Abstract

Prostatectomy is a globally known treatment for benign prostatic hyperplasia (BPH) and prostate cancer which
involves surgically removing the prostate gland. Although the indications include leftover urine with documentation,
recurrent infections, and urinary retention, there are notable regional differences. According to studies, compared to
30% in Uganda, over 50% of men in the USA have prostatectomy by the time they are 70 years old. This study
examines the evolution of prostatectomy methods throughout time, emphasising the change from open procedures to
robotic-assisted and minimally invasive laparoscopic procedures (MIRPs). Although MIRPs have potential
advantages over open surgery, recent multinational research found no discernible advantage in terms of complication
rates. The difficulties in Uganda and other Sub-Saharan Africa are highlighted in the report. Persistent difficulties are
mostly caused by the limited acceptance of innovative methods and a shortage of skilled surgeons. Additionally,
sophisticated technology is required to reduce problems since elderly patients having prostatectomy have a high
frequency of co-morbidities. This study emphasises how more research is required to expand access to advanced
surgical modalities and optimise methods in resource-constrained situations. The study on post-prostatectomy
complications in Ugandan patients that has been provided provides a basis for future studies aiming at enhancing
surgical outcomes in this area