Meeting in Madrid on the EAU Guidelines in Urology

This time I participated in Madrid in a meeting on the Guidelines of the EAU organized by Dr. Ignacio Moncada who kindly invited me to participate.

We discussed the European Guidelines in the management of BPH with other spanish experts in BPH.

I expressed my opinion that guidelines are a very good orientation tool but they have limitations and of course they are too "politically correct". The guidelines still say that there are two options of management of big sized prostates, endoscopic enucleation of the prostate and open prostatectomy. Then it states that open prostatectomy has an elevated morbidity.

I think they should be a little bit more brave to say things as they are. Nowadays in my opinion it is not ethical to submit patients to open prostatectomy when we have much less invasive options equally efficacious and the guidelines should encourage urologists worldwide to learn these new techniques and not contribute to keep a situation that has no sense today.

Open prostatectomy was first performed in 1808 and in many centers in the world it keeps happening exactly the same. Gentlemen, we now live in 2016!