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U.S. Urology Clinician Survey
October 2002, 277 pages
Report #RP-191128

This survey report provides clients with primary research data obtained from more than 100 urologists in solo, group, and multi-specialty practices located throughout the country.

For this survey, urologists discussed their current and planned use of existing and emerging urology products and procedures; rated the efficacy of, and their familiarity with, selected urology products and procedures; assessed obstacles to the adoption of new technologies; and evaluated developments impacting urologic practice.

This report contains more than 130 exhibits and provides in-depth analysis of 
specific findings, which are broken down by urologist age group, patient volumes, and practice type and geographical location.

Major topics include:  benign prostate disorder management; current and planned ownership of transrectal ultrasound equipment; current and planned ownership of urodynamic measurement systems; erectile dysfunction management; female urinary incontinence management; potential clinical value of urethral stents within the urology practice; prostate cancer management; types of patients treated with oral erectile dysfunction drugs; and urologists’ perceptions of selected urology products companies.

Methodology

Reports are produced exclusively by Medtech Insight, through extensive primary and secondary research among the clinicians, researchers, and competitors in the marketplace, and draw upon the industry expertise of a network of industry insiders. Medtech Insight exhaustively corroborates the data as a baseline for completing forward-looking analysis and providing insight into product, technology and market evolution.

 

TABLE OF CONTENTS

OVERVIEW OF MAJOR SURVEY FINDINGS
     i. Respondent Profiles
     ii. Benign Prostate Disorder Management
     iii. Female Urinary Incontinence Management
     iv. Prostate Cancer Management
     v. Erectile Dysfunction Management
     vi. Developments Impacting Urologic Practice


1. RESPONDENT PROFILES
    1.1 Survey Respondents
          1.1.1 Respondents, By Age Group
          1.1.2 Respondents, By Region
          1.1.3 Respondents, by Practice Type
          1.1.4 Respondents, by Practice Ownership
          1.1.5 Respondents, by Patient Volumes and Caseload Groups
          1.1.6 Respondents, by Practice Distribution


2. BENIGN PROSTATE DISORDER MANAGEMENT
     2.1 Benign Prostatic Hyperplasia Symptoms at Presentation
     2.2 Effectiveness of Benign Prostatic Hyperplasia Treatments
     2.3 Familiarity with Benign Prostatic Hyperplasia Treatments
     2.4 Current and Planned Use of Emerging Benign Prostatic Hyperplasia
          Therapies
          2.4.1 Current and Planned Use of Transurethral Microwave Thermal
                  Therapy
          2.4.2 Current and Planned Use of Transurethral Radiofrequency Needle
                  Ablation
          2.4.3 Current and Planned Use of Holmium Laser Resection of the 
                  Prostate
          2.4.4 Current and Planned Use of Photoselective Vaporization of the  
                  Prostate
          2.4.5 Other Benign Prostatic Hyperplasia Therapies
     2.5 Obstacles to Expanded Use of Minimally Invasive Benign Prostatic 
          Hyperplasia Therapies
     2.6 Potential Clinical Value of Short-Term Urethral Stents
     2.7 Prostatitis Symptoms and Management


3. FEMALE URINARY INCONTINENCE MANAGEMENT
     3.1 Obstacles to the Widespread Treatment of Female Urinary Incontinence
     3.2 Urinary Incontinence Treatments
          3.2.1 Effectiveness of Urinary Incontinence Treatments
          3.2.2 Familiarity with Urinary Incontinence Treatments
          3.2.3 Current and Planned Use of Urinary Incontinence Treatments
     3.3 Urodynamics Equipment
          3.3.1 Current and Planned Urodynamics Equipment Ownership


4. PROSTATE CANCER MANAGEMENT
     4.1 First-Year Treatment Protocols
     4.2 Challenges Associated with Prostate Cancer Management
     4.3 Transrectal Ultrasound Equipment
          4.3.1 Current and Planned Transrectal Ultrasound Equipment Ownership


5. ERECTILE DYSFUNCTION MANAGEMENT
     5.1 Effectiveness of Erectile Dysfunction Treatments
     5.2 Familiarity with Erectile Dysfunction Treatments
     5.3 Current and Planned Use of Erectile Dysfunction Treatments
     5.4 Types of Patients Treated with Oral Erectile Dysfunction Drugs


