conditions in South Africa.
- To offer guidelines that adhere to international standards for healthcare professionals.
- To address the disparity in urological care access.
Main Methods:
- Review and synthesis of current urological practices.
- Development of evidence-based guidelines for common conditions.
- Adaptation of international standards for the South African context.
Main Results:
- A critical shortage of practicing urologists in South Africa (0.56 per 100,000 population).
- The ratio is significantly lower within the public sector.
- Proposed strategies offer a framework for improving urological care delivery.
Conclusions:
- Urgent strategies are needed to address the urological care gap in South Africa.
- The provided guidelines can be implemented across various healthcare levels.
- Improving access to urological services is crucial for public health outcomes.
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