Editorial
Medical urology: a specialty long overdue. A personal view
| The first 150 words of the full text of this article appear below. |
The two primary functions of the bladder are storage and
elimination of urine. In recent years the traditional surgical remedies for correcting symptoms associated with abnormalities of these functions have been questioned,1 and alternative
non-surgical therapies advocated.2-4 It could be further
argued that all urological symptoms should initially be managed
medically, particularly because co-morbidity factors are known to
influence the surgical outcome. Finally, the prevalence of these
symptoms is so great that surgical correction of all but the very worst
would be impossible due to limited resources. In this editorial, we
challenge the reflex referral of women with lower urinary tract
symptoms (LUTS) to gynaecologists and men to urologists. Medical
treatment is effective, non-mutilating, available to all patients
irrespective of age and frailty, and can often be instigated by a
specialist nurse. Initial referral to a surgeon of the patient with
storage or elimination problems of the bladder is therefore
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This article has been cited by other articles:
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SNAPE, J, VIGNARAJA, R, SAUNDERS, F, SHAW, F
(2000). Medical urology. Postgrad. Med. J.
76: 596a-597
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