6. DEVELOPMENTS IMPACTING UROLOGIC PRACTICE
     6.1 Important Developments in Urologic Practice
     6.2 Selected Companies Serving the Urology Products Market
          6.2.1 American Medical Systems
          6.2.2 C.R. Bard
          6.2.3 Boston Scientific
          6.2.4 Circon
          6.2.5 Cook
          6.2.6 Johnson & Johnson
          6.2.7 Mentor
          6.2.8 Karl Storz
          6.2.9 Timm Medical Technologies
          6.2.10 Urologix


COMPANY LISTING

LIST OF EXHIBITS

 

Exhibit 1-1:    Distribution of the General United States Urologist Population and
                    Survey Respondents, by Age Group

Exhibit 1-2:    Distribution of the General United States Urologist Population and
Survey Respondents, by Geographic Region

Exhibit 1-3:    Survey Respondents, by Practice Type 

Exhibit 1-4:    Survey Respondents, by Age Group and Practice Type 

Exhibit 1-5:    Distribution of Survey Respondents, by Practice Ownership 

Exhibit 1-6:    Weekly Patient Volumes, All Survey Respondents 

Exhibit 1-7:    Weekly Patient Volumes, by Survey Respondent Age 

Exhibit 1-8:    Weekly Patient Volumes, by Practice Type 

Exhibit 1-9:    Distribution of Survey Respondents, by Patient Caseload Group 

Exhibit 1-10:  Distribution of Survey Respondents, by Respondent Age and Patient Caseload Group 

Exhibit 1-11:  Distribution of Survey Respondents, by Practice Type and Patient
                   Caseload Group 

Exhibit 1-12:  Average Practice Distribution, All Respondents 

Exhibit 1-13:  2001, Average Practice Distribution, By Respondent Age 

Exhibit 1-14:  2001, Average Practice Distribution, by Practice Type 

Exhibit 1-15:  2001, Average Practice Distribution, By Patient Volumes 

Exhibit 1-16:  2001, Average Practice Distribution, by Geographical Region 

 

Exhibit 2-1:    Severity of Patients’ Benign Prostatic Hyperplasia Symptoms at
                   Initial Presentation, All Survey Respondents 

Exhibit 2-2:    Severity of Patients’ Benign Prostatic Hyperplasia Symptoms at
                   Initial Presentation, by Survey Respondent Age Group 

Exhibit 2-3:    Severity of Patients’ Benign Prostatic Hyperplasia Symptoms at
                   Initial Presentation, by Practice Type 

Exhibit 2-4:    Severity of Patients’ Benign Prostatic Hyperplasia Symptoms at
                   Initial Presentation, by Patient Volumes 

Exhibit 2-5:    Severity of Patients’ Benign Prostatic Hyperplasia Symptoms at
                   Initial Presentation, by Geographical Region 

Exhibit 2-6:    Rated Effectiveness of Benign Prostatic Hyperplasia Therapies, All
                   Survey Respondents 

Exhibit 2-7:    Rated Effectiveness of Benign Prostatic Hyperplasia Therapies, by
                   Survey Respondent Age Group 

Exhibit 2-8:    Rated Effectiveness of Benign Prostatic Hyperplasia Therapies, by
                   Practice Type 

Exhibit 2-9:    Rated Effectiveness of Benign Prostatic Hyperplasia Therapies, by
                   Patient Volumes 

Exhibit 2-10:  Rated Effectiveness of Benign Prostatic Hyperplasia Therapies, by
                   Geographical Region 

Exhibit 2-11:  Shares of Urologists Not Familiar with Emerging Benign Prostatic
                   Hyperplasia Therapies, All Survey Respondents 

Exhibit 2-12:  Shares of Urologists Not Familiar with Emerging Benign Prostatic
                   Hyperplasia Therapies, by Survey Respondent Age Group 

Exhibit 2-13:  Shares of Urologists Not Familiar with Emerging Benign Prostatic
                   Hyperplasia Therapies, by Practice Type 

Exhibit 2-14:  Shares of Urologists Not Familiar with Emerging Benign Prostatic
                   Hyperplasia Therapies, by Patient Volumes 

