Objectives. To obtain data regarding the frequency of malpractice suit
s against urologists. Methods. Those urologists listed in the Best Doc
tors in America were sent an anonymous survey that requested their per
sonal malpractice history (group A). Additionally, the professional re
sponsibility history of the candidates for recertification by the Amer
ican Board of Urology in 1996 (group B) was reviewed. Results. One hun
dred ten urologists in the United States in group A were surveyed. Nin
ety-one (83%) responded. Seventy (77%) had been sued (average 2.36 cla
ims per physician who had been sued). Forty-four percent of the claims
resulted in payment to the plaintiff. Claims frequency of group A was
0.09 claims per physician per year. Urologists in the Northeast, Nort
h Central, and Mid-Atlantic Sections of the American Urological Associ
ation were-less likely to be sued than urologists in the other five se
ctions. There were 246 urologists in group B. One hundred twenty-two (
49%) reported a claim against them (average 1.9 claims per physician w
ho had been sued). Twenty-nine percent of the closed claims resulted i
n payment to the plaintiff. Claims frequency of group B was 0.09 claim
s per physician per year. Conclusions. Most urologists can expect to b
e sued at least twice in their professional careers. The longer one is
in practice, the greater the chance of a suit being filed. Where one
practices may be a factor in the likelihood of being sued. There does
not seem to be a direct or inverse correlation between professional re
putation and the incidence of being sued. (C) 1998, Elsevier Science I
nc. All rights reserved.