[10 years of evidence-based medicine. Introduction to evidence-based urology]

The Evidence-based Medicine has become, in ten years of existence, a social phenomenon, that has spread to all the sectors of the health. The MBP has been defined as: the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The critical analysis of the health care, the new methods of clinical investigation and the development of computer science and the communication can be considerate the bases for the appearance of the MBP and other movements or related currents of thought, such as the Health Technology Assessment, the "Critical Appraisal Skills Programme" or the "Cochrane Collaboration". The MBP is a system of self-taught and permanent learning, that consists of the successive execution of the following points: 1) converting the need for information into an answerable question, 2) tracking down the best evidence with which to answer that question, 3) critically appraising that evidence for its validity, impact, and applicability, and 4) the application of the results actually clinical. The MBP model has also received critics and objections, that are analyzed. The "Asociación Murciana de Urología" has created a Working Group for the study, the practice and the application of this methodology in urology.