Dr. Hery Andriantsoa Rakotomalala

Dr. Hery Andriantsoa Rakotomalala is a urologist at CHU Joseph Raseta Befelatanana in Antananarivo — one of Madagascar's principal university hospitals and the main teaching hospital in the capital. With over 10 years of urological experience, he provides essential urological surgical and medical services in a country where specialist physicians are in very short supply relative to population need. Madagascar's medical education system follows the French tradition, and Dr. Rakotomalala trained within this framework, conducting his specialisation in urology. He manages the most common urological conditions requiring surgical intervention, including benign prostatic obstruction, urinary stones, and urological infections, as well as malignant conditions requiring surgical management.

Dr. Rakotomalala completed his medical studies (Doctorat en Médecine) at the Université d'Antananarivo's Faculty of Medicine — Madagascar's main medical school — following the French academic model. He subsequently completed his specialist training in urology (Spécialiste en Urologie) through the Malagasy postgraduate medical programme, with possible additional training periods at francophone African or French urological centres. He is registered with the Ordre des Médecins de Madagascar and is a member of the Association des Urologues de Madagascar, the national urological society. He participates in francophone African urology networks to maintain and update his clinical skills.

Dr. Rakotomalala's urological expertise covers both medical and surgical management of urological conditions. His surgical repertoire includes transurethral resection of the prostate (TURP) for benign prostatic hyperplasia, ureteroscopy for ureteric stones, open prostatectomy for large glands, and cystoscopy for bladder evaluation and diagnosis. He manages urinary tract infections including complicated pyelonephritis, stone disease including medical expulsive therapy and surgical stone removal, and malignant conditions including bladder and prostate cancer — though complex oncological cases may require referral to centres with greater subspecialty capacity. He performs routine urological procedures including circumcision, hydrocelectomy, and suprapubic cystostomy.

CHU Joseph Raseta Befelatanana is the primary referral hospital for urological care in Antananarivo and serves patients from across Madagascar. Dr. Rakotomalala primarily treats Malagasy patients but also serves international residents, missionaries, and development workers based in Antananarivo. He consults in Malagasy and French. Madagascar's healthcare infrastructure is limited, and patients with complex urological conditions — particularly advanced malignancies requiring chemotherapy, radiation, or sophisticated surgical techniques — may need to be referred to Réunion Island, Mauritius, or mainland France for more advanced care. All patients are advised to verify credentials with the Ordre des Médecins de Madagascar independently.

Dr. Rakotomalala participates in the Association des Urologues de Madagascar and contributes to national urological education and training efforts. He has participated in francophone African urology workshops and continuing medical education events that bring updated surgical techniques and management protocols to Malagasy urologists. He contributes to training of junior medical staff at CHU Befelatanana and is committed to building urological capacity within Madagascar's limited specialist physician workforce. He participates in humanitarian surgical camps organised within Madagascar to provide urological care to underserved communities outside the capital.