the need for further operation."I do know that not all urologists are so confident.Incidentally, my registrar has recently done open prostatectomy on a man who had transurethral resection by a distinguished London urologist only a few years ago.I am in favour of increasing the number of specialist urological units in appropriate big hospitals.But in a majority of smaller district hospitals it would surely be wiser to aim at having no more than one surgeon -killed in endoscopic operations.Whether that surgeon need be a pure urologist is an open question, dependent upon the attitude of the individual concerned as well as the practice and aptitudes of his colleagues.-I
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S W Clarke (1974) studied this question.