In the UK, urology has only recently enjoyed the position of a specialty. It was in the final quarter of the C20th that it eventually truly broke away from General Surgery. Yet, urology is said to be the world’s oldest surgical specialty, defined by Hippocrates and possibly more ancient still. Allow me to walk you through the last 1000 years or so of the history of British urology and towards the end of our ramble, I’ll suggest some reasons for the British Urological Paradox.