Is USI ready to develop Guidelines?

Dear All,

This is an issue that we as Urologists should give much consideration. USI has formed a guideline committee. But very little is known as regards its function.

If we look at the guidelines prepared by various guideline developers, it is obvious that most of them are country specific. In many of them, many aspects in the guideline published are riddled with ‘Clinical Principles’ and ‘Expert Opinion’ and only few aspects are based on recommendations and that too only few are Grade A and B Recommendations. Who becomes the expert and what governs clinical Principles are not clear.

Many Asian Countries with much more resources than we are yet to develop their own guidelines but accept the Western guidelines for what it is worth.

One of the major aspects is the need of proper documentations of illnesses in developing guidelines. This, unfortunately, is lacking in our country. Is cut and paste from other Guidelines an acceptable policy to be adopted. India being a vast country with varied Socio-Cultural differences is by itself an impediment to produce valid guidelines to suit all with one yardstick.

I am hopeful that many of us will ponder on this issue and place their views which will enable us to have a collective notion on what we should expect from the guidelines we develop.

I had raised this issue a while ago when we were in ‘Uroeducation’. We did have some responses but were not pursued.

With warm Regards,




  • Dr. Roy Chally
    Dr. Roy Chally
    02 Feb 2021 07:53:33 PM

    USI or regional bodies should take the initiative to form groups to look into a specific disease for guideline generation. This group should follow the guideline accepted after discussion in their institutions for a year. After one year the data collected from these centres should be analysed. Compare the results with published data. This group can then come out with a new guideline. 
          Considering the differences in Heath care system in our country this is not an easy task now. We do not have enough publications to evaluate the problems in following the published guidelines in our country. The economic, educational status and culture differences are other challenges 

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