UROHEALTH SYSTEMS INC
424B3, 1997-09-16
PLASTICS PRODUCTS, NEC
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<PAGE>   1
          
                                                    This filing is made pursuant
                                                    to Rule 424(b)(3) under
                                                    the Securities Act of
                                                    1933 in connection with
                                                    Registration No. 333-6397
 
 
PROSPECTUS
 
                                8,728,020 SHARES
 
                            UROHEALTH SYSTEMS, INC.
 
                                  COMMON STOCK

                            ------------------------
 
     The 8,728,020 shares of Common Stock offered hereby are being sold by the
Selling Stockholders. See "Selling Stockholders" and "Plan of Distribution."
Urohealth Systems, Inc. ("Urohealth" or the "Company") will not receive any of
the proceeds from the sale of the shares by the Selling Stockholders. The Common
Stock of the Company is listed on The Nasdaq National Market under the symbol
"UROH." On September 15, 1997, the last reported sale price of the Common Stock
was $4-11/16 per share. See "Price Range of Common Stock and Dividends."
 
     SEE "RISK FACTORS" BEGINNING ON PAGE 4 FOR A DISCUSSION OF CERTAIN FACTORS
WHICH SHOULD BE CONSIDERED BY PROSPECTIVE PURCHASERS OF THE COMMON STOCK OFFERED
HEREBY.

                            ------------------------
 
  THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY THE SECURITIES AND
 EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION, NOR HAS THE SECURITIES
   AND EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION PASSED UPON THE
ACCURACY OR ADEQUACY OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A
                               CRIMINAL OFFENSE.
 
     This Prospectus relates to the public offering for resale, which is not
being underwritten, of the following securities of the Company by the holders
thereof (the "Selling Stockholders"): (i) 1,414,827 shares acquired by Avatex
Corporation upon conversion of a convertible note and Series B Convertible
Preferred Stock of the Company owned by Avatex; (ii) 1,236,338 shares of Common
Stock of the Company acquired by a former shareholder of Osbon Medical Systems
Ltd. ("Osbon") in connection with the acquisition of Osbon by the Company; (iii)
110,000 shares of Common Stock of the Company issued to Vista Medical
Technologies, Inc. ("Vista") in connection with an exclusive license of certain
technology granted by Vista to the Company; (iv) 164,384 shares of Common Stock
of the Company issued to Charles Klieman and John Stigglebout in connection with
an exclusive license of certain technology granted to the Company; (v) 1,517,329
shares of Common Stock of the Company issued to former shareholders of X-Cardia
Corporation in connection with the acquisition of X-Cardia by the Company, and
1,200,000 shares of Common Stock issuable to the former shareholders of X-Cardia
under the Merger Agreement upon satisfaction of certain contingencies; (vi)
2,714,370 shares of Common Stock of the Company issued to the former
stockholders of Microsurge, Inc. ("Microsurge") in connection with the
acquisition of Microsurge by the Company; (vii) 192,200 shares of Common Stock
of the Company issued to the former shareholders of PEBB Biopsy Corporation; and
(viii) 178,572 shares of Common Stock of the Company issued to the former
shareholders of Endoscopic Imaging Systems, Inc.
 
     The Selling Stockholders directly, through agents designated from time to
time, or through dealers or underwriters also to be designated may sell the
Common Stock from time to time on terms to be determined at the time of sale.
The effectiveness of the Registration Statement of which this Prospectus
constitutes a part is expected to terminate on the earlier of March 31, 1998 and
the date on which all of the shares have been sold.
 
     To the extent required, the respective purchase prices and public offering
prices, the names of any such agent, dealer or underwriter, and any applicable
commissions or discounts with respect to a particular offer will be set forth in
an accompanying Prospectus Supplement or by filing a post-effective amendment to
the registration statement of which this Prospectus is a part. See "Plan of
Distribution."
 
     The Company will not receive any proceeds from this offering. The aggregate
proceeds to the Selling Stockholders from the sale of the Common Stock will be
the purchase price less the aggregate agent's commissions and underwriter's
discounts, if any. The Company by agreement will pay substantially all of the
other expenses of this offering. See "Plan of Distribution" herein for a
description of the indemnification arrangements for the agents, dealers and
underwriters.
 
     The Selling Stockholders and any broker-dealers, agents or underwriters
that participate with the Selling Stockholders in the distribution of the Common
Stock may be deemed to be "underwriters" within the meaning of the Securities
Act of 1933, as amended (the "Securities Act"), and any commissions received by
them and any profit on the resale of the Common Stock purchased by them may be
deemed to be underwriting commissions or discounts under the Securities Act.
 
               THE DATE OF THIS PROSPECTUS IS SEPTEMBER 15, 1997.
<PAGE>   2
 
                             AVAILABLE INFORMATION
 
     Urohealth Systems, Inc. ("Urohealth" or the "Company") is subject to the
information requirements of the Securities Exchange Act of 1934, as amended (the
"Exchange Act"), and, in accordance therewith, files reports, proxy statements
and other information with the Securities and Exchange Commission (the
"Commission"). Such reports, proxy statements and other information can be
inspected and copied at the public reference facilities maintained by the
Commission at Room 1024, 450 Fifth Street, N.W., Washington, D.C. 20549, and at
the following regional offices of the Commission: Chicago Regional Office, 500
West Madison Street, Suite 1400, Chicago, Illinois 60661; and New York Regional
Office, 75 Park Place, 14th Floor, New York, New York 10017. Copies of such
material can be obtained at prescribed rates from the Public Reference Section
of the Commission at its principal office at 450 Fifth Street, N.W., Washington,
D.C. 20549. In addition, the Commission maintains a site on the World Wide Web
at http://www.sec.gov that contains reports, proxy and information statements
and other information regarding registrants, including the Company, that file
reports electronically with the Commission.
 
     The Company has filed with the Commission a Registration Statement under
the Securities Act of 1933, as amended (the "Securities Act"), with respect to
the Common Stock offered hereby. This Prospectus does not contain all of the
information set forth in the Registration Statement and the exhibits and
schedules thereto. Statements contained herein concerning the provisions of any
documents are necessarily summaries of such documents, and each such statement
is qualified in its entirety by reference to the copy of the applicable document
filed with the Commission. For further information concerning the Company and
the Common Stock offered hereby, reference is made to the Registration
Statement, including the exhibits and schedules thereto. The Registration
Statement, including the exhibits and schedules thereto, may be inspected
without charge at the Commission's principal office, 450 Fifth Street, N.W.,
Washington, D.C. 20549, and copies of all or any part thereof may be obtained
from the Commission's Public Reference Section at prescribed rates.
 
                INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE
 
     The Company hereby incorporates by reference in this Prospectus the
following documents, which have been filed with the Commission pursuant to the
Exchange Act: (i) the Company's Annual Report on Form 10-K for the year ended
March 31, 1997, as amended on July 29, 1997 and September 2, 1997 (Commission
file no. 1-11150); (ii) the Company's Quarterly Report on Form 10-Q for the
quarter ended June 30, 1997 (Commission file no. 1-11150); (iii) the Company's
Current Report on Form 8-K, dated April 28, 1997 (Commission file no. 1-11150);
(iv) the description of the Company's Common Stock contained in the Company's
Registration Statement on Form 8-A dated November 22, 1996 (Commission file no.
1-11150); and (v) the reports of independent auditors and financial statements
of Richard-Allan Medical Industries, Inc. and X-Cardia Corporation and unaudited
pro forma condensed consolidated financial statements set forth at pages F-36 to
F-64 in Amendment No. 2 to the Company's Registration Statement on Form S-4 (No.
333-26503) as filed with the Commission on August 21, 1997.
 
     All documents filed by the Company pursuant to Sections 13(a), 13(c), 14 or
15(d) of the Exchange Act subsequent to the date of this Prospectus and prior to
the termination of this offering shall be deemed to be incorporated by reference
into this Prospectus and to be a part hereof from the date of filing of such
documents.
 
     The Company will provide without charge to each person to whom this
Prospectus is delivered, upon the written or oral request of such person, a copy
of any or all of the documents referred to above which have been or may be
incorporated by reference in this Prospectus (excluding exhibits to the
information that is incorporated herein by reference unless such exhibits are
specifically incorporated by reference into the information that this Prospectus
incorporates). Requests for such copies should be directed to Kevin M. Higgins,
Senior Vice President and General Counsel, Urohealth Systems, Inc., 5 Civic
Plaza, Suite 100, Newport Beach, California 92660; telephone number (714)
668-5858.
 
     Any statement contained in a document incorporated by reference shall be
deemed to be modified or superseded for purposes of this Prospectus to the
extent that a statement contained herein or in any subsequently filed
incorporated document or in any accompanying prospectus supplement modifies or
supersedes such statement. Any such statement so modified or superseded shall
not be deemed, except as so modified or superseded, to constitute a part of this
Prospectus.
 
