Initial Experience with Telemedicine at a Single Institution
ConclusionsVideo visits can be used across a wide variety of diagnoses with high patient satisfaction regardless of distance from a facility. Patient satisfaction with their provider is high regardless of diagnosis but satisfaction with system use may be more variable. (Source: Urology Practice)
Source: Urology Practice - August 25, 2018 Category: Urology & Nephrology Source Type: research
Managing the High Incidence of Testicular Pain and Pathology in Prisoners with Telemedicine
ConclusionsTesticular pain and pathology represented nearly a third of the urological complaints in this population, all of which were benign with few requiring surgery. It appears that testicular pain and pathology could be mostly managed with telemedicine and testing at local facilities without compromising quality of care, potentially reducing health care expenditure by the prison and health care systems. (Source: Urology Practice)
Source: Urology Practice - August 25, 2018 Category: Urology & Nephrology Source Type: research
Comparative Effectiveness of Transurethral Resection Techniques in the Inpatient Setting for Benign Prostatic Hyperplasia
ConclusionsWe found a modest perioperative safety benefit with bipolar resection and GreenLight photovaporization relative to monopolar resection. However, both procedures were associated with higher costs. (Source: Urology Practice)
Source: Urology Practice - August 25, 2018 Category: Urology & Nephrology Source Type: research
Identifying Institutional Causes of Delay to Radical Cystectomy among Patients with High Risk Bladder Cancer Treated at a Tertiary Referral Center Using Process Map Analysis
ConclusionsSeveral institutional factors contribute to treatment delays among patients with bladder cancer. Process mapping allowed characterization of complex paths to cystectomy and identification of causes of treatment delay. (Source: Urology Practice)
Source: Urology Practice - August 25, 2018 Category: Urology & Nephrology Source Type: research
NSQIP® Indexed Complications Following Transurethral Bladder Tumor Resection and Contemporary Financial Implications
ConclusionsUrologist selected coding directly correlates with NSQIP indexed postoperative complications. Many cases of transurethral bladder tumor resection with associated complications may result in financial loss for the performing institutions. Efforts to improve quality of care and reimbursement seem warranted. (Source: Urology Practice)
Source: Urology Practice - August 25, 2018 Category: Urology & Nephrology Source Type: research
Educational Resources for Resident Training in Quality Improvement: A National Survey of Urology Residency Program Directors
ConclusionsA minority of programs have quality improvement education available for residents. However, program directors agree that quality improvement is an integral part of residency training that should be promoted by our profession. (Source: Urology Practice)
Source: Urology Practice - August 25, 2018 Category: Urology & Nephrology Source Type: research
Improving Resident and Nurse Communication Practices: Results of a Collaborative Culture Initiative
ConclusionsThis nurse-physician training collaborative produced a lasting reduction in overnight pages, an improved resident response to urgent pages and an enhanced culture of mutual respect. (Source: Urology Practice)
Source: Urology Practice - August 25, 2018 Category: Urology & Nephrology Source Type: research
Instructions for Authors
Publication date: September 2018Source: Urology Practice, Volume 5, Issue 5Author(s): (Source: Urology Practice)
Source: Urology Practice - August 25, 2018 Category: Urology & Nephrology Source Type: research
Retained Ureteral Stents at a Tertiary Referral Stone Center—Who Is at Risk?
ConclusionsEncrustation of retained stents is a preventable phenomenon which can lead to significant morbidity. Indwelling time and history of stone disease are predictive of the degree of encrustation. Upper coil encrustation increases complexity of management, more often requiring multiple procedures. (Source: Urology Practice)
Source: Urology Practice - August 24, 2018 Category: Urology & Nephrology Source Type: research
Evaluation of Missed Clinic Visits at an Academic Multi-Provider Urology Clinic
ConclusionsThis data shows identifiable characteristics associated with missed clinic visits. (Source: Urology Practice)
Source: Urology Practice - August 24, 2018 Category: Urology & Nephrology Source Type: research
Morbidity Associated with Urinary Diversion in the United States: A Contemporary Evaluation Using the NSQIP Database
ConclusionsUrinary diversion incorporating bowel continues to carry a significant risk of postoperative morbidity. While continent diversion offers potential long-term advantages, these must be balanced against longer operative times and higher rates of postoperative infectious complications. (Source: Urology Practice)
Source: Urology Practice - August 24, 2018 Category: Urology & Nephrology Source Type: research
Patient Reported Comparative Effectiveness of Contemporary Intensity Modulated Radiation Therapy Versus External Beam Radiation Therapy of the Mid 1990s for Localized Prostate Cancer
ConclusionsDespite the delivery of higher doses of radiation, men treated with contemporary intensity modulated radiation therapy reported fewer gastrointestinal and possibly fewer sexual side effects than those treated with external beam radiation therapy in the mid 1990s. However, delivery of dose escalated intensity modulated radiation therapy may cause more urinary side effects. (Source: Urology Practice)
Source: Urology Practice - August 24, 2018 Category: Urology & Nephrology Source Type: research
Improving Male Sling Selectivity and Outcomes—A Potential Role for Physical Demonstration of Stress Urinary Incontinence Severity?
ConclusionsIncreasing selectivity has improved sling outcomes for men with stress urinary incontinence. Ideal sling candidates have not received radiation therapy, and have history and physical findings suggestive of mild stress urinary incontinence. (Source: Urology Practice)
Source: Urology Practice - August 24, 2018 Category: Urology & Nephrology Source Type: research
Advance care planning and patient preferences in a feasibility pilot study to improve end-of-life communication among men with metastatic urological malignancies
ConclusionsHigh levels of advance care planning are achievable within an integrated urology-palliative care clinic, and the majority of patients with a terminal illness are averse to aggressive end-of-life care. (Source: Urology Practice)
Source: Urology Practice - August 24, 2018 Category: Urology & Nephrology Source Type: research
Increasing Adherence to an AUA Guideline: A durable impact on immediate post operative Mitomycin C use
ConclusionsIn this series, providing surgeons with a copy of the AUA guideline at the time of surgery scheduling resulted in a threefold increase in guideline compliance. This change is durable and most impactful in higher volume surgeons. We believe this model can be employed to ensure adherence and consideration for many AUA guidelines. (Source: Urology Practice)
Source: Urology Practice - August 24, 2018 Category: Urology & Nephrology Source Type: research
