Deadline for manuscript submissions: 30 October 2021Print Special Issue Flyer (2)
PhD, Santi Giovanni and Paolo Hospital, Venice, Italy
Interests: Erectile dysfunction, Renal pathologies, Bladder tumor, BPH
Medical and surgical consultations represent an important part of clinical life in every specialist department. While the outpatient consultations are mostly elective and well programmed, the inpatient consultations can represent an important extra burden of work that could not be considered in the overall analysis of the clinical activity.
In some tertiary centers the amount of urology inpatient consultations (first consult) over the year, reaches 50 % of all inpatient admissions to the department.
Different studies show that almost 70 % of all inpatient urology consultations are represented by male patients with female patients representing just 30 % of all consults. The medical internal departments refer more often to urology service. The reason for a consultation is mostly related to lower urinary tract symptoms due to benign prostate hyperplasia, which in majority of cases (with exception of invasive procedures), could be referred to outpatient consults. Thus, the question is why do we have so many inpatient consultations if a vast majority of them probably belong to outpatient care?
Secondly, only half of all inpatient consults result in a urological intervention as for example catheter insertion, followed by other more complex procedures.
Therefore, by understanding well the structure and the system of inpatient and outpatient care, as much as the real nature of all consults, could bring a serious improve in overall extra burden of work but also in the quality of care in the cases where it is seriously needed. This is important if we know that between 20 and 30% of consults have oncological as well as upper tract obstruction or uroseptic background.
In this sense, we are also obliged to mention the importance of actual hard pandemic situation which brought the general high pressure on the health system. The urological outpatient consultations came less and the inpatient consults have mostly to do with COVID-19 patients. The main fear is that in the near future the pandemic
will bring us a great number of deaths from other, oncologic and non-oncologic pathologies, which are, in this moment, put aside. That is why the health systems are introducing the telemedicine consultations, hoping to avoid the worse. What do the physician say? Is it going to be efficient?
The goal of this special issue is to assembly the experiences of urologist, working in the different settings, on the male inpatient and outpatient consultations by describing the interesting clinical cases or those the clinicians deal with mostly every day. The objective is to try to give some answers both on organization problematic as on realistic quality of care that we provide to our patients.
Urology consultation, Male inpatient consultation, Outpatient care, Telemedicine
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