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<PAGE>   3
 
                                  THE COMPANY
 
OVERVIEW
 
     Urohealth is a developer, manufacturer and distributor of products for the
urology, minimally invasive and general surgery, and gynecology markets (the
"Target Markets"). The Company has a broad offering of products used by
healthcare professionals for patients suffering from impotence, incontinence and
other gynecological and urological disorders, and other conditions requiring
minimally invasive and general surgery. In October 1994, under the leadership of
new management, the Company adopted and began to implement a strategic plan
which took advantage of consolidation opportunities in the highly fragmented
medical products industry. Management's strategy was to position the Company to
benefit from the competitive advantages and operating efficiencies inherent in
an infrastructure which combines an experienced management team, sophisticated
and efficient manufacturing facilities and a large sales force.
 
     The Company's strategy is to: (i) expand the range of products to its
growing Target Markets; (ii) leverage its sales force to increase sales of its
existing, newly acquired and recently developed products, including sales
through distributors and group purchasing organizations; (iii) further
capitalize on efficiencies and synergies available by continuing to consolidate
manufacturing of existing and acquired products into the Company's existing
manufacturing operations; (iv) continue to acquire and develop additional
innovative products and product lines, including products to serve the
gynecology market; and (v) develop and expand an international sales and
marketing presence to capitalize on opportunities it identifies in selected
developed countries.
 
RECENT DEVELOPMENTS
 
     Pending Acquisition of Imagyn. On April 19, 1997, the Company entered into
an agreement to acquire Imagyn Medical, Inc. ("Imagyn") in a stock-for-stock
merger. Imagyn is a developer of micro-invasive systems to diagnose and treat
gynecological and reproductive disorders. Imagyn's products enable physicians to
atraumatically access and visualize all the organs of the female reproductive
system. Imagyn's primary platform, the MicroLap System, is a microendoscopy
system. MicroLap is a 2 mm microlaparoscope with resolution and light efficiency
characteristics which rival the conventional laparoscopes used in hospitals,
thereby allowing physicians to perform a wide range of gynecological procedures
in all clinical settings. Imagyn's MicroSpan microhysteroscopy system, which
incorporates the same high resolution optics found in Imagyn's MicroLap
microlaparoscopy system, includes a 1.6 mm hysteroscope and a MicroSpan Sheath
designed to allow atraumatic access to the uterus without cervical dilation.
Imagyn's third platform is the Ovation System, which is used for visual
evaluation of the fallopian tubes. The acquisition is subject to approval by the
stockholders of the Company and Imagyn and to other customary closing
conditions. If the Merger is consummated, the Company will issue approximately
11.4 million shares of its Common Stock in exchange for the outstanding Imagyn
Common Stock.
 
     Placement of Senior Subordinated Notes. On April 10, 1997, the Company
completed the private placement (the "Note Offering") of $110 million aggregate
principal amount of its 12 1/2% Senior Subordinated Notes due 2004 (the
"Notes"). The purchasers of the Notes also received warrants to purchase an
aggregate of 488,400 shares (or 996,600 shares, if certain EBITDA (as defined in
the Warrants) for fiscal 1998 is not achieved) of Common Stock of the Company.
The Company used a portion of the proceeds from the Note Offering to repay its
existing bank credit facility, and at the same time the Company entered into a
new revolving credit facility (the "Credit Facility") which is secured by all of
the Company's assets.
 
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<PAGE>   4
 
                                  RISK FACTORS
 
     Prospective purchasers of the Common Stock offered hereby should consider
carefully the following factors, together with the other information contained
in or incorporated by reference in this Prospectus, prior to purchasing the
Common Stock offered hereby.
 
     Significant Leverage. The Company has substantial indebtedness and
significant debt service obligations. At June 30, 1997, the Company had
approximately $170.1 million of indebtedness outstanding, approximately $179.7
million of total assets, approximately $121.0 million of total tangible assets
and approximately $(24.0) million of stockholders' equity. The Company's annual
debt service obligations are approximately $19 million per year.
 
     The Company's ability to pay interest on the Notes and to satisfy its other
debt obligations will depend upon its future operating performance, which will
be affected by prevailing economic conditions and financial, business and other
factors, certain of which are beyond its control, as well as the availability of
borrowings under the Credit Facility or successor credit facilities. The Company
will require substantial amounts of cash to fund scheduled payments of principal
and interest on its outstanding indebtedness as well as future capital
expenditures and any increased working capital requirements. The Company
historically has had negative cash flow from operations. In order to have
positive cash flow from operations and meet its various financial requirements,
including debt service, the Company must experience substantial growth and
improvements in its results of operations. There can be no assurance that the
Company will have positive cash flow from operations in the future. If the
Company is unable to meet its cash requirements out of cash flow from operations
or from available borrowings, there can be no assurance that it will be able to
obtain alternative financing or that it will be permitted to do so under the
terms of the Credit Facility, the indenture relating to the Notes (the "Note
Indenture"), or other debt instruments. In the absence of such financing, the
Company's ability to absorb adverse operating results or to fund capital
expenditures or research and development, to respond to changing business and
economic conditions and to make future acquisitions may be adversely affected.
Finally, it is anticipated that in order to pay the principal balance of the
Notes due at maturity, the Company will have to obtain alternative financing.
 
     The Company was not in compliance with certain financial covenants under
its Credit Facility for the quarter ended June 30, 1997, and has been granted a
waiver through September 15, 1997 by its senior lender that permits borrowings
equal to the lesser of $15 million and 80% of eligible accounts receivable under
the facility. After giving effect to the waiver, the Company's borrowing
eligibility under the Credit Facility was approximately $13.4 million.
Subsequent to June 30, 1997, Urohealth borrowed $13.3 million under the Credit
Facility.
 
     The Company's high degree of leverage could have important consequences
including, without limitation, the following: (i) a substantial portion of the
Company's net cash provided by operations will be committed to the payment of
the Company's interest expense and principal repayment obligations and will not
be available to the Company for its operations, capital expenditures,
acquisitions or other purposes; (ii) the Company's ability to obtain additional
financing in the future for working capital, capital expenditures or
acquisitions may be limited; (iii) the Company will be more highly leveraged
than certain of its competitors, which may place it at a disadvantage and limit
the Company's flexibility in reacting to changes in its business; and (iv) the
Company's borrowings under the Credit Facility would bear interest at variable
rates, which could result in higher interest expense if interest rates rise.
 
     Operating Losses; No Assurance of Profitability; Liquidity. The Company
reported net losses for its fiscal year ended June 30, 1995, for the nine months
ended March 31, 1996 and for the year ended March 31, 1997 of $24.8 million,
$23.0 million, and $86.5 million, respectively, and a net loss of $11.4 million
for the three months ended June 30, 1997. There can be no assurance that the
Company will be profitable in any future period. The net cash used in operating
activities by the Company for is fiscal year ended June 30, 1995, for the nine
months ended March 31, 1996 and for the year ended March 31, 1997 was $12.9
million, $16.9 million and $55.0 million, respectively, and $22.9 million for
the three months ended June 30, 1997. There can be no assurance that the
operating activities of the Company will generate sufficient cash flow to meet
the Company's needs in any future period. The Company's future capital
requirements will depend upon
 
                                        4
<PAGE>   5
 
many factors, including the success of the Company's sales and marketing
efforts, new product development, and future acquisitions of companies and
products. The Company believes that the net proceeds from the Note Offering,
together with borrowings under the Credit Facility (see "Significant Leverage"),
and funds expected to be generated from operations will be adequate to fund its
operations for the next 12 months. There can be no assurance, however, that the
Company will not require additional financing during such time. Further, there
can be no assurance that any additional financing will be available to the
Company on acceptable terms, if at all. In addition, other than certain
permitted indebtedness (under the Note Indenture), including indebtedness under
the Credit Facility, the Company will need improvement in results of operations
in order to incur additional indebtedness under the terms of the Note Indenture.
If adequate funds are not available, the Company may be required to delay, scale
back or eliminate its acquisition and product development efforts, which could
have a material adverse effect on the Company's business, results of operations
or financial condition.
 
     Limitations Imposed by Certain Indebtedness. The documents governing the
indebtedness of the Company (including the Note Indenture and the Credit
Facility) contain significant covenants that limit the Company's and its
subsidiaries' ability to engage in various transactions and, in the case of the
Credit Facility, require satisfaction of specified financial performance
criteria. In addition, under each of the foregoing documents, the occurrence of
certain events (including, without limitation, failure to comply with the
foregoing covenants, material inaccuracies of representations and warranties,
certain defaults under or acceleration of other indebtedness and events of
bankruptcy or insolvency) would, in certain cases after notice and grace
periods, constitute an event of default permitting acceleration of the
indebtedness covered by such documents. The limitations imposed by the documents
governing the outstanding indebtedness of the Company and its subsidiaries are
substantial, and failure to comply with them could have a material adverse
effect on the Company and its subsidiaries.
 