Exhibit 2-15:  Shares of Urologists Not Familiar with Emerging Benign Prostatic
                   Hyperplasia Therapies, by Geographical Region 

Exhibit 2-16:  Current and Planned Use of Emerging Benign Prostatic 
                   Hyperplasia Therapies, All Survey Respondents 

Exhibit 2-17:  Current and Planned Use of Transurethral Microwave Thermal
                   Therapy, by Survey Respondent Age Group, Practice Type,
                   Patient Volumes, and Geographical Region 

Exhibit 2-18:  Current and Planned Use of Transurethral Radiofrequency Needle
                   Ablation, by Survey Respondent Age Group, Practice Type, 
                   Patient Volumes, and Geographical Region 

Exhibit 2-19:  Current and Planned Use of Holmium Laser Resection of the
                   Prostate, by Survey Respondent Age Group, Practice Type,
                   Patient Volumes, and Geographical Region 

Exhibit 2-20:  Current and Planned Use of Photoselective Vaporization of the
                   Prostate, by Survey Respondent Age Group, Practice Type,
                   Patient Volumes, and Geographical Region 

Exhibit 2-21:  Obstacles to Widespread Adoption of Minimally Invasive Therapies
                   for Benign Prostatic Hyperplasia, All Survey Respondents 

Exhibit 2-22:  Factors Rated “Major Obstacle” to the Adoption of Minimally
                   Invasive Benign Prostatic Hyperplasia Treatments, by Survey
                   Respondent Age Group 

Exhibit 2-23:  Factors Rated “Major Obstacle” to the Adoption of Minimally
                   Invasive Benign Prostatic Hyperplasia Treatments, by Practice
                   Type

Exhibit 2-24:  Factors Rated “Major Obstacle” to the Adoption of Minimally
                   Invasive Benign Prostatic Hyperplasia Treatments, by Patient
                   Volumes

Exhibit 2-25:  Factors Rated “Major Obstacle” to the Adoption of Minimally
                   Invasive Benign Prostatic Hyperplasia Treatments, by Geographical
                   Region 

Exhibit 2-26:  Potential Clinical Value of Short-Term Urethral Stents Within the
                   Urology Practice, All Survey Respondents 

Exhibit 2-27:  Potential Clinical Value of Short-Term Urethral Stents Within the
                   Urology Practice, by Survey Respondent Age Group 

Exhibit 2-28:  Potential Clinical Value of Urethral Stents Within the Urology
                   Practice, by Practice Type 

Exhibit 2-29:  Potential Clinical Value of Urethral Stents Within the Urology
                   Practice, by Patient Volumes 

Exhibit 2-30:  Potential Clinical Value of Urethral Stents Within the Urology
                   Practice, by Geographical Region 

Exhibit 2-31:  Prostatitis Patients’ Symptoms, All Survey Respondents 

Exhibit 2-32:  Prostatitis Patients’ Symptoms, by Survey Respondent Age Group 

Exhibit 2-33:  Prostatitis Patients’ Symptoms, by Practice Type 

Exhibit 2-34:  Prostatitis Patients’ Symptoms, by Patient Volumes 

Exhibit 2-35:  Prostatitis Patients’ Symptoms, by Geographical Region 

 

Exhibit 3-1:    Obstacles to the Widespread Treatment of Female Urinary
                   Incontinence by Urologists, All Survey Respondents 

Exhibit 3-2:    Factors Rated “Major Obstacle” to the Widespread Treatment of
                   Female Urinary Incontinence by Urologists, by Survey Respondent
                   Age Group 

Exhibit 3-3:    Factors Rated “Major Obstacle” to the Widespread Treatment of
                   Female Urinary Incontinence by Urologists, by Practice Type 

Exhibit 3-4:    Factors Rated “Major Obstacle” to the Widespread Treatment of
                   Female Urinary Incontinence by Urologists, by Patient Volumes 

Exhibit 3-5:    Factors Rated “Major Obstacle” to the Widespread Treatment of
                   Female Urinary Incontinence by Urologists, by Geographical
                   Region

Exhibit 3-6:    Rated Effectiveness of Urinary Incontinence Treatments, All
                   Survey Respondents 

