Prometric Exam for Urologists: Specialist Urology Licence for DHA, MOHAP, DOH, SCFHS & QCHP — the 11-Area Blueprint, 60% Pass Mark, Endourology and Andrology Demand, MCh and DNB Recognition and Salaries (2026)
The Gulf sits in the world's stone belt, and urologists who can run an endourology list are recruited all year. This guide covers the Specialist Urology paper — 150 questions, three hours, 60% to pass — its eleven official blueprint areas, the stone, prostate and emergency questions that repeat, how MCh, DNB, FCPS and MS-based training are recognised, how procedures are privileged, and what urologists earn.
Hot climate, low fluid intake and diet make kidney stones several times more common in the Gulf than in temperate countries. Add an ageing male population, a large private andrology and fertility market and busy trauma centres, and urology becomes one of the region's steadiest surgical specialties. For holders of an MCh, DNB or DrNB in urology, FCPS urology, FRCS (Urol), Arab Board or equivalent, this is how the licence works.
The exam
- Specialist Urology (URO5931): 150 single-best-answer questions, 3 hours, pass mark 60% — 90 correct answers
- References: Campbell–Walsh Urology and the Atlas of Urologic Surgery, plus the ethics and patient-safety handbooks
Campbell–Walsh is too large to read in a revision period. Use it as the arbiter and revise from current international guidelines, which is where the management questions are drawn from.
Urology is a superspecialty: check your title
Most regulators license urology on a dedicated urology qualification. The clean cases are MCh or DNB/DrNB urology after MS surgery, FCPS urology, Arab Board urology, FRCS (Urol) with a CCT and North American boards. An MS in general surgery with urology experience is licensed as a general surgeon (GEN5341), not as a urologist, however many years the experience covers. Read the recognition guide, the exemptions guide for Tier 1 holders, and run the eligibility check before paying for verification.
The eleven blueprint areas
- Basics of urologic surgery — surgical anatomy of the retroperitoneum and pelvis, perioperative care, antibiotic prophylaxis, catheters, stents and drains, energy sources, imaging choice
- Infections and inflammation — complicated UTI, pyelonephritis and emphysematous pyelonephritis in diabetics, the obstructed infected kidney, prostatitis, epididymo-orchitis, Fournier's gangrene, genitourinary tuberculosis, schistosomiasis (relevant for patients from endemic source countries), interstitial cystitis
- Reproductive and sexual health — male infertility work-up and semen analysis interpretation, varicocele indications, azoospermia (obstructive vs non-obstructive), erectile dysfunction ladder, Peyronie's disease, priapism, hypogonadism
- Trauma and neurourology — renal trauma grading and conservative management, bladder rupture (intraperitoneal vs extraperitoneal), urethral injury and when not to catheterise, neurogenic bladder patterns by lesion level, urodynamics interpretation, overactive bladder ladder
- Urolithiasis and obstruction — stone composition and its imaging and metabolic clues, medical expulsive therapy, choice between ESWL, ureteroscopy and PCNL by size and location, metabolic evaluation and prevention, hydronephrosis in pregnancy
- Renal failure — obstructive uropathy, post-obstructive diuresis, dialysis access basics, transplantation principles and complications
- Adrenal and neoplasm — adrenal incidentaloma work-up, phaeochromocytoma preparation, renal mass characterisation and nephron-sparing surgery, bladder cancer (non-muscle-invasive vs muscle-invasive pathways, BCG), testicular tumours and markers, penile cancer
- Prostate — BPH medical and surgical options and their complications (TUR syndrome), PSA interpretation, biopsy strategy, prostate cancer risk groups and treatment by stage, castration-resistant disease
- Paediatric urology — vesicoureteric reflux grading, posterior urethral valves, PUJ obstruction, undescended testis timing of orchidopexy, hypospadias principles, the acute scrotum, Wilms' tumour, enuresis
- Patient safety
- Professionalism and ethics
What repeats
- The emergencies. Testicular torsion (explore, do not wait for imaging), the infected obstructed kidney (decompress), priapism (ischaemic vs non-ischaemic and the first step for each), Fournier's gangrene, paraphimosis, clot retention, autonomic dysreflexia.
- Stone decision tables. Size × location → modality. Expect several questions each sitting, including stones in pregnancy, in a solitary kidney and with infection.
- Haematuria work-up and the bladder cancer pathway.
- PSA and prostate cancer risk stratification.
- Trauma grading — and the shift towards conservative management of renal injury.
- Urodynamic traces described in words. Detrusor overactivity, obstruction, underactive detrusor, sphincter dyssynergia.
- Paediatric timing questions. When to operate on the undescended testis, when to investigate a first UTI, how to manage antenatal hydronephrosis.
- Complications of endoscopic surgery. TUR syndrome, ureteric avulsion, sepsis after stone surgery.
Privileges
Hospitals privilege by procedure on logbook evidence. For the Gulf the question that matters most is your endourology record: flexible ureteroscopy with laser lithotripsy, PCNL (including supine and mini techniques) and endoscopic prostate surgery. Laparoscopic and robotic surgery, uro-oncology, reconstructive urethral surgery, andrology and penile prosthesis, and transplantation are privileged separately and usually need fellowship evidence. Keep a signed logbook for the last three years with your role in each case; it drives both scope and salary band.
Process
- Portal registration and title selection (Sheryan, Mumaris+ or the relevant portal).
- DataFlow verification — primary degree, surgery qualification, urology qualification, registration and experience. Three qualifications cost more to verify (DataFlow guide, fees).
- Eligibility, booking (lead times), exam — Prometric for most authorities, Pearson VUE for DOH.
- Offer, credentialing and privileging, activation.
Salaries
Specialist urologists in the UAE typically earn AED 38,000–60,000 a month and Consultants AED 60,000–110,000, with endourology, andrology and robotic surgeons in private groups often on a base plus surgical revenue share. Saudi packages run SAR 32,000–55,000 for Specialists with housing; Qatar is comparable. Compare offers in the salary calculator and register in the talent pool.
Eight-week plan
- Week 1: anatomy, basics, infections.
- Week 2: stones and obstruction.
- Week 3: prostate — BPH and cancer.
- Week 4: renal, bladder, testicular and adrenal tumours.
- Week 5: trauma, neurourology and urodynamics.
- Week 6: andrology and infertility; renal failure and transplant.
- Week 7: paediatric urology; ethics and patient safety.
- Week 8: two timed mocks from the Specialist Urology question bank.
Frequently asked questions
What is the pass mark for the Prometric urology exam?
60%. The Specialist Urology paper has 150 single-best-answer questions in three hours, so 90 correct answers are needed.
Can a general surgeon with urology experience be licensed as a urologist in the Gulf?
No. Urology is licensed on a dedicated urology qualification such as MCh, DNB or FCPS urology. An MS in general surgery, whatever the experience, leads to a general surgery licence.
Which urology skills are most in demand in the UAE and Saudi Arabia?
Endourology for stone disease — flexible ureteroscopy with laser and PCNL — followed by endoscopic prostate surgery, andrology and, in larger centres, laparoscopic and robotic surgery.
How many qualifications does DataFlow verify for a urologist?
Usually three: the primary medical degree, the general surgery qualification and the urology qualification, plus registration and experience letters.
Practice banks for this exam
Chapter-wise MCQs with written reasoning on every question, and timed mocks at the real pass mark.