     Future Operating Results Dependent on Products. The future operating
results of the Company will be dependent upon its ability to increase sales of
its existing medical products and the continued acceptance of such products by
the medical community and third-party payors as useful and cost-effective.
Historically, the Company has been highly dependent on the sale of vacuum
erection devices for the treatment of male impotence. The market for medical
products is characterized by rapid technological change and product
obsolescence. In particular, competition in the market for treatment of male
impotence is especially intense and has increased substantially in recent years.
Competitors and others may develop and introduce new products, devices or
approaches for treatment of the conditions targeted by the Company that could
render one or more of the Company's products obsolete or noncompetitive. The
Company's future operating results will also be dependent, therefore, upon the
Company's ability to develop or acquire new products that are competitive in the
markets it serves. Product acceptance will depend upon many factors, including
the continued demonstration of the utility and cost-effectiveness of the
Company's products, the maintenance of regulatory clearance in the United States
and elsewhere and the continued availability of third-party reimbursement.
Failure of one or more of the Company's products to continue to be accepted by
the medical community or its inability to develop new products could have a
material adverse effect on the Company. Substantially all of the Company's
medical product sales are derived from medical products of companies that the
Company acquired. As the Company has acquired businesses and technologies, it
has acquired a number of related products under development which will require
additional research and development efforts by the Company in an attempt to
bring products to market. While members of management of the Company have
experience in developing products internally, the Company has not historically
developed a significant number of medical products internally. There can be no
assurance that the Company's medical products will be successfully developed and
marketed, that required regulatory approvals from the Food and Drug
Administration ("FDA") or equivalent foreign authorities for any indication will
be obtained or that any products, if produced, will be capable of being produced
in commercial quantities at reasonable costs, that such future products will be
brought to market in a timely manner or that existing products will generate
significant sales, the failure of any of which could have a material adverse
effect on the Company's business, operating results or financial condition.
 
     Concentration of Credit Risk; Extended Payment Terms. The Company sells
several lines that are considered "capital equipment" by hospitals and other
purchasers. From time to time, the Company offers
 
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<PAGE>   6
 
certain customers extended payment terms to facilitate sales of these products.
The Company may in the future grant similar extended payment terms. For the year
ended March 31, 1997, sales that the Company made pursuant to extended payment
terms were approximately 7% of total sales. The Company's typical payment terms
require payment from 30 to 90 days. As of June 30, 1997, the Company had a total
of $4.1 million of accounts receivable on extended payment terms with Integrated
Medical Resources, Inc. ("IMR") for sales of the Company's Rigiscan product
pursuant to terms under which the payments are due over 15-36 months. Over the
year ended March 31, 1997, the Company sold approximately $5.8 million of
products to IMR on extended payment terms. IMR is a public company traded on the
NASDAQ stock market under the symbol "IMRI." For its most recent fiscal year
ended December 31, 1996, IMR reported a loss of $6.5 million. Bruce Hazuka,
Chief Operating Officer of the Company, is a member of the board of directors of
IMR.
 
     Uncertainty Relating to Third-Party Reimbursement. In the United States,
health care providers, such as hospitals and physicians, that purchase
Urohealth's products and other medical devices, generally rely on third-party
payors, including private health insurance plans and federal Medicare and state
Medicaid, to reimburse all or part of the cost of the procedure in which the
medical device is being used. Reimbursement has traditionally been available in
the United States for vacuum erection devices manufactured by Urohealth and sold
by prescription to patients under a specific reimbursement code. The majority of
the remaining Urohealth products are used in procedures for which reimbursement
is generally available, however, there are no specific reimbursement codes for
Urohealth's products. There can be no assurance that reimbursement will be
available for procedures performed using Urohealth's existing products or future
products. In the event that reimbursement is not available for procedures using
such products, the market acceptance for such products in the United States
could be materially and adversely affected. In addition, certain health care
providers are moving toward a managed care system in which such providers
contract to provide comprehensive health care for a fixed cost per covered
individual. Urohealth is unable to predict what changes will be made in the
reimbursement methods utilized by third-party health care payors, and Urohealth
could be adversely affected by changes in reimbursement policies of governmental
or private health care payors, particularly to the extent any such changes
affect reimbursement for procedures in which its products are used. Failure by
physicians, hospitals and other users of Urohealth's products to obtain
sufficient reimbursement from health care payors for procedures in which their
products are used or adverse changes in governmental and private third-party
payors' policies toward reimbursement for such procedures would have a material
adverse effect on Urohealth's business, financial condition and results of
operations.
 
     Market acceptance of Urohealth's products in international markets may be
dependent in part upon the availability of reimbursement within prevailing
health care payment systems. Reimbursement and health care payment systems in
international markets vary significantly by country, and include both government
sponsored and private health insurance. There can be no assurance that any
international reimbursement approvals will be obtained in a timely manner, or at
all. Failure to receive international reimbursement approvals could have a
material adverse effect on market acceptance of Urohealth's products in
international markets and therefore could have a material adverse effect on
Urohealth's business, financial condition and results of operations.
 
     Management of Growth. The Company's growth has placed, and is expected to
continue to place, significant demands on its financial, operational and
management resources. In addition, in order to meet expected growth, the Company
expects to add administrative and other personnel and manufacturing capacity,
and make additional investments in operations and systems. There can be no
assurances that the Company will be able to find and train such personnel, or to
do so on a timely basis, or to expand its operations and manufacturing capacity
to the extent and in the time required. Continued growth in sales, including
sales under new group purchasing organization and distributor agreements, would
require the Company to carefully manage production capacity and inventory
levels, as well as quality controls, to meet increasing product demand and new
product introductions. The Company has already experienced rapid growth in its
inventory levels in anticipation of increased sales. Inaccuracies in demand
forecasts could result in insufficient or excessive capacity or inventories and
disproportionate overhead expenses. Failure to adequately manage growth,
including any unexpected costs, delays, quality control issues or inefficiencies
incurred or encountered
 
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<PAGE>   7
 
in connection with such management of growth could have a material adverse
effect on the Company's business, operating results or financial condition.
 
     Integration of Acquired Operations. The Company recently acquired X-Cardia
and Microsurge. The Company has integrated the operations of those acquired
entities with its own operations. No assurance can be given that the benefits
expected from such integration will be realized. In addition, the Company will
be subject to the risks that such recently acquired operations and future
acquisitions will not perform as expected and that the earnings from such
operations will not be sufficient to support the capital expenditures needed to
develop such operations in conformity with the Company's strategy. Any delays or
unexpected costs incurred in connection with such integration could have a
material adverse effect on the Company's business, operating results or
financial condition.
 
     Future Acquisitions. An important element of the Company's strategy is to
identify and acquire businesses and product lines. The Company actively seeks
acquisition opportunities in the regular course of its business and is engaged
in ongoing evaluations of and discussions with third parties regarding potential
acquisitions certain of which, if consummated, could be material. Since July
1995, the Company has acquired a number of medical product companies and product
lines and has acquired or licensed additional technology. As a result of those
acquisitions, the Company has experienced rapid growth. The Company expects to
continue to acquire additional products and companies in the future. There can
be no assurance that the Company will be able to implement or sustain its
acquisition strategy or that its strategy will ultimately prove profitable to
the Company. The Company will likely be required to issue additional shares of
Common Stock, incur additional debt or to use a portion of its cash balances to
make such future acquisitions. In addition, the terms of the Note Indenture and
the terms of other indebtedness may restrict the Company's ability to pursue and
consummate future acquisitions.
 
     Reliance on Patents and Proprietary Rights. The commercial success and
future revenue growth of the Company will depend, in part, on its ability to
operate without infringing on the rights of others both in the United States and
abroad and not breaching technology licenses that cover technology used in the
Company's products. The Company owns or has authority to use United States and
foreign patent rights with respect to some of its medical products and has
filed, and expects in the future to file, additional patent applications. It is
uncertain whether any third party patents will require the Company to develop
alternative technology or to alter its products or processes, obtain licenses or
cease certain activities. If such licenses are required, there can be no
assurance that the Company will be able to obtain such licenses on commercially
favorable terms, if at all. Failure by the Company to obtain a license to any
technology that it may require to commercialize its products could have a
material adverse effect on the Company. The Company acquired X-Cardia and its
cardiac output monitoring technology, and recently received approval of its
patent filed with respect to the technology. There can be no assurance as to the
breadth or degree of the protection that may be afforded by such patent, or
whether such applications ultimately may be approved resulting in the issuance
of patents. The Company believes that some measure of patent protection with
respect to its products will be required to allow it to compete with large
medical products companies. There can be no assurance that the Company will
continue to develop or acquire products or processes that are patentable or that
patents applied for will be issued or that any patents issued to or licensed by
the Company will not be challenged, invalidated or circumvented, or that the
rights granted thereunder will provide it with competitive advantages. In
addition, the Company could incur substantial costs in defending its proprietary
rights and there can be no assurance that a competitor's technology or product
would be found to infringe such rights. Although the Company believes that its
patents are valid, there can be no assurance that the validity of any patent
will be upheld if asserted by the Company against any party. Further, there can
be no assurances as to the breadth and degree of protection that will be
afforded the Company's patent rights or that other companies will not
independently develop similar but non-infringing competitive products. Moreover,
the laws of some foreign countries may not protect the Company's proprietary
rights to the same extent as the laws of the United States. In addition, there
is currently pending before Congress legislation providing for changes to the
patent law which may adversely affect pharmaceutical, biopharmaceutical and
biomedical firms. If such pending legislation is adopted, the extent to which
such changes would affect the operations of the Company cannot be ascertained.
 