Exhibit 3-7:    Rated Effectiveness of Urinary Incontinence Treatments, by
                   Survey Respondent Age Group 

Exhibit 3-8:    Rated Effectiveness of Urinary Incontinence Treatments, by
                   Practice Type 

Exhibit 3-9:    Rated Effectiveness of Urinary Incontinence Treatments, by
                   Patient Volumes 

Exhibit 3-10:  Rated Effectiveness of Urinary Incontinence Treatments, by
                   Geographical Region 

Exhibit 3-11:  Shares of Urologists Not Familiar with Urinary Incontinence
                   Treatments, All Survey Respondents 

Exhibit 3-12:  Shares of Urologists Not Familiar with Urinary Incontinence
                   Treatments, by Survey Respondent Age Group 

Exhibit 3-13:  Shares of Urologists Not Familiar with Urinary Incontinence
                   Treatments, by Practice Type 

Exhibit 3-14:  Shares of Urologists Not Familiar with Urinary Incontinence
                   Treatments, by Patient Volumes 

Exhibit 3-15:  Shares of Urologists Not Familiar with Urinary Incontinence
                   Treatments, by Geographical Region 

Exhibit 3-16:  Current and Planned Use of Urinary Incontinence Treatments, All
                   Survey Respondents 

Exhibit 3-17:  Current and Planned Use of Major Urinary Incontinence Surgery,
                   by Survey Respondent Age Group, Practice Type, Patient
                   Volumes, and Geographical Region 

Exhibit 3-18:  Current and Planned Use of Minimally Invasive Urinary
                   Incontinence Surgery, by Survey Respondent Age Group, Practice
                   Type, Patient Volumes, and Geographical Region 

Exhibit 3-19:  Current and Planned Use of Resorbable Bulking Agents, by Survey
                   Respondent Age Group, Practice Type, Patient Volumes, and
                   Geographical Region 

Exhibit 3-20:  Current and Planned Use of Nonresorbable Bulking Agents, by
                   Survey Respondent Age Group, Practice Type, Patient Volumes,
                   and Geographical Region 

Exhibit 3-21:  Current and Planned Use of Radiofrequency Bladder Neck
                   Suspension, by Survey Respondent Age Group, Practice Type,
                   Patient Volumes, and Geographical Region 

Exhibit 3-22:  Current and Planned Use of Extracorporeal Magnetic Innervation,
                   by Survey Respondent Age Group, Practice Type, Patient
                   Volumes, and Geographical Region 

Exhibit 3-23:  Current and Planned Ownership of Urodynamics Equipment, All
                   Survey Respondents 

Exhibit 3-24:  Current and Planned Ownership of Urodynamics Equipment, by
                   Survey Respondent Age Group 

Exhibit 3-25:  Current and Planned Ownership of Urodynamics Equipment, by
                   Practice Type 

Exhibit 3-26:  Current and Planned Ownership of Urodynamics Equipment, by
                   Patient Volumes 

Exhibit 3-27:  Current and Planned Ownership of Urodynamics Equipment, by
                   Geographical Region 

Exhibit 3-28:  Urodynamics Systems that Survey Respondents Currently Own or
                   Plan to Purchase, by Manufacturer 

 

Exhibit 4-1:    Distribution of Prostate Cancer Patients by Treatment Modality for
                   the Years 2001 and 2003, All Survey Respondents 

Exhibit 4-2:    Distribution of Prostate Cancer Patients by Treatment Modality for
                   the Years 2001 and 2003, by Survey Respondent Age Group  

Exhibit 4-3:    Distribution of Prostate Cancer Patients by Treatment Modality for
                   the Years 2001 and 2003, by Practice Type 

Exhibit 4-4:    Distribution of Prostate Cancer Patients by Treatment Modality for
                   the Years 2001 and 2003, by Patient Volumes 

Exhibit 4-5:    Distribution of Prostate Cancer Patients by Treatment Modality for
                   the Years 2001 and 2003, by Geographical Region 

Exhibit 4-6:    Challenges Associated with Prostate Cancer Management, All
                   Survey Respondents 

Exhibit 4-7:    Factors Rated “Major Challenge” or “Moderate Challenge” to the
                   Treatment of Prostate Cancer, by Survey Respondent Age Group 

