A hospital survey of adult reconstructive urologic surgery in the Nordic co
untries is presented. The response rate was 80% and included most general h
ospitals and university clinics. Despite similarities between the healthcar
e systems of the various countries several differences were found. Cystecto
my was performed in a large number of institutions in all countries except
Denmark. The annual number of orthotopic bladder substitutions per institut
ion was calculated as three to four (range of medians for each country) and
the number of continent cutaneous diversions as two to seven. Open urethra
l procedures were performed more frequently in Sweden than in the other cou
ntries. Surgery for penile curvature and implantation of three-component pr
ostheses for erectile dysfunction was more commonly performed in Denmark an
d Iceland compared to Sweden.