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<PAGE>   8
 
     The patents or proprietary rights of others may have an adverse effect on
the ability of the Company to do business in the future. The Company may be
required to obtain licenses to patents or proprietary rights of other parties in
order to produce and sell certain of its products. No assurance can be given
that the Company's technology can be developed and commercialized without a
license to such patents or proprietary rights or that any licenses required
under any such patent or proprietary rights would be made available on terms
acceptable to the Company, if at all. If the Company does not obtain or maintain
such licenses, it could encounter delays in product introductions while it
attempts to design around or contest the validity of such patents, or the
Company could find that the development, manufacture or sale of products
requiring such licenses could be foreclosed, any of which could have a material
adverse effect on the Company. Furthermore there can be no assurance that
competitors or potential competitors will not independently develop similar or
alternative products to those of the Company, duplicate any of the Company's
products or technologies, or design around the patented technologies developed
by the Company or its licensors, any of which could have a material adverse
effect on the Company's business, results of operations or financial condition.
 
     The Company also relies on trade secrets, know-how, continuing
technological innovations and licensing opportunities to develop and maintain
its competitive position. There can be no assurance that others will not
independently create substantially equivalent proprietary information or
otherwise gain access to or disclose such information of the Company. It is the
Company's policy to require certain of its employees, contractors and
consultants to execute confidentiality agreements to protect its unpatented
proprietary technology and know-how. There can be no assurance that such
confidentiality agreements will not be breached, that the Company would have
adequate remedy for such breach, or that the Company's trade secrets will not
otherwise become known through independent discovery by competitors. Moreover,
in the absence of patent protection, the Company's business may be adversely
affected by competitors who independently develop substantially equivalent
technology.
 
     Regulatory Matters. Most of the Company's medical products are subject to
regulation for safety and efficacy by, among other governmental entities, the
FDA and corresponding agencies of state and foreign countries in which the
Company sells its products. The process of receiving governmental approval may
take a number of years and the expenditure of substantial resources. There can
be no assurance that even after such time and expenditures, regulatory approval
will be obtained for any of the products developed by the Company. If regulatory
approval of a product is granted, such approval may entail limitations on the
indicated uses for which the product may be marketed. Further, discovery of
previously unknown problems with a product, manufacturer or its manufacturing
facilities may result in restrictions on such product or manufacturer, including
withdrawal of the product from the market. The Federal Food, Drug and Cosmetic
Act, the Public Health Services Act and other federal statutes and regulations
govern or influence the testing, manufacture, safety, labeling, storage,
recordkeeping, approval, advertising and promotion of such products. Product
development and approvals within this regulatory framework take a number of
years and involve the expenditure of substantial resources. Noncompliance with
applicable requirements may have a material adverse effect on the Company and
can result in fines, warning letters, recall or seizure of products, total or
partial suspension of production, refusal by the government to approve product
license applications or allow the Company to enter into supply contracts, and
criminal prosecution. The FDA also has the authority to revoke product licenses
and establishment licenses previously granted. Failure to comply with present or
future regulatory requirements, or respond to the new information reflecting on
the safety or effectiveness of an approved product, can lead the FDA to withdraw
its approval to market a product. The Company incurs substantial costs in
complying with regulatory requirements.
 
     The FDA requires that a manufacturer introducing a new medical device or a
new indication for use of an existing medical device obtain either a 510(k)
premarket notification clearance or a premarket approval ("PMA") prior to being
introduced into the market. The 510(k) premarket notification clearance process
is significantly quicker and less costly than the PMA process. Substantially all
of the Company's FDA marketing clearances have been obtained through the FDA's
510(k) process; however, certain other products will require PMAs. The PMA
process is significantly more complex and time consuming than the 510(k)
notification process. The PMA process may take several years or longer and
requires the submission of extensive supporting data and clinical information.
The Company believes that it is in material compliance with the
 
                                        8
<PAGE>   9
 
FDA's 510(k) requirements for new and modified devices. The FDA has announced a
program to review approvals (510(k)s and PMAs) for certain devices. There can be
no assurance that upon any such review the FDA will agree with the Company's
determination regarding its 510(k)s. If the FDA were to disallow a 510(k)
marketing clearance for any device, the Company could be required to file
appropriate applications, either 510(k) or PMA, with the FDA or to take the
products in question off the market. If the FDA were to require suspension of
the sale of one or more of the products pending receipt of 510(k) clearance or
if the FDA were to refuse to grant 510(k) clearance, the Company's business,
results of operations and financial condition could be materially and adversely
affected. There can be no assurance that the Company will obtain timely
regulatory approval for its future products, or that existing approvals will not
be withdrawn. Moreover, regulatory approvals, if granted, may include
significant limitations on the indicated uses for which a product may be
marketed.
 
     Competition and Technological Change. The markets in which the Company
operates are very competitive and are characterized by rapidly evolving
technology and product obsolescence. The Company believes that its ability to
develop and commercialize new products and product enhancements is and will be
critical to its continued growth. There are a substantial number of medical
products companies and such companies could develop or offer products which
would compete with products which the Company currently markets or intends to
market. Some of these companies have marketing and distribution capabilities,
and many of them have capital resources and research and development staffs,
substantially greater than those of the Company. Moreover, it is reasonable to
expect additional entrants into the field. Any of these companies could
introduce competing products, which could cause a decline in sales or loss of
market acceptance of existing or future products of the Company. There can be no
assurances that technological change will not place one or more of the Company's
existing or future products at a competitive disadvantage. In addition,
increased competitive pressure could lead to intensified price-based competition
that could materially adversely affect the Company's business, results of
operations or financial condition. There can be no assurance that the Company
will be able to compete successfully in the future.
 
     Dependence on Management. The success of the Company will depend on its
ability to attract and retain highly qualified personnel. In particular, the
loss of Charles A. Laverty, the Company's Chief Executive Officer, could have a
material adverse effect on the Company's business if a suitable replacement
could not be found. The Company has an employment agreement with Mr. Laverty
that provides for a three-year term expiring on April 1, 1999. The agreement
automatically renews for additional three-year terms if not terminated by either
party by prior notice. The Company has "key person" insurance (solely payable to
the Company) on the life of Mr. Laverty in the amount of $5.0 million; however,
there can be no assurance that such insurance would be sufficient to compensate
the Company for his absence. There can be no assurance that the Company will be
successful in attracting or retaining key personnel.
 
     Products Liability Exposure. The medical products manufactured by the
Company have from time to time become the subject of products liability
litigation initiated by the patients using the products. In addition, as
additional products of the Company enter the market, the Company will be subject
to an increased risk of products liability claims. While the Company believes
that its products have been manufactured in accordance with industry standards,
and believes it has maintained adequate products liability insurance coverage,
any adverse claim or series of claims or adverse publicity resulting from a
claim, regardless of whether such claims are covered by insurance, could have a
material adverse effect on the Company's business, results of operations or
financial condition.
 
     Potential Tax Liability. In connection with the redomestication of the
Company from Canada to the State of Delaware in July 1995, the Company has filed
a final Canadian tax return reporting the "deemed sale" of assets of Davstar
Industries Ltd. (the Canadian parent company). The Company anticipates that the
Canadian tax authorities will review the tax status of the former entity,
Davstar Industries Ltd., as a result of its redomestication from Canada to the
United States and believes that all or at least a significant amount of any
potential Canadian tax liability arising from the redomestication would be
offset against the Company's Canadian loss carryforwards. However, the Canadian
tax authorities could attempt to assign a greater value to the Company than used
in the Company's estimates, which could result in some amount of Canadian tax
that cannot be presently determined being assessed in a future period. No
provision for any liability that may result
 
                                        9
<PAGE>   10
 
from the ultimate resolution of this tax matter has been included in the
accompanying consolidated financial statements.
 
     Potential Impact of Pending Legal Proceedings. In July 1997, several
complaints were filed against Urohealth, certain its officers and directors and,
in certain complaints, the lead underwriters of Urohealth's November 1996 public
offering, requesting certification of a class action, alleging various
violations of Federal securities laws and seeking unspecified compensatory
damages. The suits were filed in the United States District Court for the
Central District of California. All of the suits are based on substantially the
same facts and have been brought on behalf of purchasers of Common Stock of
Urohealth during various periods between July 18, 1996 and July 1, 1997. No
proceedings have taken place in any of the suits. There can be no assurance that
any of these suits will not result in an outcome unfavorable to Urohealth or
that the outcome of any of these suits will not have material adverse effect on
Urohealth's business, results of operations or financial condition.
 