Exhibit 4-8:    Factors Rated “Major Challenge” or “Moderate Challenge” to the
                   Treatment of Prostate Cancer, by Practice Type 

Exhibit 4-9:    Factors Rated “Major Challenge” or “Moderate Challenge” to the
                   Treatment of Prostate Cancer, by Patient Volumes 

Exhibit 4-10:  Factors Rated “Major Challenge” or “Moderate Challenge” to the
                   Treatment of Prostate Cancer, by Geographical Region  

Exhibit 4-11:  Current and Planned Ownership of Transrectal Ultrasound
                   Equipment, All Survey Respondents 

Exhibit 4-12:  Current and Planned Ownership of Transrectal Ultrasound
                   Equipment, by Survey Respondent Age Group 

Exhibit 4-13:  Current and Planned Ownership of Transrectal Ultrasound
                   Equipment, by Practice Type 

Exhibit 4-14:  Current and Planned Ownership of Transrectal Ultrasound
                   Equipment, by Patient Volumes 

Exhibit 4-15:  Current and Planned Ownership of Transrectal Ultrasound
                   Equipment, by Geographical Region 

Exhibit 4-16:  Transrectal Ultrasound Equipment Mentions, All Survey
                   Respondents 

Exhibit 4-17:  Transrectal Ultrasound Equipment Manufacturer Mentions, by
                   Survey Respondent Age Group 

Exhibit 4-18:  Transrectal Ultrasound Equipment Manufacturer Mentions, by
                   Survey Respondent Practice Type 

Exhibit 4-19:  Transrectal Ultrasound Equipment Manufacturer Mentions, by
                   Survey Respondent Patient Volumes 

Exhibit 4-20:  Transrectal Ultrasound Equipment Manufacturer Mentions, by
                   Geographical Region  

 

Exhibit 5-1:    Rated Effectiveness of Erectile Dysfunction Treatments, All
                   Survey Respondents 

Exhibit 5-2:    Rated Effectiveness of Erectile Dysfunction Treatments, by
                   Survey Respondent Age Group 

Exhibit 5-3:    Rated Effectiveness of Erectile Dysfunction Treatments, by
                   Practice Type 

Exhibit 5-4:    Rated Effectiveness of Erectile Dysfunction Treatments, by
                   Patient Volumes 

Exhibit 5-5:    Rated Effectiveness of Erectile Dysfunction Treatments, by
                   Geographical Region 

Exhibit 5-6:    Shares of Urologists Not Familiar with Erectile Dysfunction
                   Treatments, All Survey Respondents 

Exhibit 5-7:    Shares of Urologists Not Familiar with Erectile Dysfunction
                   Treatments, by Survey Respondent Age Group 

Exhibit 5-8:    Shares of Urologists Not Familiar with Erectile Dysfunction
                   Treatments, by Practice Type 

Exhibit 5-9:    Shares of Urologists Not Familiar with Erectile Dysfunction
                   Treatments, by Patient Volumes 

Exhibit 5-10:  Shares of Urologists Not Familiar with Erectile Dysfunction
                   Treatments, by Geographical Region 

Exhibit 5-11:  Current and Planned Use of Erectile Dysfunction Treatments, All
                   Survey Respondents 

Exhibit 5-12:  Current and Planned Use of Topical Alprostadil Formulations, by
                   Survey Respondent Age Group, Practice Type, Patient Volumes,
                   and Geographical Region 

Exhibit 5-13:  Current and Planned Use of Cialis, by Survey Respondent Age
                   Group, Practice Type, Patient Volumes, and Geographical Region  

Exhibit 5-14:  Current and Planned Use of Vardenafil, by Survey Respondent 
                   Age Group, Practice Type, Patient Volumes, and Geographical
                   Region 

Exhibit 5-15:  Types of Patients Treated with Oral Erectile Dysfunction Drugs for
                   the Years 2001 and 2003, All Survey Respondents 

Exhibit 5-16:  Shares of Patients Treated with Oral Erectile Dysfunction Drugs to
                   Improve/Enhance Sexual Performance for the Years 2001 and
                   2003, by Survey Respondent Age Group, Practice Type, Patient
                   Volumes, and Geographical Region 

 

