Roles of Urology as Assessed by an Analysis of Inpatients Referred to Urology

Abstract

PurposeThe purpose of this study was to identify the necessity for professional urology treatment and the roles of urology in the treatment of inpatients referred to the urology department.Materials and MethodsThe subjects were patients referred to the department of urology among the inpatients of Chosun University Hospital from January 1, 2009, to December 31, 2011. The patients' sex and age, the referring department, and the disease group were extracted from the patients' medical records. Disease groups were classified as urination disorder, infection, tumor, calculus, trauma, pediatrics, andrology, and others. The urination disorder group was classified into the subcategories of neurogenic bladder, benign prostatic hypertrophy, urinary retention, urinary incontinence, and overactive bladder.ResultsThe total number of referrals was 3,261, and males made up 54.79%. In the age distribution, 2,321 patients (71.17%) were over 60 years of age and the largest population group was patients in their 70s (32.72%). According to the department referring the patients, internal medicine (34.06%) and orthopedic surgery (16.83%) made up a high percentage. Concerning the disease group, urination disorder was the highest, being 61.26%. In the subclassification of the urination disorder group, benign prostatic hypertrophy was the highest category at 32.23%.ConclusionsIn this urology cooperative behavior analysis of our hospital over 3 years, a high percentage of older patients over 60 years of age and a high percentage of urination disorders were found. Urination disorder-related diseases in persons of advanced age are expected to increase as Korea becomes an aged society, and doctors in other departments should be aware that professional treatment and management by a urologist is needed for the treatment of these disorders.

Characteristics of urinary retention in female inpatients managed with medical treatments

“…Postoperative UR is a frequent complication of anesthesia and surgery of the lower urinary tract, perineum, anus, and general gynecological interventions, with an estimated incidence rate of 5% to 70% [ 7 8 9 10 ]. By the way, in an analysis of inpatients referred to Urology Department, urination disorder was the most common problem (61.26%) and UR was 25% among urination disorder [ 11 ]. Most commonly, referrals to urology are made by internal medicine.…”