     Limitation on Use of Tax Net Operating Loss Carryovers. As of March 31,
1997, the Company had accumulated net operating loss carryovers for U.S. federal
and state income tax purposes of approximately $92 million and $68 million,
respectively. These loss carryovers would expire, if not previously utilized
against income of the Company, in various years through 2012. The future income
tax benefit of these losses has not been given recognition in the Consolidated
Financial Statements. Under Section 382 of the United States Internal Revenue
Code of 1986, as amended (the "Code"), and corresponding provisions of state tax
law, certain "ownership changes" with respect to the stock of a corporation
having unused net operating loss carryovers (a "loss corporation"), or with
respect to the stock of its parent corporation, may result in annual limitations
on utilizations of such loss carryovers against future income of the loss
corporation. In connection with the acquisitions of Osbon Medical Systems Ltd.
in December 1995, an ownership change occurred for purposes of Section 382 of
the Code, thereby subjecting the Company to annual limitations on its ability to
offset its existing loss carryovers against its future income. In connection
with the acquisition of Microsurge on March 31, 1997, an additional ownership
change may have occurred. The Company believes this additional ownership change
will not reduce the December 29, 1995 Section 382 limitation, but will place
limitations on the maximum annual utilization of operating loss carryforwards
generated subsequent to such date.
 
     Warrants and Options; Potential Dilution and Adverse Impact on Additional
Financing.  The Company has a significant number of outstanding options and
warrants. In addition, in May and July 1996, the Company issued $50.0 million of
the Company's 8.75% Convertible Subordinated Debentures due 2006 (the
"Debentures") which are convertible into Common Stock of the Company at a
conversion price, subject to adjustment, of $10.90 per share. The holders of the
Debentures would be entitled to receive 4,587,156 shares of Common Stock if such
holders elected to convert all of the Debentures into Common Stock. To the
extent that the outstanding options and warrants are exercised, or convertible
securities are converted, dilution of the interests of the Company's
stockholders may occur. The existence of such warrants, options and convertible
securities may adversely affect the terms on which the Company can obtain
additional financing, and the holders of such warrants, options and convertible
securities can be expected to exercise them at a time when the Company would, in
all likelihood, be able to obtain additional capital by an offering of its
unissued capital stock on terms more favorable to the Company than those
provided by such warrants, options and convertible securities.
 
     Rights Agreements; Anti-takeover Effects.  The Company has adopted a
Preferred Share Purchase Rights Plan, pursuant to a Rights Agreement dated as of
May 20, 1993 (the "Rights Agreement"). The Rights Agreement provides for the
type of plan commonly called a "poison pill." The Rights Agreement is intended
to prevent abusive hostile takeover attempts. However, the Rights Agreement
could have the effect of deterring or preventing an acquisition of the Company
even if a majority of the Company's stockholders would be in favor of such
acquisition, and could also have the effect of making it more difficult for a
person or group to gain control of the Company or to change existing management.
 
     Volatility of Stock Price.  The market price of the Company's Common Stock
is subject to significant fluctuations in response to variations in quarterly
operating results, general trends in the market for healthcare products, and
other factors. In addition, broad market fluctuations as well as general
economic or political
 
                                       10
<PAGE>   11
 
conditions such as healthcare reform may adversely affect the market price of
the Urohealth Common Stock, regardless of the Company's actual operating
performance. The market price of the Company's Common Stock has historically
been very volatile. See "Price Range of Common Stock and Dividends."
 
     Absence of Dividends.  The Company has never paid any cash dividends and
does not anticipate paying cash dividends in the foreseeable future. In
addition, the Company is restricted in its ability to pay dividends under
outstanding credit facilities.
 
     Forward-Looking Statements. Certain statements contained, or incorporated
by reference, herein, including without limitation, statements containing the
words "believes," "anticipates," "intends," "expects" and words of similar
import, constitute "forward-looking statements." Such forward-looking statements
involve known and unknown risks, uncertainties and other factors that may cause
the actual results, performance or achievements of the Company or industry
results to be materially different from any future results, performance or
achievements expressed or implied by such forward-looking statements. Such
factors include, among others, the following: general economic and business
conditions, both domestic and foreign; industry capacity; management of growth;
development of products; proprietary rights; demographic changes; existing
government regulations and changes in, or the failure to comply with, government
regulations; legislative proposals for healthcare reform; liability and other
claims asserted against the Company; competition; the loss of any significant
customers; changes in operating strategy or development plans; the ability to
attract and retain qualified personnel; the significant indebtedness of the
Company; the availability and terms of capital to fund the expansion of the
Company's business; and other factors referenced herein. Given these
uncertainties, prospective investors are cautioned not to place undue reliance
on such forward-looking statements.
 
                   PRICE RANGE OF COMMON STOCK AND DIVIDENDS
 
     Urohealth's Common Stock is traded on the Nasdaq National Market under the
symbol "UROH." Prior to November 26, 1996, the Company's Common Stock was traded
on the American Stock Exchange. The following table sets forth the high and low
sales prices per share for the periods indicated. The information in the table
has been adjusted to give effect to the one-for-three reverse stock split that
was effective December 29, 1995. For current price information, prospective
purchasers are encouraged to consult publicly available sources.
 
<TABLE>
<CAPTION>
                                                                            HIGH      LOW
                                                                            ---       ---
    <S>                                                                     <C>       <C>
    FISCAL 1996:
      First quarter.......................................................  $13-7/8   $ 9
      Second quarter......................................................  $ 9-3/8   $ 6-3/16
      Third quarter.......................................................  $13-1/8   $ 8-1/8
 
    FISCAL 1997:
      First quarter.......................................................  $16       $11-3/4
      Second quarter......................................................  $15-1/4   $ 9-1/2
      Third quarter.......................................................  $13-1/4   $ 7-1/4
      Fourth quarter......................................................  $11-7/8   $ 7-1/4
 
    FISCAL 1998:
      First quarter.......................................................  $10-1/4   $ 4-3/4
      Second quarter (through September 15, 1997).........................  $ 6       $ 4
</TABLE>
 
     The Company has never paid cash dividends on its Common Stock and does not
anticipate that it will do so in the foreseeable future. The present policy of
the Company is to retain earnings, if any, to finance the anticipated growth of
its business. In addition, the Company is restricted from paying cash dividends
under the terms of outstanding indebtedness.
 
                                       11
<PAGE>   12
 
                              SELLING STOCKHOLDERS
 
     The Selling Stockholders are persons who acquired shares in connection with
the acquisitions by the Company of businesses and technology and an entity that
provided debt and equity financing to the Company. The shares covered by this
Prospectus are being registered to permit public secondary trading of the shares
and the Selling Stockholders may offer the shares for resale from time to time.
See "Plan of Distribution."
 
     Except as described below, none of the Selling Stockholders has had a
material relationship with the Company within the past three years other than as
a result of the ownership of the Common Stock and other securities of the
Company.
 
     The following table sets forth certain information with respect to the
number of shares owned by certain Selling Stockholders prior to and after the
offering (assuming each Selling Stockholder elects to sell all of its shares
being registered). The "X-Cardia Contingent Shares" included in the table below
will be distributed, if at all, to the former X-Cardia shareholders in
proportion to their ownership interest in X-Cardia as of the closing date upon
achievement of certain milestones.
 
<TABLE>
<CAPTION>
                                        SHARES           PERCENT                       SHARES        PERCENT
                                      BENEFICIALLY    BENEFICIALLY       NUMBER      BENEFICIALLY  BENEFICIALLY
                                      OWNED PRIOR      OWNED PRIOR      OF SHARES    OWNED AFTER   OWNED AFTER
                                      TO OFFERING    TO OFFERING(1)      OFFERED      OFFERING     OFFERING(1)
                                      -----------    ---------------   -----------   -----------   -----------
<S>                                   <C>            <C>               <C>           <C>           <C>
Avatex Corporation..................   2,464,827(2)        8.4%         1,414,827     1,050,000         3.6%
Julian W. Osbon.....................   1,236,338           5.3          1,236,338            --          --
Vista Medical Technologies, Inc.....     110,000             *            110,000            --          --
Charles Klieman.....................     123,288             *            123,288            --          --
John Stigglebout....................      41,096             *             41,096            --          --
Domain Partners II LP...............     289,261           1.0            289,261            --          --
Highland Capital Partners LP........     340,922           1.2            340,922            --          --
Allstate Insurance Company Entities
  (3)...............................     454,563           1.7            454,563            --          --
American Healthcare Fund II L.P.....     200,964             *            200,964            --          --
BancBoston Ventures, Inc............     173,601             *            173,601            --          --
Old Court Limited...................     144,483             *            144,483            --          --
Edison Venture Fund II, L.P.........     136,512             *            136,512            --          --
Edison Venture Fund II-PA, L.P......      26,252             *             26,252            --          --
Medical Science Partners II
  Co-Investment LP..................      16,187             *             16,187            --          --
Medical Science Partners II, LP.....     135,699             *            135,699            --          --
Medical Science Partners, LP........     209,500             *            209,500            --          --
Menlo Entrepreneurs Fund VI, L.P....       5,409             *              5,409            --          --
Menlo Ventures VI, L.P..............     306,633           1.3            306,633            --          --
Al-Midani Investment Company........      16,003             *             16,003            --          --
Amr Khashoggi.......................       8,239             *              8,239            --          --
Amram Rasiel........................       3,700             *              3,700            --          --
Anne Devlin.........................          69             *                 69            --          --
ASH Properties Ltd..................       2,071             *              2,071            --          --
Bestin Worldwide Limited............       7,342             *              7,342            --          --
Biomedical Associates...............       7,400             *              7,400            --          --
Dah Sing Health & Happiness
  Investment........................       1,046             *              1,046            --          --
Dah Sing Medical Science
  Investments.......................         697             *                697            --          --
Europar.............................      12,554             *             12,554            --          --
Finovelec...........................      51,922             *             51,922            --          --
Fortunate Investment Ltd............         348             *                348            --          --
Fredrik Schroeder...................      11,719             *             11,719            --          --
Friendship First Health & Happiness
  Investment........................         209             *                209            --          --
Genese Investissements..............      13,128             *             13,128            --          --
Patrick Hamas.......................         528             *                528            --          --
</TABLE>
 
