蕭惟中1,吳國興, 陳順郎1, 2,高育琳1, 2,陳文榮1, 謝佐宜1, 宇忠誠, 王紹全1
1中山醫學大學附設醫院 泌尿科 2中山醫學大學醫學系
A Descriptive Study of Inpatient Consultation to Urology
Wei-Chung Hsiao1, Guo-Sing Wu, Sung-Lang Chen1, 2, Yu-Lin Kao1, 2, Wen-Jung Chen1,
Tzuo-Yi Hsieh1, Chung-Cheng Yu1, Shao-Chuan Wang1
1Department of Urology, Chung Shan Medical University Hospital, Taichung, Taiwan
2Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan
Purpose: Inpatient consultation for urological care is rarely analyzed in previous literatures. This study aims to perform a descriptive study of the intrahospital consultation to a urology service.
Materials and Methods: The study retrospectively evaluated all referrals to a single urologist within a 48 months interval (from 2009 to 2013) in a medical center. All consultation processes were completed within 24 hours. Comprehensive data including patient sex, age, consultation causes and subsequent treatments were recorded then analyzed.
Results: 780 inpatient consultations were analyzed. The mean age of all referrals was 66.15±16.96 years and most of them were older than 60 years old (64.1%). 66.09% of these patients were referred from internal medicine department. The most common causes of consultation were acute urine retention (AUR), hydronephrosis, and lower urinary tract symptoms (LUTS), counting for 15.5%, 14.1% and 14.0%, respectively. 50.3% of the patients received definite treatments. There was no statistical significance of consultation numbers in different months.
Conclusion: LUTS (10.2%) and hydronephrosis (23.8%) represent the most two common causes of male and female patient referral to urology. As processing to old-age society, more urological facilities would be applied to LUTS/benign prostatic enlargement and hydronephrosis related diseases. Further studies is needed to improve the quality of urological service when dealing with interdepartmental consultation.