Exhibit 6-1:    Developments Expected to Have the Greatest Impact on Urologic
                   Practice Over the Next Two to Three Years, All Survey
                   Respondents 

Exhibit 6-2:    Urology Device Manufacturer Ratings, All Survey Respondents 

Exhibit 6-3:    Shares of Survey Respondents Not Familiar with Selected Urology
                   Device Manufacturers 

Exhibit 6-4:    Ratings for American Medical Systems, by Survey Respondent 
                   Age Group, Practice Type, Patient Volumes, and Geographical
                   Region 

Exhibit 6-5:    Lack of Familiarity with American Medical Systems, by Survey
                   Respondent Age Group, Practice Type, Patient Volumes, and
                   Geographical Region 

Exhibit 6-6:    Ratings for C.R. Bard, by Survey Respondent Age Group, Practice
                   Type, Patient Volumes, and Geographical Region 

Exhibit 6-7:    Lack of Familiarity with C.R. Bard, by Survey Respondent Age
                   Group, Practice Type, Patient Volumes, and Geographical Region 

Exhibit 6-8:    Ratings for Boston Scientific, by Survey Respondent Age Group,
                   Practice Type, Patient Volumes, and Geographical Region 

Exhibit 6-9:    Lack of Familiarity with Boston Scientific, by Survey Respondent
                   Age Group, Practice Type, Patient Volumes, and Geographical
                   Region 

Exhibit 6-10:  Ratings for Circon, by Survey Respondent Age Group, Practice
                   Type, Patient Volumes, and Geographical Region 

Exhibit 6-11:  Lack of Familiarity with Circon, by Survey Respondent Age Group,
                   Practice Type, Patient Volumes, and Geographical Region 

Exhibit 6-12:  Ratings for Cook, by Survey Respondent Age Group, Practice
                   Type, Patient Volumes, and Geographical Region 

Exhibit 6-13:  Lack of Familiarity with Cook, by Survey Respondent Age Group,
                   Practice Type, Patient Volumes, and Geographical Region 

Exhibit 6-14:  Ratings for Johnson & Johnson, by Survey Respondent Age Group,
                   Practice Type, Patient Volumes, and Geographical Region 

Exhibit 6-15:  Lack of Familiarity with Johnson & Johnson, by Survey 
                   Respondent Age Group, Practice Type, Patient Volumes, and
                   Geographical Region 

Exhibit 6-16:  Ratings for Mentor, by Survey Respondent Age Group, Practice
                   Type, Patient Volumes, and Geographical Region 

Exhibit 6-17:  Lack of Familiarity with Mentor, by Survey Respondent Age 
                   Group, Practice Type, Patient Volumes, and Geographical Region 

Exhibit 6-18:  Ratings for Karl Storz, by Survey Respondent Age Group, Practice
                   Type, Patient Volumes, and Geographical Region 

Exhibit 6-19:  Lack of Familiarity with Karl Storz, by Survey Respondent Age
                   Group, Practice Type, Patient Volumes, and Geographical Region 

Exhibit 6-20:  Ratings for Timm Medical Technologies, by Survey Respondent 
                   Age Group, Practice Type, Patient Volumes, and Geographical
                   Region

Exhibit 6-21:  Lack of Familiarity with Timm Medical Technologies, by Survey
                   Respondent Age Group, Practice Type, Patient Volumes, and
                   Geographical Region  

Exhibit 6-22:  Ratings for Urologix, by Survey Respondent Age Group, Practice
                   Type, Patient Volumes, and Geographical Region 

Exhibit 6-23:  Lack of Familiarity with Urologix, by Survey Respondent Age
                   Group, Practice Type, Patient Volumes, and Geographical Region  

Copyright 2002, Medtech Insight, LLC


Ordering Information

Title

Report# Publication
Date
List Price

U.S. Urology Clinician Survey

RP-191128

October
2002

$1,950*

 

*The pdf version of each report costs an additional $500 when purchased in addition to the hardcopy.

To order reports or obtain information about special pre-publication offers from within the U.S., contact reports@medtechinsight.com. From outside the U.S., contact internationalsales@medtechinsight.com. You can also call 1.949.219.0150 (or toll-free within the U.S. at 1.888.290.2225) or fax 1.949.219.0037.

 

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