                                       12
<PAGE>   13
 
<TABLE>
<CAPTION>
                                        SHARES           PERCENT                       SHARES        PERCENT
                                      BENEFICIALLY    BENEFICIALLY       NUMBER      BENEFICIALLY  BENEFICIALLY
                                      OWNED PRIOR      OWNED PRIOR      OF SHARES    OWNED AFTER   OWNED AFTER
                                      TO OFFERING    TO OFFERING(1)      OFFERED      OFFERING     OFFERING(1)
                                      -----------    ---------------   -----------   -----------   -----------
<S>                                   <C>            <C>               <C>           <C>           <C>
Jacques Chalain.....................         528             *                528            --          --
Bernard Daugeras....................         528             *                528            --          --
Jean Jacquin........................         528             *                528            --          --
Jean-Marc Palouillaud...............       1,219             *              1,219            --          --
Alain Lacoste.......................         243             *                243            --          --
Institut de Developpement
  Industriel........................       2,883             *              2,883            --          --
Georges Muller......................       8,386             *              8,386            --          --
K/S Nordic Health Care Partners.....      49,543             *             49,543            --          --
Patrick A. Gerschel.................       2,015             *              2,015            --          --
Gutrafin Ltd........................         154             *                154            --          --
SEIF Foundation.....................       7,401             *              7,401            --          --
Thomas F. Richardson................          69             *                 69            --          --
Vencap Holdings.....................      27,383             *             27,383            --          --
Viking Medical Ventures Limited.....      34,399             *             34,399            --          --
Baccus, John........................          34             *                 34            --          --
Bhatta, Krishna.....................         571             *                571            --          --
The Brigham & Women's Hospital,
  Inc...............................           6             *                  6            --          --
Cohen, David S......................           5             *                  5            --          --
Kenneth W. Grant and Sharon H. Grant          68             *                 68            --          --
E. James Hutchens...................         954             *                954            --          --
Implemed, Inc.......................          82             *                 82            --          --
Theresa M. McMahon..................           3             *                  3            --          --
John Meade..........................          68             *                 68            --          --
National Contracts, Inc.............          27             *                 27            --          --
Gary W. Nelson......................           3             *                  3            --          --
Normand A. Paulus...................           3             *                  3            --          --
Sugar Surgical Technologies, Inc....         137             *                137            --          --
Michael G. Vergano..................          32             *                 32            --          --
Yarter, James R.....................         137             *                137            --          --
Amelia I. Adler.....................       4,002             *              4,002            --          --
Barbara Pariser Adler -- Living
  Trust 11/18/93....................      12,605             *             12,605            --          --
Jonathan P. Adler...................       4,022             *              4,022            --          --
Lisa Adler..........................       4,022             *              4,022            --          --
Rami Aronzon........................       6,032             *              6,032            --          --
Ronald F. Baireuther................         302             *                302            --          --
Dr. Arie Belldegrun and Dr. Rebecka
  Belldegrun........................      21,386             *             21,386            --          --
Robert I. Bodian....................      12,065             *             12,065            --          --
Gerald E. Conen.....................       5,006             *              5,006            --          --
Coolley Godward LLP.................      12,065             *             12,065            --          --
Gerald and Myra S. Dorris
  Irrevocable Trust dated 12/4/95...      62,336             *             62,336            --          --
Dorros Family Partners, Ltd.
  (Stephen Dorros)..................       9,944             *              9,944            --          --
Howard Elefant, M.D.................       5,028             *              5,028            --          --
Eltam Holdings (1996) Ltd...........       7,166             *              7,166            --          --
Dr. Ilya Fine.......................       5,176             *              5,176            --          --
Michael Fischer.....................       5,028             *              5,028            --          --
William Frisbey.....................       4,948             *              4,948            --          --
Rochelle Gaylor.....................       5,028             *              5,028            --          --
Leonid Goldinov.....................         199             *                199            --          --
</TABLE>
 
                                       13
<PAGE>   14
 
<TABLE>
<CAPTION>
                                        SHARES           PERCENT                       SHARES        PERCENT
                                      BENEFICIALLY    BENEFICIALLY       NUMBER      BENEFICIALLY  BENEFICIALLY
                                      OWNED PRIOR      OWNED PRIOR      OF SHARES    OWNED AFTER   OWNED AFTER
                                      TO OFFERING    TO OFFERING(1)      OFFERED      OFFERING     OFFERING(1)
                                      -----------    ---------------   -----------   -----------   -----------
<S>                                   <C>            <C>               <C>           <C>           <C>
William J. Gore.....................      10,054             *             10,054            --          --
Bert Green..........................      36,195             *             36,195            --          --
Jacqueline D. Green, M.D............       5,028             *              5,028            --          --
Arthur Grossman.....................      10,054             *             10,054            --          --
Dennis G. and Phyllis Hepp JT
  (WROS)............................       1,061             *              1,061            --          --
Damiano Iocovozzi...................       6,032             *              6,032            --          --
Sriram S. Iyer......................       5,028             *              5,028            --          --
Victor Kaikov.......................         597             *                597            --          --
Yeshayahu Katz & Mira Ruven Katz....      17,519             *             17,519            --          --
James F. King.......................      20,109             *             20,109            --          --
Janusz Antoni Kuzma.................       1,006             *              1,006            --          --
Dr. Reuben M. Lewinsky..............         796             *                796            --          --
Donald H. Lieberman.................       5,028             *              5,028            --          --
Robert Lieberman....................      10,054             *             10,054            --          --
S. Bert Litwin, M.D.................      60,363             *             60,363            --          --
Dev R. Manhas, Manhas Family Living
  Trust.............................      10,054             *             10,054            --          --
Marguerite M. McHenry...............      18,098             *             18,098            --          --
William I. Merizon..................      60,326             *             60,326            --          --
Frederick W. Merizon................      10,054             *             10,054            --          --
Mark W. Mewissen....................       5,028             *              5,028            --          --
Richard A. Miller...................      10,054             *             10,054            --          --
Joseph Olchefski & Judy Bunnell
  (Jt. Ten WROS)....................       4,022             *              4,022            --          --
Claudio Schonholz...................       5,028             *              5,028            --          --
Robert Kevin Plemmons...............       5,028             *              5,028            --          --
Stephen R. Ramee, M.D...............      12,065             *             12,065            --          --
Samuel J. Recht.....................       3,016             *              3,016            --          --
James M. Reiter.....................         905             *                905            --          --
Gary S. Roubin......................      10,054             *             10,054            --          --
Alan Sanders........................      24,131             *             24,131            --          --
Smith Barney, Inc., Rollover
  Custodian fbo Alan Sanders........      12,065             *             12,065            --          --
Gerald Jay Sanders..................     398,151           1.4            398,151            --          --
Kamal R. Neimat
  c/f Benjamin Neimat...............       5,415             *              5,415            --          --
Kamal R. Neimat
  c/f Peter Neimat Mandel...........       5,415             *              5,415            --          --
Bert Green, Trustee of Sanders
  Family Trusts, SNS dated
  5-19-95...........................      24,131             *             24,131            --          --
Sattell, Johnson, Appel & Co., S.C.,
  Retirement Plan dated 6-30-82 fbo
  Barry S. Sattell..................       4,022             *              4,022            --          --
Sattell, Johnson, Appel & Co., S.C.,
  Retirement Plan fbo Michael I.
  Sattell, dated 6-20-83, Milton
  Sattell, Trustee..................       4,022             *              4,022            --          --
Ascher Schmulewitz..................     408,434           1.4            408,434            --          --
Adee Mia Schmulewitz, Trust A of
  1996, Andrei M. Manoliu,
  Trustee...........................       1,006             *              1,006            --          --
Adee Mia Schmulewitz, Trust B of
  1996, Andrei M. Manoliu,
  Trustee...........................       4,022             *              4,022            --          --
</TABLE>
 
