Abstract
INTRODUCTION: Urology deals with the management of medical conditions affecting the male genitourinary tract and the female urinary tract. A wide range of procedures may be performed in the management of these diseases. The aim of this study is to analyze the indications for urological procedures performed in a urology specialist hospital, with a view to providing vital data that can be used as a policy framework for healthcare development in the country. METHODS: The records of patients who underwent urological procedures between January 2022 and December 2024 were retrieved from the hospital's Medical Records Department. Vital information retrieved from case files was analyzed using Statistical Product and Service Solutions (SPSS, version 29; IBM SPSS Statistics for Windows, Armonk, NY). RESULTS: A total of 1,253 urological procedures were done between the years under review. This comprises 1,086 males (86.7%) and 167 females (13.3%). The mean age of participants was 61.3±15.7 years. The three most common indications for surgery were benign prostatic hyperplasia (BPH) (29.9%), renal/ureteric calculi (22%), and suspected prostate cancer (9.7%). The most common procedures performed were transurethral resection of the prostate/bipolar enucleation of the prostate (27.1%), laser lithotripsy (15.3%), and prostate biopsy (9.7%). Additionally, 65.5% of the procedures were minimally invasive, 71.8% of them were performed under regional anaesthesia, 67.1% of the patients required inpatient stay, and 94.1% were elective cases. CONCLUSION: Most of the surgeries were performed endoscopically, mainly for BPH and urolithiasis.