Do We Need Referral Centers for Benign Prostatic Hyperplasia that Offer More Options with Expertise? Con.

Given its high prevalence, centralization of care for benign prostatic hyperplasia (BPH) would lead to massive waiting lists at specialist centers, with the risk of delaying necessary treatment and creating disparities in access to health care. BPH diagnosis and monitoring are based on simple examinations, and newer surgical procedures require a short learning curve. A more effective strategy than centralization of BPH treatment would be to develop referral urologists within existing health care centers.