                                       14
<PAGE>   15
 
<TABLE>
<CAPTION>
                                        SHARES           PERCENT                       SHARES        PERCENT
                                      BENEFICIALLY    BENEFICIALLY       NUMBER      BENEFICIALLY  BENEFICIALLY
                                      OWNED PRIOR      OWNED PRIOR      OF SHARES    OWNED AFTER   OWNED AFTER
                                      TO OFFERING    TO OFFERING(1)      OFFERED      OFFERING     OFFERING(1)
                                      -----------    ---------------   -----------   -----------   -----------
<S>                                   <C>            <C>               <C>           <C>           <C>
Odelia Schmulewitz, Trust A of 1994,
  Andrei M. Manoliu, Trustee........       1,006             *              1,006            --          --
Odelia Schmulewitz, Trust B of 1994,
  Andrei M. Manoliu, Trustee........       4,022             *              4,022            --          --
Omri S. Schmulewitz, Trust A of
  1994, Andrei M. Manoliu,
  Trustee...........................       1,066             *              1,066            --          --
Omri S. Schmulewitz, Trust B of
  1994, Andrei M. Manoliu,
  Trustee...........................       4,022             *              4,022            --          --
Orna L. Shulman.....................      10,859             *             10,859            --          --
Manuel J. Simoes....................       6,032             *              6,032            --          --
Dr. Alex Sternberg..................       8,363             *              8,363            --          --
Kay Syrrist.........................      12,065             *             12,065            --          --
Fredric Marc Tobis..................       6,032             *              6,032            --          --
Lawrence A. Trebon & Mayhew Profit
  Sharing Plan for the account of
  Lawrence A. Trebon................       4,022             *              4,022            --          --
Yossef Turkaspa.....................         796             *                796            --          --
Ron Wolotzky........................      24,131             *             24,131            --          --
Lawrence Way, Trustee for the
  Benefit of the Way Living Trust...       1,006             *              1,006            --          --
Henrietta Wright....................       4,022             *              4,022            --          --
Bruce W. Wynn.......................      10,054             *             10,054            --          --
X-Cardia Contingent Shares..........   1,200,000           4.3          1,200,000            --          --
Elliot Kornberg, M.D................     115,680             *            115,680            --          --
William Tarello.....................      76,520             *             76,520            --          --
Stephen J. Shapiro..................      66,965             *             66,965            --          --
Alan Schempp........................      44,643             *             44,643            --          --
Leon Daykhovsky.....................      22,321             *             22,321            --          --
Stephen A. Sonowski.................      44,643             *             44,643            --          --
</TABLE>
 
- ---------------
 
 *  Less than 1%.
 
(1) Includes outstanding options and warrants and the Company's 8.75%
    Convertible Subordinated Debentures due 2006 (the "Convertible Debentures").
    The Convertible Debentures vote with the Common Stock of the Company on an
    "as converted" basis, and if all converted would convert into 4,587,156
    shares of Common Stock.
 
(2) Includes 1,414,827 shares of Common Stock and warrants to purchase 1,050,000
    shares of Common Stock which are currently exercisable. Abbey Butler and
    Melvyn Estrin, each of whom serves as a director of Urohealth, are the Co-
    Chairman and Co-Chief Executive Officers of Avatex Corporation, and may be
    deemed to be the beneficial owners of the shares owned by Avatex
    Corporation.
 
(3) Includes shares owned by Allstate Insurance Company and Allstate Life
    Insurance Company. These entities are affiliates under common control.
 
                                       15
<PAGE>   16
 
     In March and July 1995, the Company sold to Avatex Corporation (formerly
FoxMeyer Corporation) ("Avatex") a total of 60,000 shares of Series B Preferred
Stock for an aggregate purchase price of $4,000,000. The Series B Preferred
Stock had an aggregate redemption value and conversion value of $6,000,000. The
Series B Preferred Stock was entitled to dividends at a rate per annum of $6.25
per share for dividends paid by issuing additional shares of Series B Preferred
Stock. The Series B Preferred Stock was convertible into Common Stock of the
Company at $6.00 per share.
 
     In March 1995 Avatex also purchased from the Company for $1,000,000 a
Convertible Note with a face principal amount of $2,000,000. The note bore
interest at a rate per annum equal to 6.250% with respect to interest payments
made by delivering additional notes. The Convertible Note was convertible into
Common Stock of the Company of $6.00 per share.
 
     In May 1996, Avatex converted all of the Series B Preferred Stock and the
Convertible Note described above into Common Stock of the Company. In connection
with that transaction, the Company replaced existing warrants to purchase
800,000 shares of Common Stock of the Company with a new warrant to purchase
800,000 shares of Common Stock at a blended exercise price of $6.875 per share.
In addition, the Company issued Avatex a warrant to purchase 250,000 shares of
Common Stock at an exercise price of $10.00 per share. The Company also agreed
to use its reasonable best efforts to maintain the two board seats currently
held by Avatex nominees as a result of their ownership of Series B Preferred
Stock for the next two years.
 
     In December 1995, the Company acquired Osbon in a transaction pursuant to
which Julian Osbon acquired the shares of Common Stock listed in the above
table. In connection with that transaction, Mr. Osbon was granted certain
registration rights with respect to the shares acquired. Julian W. Osbon
previously served as a director of Urohealth.
 
     In connection with the consummation of the Osbon merger, the Company
entered into a three-year employment agreement with Julian W. Osbon which
provided for a minimum annual salary of $400,000. Urohealth engages from time to
time Charter Advertising, a company wholly-owned by Julian W. Osbon, to perform
advertising services with respect to the Osbon products at rates and for
services which are competitive with rates and services for similar services
available from third parties.
 
     Under the terms of the Osbon Merger Agreement, Urohealth has agreed to
continue the funding of a non-profit, public benefit corporation established by
Geddings Osbon Sr. The non-profit corporation currently receives funding from
Osbon, and Julian W. Osbon serves on the Board of Directors of the non-profit
corporation. The minimum funding obligations of Urohealth under the Osbon Merger
Agreement are: (i) $500,000 for the first full fiscal year after the Osbon
Merger; and (ii) 2% of pre-tax profits with respect to Osbon operations for the
second, third and fourth fiscal years after the Osbon Merger.
 
     In December 1996, the Company obtained an exclusive license from Vista
Medical Technologies, Inc. ("Vista") with respect to certain patented and other
technology. Pursuant to the license agreement, the Company paid Vista a
licensing fee of $1,000,000 and issued Vista 110,000 shares of Common Stock of
the Company. In addition, the Company is obligated to pay Vista a royalty based
on products sold which use the licensed technology. Through June 30, 1997, no
royalties had been paid under the terms of the agreement.
 
     In March 1997, the Company obtained an exclusive license from Charles
Klieman and John Stiggelbout ("Licensors") with respect to certain patented and
other technology relating to pivotal endoscopic surgical instruments. Pursuant
to the license agreement, the Company paid a licensing fee of $1,500,000 and
issued 164,384 shares of Common Stock of the Company. In addition, the Company
is obligated to pay Licensors a royalty based on products sold which use the
licensed technology. Through June 30, 1997, no royalties had been paid under the
terms of the agreement.
 
     In February 1997, the Company acquired X-Cardia Corporation ("X-Cardia")
pursuant to a merger of X-Cardia with and into a wholly-owned subsidiary of the
Company. Pursuant to the merger agreement all of the outstanding shares of
capital stock of X-Cardia were converted into the shares of Common Stock of the
Company. In addition, under the merger agreement the former X-Cardia
shareholders are entitled to receive additional cash and stock based on
achievement of certain milestones. The former X-Cardia shareholders are also
entitled to receive an earn-out amount based on sales of X-Cardia products
during the four years after first
 
                                       16
<PAGE>   17
 
commercial introduction of a product using X-Cardia technology. The former
X-Cardia shareholders received a total of 1,295,700 shares of Common Stock of
the Company, and upon resolution of future contingencies are entitled to receive
a combination of stock and cash in the amount of $21 million, excluding amounts
due under the earn-out arrangement. As of June 30, 1997, the contingent
milestones had not been achieved and, therefore, no milestone payments have been
made, and no royalties have been paid under the terms of the agreement. Messrs.
Sanders and Shmulewitz are former X-Cardia shareholders and the shares of
Urohealth Common Stock reflected in the above table were acquired in connection
with the X-Cardia Merger. None of the other former X-Cardia shareholders
acquired in the X-Cardia Merger one percent or more of the outstanding Urohealth
Common Stock.
 
     In March 1997, the Company acquired Microsurge pursuant to a merger of a
wholly-owned subsidiary of the Company with and into Microsurge. Pursuant to the
merger agreement, Microsurge became a wholly-owned subsidiary of the company and
all of the outstanding shares of capital stock of Microsurge were converted into
shares of Common Stock of the Company. The Company issued or will issue
approximately 2,800,000 shares of Common Stock in the Microsurge merger. The
shares reflected in the above table as owned by Allstate Insurance Company,
Allstate Life Insurance Company, Domain Partners II LP, Highland Capital
Partners LP, Medical Science Partners LP and Menlo Ventures VI LP were acquired
by those stockholders in the Microsurge merger. None of the other former
Microsurge stockholders acquired in the Microsurge merger one percent or more of
the outstanding Urohealth Common Stock.
 
