is urology a fading discipline?

7 posts / 0 new
Last post
suigeneris
is urology a fading discipline?

hi, i am a fresh medical graduate from the philippines, and am very much interested in pursuing a career in urology here in my country. my father, also a physician, is however discouraging me, as well as his other colleagues, saying that urology is fading as a specialty because its bread-and-butter surgery, the TURP, is fast being replaced by medical management for BPH.i have always been interested in urology, liking how varied and 'different' its procedures are from general surgery, and always enjoying my time assisting in such procedures when i was an intern. i do not know if any of you here are from the philippines, or from asia, and how different the practice of urology is from the US. i used to be very sure of my decision to pursue urology until this development. of course, i cannot discount my father's opinion because he is a physician himself, but i would like to know how much truth is said in his statements.thank you very much, and i hope to hear your thoughts on this :)

Edited by: nicky on 05/11/2015 - 19:50 Reason: Updated by FeedsNodeProcessor
Anonymous (not verified)
No.  You're a dumbass

No.  You're a dumbass

Anonymous (not verified)
.

To the first replier: I hope that side of you is WELL hidden when you actually work with colleagues and patients.To the original poster: I would not judge an entire field based off of the words of one person, especially if he is not an active urologist. The specialty is a very safe one here with little, if not no competition from other fields. There are many other procedures other than BPH that are exclusive to urology (renal + bladder + prostate Ca, stones, reconstruction, etc.) that will ensure job security for many generations.True, here in the US, medicare cuts will bite into the profit margins but it affects most other procedural fields too. tl;dr: Your father's conceptions are wrong. Please go judge things with your own two eyes if possible... it will be very enlightening.

Uro12
Really?!

The 225th person talked loud what 224 people exactly thought when they read your post but were nice enough to pass!!but if you're really (really?!) asking, NO. It's not fading not in US, not Asia, not anywhere else for that matter... 

suigeneris
thanks

Anonymous User wrote:
To the first replier: I hope that side of you is WELL hidden when you actually work with colleagues and patients.To the original poster: I would not judge an entire field based off of the words of one person, especially if he is not an active urologist. The specialty is a very safe one here with little, if not no competition from other fields. There are many other procedures other than BPH that are exclusive to urology (renal + bladder + prostate Ca, stones, reconstruction, etc.) that will ensure job security for many generations.True, here in the US, medicare cuts will bite into the profit margins but it affects most other procedural fields too. tl;dr: Your father's conceptions are wrong. Please go judge things with your own two eyes if possible... it will be very enlightening.
Sir (or ma'am?), thanks for the reply. I did not expect the stinging remarks for what I feel is a valid question...although I suppose I could have worded my question a little differently, 'fading' seems to be too strong a word. I guess the words I'm looking for are 'less lucrative.' I felt it was a concern for me since I am indeed making a big choice, and your advice alleviated some of it. I enjoyed my time with Urology in internship very much, I'm just not sure if it'll take care of my future, sts.

Anonymous (not verified)
No, Urology is not a fading

No, Urology is not a fading discipline, whatever that means. It is, like most other fields, perpetually in flux.  New technologies and therapies come around all the time.  What I like about Urology is that it is a field that I feel responds better to that change and embraces the new therapies better than pretty much any other field I have seen.For what it's worth, I don't think that TURP is the bread and butter urology surgery either.

Anonymous (not verified)
Urology is so much more than BPH

Whomever is telling you that urology is "fading" or will be hard to make a living is not in touch with modern urology.It is true that once the TURP was the leading indicator procedure for urology. From about 1947 to about 1980, most programs stressed the need to perform 90+ TURP to be considered sufficiently trained. As you noted the development of medications to treat BPH has reduced the number of TURPs being done nationally and by individual urologists. But during this time there was an explosion of other urologic activities: laparoscopy, robotics, reconstruction, anti-incontinence surgery (so-called female urology), advances in stones especially ureteroscopy, etc.If you are serious about urology as a possible specialty spend time with urologists practicing modern current urology, pick up the journals or read them on-line and take a look. There is a reason why the number and quality of applicants for match spots has soared over the past two decades.