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J R Soc Med. 1991 September; 84(9): 533–535.
PMCID: PMC1293413

Who should have a prostatectomy? A survey of the management of patients presenting with bladder outflow obstruction.


A postal questionnaire was sent to 33 urologists and to 15 general surgeons who perform prostatic surgery in Scotland. Forty-six out of 48 surgeons replied. The waiting time for outpatient consultations and waiting list statistics of the respondents were compared. Differences in access to and use of imaging, laboratory and urodynamic facilities are reported. Waiting times were affected by the individual surgeon's policy. In busy units, the desire to achieve acceptable waiting times may lead to rationing of treatment to only the most severe cases. Better provision and use of modern investigational facilities might better select those patients who will benefit most from surgical management, leading to more effective use of resources. Medical audit of surgical patients must start from the time of their referral and not confine itself to patients undergoing treatment.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Caine M, Pfau A, Perlberg S. The use of alpha-adrenergic blockers in benign prostatic obstruction. Br J Urol. 1976 Aug;48(4):255–263. [PubMed]
  • Graversen PH, Gasser TC, Wasson JH, Hinman F, Jr, Bruskewitz RC. Controversies about indications for transurethral resection of the prostate. J Urol. 1989 Mar;141(3):475–481. [PubMed]
  • Chisholm GD. Benign prostatic hyperplasia: the best treatment. BMJ. 1989 Jul 22;299(6693):215–216. [PMC free article] [PubMed]
  • Neal DE, Ramsden PD, Sharples L, Smith A, Powell PH, Styles RA, Webb RJ. Outcome of elective prostatectomy. BMJ. 1989 Sep 23;299(6702):762–767. [PMC free article] [PubMed]

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