[The urologist and prostatic disease. National survey. Members of the Spanish Council of Prostatic Health]

Analysis of the results of a survey answered by 290 urologists on their relationship with primary care physicians (PCP), as well as the diagnostic and therapeutical approach to "prostatism". According to urologists, the PCPs attitude towards these patients shows a low profile, and they lack the necessary urological training to undertake diagnosis and treatment. With regard to the urological diagnostic approach, it is surprising that 73% of urologists who work outside the hospital milieu, usually do not perform digital examination. Likewise, urography is initially requested by 47.9% of the respondents. The symptoms questionnaire are used by only part of the hospital urologist and is never used by those who have no direct relation with hospital. These tendencies are in conflict with the recommendations established by the WHO for diagnosis of the condition.