title: Transurethral prostatectomy: practice aspects of the dominant operation in American urology.
abstract: In a national survey of all American urologists transurethral prostatectomy accounted for 38 per cent of the major surgical procedures performed by the respondents. They regarded the operation as complex and they believe achievement of proficiency requires that more be performed during residency training than any other urological operation. Furthermore, they assigned transurethral prostatectomy a significantly higher relative value than have medical economists doing research in the field of physician reimbursement. The effect of recent legislated congressional reductions in the allowable Medicare fees for transurethral prostatectomy is discussed along with the impact of these reductions on urological patient care and the American urologist. Practice patterns and geographic variations in the costs of transurethral prostatectomy also are considered.
authors.affiliation: Multinational Business Services, Inc., Washington, D.C.
authors.forename: H L
authors.initials: HL
authors.lastname: Holtgrewe
authors.forename: W K
authors.initials: WK
authors.lastname: Mebust
authors.forename: J B
authors.initials: JB
authors.lastname: Dowd
authors.forename: A T
authors.initials: AT
authors.lastname: Cockett
authors.forename: P C
authors.initials: PC
authors.lastname: Peters
authors.forename: C
authors.initials: C
authors.lastname: Proctor
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D003365:Costs and Cost Analysis; D006801:Humans; D008297:Male; D006278:Medicare / Q000191:economics*; D008875:Middle Aged; D010818:Practice Patterns, Physicians'; D011468:Prostatectomy / Q000191:economics / Q000706:statistics & numerical data*; D014481:United States; D014572:Urology