     In March 1997, the Company acquired PEBB Biopsy Corporation ("PEBB") in a
transaction pursuant to which PEBB merged with and into a wholly-owned
subsidiary of the Company. In the merger, all of the outstanding shares of
capital stock of PEBB were converted into an aggregate of $1,200,000 and 192,000
shares of Common Stock of the Company. In connection with the transaction, Dr.
Kornberg, a former shareholder of PEBB, entered into a five-hear consulting
agreement with the Company pursuant to which the Company pays Dr. Kornberg
$100,000 per year. The shares reflected in the above table as owned by Dr.
Kornberg and Mr. Tarello were acquired in the PEBB merger.
 
     Messrs. Shapiro, Schampp, Daykhovsky and Sonowski acquired an aggregate of
178,572 shares of Common Stock of the Company in connection with the acquisition
of Endoscopic Imaging Systems, Inc. ("EIS") by the Company in May 1996. Under
the Merger Agreement, the former EIS shareholders received the shares of Common
Stock of the Company listed above in exchange for all of the issued and
outstanding shares of EIS capital stock. In addition, the former EIS
shareholders are entitled to an earn-out payment based on future sales of
products acquired by the Company from EIS as a result of the merger. Dr. Shapiro
is also an employee of, and acts as a consultant to, the Company.
 
                                       17
<PAGE>   18
 
                              PLAN OF DISTRIBUTION
 
     The Common Stock offered hereby may be sold from time to time to purchasers
directly by any of the Selling Stockholders. Alternatively, any of the Selling
Stockholders may from time to time offer the Common Stock through underwriters,
dealers or agents who may receive compensation in the form of underwriting
discounts, concessions or commissions from the Selling Stockholders and/or the
purchasers of Common Stock for whom they may act as agent. The Selling
Stockholders and any underwriters, dealers or agents participating in the
distribution of Common Stock may be deemed to be underwriters, and any profit on
the sale of Common Stock by them and any discounts, commissions or concessions
received by any such underwriters, dealers or agents might be deemed to be
underwriting discounts and commissions under the Securities Act. At the time a
particular offer of Common Stock is made, if required, a Prospectus Supplement
will be distributed which will set forth the aggregate amount of Common Stock
being offered and the terms of the offering, including the name or names of any
underwriters, dealers or agents, any discounts, commissions and other items
constituting compensation from the Selling Stockholders and any discounts,
commissions or concessions allowed or reallocated or paid to dealers, including
the proposed selling price to the public. The Company will not receive any of
the proceeds from the sale by the Selling Stockholders of the Common Stock
offered hereby.
 
     The Common Stock may be sold from time to time in one or more transactions
at a fixed offering price, which may be changed, or at varying prices determined
at the time of sale or at negotiated prices. Such prices will be determined by
the Selling Stockholders or by agreement between the Selling Stockholders and
underwriters or dealers.
 
     Under applicable rules and regulations under the Exchange Act, any person
engaged in a distribution of any of the Common Stock may not simultaneously
engage in market activities with respect to any of the Common Stock for a period
of nine business days prior to the commencement of such distribution. In
addition and without limiting the foregoing, the Selling Stockholders will be
subject to applicable provisions of the Exchange Act and the rules and
regulations thereunder, including, without limitation, Regulation M, which
provisions may limit the timing of purchases and sales of any of the Common
Stock by the Selling Stockholders. All of the foregoing may affect the
marketability of the Common Stock.
 
     Pursuant to agreements with the Selling Stockholders, the Company will pay
substantially all of the expenses incident to the registration, offering and
sale of the Common Stock to the public other than commissions and discounts of
underwriters, dealers or agents, and has agreed to indemnify the Selling
Stockholders against certain liabilities, including liabilities under the
Securities Act.
 
     In order to comply with certain states' securities laws, if applicable, the
Common Stock will be sold in such jurisdictions only through registered or
licensed brokers or dealers. In certain states the Common Stock may not be sold
unless the Common Stock has been registered or qualified for sale in such state
or an exemption from registration or qualification is available and is complied
with.
 
     The Company has agreed to keep the Registration Statement of which this
Prospectus forms a part continuously effective until March 31, 1998 or such
shorter period which will terminate when all Common Stock covered by the
Registration Statement has been sold.
 
                                       18
<PAGE>   19
 
                                 LEGAL MATTERS
 
     Certain legal matters will be passed upon for the Company by Kevin M.
Higgins, Esq.
 
                                    EXPERTS
 
     The consolidated financial statements of the Company as of March 31, 1996
and 1997, and for the year ended June 30, 1995, for the nine months ended March
31, 1996 and for the year ended March 31, 1997, included in the Company's Annual
Report on Form 10-K/A (Amendment No. 2), have been audited by Ernst & Young LLP,
independent auditors, as set forth in their reports thereon included therein and
incorporated herein by reference. Such reports are based in part on the report
of Coopers & Lybrand L.L.P., independent accountants, with respect to the
consolidated financial statements of Microsurge, Inc., as of March 31, 1996 and
1997 and for the year ended December 31, 1995, the nine months ended March 31,
1996 and the year ended March 31, 1997 (not separately included or incorporated
herein) and the report of KPMG Peat Marwick LLP, independent auditors with
respect to the consolidated financial statements of Dacomed Corporation for the
year ended June 30, 1995 (not separately included or incorporated herein). The
consolidated financial statements referred to above are incorporated herein by
reference in reliance upon such reports given upon the authority of such firms
as experts in accounting and auditing.
 
     The consolidated financial statements of X-Cardia Corporation at December
31, 1996, and for the period from inception (February 13, 1996) through December
31, 1996, incorporated by reference herein from Amendment No. 2 to the Company's
Registration Statement on Form S-4 (No. 333-26503) have been audited by Ernst &
Young LLP, independent auditors, as set forth in their report thereon included
therein and incorporated by reference herein. Such consolidated financial
statements are incorporated by reference herein in reliance upon such report
given upon the authority of such firm as experts in accounting and auditing.
 
     The consolidated financial statements of Richard-Allan Medical Industries,
Inc., as of June 30, 1995 and March 31, 1996 and for the years ended June 30,
1994 and 1995 and for the nine months ended March 31, 1996, incorporated by
reference herein from Amendment No. 2 to the Company's Registration Statement on
Form S-4 (No. 333-26503) have been audited by Ernst & Young LLP, independent
auditors, as set forth in their report thereon included therein and incorporated
by reference herein. Such consolidated financial statements are incorporated by
reference herein in reliance upon such report given upon the authority of such
firm as experts in accounting and auditing.
 
                                       19
<PAGE>   20
 
======================================================
 
  NO DEALER, SALESPERSON OR OTHER INDIVIDUAL HAS BEEN AUTHORIZED TO GIVE ANY
INFORMATION OR TO MAKE ANY REPRESENTATIONS NOT CONTAINED IN THIS PROSPECTUS IN
CONNECTION WITH THE OFFERING COVERED BY THIS PROSPECTUS. IF GIVEN OR MADE, SUCH
INFORMATION OR REPRESENTATIONS MUST NOT BE RELIED UPON AS HAVING BEEN AUTHORIZED
BY THE COMPANY. THIS PROSPECTUS DOES NOT CONSTITUTE AN OFFER TO SELL OR A
SOLICITATION OF AN OFFER TO BUY, THE COMMON STOCK IN ANY JURISDICTION WHERE, OR
TO ANY PERSON TO WHOM, IT IS UNLAWFUL TO MAKE SUCH OFFER OR SOLICITATION.
NEITHER THE DELIVERY OF THIS PROSPECTUS NOR ANY SALE HEREUNDER SHALL, UNDER ANY
CIRCUMSTANCES, CREATE ANY IMPLICATION THAT THERE HAS NOT BEEN ANY CHANGE IN THE
FACTS SET FORTH IN THIS PROSPECTUS OR IN THE AFFAIRS OF THE COMPANY SINCE THE
DATE HEREOF.
 
                             ---------------------
 
                               TABLE OF CONTENTS
 
<TABLE>
<CAPTION>
                                        PAGE
                                        ----
<S>                                     <C>
Available Information.................    2
Incorporation of Certain Documents by
  Reference...........................    2
The Company...........................    3
Risk Factors..........................    4
Price Range of Common Stock and
  Dividends...........................   11
Selling Stockholders..................   12
Plan of Distribution..................   18
Legal Matters.........................   19
Experts...............................   19
</TABLE>
 
======================================================
 

======================================================

                                8,728,020 SHARES
 
                                   UROHEALTH
                                 SYSTEMS, INC.
 
                                  COMMON STOCK

                         ------------------------------
                                   PROSPECTUS
                         ------------------------------
                               SEPTEMBER 15, 1997
 
======================================================


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