title: A nationwide survey of practicing urologists: current management of benign prostatic hyperplasia and clinically localized prostate cancer.
abstract: OBJECTIVE
  Our aim was to define the spectrum of urological care for benign prostatic hyperplasia (BPH) and clinically localized prostate cancer.
  
  
  METHODS
  In 1995 a random sample of 394 American urologists was surveyed with a response rate of 67%.
  
  
  RESULTS
  Respondents reported seeing a median of 240 BPH patients during the preceding 12 months, and they had prescribed alpha-blockers for 70 and finasteride for 15. They had performed a median of 25 transurethral prostatectomies but few other operations for BPH. Almost all urologists routinely used digital rectal examinations and prostate specific antigen tests for BPH diagnosis. The next most common studies were American Urological Association symptom scores and uroflowmetry. Pressure-flow studies were rarely done. Respondents reported seeing a median of 35 new patients with prostate cancer during the last year, and performing a median of 90 prostate biopsies and 13 radical prostatectomies. Respondents had referred a median of 10 patients for external beam radiotherapy but few patients received brachytherapy or cryotherapy. Urologist staging practices varied considerably.
  
  
  CONCLUSIONS
  These data provide a picture of current practice regarding the management of BPH and prostate cancer.
authors.affiliation: Medical Practices Evaluation Center, Massachusetts General Hospital, Boston, USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Barry
authors.forename: F J
authors.initials: FJ
authors.lastname: Fowler
authors.forename: L
authors.initials: L
authors.lastname: Bin
authors.forename: J E
authors.initials: JE
authors.lastname: Oesterling
mesh_terms: D003625:Data Collection; D006801:Humans; D008297:Male; D010818:Practice Patterns, Physicians'; D011470:Prostatic Hyperplasia / Q000175:diagnosis* / Q000628:therapy*; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000628:therapy*; D014481:United States; D014572:Urology